COVID-19 Related Resources
Our goal at Knowledge to Practice is to make a contribution to supporting all healthcare workers during this challenging time. We are dedicated to supporting your frontline by making relevant content related to underlying conditions of COVID-19 available and easily accessible on the go. We've compiled important resources including information regarding COVID-19, how clinical practices are working with public health, and a library of content related to comorbid conditions.
We summarize the facts related to COVID-19, review the three core functions and ten essential services of public health, and index the state and federal agencies on the frontline of the COVID-19 pandemic.
Angela DeJulius, MD, MPH, a board-certified family physician, shares how private practice physicians and the various public health organizations are collaborating during the current pandemic.
COVID-19 Associated Comorbid Conditions
Our mission at Knowledge to Practice is to provide access to relevant, personalized content to physicians and APPs with the goal of enabling access to the exact content they need while on the go. Below you can directly access, guidelines-based content formatted in micro-learning activities, at no cost, on the topics of viruses, pneumonias, acute renal failure, shock/sepsis, ARDS, abnormal coagulation, acute cardiac injury, arrhythmias, and blood pressure management.
COVID-19 Connections to Blood Clotting Issues
One of the first case reports from Wuhan China concluded that those of older age, those presenting with signs of sepsis, and those with a d-dimer levels > 1 μg/mL were correlated to a higher mortality; and were markers of poor prognosis.
COVID-19 Connections to Acute Cardiac Injury
The Chinese Centers for Disease Control report that those with underlying comorbid conditions are at increased risk of contracting COVID-19 and, when infected, at have a worse prognosis. In addition, 25-50% of patients present with a comorbid illness.
As we know, increased cardiometabolic demand can cause or contribute to cardiac complications. In a recent case report of 138 patients with COVID-19, 7.2 % developed acute cardiac injury and 16.7% developed a cardiac arrhythmia, in addition to the usual COVID-19 symptoms.
COVID-19 Association with Diabetes
Although the science continues to evolve, as of this writing, published case reports from the Chinese Centers for Disease Control indicate that fatality rates with COVID-19 infection are extremely high (up to 7.3%) in patients with diabetes. Identification and close management of patients with diabetes is crucial to reducing mortality in this group.
COVID-19 Association with Hypertension
Published case reports from China suggest case fatalities for patients with comorbid hypertension were 6.0%, significantly higher than the general population.
COVID-19 Complications: Pneumonia, Respiratory Failure, Sepsis, and Stock
We know that simple counts of confirmed cases of COVID-19 are not representative of the true number of persons infected, as subclinical, asymptomatic, and mild infections are likely circulating in the population as unconfirmed cases. Regardless, symptoms can include those similar to viral pneumonia, ARDS, and sepsis. Importantly, the Chinese Cardiology Association reports severely ill patients presenting with or without fever, with clinical indicators suggestive of cardiogenic shock, should be evaluated for COVID-19.
COVID-19: Principles and Medical Ethics
It’s difficult to acknowledge that many states have already prepared for the potential for rationing of goods and services, including ventilators, during this pandemic.