Apr 27, 2021
Clinical guide green lights point-of-care imaging with standard diagnosis in ED, inpatient settings
Clinicians can use add-on point-of-care ultrasonography in patients with unspecified acute dyspnea in the emergency department (ED) or inpatient setting, according to the American College of Physicians (ACP), although the recommendation is based on a low certainty of evidence.
Combining point-of-care ultrasonography (POCUS) with the standard diagnostic pathway increased the proportion of correct diagnoses by 32%, boosted the sensitivity of standard testing without “a substantial tradeoff in specificity,” did not seem to be tied to any serious harms, is not a high-cost test, and did not result in a longer length of stay (LOS) for patients, wrote Amir Qaseem, MD, PhD, MHA, of the ACP in Philadelphia, and co-authors on the college’s clinical guidelines committee.
A cheap and widely available asthma drug appears to significantly reduce the risk of people being hospitalised with Covid-19, if it is taken within the first week of developing symptoms, research suggests. If the results are confirmed by other ongoing studies, inhaled budesonide – which both stops people from getting worse and shortens the length of their illness – could become the first treatment in the early stages of infection. The Stoic.
The risk of airborne transmission of COVID-19 away from intensive care settings is greater than previously believed, a study revealed as questions swirl over aerosols in Australia. The UK study found that coughing released up to 10 times more concentrated aerosols emissions than the mean concentration from speaking or breathing. Cough remains a significant aerosol risk, warned the study from the University of Bristol, which has not yet been peer reviewed. It said that cough appears to generate significant aerosols in a size range compatible with airborne transmission of SARS-CoV-2 , meaning the risk of aerosols was likely to be high anywhere that someone with COVID-19 was coughing.
Covid coughing study suggests NHS staff at far greater risk than thought msn.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from msn.com Daily Mail and Mail on Sunday newspapers.