COVID-19 Update 03-18-2020 – An interview with Andrea Duca, MD, Emergency Physician in Bergamo, Italy
Time Stamps:
01:29 Dr. Andrea Duca introduction.
02:05 What were your shifts like at the start of the epidemic?
04:50 Were you testing patients for CoOVID-19 initially?
05:08 Were the COVID-19 tests completed in-house or sent out to a government lab?
05:35 The arrival of the first cases. Then… and now.
07:03 What percent of your daily volume is due to COVID-19 patients?
08:17 Are COVID-19 patients diverted to a regional facility?
09:13 Are you still testing patients for COVID-19 today?
09:57 What is your current medication protocol?
10:35 Which antivirals are you currently using?
10:54 Hydroxychloroquine
11:14 Do you use non-invasive ventilation?
13:35 What kind of isolation do you use, airborne or droplet?
14:46 Do you put on new PPE as you go room to room?
15:21 What PPE do you currently use?
15:38 When did you create dirty and clean zones in the emergency department?
16:45 Do you have a dirty and clean side in the waiting room?
17:03 What is your annual emergency department volume? Daily volume?
18:04 How many treatment rooms are in your emergency department?
18:38 What percent of patients are admitted? Do you have borders?
19:54 Where do discharged patients go?
20:14 Have you personally been infected?
20:58 Do you test your staff who are ill? What is your protocol for infected staff?
22:46 What percent of the ED staff were sick at any given time? And inpatient nurses?
24:00 How did you deal with so many inpatient nurses being sick?
24:36 What are your surgeons, who cannot operate, currently doing?
25:35 Are you running out of non-invasive ventilation equipment?
26:20 Summary of current workflow for infected staff.
26:36 How do you use ultrasound for COVID-19 patients in the ED?
29:50 What criteria must a patient meet to be discharged?
31:00 EMS and their role in community screening.
32:20 What are you looking for on ultrasound examination?
34.42 What size chest tube are you utilizing for a pneumothorax in a patient with positive pressure ventilation?
26:33 What inpatient location are patients sent to? By what criteria?
37:05 Have you seen any infected pregnant patients or staff?
38:02 Have you seen any infected children?
38:43 Are you still testing patients? How many times are you testing them?
39:21 What psychological support do you have for staff?
42:25 What would you have liked to know early on, that yo
Last Updated on January 25, 2023
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
