EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care

Topics in this EM Quick Hits podcast

Anand Swaminathan on oxygenation strategies for COVID-19 learned from the New York experience (1:10)

Andrew Petrosoniak on trauma care considerations in the COVID-19 era (9:26)

Michelle Klaiman on addiction medicine considerations in the COVID-19 era (15:38)

Brit Long & Michael Gottlieb on cardiac complications of COVID-19 (21:19)

Leeor Sommer on physician compassion and preserving patients' humanity in the COVID-19 era (28:52)



Podcast production, editing and sound design by Anton Helman

Podcast content, written summary & blog post by Andrew Petrosoniak, Brit Long and Anton Helman

Cite this podcast as: Helman, A. Swaminathan, A. Klaiman, M. Sommer, L. Long, B. Gottlieb, M. Petrosoniak, A. EM Quick Hits 16 - COVID-19 - Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications & Compassionate Care. Emergency Medicine Cases. April, 2020. https://emergencymedicinecases.com/em-quick-hits-covid-19-oxygenation-trauma-addictions-cardiovascular-complications/. Accessed [date].

This blog post and podcast are based on Level C evidence - consensus and expert opinion. Examples of protocols, checklists and algorithms are for educational purposes and require modification for your particular needs as well as approval by your hospital before use in clinical practice.

This podcast was recorded in early April, 2020 and the information within is accurate up to this date only, as the COVID pandemic evolves and new data emerges. The blog post will be updated regularly and we are working on a weekly update via the EM Cases Newsletter which will be replicated on the EM Cases website under 'COVID-19' in the navigation bar.

Oxygenation strategies for COVID-19: New York City experience

There appears to be three phenotypes of COVID-19 patients:



* The well COVID-19 patient - URI/flu-like illness +/- abnormal CXR, but normal/near normal vital signs

* "Happy hypoxic" - relatively asymptomatic and appearing comfortable but oxygen saturation