COVID-19 Related Resources

Our goal at Knowledge to Practice is to make a contribution to supporting all healthcare workers during this challenging time. We are dedicated to supporting your frontline by making relevant content related to underlying conditions of COVID-19 available and easily accessible on the go. We’ve compiled important resources including information regarding COVID-19, how clinical practices are working with public health, and a library of content related to comorbid conditions.

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Public Health Management of a Pandemic for the Practicing Clinician

We summarize the facts related to COVID-19, review the three core functions and ten essential services of public health, and index the state and federal agencies on the frontline of the COVID-19 pandemic.

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Public Health and Clinical Practice: Working Together

Angela DeJulius, MD, MPH, a board-certified family physician, shares how private practice physicians and the various public health organizations are collaborating during the current pandemic.

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COVID-19-Associated Comorbid Conditions

Our mission at Knowledge to Practice is to provide access to relevant, personalized content to physicians and APPs with the goal of enabling access to the exact content they need while on the go. Below you can directly access, guidelines-based content formatted in micro-learning activities, at no cost, on the topics of viruses, pneumonias, acute renal failure, shock/sepsis, ARDS, abnormal coagulation, acute cardiac injury, arrhythmias, and blood pressure management.

COVID-19 Connections to Blood Clotting Issues

One of the first case reports from Wuhan China concluded that those of older age, those presenting with signs of sepsis, and those with a d-dimer levels > 1 μg/mL were correlated to a higher mortality; and were markers of poor prognosis.

 

Deep Vein Thrombosis and Pulmonary Emboli – Diagnosis (10 min video)

Deep Vein Thrombosis and Pulmonary Emboli – Management (11 min video)

Pulmonary Embolism Management in the Unstable Patient (7 min video)

Optimal Management of Combination Anti-Platelet and Anticoagulant Therapy in the Current Era: the Data (Transcript)

Optimal Management of Combination Anti-platelet and Anticoagulant Therapy in the Current Era: Clinical Implications (Transcript)

 

 

COVID-19 Connections to Acute Cardiac Injury

The Chinese Centers for Disease Control report that those with underlying comorbid conditions are at increased risk of contracting COVID-19 and, when infected, at have a worse prognosis. In addition, 25-50% of patients present with a comorbid illness.

As we know, increased cardiometabolic demand can cause or contribute to cardiac complications. In a recent case report of 138 patients with COVID-19, 7.2 % developed acute cardiac injury and 16.7% developed a cardiac arrhythmia, in addition to the usual COVID-19 symptoms.

 

Coronary Artery Disease: Risk Factors and Screening (6 min video)

Coronary Artery Disease: Medical Therapy for Prevention and Treatment (10 min video)

Acute Coronary Syndromes (6 min video)

Overview and Management of Acute Coronary Syndromes/MI (13 min video)

Basic Arrhythmia (11 min video)

Tachycardia (10 min video)

Atrial Fibrillation (15 min video)

SVT and AF: Diagnosis (16 min video)

AF: Mechanisms and Classification (27 min video)

AF: Stroke Risk Stratification (8 min video)

AF: Anticoagulant Selection (13 min video)

AF: Rate and Rhythm Control (8 min video)

COVID-19 Connections to Diabetes

Although the science continues to evolve, as of this writing, published case reports from the Chinese Centers for Disease Control indicate that fatality rates with COVID-19 infection are extremely high (up to 7.3%)  in patients with diabetes. Identification and close management of patients with diabetes is crucial to reducing mortality in this group.

 

Diabetes Management (Transcript) 

The Role of Cardiologists in Diabetes Management (Transcript)

Type 2 Diabetes Mellitus and Heart Failure (Transcript)

Blood Glucose Control in Heart Failure (Transcript)

Anti-Diabetic Strategies for the Prevention of Heart Failure: Traditional Therapy (Transcript)

Anti-Diabetic Strategies for the Prevention of Heart Failure: Incretin Based Therapies (Transcript)

Anti-Diabetic Strategies for the Prevention of Heart Failure: SGLT2 Inhibitors (Transcript)

Glucose Lowering Medications (23 min video)

COVID-19 Connections to Hypertension Diagnosis & Management

Published case reports from China suggest case fatalities for patients with comorbid hypertension were 6.0%, significantly higher than the general population.

 

Hyperlipidemia Diagnosis and Management (20 min video)

Hypertension Diagnosis and Management (18 min video)

Redefining High Blood Pressure (Transcript)

Updates in Hypertension Management (Transcript)

COVID-19 Connections to Pneumonia, Respiratory Failure, Sepsis, and Stock

We know that simple counts of confirmed cases of SARS-CoV-2 are not representative of the true number of persons infected, as subclinical, asymptomatic, and mild infections are likely circulating in the population as unconfirmed cases. Regardless, symptoms can include those similar to viral pneumonia, ARDS, and sepsis. Importantly, Chinese Cardiology Association cardiologists report severely ill patients presenting with or without fever, with clinical indicators suggestive of cardiogenic shock.

 

General Info on Viruses (5 min video) 

Community-Acquired Pneumonia (7 min video)

Healthcare-Associated Pneumonia (6 min video)

Respiratory Failure (14 min video)

Shock (6 min video)

Sepsis (4 min video)

Diagnosis and Management of Acute Kidney Injury (16 min video)

Indications for Acute Dialysis (3 min video)

Pre- and Post-Renal Acute Kidney Injury (2 min video)

Abnormal White Blood Cell Counts (6 min video)

COVID-19 Connections to Principles and Medical Ethics

It’s difficult to acknowledge that many states have already prepared for the potential for rationing of goods and services, including ventilators, during this pandemic.

 

Principles of Medical Ethics (8 min video)

Patient Autonomy and Rights (4 min video)

Decision Making, Consent and Advance Directives (11 min video)

Confidentiality (4 min video)

Do Not Resuscitates (DNRs) and Withdrawing Life Support (3 min video)

Principles of Justice (4 min video)

Facing Medical Futility (2 min video)

References for stats: 

ACC Clinical Bulletin

CCA/ACC Webinars

The Lancet: Comorbidities and Multi-Organ Injuries in the Treatment of COVID-19

NEJM: The Toughest Triage

NEJM: Fair Allocation of Scarce Medical Resources