May 6, 2020Podcast

COVID-19 Update 8 with Dr. Joe Holley

Disaster Podcast host Jamie Davis touches base again with Dr. Joe Holley for our eighth bonus update on the COVID-19 outbreak kicking off the month of May 2020. Our understanding of the way this virus impacts our patients is still evolving. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this call:

COVID-19 and the New Normal for Health Care:

Systems settle into routines for care and staffing
Preparations are in place based on lessons learned so far

COVID-19 Young Patient Presentation

Younger patients may present with symptoms similar to Kowasaki Disease
This is rare response to viral infections in young patients
Causes obstructive coronary artery disease due to inflamatory response
Diagnosed by recognizing a constellation of symptoms outlined by Dr. Joe in episode

Other presentation in kids

Gastroenteritis symptoms including abdominal pain, diarrhea
If young patients present with fever and GI symptoms, suspect COVID as possible diagnosis
Take precautions with PPE

On the testing front

One Florida study tested city sewage for viral RNA present and found levels 4 times what would be expected with diagnosed cases in city.
This may indicate far more asymptomatic cases shedding virus via GI tract
Some areas testing unresuscitated (DOA) cardiac arrest patients for COVID and finding large number of positive cases

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion

Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!

Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.