Open Access DOI:10.23937/2469-5858/1510104
Delirium as an Initial Presentation of COVID-19: Implications in Diagnosis and Possible Long-Term Effects
Daniel J Greenberg, DO and Christine Carosella, MD
Article Type: Case Report | First Published: December 05, 2020
Most patients with coronavirus disease 2019 (COVID-19) experience fever, cough, and malaise. Neurologic manifestations are receiving more recognition. One systematic review found the most frequent findings included headache (20.1%) and smell and taste dysfunction (59.2% and 50.8%, respectively). Impaired consciousness, defined as agitation or confusion, occurred 5.1%, and was more common in severe or critical patients (11.9%). Further, cases of asymptomatic infection may be as high as 40% to 45%...
Open Access DOI:10.23937/2378-3516/1410147
The Role of Intermediate Respiratory Care Units in Preventing ICU Collapse during the COVID Pandemic
Sarah Heili Frades, MD, María del Pilar Carballosa de Miguel, MD, Alba Naya Prieto, MD, Itziar Fernández Ormaechea, MD, Farah Ezzine de Blas, MD, Pablo Lopez Yeste, MD, Francisco Jos Laso Del Hierro, MD, Ainhoa Izquierdo Perez, MD, Marwan Mohamed Choukri, MD, Herminia Ortiz Mayoral, MD, Abdulkader El Hachem Debek, MD, Andres Gimenez Velando, MD, Marcel Jose Rodriguez Guzman, MD, Elena Cabezas Pastor, Pablo Minguez, PhD, Ignacio Mahillo Fernández, PhD, Antonio Herrero González, Lorena de la F
Article Type: Research Article | First Published: November 30, 2020
There is limited information describing features and outcomes of patients requiring Intermediate Respiratory Care Unit (IRCU) hospitalization for COVID19 disease and as of yet, no mechanical or medical treatments have clearly demonstrated efficacy in IRCU. Demographics and clinical variables on admission, as well as medical and mechanical therapeutic interventions, were extracted from Electronic Clinical Records in 274 SARS-CoV-2 infected patients attending a third level hospital IRCU. Using mul...
Open Access DOI:10.23937/2572-3235.1510071
Dose Profile Study in Head CT Scans Using a Male Anthropomorphic Phantom
Álvaro Mauricio Ladino Gómez, Priscila do Carmo Santana and Arnaldo Prata Mourão
Article Type: Academic Research | First Published: November 27, 2020
Computed Tomography (CT) is an efficient and non-invasive method to obtain data about internal structures of the human body. CT scans contribute with the highest absorbed doses in population due X-ray beam attenuation and it has raised concern in radiosensitive tissues. Techniques for the optimization of CT scanning protocols in diagnostic services have been developing with the objective of decreasing the absorbed dose in patient, aiming image quality within acceptable parameters for diagnosis b...
Open Access DOI:10.23937/2474-3674/1510111
A Surprising Cause of Shock
Bernhard Baumeister MD and Reto Nueesch MD
Article Type: Case Report | First Published: November 28, 2020
A mayor challenge in emergency medicine is identifying life threatening conditions and simultaneously starting an adequate therapy. Therefore physicians often have to quickly commit themselves to the most likely diagnosis to avoid any delay of treatment. Nevertheless clinicians have to stay alert, repeatedly reassess differential diagnoses and change the initial treatment when needed. A 59-year-old man was admitted to our emergency department by ambulance in state of shock. He presented with red...
Open Access DOI:10.23937/2377-4630/1410114
Malignant Tracheal Invasion Masked by COVID-19 Symptoms
Chase D Rose, MD, Andrew W Murray, MD, David G Lott, MD, Patrick A Devaleria, MD and Bradford B Smith, MD
Article Type: Case Report | First Published: November 27, 2020
The coronavirus disease 2019 (COVID-19) pandemic has significantly altered the delivery of healthcare, particularly for patients undergoing perioperative surgical care. We present a case of successful airway and surgical management of a patient with substernal tracheal invasion by thyroid cancer whose care was complicated by a diagnosis of COVID-19. We recommend providers exhibit vigilance in addition to multidisciplinary evaluation and planning to limit exposure and avoid potential morbidity an...
Open Access DOI:10.23937/2643-4512/1710052
Suicide in Physicians: We Need to Safeguard Our Mental Health in Times of Pandemic
Ivan Lozada Martinez, Maria Bolaño Romero and Daniela Torres Llinás
Article Type: Commentary | First Published: December 03, 2020
During the current COVID-19 pandemic, the emotional sphere of health workers has been overwhelmingly affected, as a result of the collapse of global health systems, lack of support from the state, discrimination and stigmatization by the general population, family isolation, loss of colleagues, among other causes; another condition is added that contributes to the progressive deterioration of the mental health of these, which is the Post-Traumatic Stress Syndrome. Currently, there are no reliabl...
Open Access DOI:10.23937/2469-5823/1510148
Evaluation of Delirium Course Program Given to Intensive Care Nurses
Gamze Sarikoc and Ozlem Canbolat
Article Type: Original Article | First Published: November 28, 2020
Delirium is frequently seen in intensive care units. Because of the negative consequences and increased healthcare costs associated with delirium, prevention interventions are crucial to reducing the frequency and complications of delirium. The most basic component in the prevention of delirium is that the patient should be evaluated in terms of delirium risk factors within the first 24 hours of admission to the clinic. Raising awareness about delirium and increasing the level of knowledge of nu...