Editor's Note In this study from the Houston Methodist Research Institute, immediate-use steam sterilization (IUSS) using a Steris Amsco Evolution HC1500 PreVac Steam Sterilizer autoclave was performed on N95 masks. Masks were wrapped in paper-plastic sterilization peel pouches (Medical Action Industries 8” role, Ref 422R). A chemical indicator and biological…

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Editor's Note The American College of Surgeons (ACS) on April 17 announced that the ACS, AORN, American Society of Anesthesiologists (ASA), and American Hospital Association (AHA) together developed a roadmap to guide readiness, prioritization, and scheduling for safely resuming elective surgery. Highlights of the roadmap include: Implementing a policy for…

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Editor's Note In a cohort of SARS-CoV-2 positive healthcare workers (HCW) residing in King County, Washington, this study found that symptom screening only for fever, cough, shortness of breath, or sore throat might have missed 17% of symptomatic HCW at the time of illness onset, and expanding criteria to include…

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Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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Editor's Note In this study, unprotected, prolonged patient contact and certain exposures, including aerosol-generating procedures, were linked to SARS-CoV-2 infection in healthcare workers (HCW) exposed to a hospitalized patient with unrecognized COVID-19 in Solano County, California. Of 121 HCW exposed to a patient with unrecognized COVID-19, 43 became symptomatic and…

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Editor's Note: The Centers for Medicare & Medicaid Services (CMS) on April 19 issued recommendations on how hospitals and healthcare systems can protect their staff and patients as they reopen for nonemergent care. The new recommendations update earlier guidance on limiting nonessential surgical and medical procedures and are specifically targeted…

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Editor's Note In this study, Elizabeth Wick, MD, and colleagues at the University of California at San Francisco develop a surgery-triage plan to reduce OR volume and manage healthcare resources during the COVID-19 pandemic. Their comprehensive rapid response plan included: Reducing OR volume by 80% to ensure adequate capacity to…

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Editor's Note In this study from Seoul, South Korea, both surgical and cotton masks were ineffective in preventing the dissemination of SARS-CoV-2, from coughs of patients with COVID-19 to the environment and external mask surface. For the study, four patients with COVID-19 were admitted to negative pressure isolation rooms and…

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Editor's Note In this study, researchers from Stanford University create an algorithm to protect OR teams who perform urgent and emergency surgical procedures from the coronavirus and rationally conserve the personal protective equipment (PPE) they wear. Incuded in the decision tree algorithm: Patients were triaged by severity of illness into…

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Editor's Note During the first 3 weeks of the COVID-19 outbreak in the Seattle area, the most common reasons for ICU admission were hypoxemic respiratory failure leading to mechanical ventilation and/or hypotension requiring vasopressor treatment, and mortality was high in these critically ill patients, this study finds. In this analysis…

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