Coronavirus Disease 2019 (COVID-19)

COVID-19

Coronavirus disease (COVID-19) was discovered in December 2019. Kenya reported its first case on the 13th of March 2020

Common signs of infection include respiratory symptoms, fever, cough, shortness of breath and breathing difficulties. In more severe cases, the infection can cause pneumonia, severe acute respiratory syndrome, kidney failure and even death. 

Standard recommendations to prevent infection spread include physical distancing, wearing a mask, keeping rooms well ventilated, avoiding crowds, cleaning your hands, and coughing into a bent elbow or tissue.

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Emergency Care

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COVID-19 Preparedness

Quality Emergency and Critical Care services are crucial to saving lives in the current COVID-19 pandemic here in Kenya. Strengthening these services across the country will not only save us now but even when the pandemic is over because, emergencies always happen, regardless of whether we are prepared or not.

Consensus guidelines for managing the airway in patients with COVID‐19

The predominant COVID‐19 illness is a viral pneumonia. Airway interventions are mainly required for tracheal intubation and establishing controlled ventilation. This consensus statement has been brought together at short notice to advise on airway management for patients with COVID‐19, drawing on published literature and immediately available information from clinicians and experts.

COVID-19 Airway Management

Approximately 17% of confirmed cases of COVID-19 develop severe disease with acute respiratory distress syndrome (ARDS). Like other patient groups with ARDS, patients with severe COVID-19 are likely to be considered for emergency tracheal intubation and mechanical ventilation to support potential recovery from their illness.

Surviving Sepsis Campaign: COVID-19 Guidelines

The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which 4 are best practice statements, 9 are strong recommendations, and 35 are weak recommendations. No recommendation was provided for 6 questions. The topics were: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy.

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