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In light of the life-threatening, national PPE shortage, my team and I built a Plexiglas Droplet Barrier for COVID-19 testing. No health care worker should test patients without protection. We hope that this barrier will allow our staff to test patients safely
in our outpatient clinics while preserving our scarce PPE (masks, face shields, and gowns). This droplet barrier is hand-crafted and inspired by necessity. The total build time was less than one hour. Disclaimer: I hope this video sparks innovative thinking
about our public health crisis. I am a general pediatrician, not an Infection Control specialist. Use and share this video at your own risk. These are times when hope and ideas should be shared. Good luck to my healthcare colleagues around the world.

#GHCSCW #GHCSTRONG
This is the link to the video on how to use the barrier - . #GHCSCW #COVIDー19 #StayAtHome
@GeorgeTakei Hi George, Could you help me amplify this thread. I’m trying to spark some hope and innovative thinking during trying times. Gaman. Thanks, Alison
#COVID19 #CoronavirusPandemic #COVID19US #AmerAcadPeds
Thanks to Brownmed, the family owned, medical supply company from Spirit Lake, Iowa, that makes the cast protector used in our video! I love this Midwest connection!

brownmed.com
Follow up on our Improvised Droplet Barrier

We have a local team of volunteer builders recreating our Droplet Barrier prototype with a simplified sleeve gauntlet. I’m hoping to have specs to share with everyone on Monday, March 23.
I’m told that you can have things done well, fast, or today. Given our national emergency and the lives at stake, we are going with the best that today has to offer, which is pretty darn good for now.
Again, please note the disclaimer. I am not an infection control specialist. I am a general pediatrician in Wisconsin who is desperate to protect her team during a national PPE supply crisis.
Healthcare workers cannot care for you with out protection. While this barrier is far from perfect, it’s better than no gown. It’s better than no face shield.
For those asking about how to clean the sleeves, any medical disinfectant should work on the vinyl. We use new gloves each time. Patients don’t touch the sleeves. Germs don’t jump.
For those asking about airborne transmission, wear an n95, IF you have them. Either way, you still need droplet precautions. Hope this helps.
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#GHCSCW #GHCSTRONG #COVIDー19 #StayAtHome #COVID19 #CoronavirusPandemic #COVID19US #AmerAcadPeds

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Lindsay Wiley
@ProfLWiley
Wuhan sacrificed to buy us time. Italy sacrificed to buy us time. Now 100s of millions of Americans are sacrificing their liberty, livelihoods, and wellbeing—which for some will ultimately mean sacrificing their lives—to buy us time. What are our leaders doing with this time?
Where is the plan to manufacture and distribute the #PPE protective gear our health-care workers need to safely stay at the bedside and care for the thousands who are about to be desperately ill?
Where is the plan to manufacture and distribute the #ventilators that will save lives?
Read 9 tweets
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Michael J. Malaska
@mike_malaska
Stuff getting real. Phone rings. Call from Representative Adam Schiff (we're in his district). Group telecon. Here is delayed transcription.
All of California now in "stay at home" order was 30 min ago. (now, 1 h 30 min ago.)
Basic health info:
Wash hands. Stay at home. Social distancing.
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Sen. Jeff Jackson
@JeffJacksonNC
NC #COVID UPDATE (3/18 - noon)

There's a new hurdle with testing.

The first shortage was test kits.

The second shortage was extraction kits, which are needed to extract the RNA that gets tested.

The new shortage is masks, gloves, and gowns for medical personnel.
#ncpol
As it turns out, this *directly* impacts COVID testing. You can't do a COIVD test without this protective equipment because we cannot risk our medical personnel getting sick and in North Carolina - as in other states - we're running low on the equipment they need to stay safe.
The shortage is so severe that it may result in a modification of the eligibility criteria for who qualifies for a COVID test in order to ensure that there's enough testing capacity for higher-risk populations. DHHS is currently reviewing guidance.
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Faheem Younus, MD
@FaheemYounus
So I’m hearing many myths about #COVID-19 and would like to quickly clear the record.

Coronavirus will go away in Sumer months.

Wrong. Previous pandemics didn’t follow weather patterns plus as we enter summer, there will be winter in the Southern Hemisphere. Virus is global.
Myth #2: In summer, the virus will spread more due to mosquito bites.

Wrong. This infection is spread via respiratory droplets, not blood. Mosquitos don’t increase spread.
Myth #3: If you can hold your breath for ten seconds without discomfort, you don’t have COVID.

Wrong: Most young patients with Coronavirus will be able to hold their breaths for much longer than 10 seconds. And many elderly without the virus won’t be able to do it.
Read 11 tweets
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Dr Jwala Gurunath
@DrJwalaG
Are Masks useful - You need to understand this
The virus spreads when infected people cough or sneeze, releasing tiny droplets of saliva into the air. These droplets contain virus particles, which then spread through the environment.
#Coronaindia #COVIDー19 1/n
You get it when it gets into your eyes, your nose or your mouth. So it seems pretty obvious that a mask should stop those saliva droplets from getting into your face, right? Well, not so fast.Those droplets are heavy. They don't go very far, probably not more than 6 feet.
That means you need to be standing right near someone coughing into your face to get infected directly by the droplets. If you live in the same household as someone who has been diagnosed with #COVIDー19,
the disease caused by the virus, that's a real risk.
Read 5 tweets
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Jairus Grove
@SavageEcology
#COVIDー19 @ewarren @BernieSanders We need a progressive agenda on epidemics STAT! There is going to be panic, an emergency, hoarding and if Dems in office and Dem candidates do not prepare an agenda that is more than Trump is screwing up then Trump ultimately will win.
1. RELIEF FUND: Until we have univ. health care we need an emergency health relief fund. The # of critical cases, meaning cases requiring significant medical intervention, are more than ten fold the number of deaths. For many this will result bankruptcy levels of medical debt.
2. ER COVERAGE: Health Insurance companies should not be allowed to deny coverage for treatments that are not 'pre-approved' or "FDA approved' as all of the treatment options for severe cases of COVID are 'off-label'
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