AIIMS management protocol version 1.3 - 10/06/2020


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Covid training module

IPC (Infection prevention & control) & Sampling for Covid - IPC class  at 11:30 am every working day (BMW section - Department of Microbiology) Skill Set - ~ 40 minutes Blood sampling   https://www.youtube.com/watch?v=DzTmDlcE_3U  - 3 minutes IV Cannulation:   https://www.youtube.com/watch?v=6zcsYUqaWCE  - 5 minutes How to find veins :  https://www.youtube.com/watch?v=dKenI4Q2pWE  - 6 minutes ABG sampling:   https://www.youtube.com/watch?v=0BSv4iN8T2E  - 3.2 minutes Pulse Oxymetry :  https://www.youtube.com/watch?v=-wsLjj78DXY  - 16 minutes Bag mask ventilation :  https://www.youtube.com/watch?v=sTfoh0vRA08  - 4 minutes How to use a mask effectively (HFWTC) Clinical management module Clinical management Protocol - MOHFW - 03/07/2020  - See Diabetes and Tuberculosis guidelines also below Clinical management :  https://www.who.int/publications/i/item/clinical-management-of-covid-19 Critical care for non-interventionist :  https://www.youtube.com/watch?v=UaZw_ENCyf
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Summary of Covid literature

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S ummary of literature - key points - updated 20th June 2020 Favipiravir -20/06/2020  Approved (accelerated approval ) by DCGI for use in Mild/Moderate cases of Covid-19. Dosage 1800mg BD on day 1 followed by 800mg BD for 14 days. Tablet available as 200mg (Fabiflu) at the cost of 103 Rs per tablet, total pills 122 at the cost of 12500 Rs for whole course of therapy. RNAdependent RNA polymerase inhibitor like Remdesivir. Informed consent to be taken before administration. Contraindicated in pregnancy because of teratogenic effects seen in mice, though experience for usage in Influenza is good. Suggested to do UPT in child-bearing age group women before starting. Need to stop the drug for one week before conceiving.         Can be given in Diabetes, interaction with Repaglinide.         Not to be given in severe kidney dysfunction with GFR below 30 ml/min         Not to be given in Liver dysfunction         Effect of combination with other antiviral drugs not known.      
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