As providers continue to battle COVID-19 on the front lines, IMPACT EMS stays committed to bring you the most up to date information to help guide your care and keep you safe. In addition to our weekly Facebook Live Events and the CME Collective, this page will be updated weekly with current best practices and procedures in treating the patient and keeping your crew safe. If your current practices differ from the suggestions presented herein, please seek guidance from your Medical Director and/or Health and Safety Officer.
If you have additional resources you would like to see on this page, please email the Director of Development, Lindsay Mauldin, at LMauldin@impactems.com
Understanding the Virus – All-in-one Overviews
Below are peer reviewed sites which have broken down the basics of COVID-19. This is a great starting place if you have been left confused by conflicting information from unverified sources, as well as if you are seeking more in-depth information on all aspects of the virus, from transmission to treatment.
REBELEM: The Novel Coronavirus 2019
The CME Collective’s very own Salim Rezaiei has put together a great collection of posts on current trends and treatments for COVID-19
https://rebelem.com/covid-19-the-novel-coronavirus-2019/
International Book of Critical Care – EMCrit Covid-19
https://emcrit.org/ibcc/COVID19/
First 10EM: Covid Resources
https://first10em.com/covid-19-resources/
Life in the Fast Lane: COVID-19
https://litfl.com/coronavirus-disease-2019-covid-19/
Propofology: COVID-19 Resource Page for ICU Providers
https://www.propofology.com/covid19.html
National Association of State EMS Officials
https://nasemso.org/resources/covid-19/
Treatment Practices
Personal Protective Equipment
Resources for proper PPE, conservation strategies, and decontamination
CDC: Strategies to Optimize the Supply of PPE and Equipment
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
Stanford Medicine: Addressing COVID-19 Face Mask Shortages
https://stanfordmedicine.app.box.com/v/covid19-PPE-1-2
Covid Resources for EMS
https://www.ems.gov/projects/coronavirus_covid-19_resources.html
Journal of the American College of Surgeons: Vaporizing Hydrogen Peroxide for N95 Respirator Disinfection
https://www.journalacs.org/article/S1072-7515(20)30349-5/fulltext
Ventilatory Management Strategies
Current articles and information in regards to managing compromised ventilatory status in COVID-19 Patients
REBELEM: COVID-19 Hypoxemia
https://rebelem.com/covid-19-hypoxemia-a-better-and-still-safe-way/
Emcrit RACC: COVID-19 Airway Management Thoughts
https://emcrit.org/emcrit/covid-airway-management/
Resus Room: Respiratory Strategies in COVID-19 Podcast
https://theresusroom.co.uk/respiratory-strategies-in-covid-19/
FoamCAST: The Paradigm Shift from Early Intubation
https://foamcast.org/2020/04/20/covid-19-the-paradigm-shift-from-early-intubation/
emDocs: COVID-19: Oxygen Escalation Therapy and Noninvasive Ventilation
http://www.emdocs.net/covid-19-oxygen-escalation-therapy-and-noninvasive-ventilation/
JAMA: COVID-19 and Risks Posed to Personnel During Endotracheal Intubation
https://jamanetwork.com/journals/jama/fullarticle/2765376
Ventilator References
Impact EMS Ventilator Course: Free for providers during COVID-19
Basic Ventilator Management
Ventilator Training Alliance: The Ventilator Training Alliance app provides a multi-vendor library of training and product materials for medical professionals. Created through a partnership between leading ventilator manufacturers and Allego, Inc., the app provides free mobile access to how-to videos, product manuals, and reference guides for ventilator equipment that is critical to treating patients suffering from respiratory distress.
https://vta.allego.com/home.do
UCSF Ventilator Pocket Guide
https://anesthesia.ucsf.edu/sites/anesthesia.ucsf.edu/files/wysiwyg/Ventilator_Pocket_Guide_2020.pdf
Prone Ventilation
Below are resources outlining what prone ventilation is, the physiology behind it, and how to manage your patient during transport.
Heavy Lies the Helmet: Transporting Prone
https://heavyliesthehelmet.com/2020/04/04/054/
Massachusetts General Hospital: Prone Positioning May Benefit Non-Intubated Patients with Severe Covid-19
https://advances.massgeneral.org/research-and-innovation/article.aspx?id=1153
REBELEM: Awake Proning
https://rebelem.com/covid-19-awake-proning/
RESUS Nurse: Proning as part of the COVID-19 Bundle
https://resusnurse.com/2020/04/28/proning-as-part-of-your-covid-19-bundle/
Educational Courses
Johns Hopkins University is hosting a free, publicly available course titled “Understanding the COVID-19 Pandemic: Insights from Johns Hopkins University Experts.” This course is set up as a series of short modules to explore the COVID-19 pandemic.
https://coronavirus.jhu.edu/covid-19-basics/understanding-covid-19
Harvard continuing education video series, designed for physicians, nurses and other health care providers, Harvard-affiliated moderators interview experts to discuss the symptoms, risks and precautions regarding the ongoing COVID-19 pandemic. Each video has continuing education credits available.
https://postgraduateeducation.hms.harvard.edu/continuing-education/covid-19-resources-providers
Newer to mechanical ventilation? Check out Harvard’s Mechanical Ventilation for COVID-19 This course will provide medical professionals with an understanding of mechanical ventilation so they can support the critical care team caring for patients receiving mechanical ventilation during the COVID-19 pandemic.
https://online-learning.harvard.edu/course/mechanical-ventilation-covid-19
The Massachusetts General Hospital’s Department of Medicine presents a series of academic lectures on the impact of and response to the COVID-19 pandemic. Lectures are available in live stream format or playback of the presentation
https://www.massgeneral.org/news/coronavirus/grand-rounds
EPICC Learning is a free, open source international nursing program. They have put together a resource for COVID-19 Education, offering free continuing education credits
https://covid19.epicclearning.ca/
Resources for Healthcare Professionals
Airbnb to Help Provide Housing for 100,000 COVID-19 Responders
Hilton to Provide NAEMT Members Free Rooms During the Pandemic
Marriott Community Caregiver Program
Protect Your Sleep Health During the COVID-19 Pandemic
Mental Health
Talkspace Online Counseling, a leader in digital behavior health, is donating free online therapy to healthcare workers on the frontlines of COVID-10. Medical professionals receive 1 free month of Talkspace’s Unlimited Messaging Plus plan – including online therapy in the form of text, audio and video calls with a licensed therapist. Access this offer on the website or download the app.
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