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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Editor's Note The Joint Commission on March 31 issued a statement saying it supports letting healthcare staff bring their own standard face masks or respirators from home when their facilities cannot provide access to protective equipment that is equivalent to their exposure risk, during the COVID-19 pandemic. In taking this…

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Editor's Note The American College of Surgeons (ACS) on April 2 issued a statement on shortages of personal protective equipment (PPE), including face masks, gowns, and respirators, during the COVID pandemic. ACS says it believes it is essential that surgeons, nurses, anesthesiologists, and other healthcare personnel speak freely, without fear…

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Editor's Note The Food & Drug Administration (FDA) on March 24 took action to increase US supplies in response to the COVID-19 pandemic by providing instructions to manufacturers importing personal protective equipment (PPE) and other devices. The instructions to manufacturers clarify the types of PPE and devices they can import…

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