Thread by @MoMIGSMD

For the #OBGYN community please watch the free AAGL #COVIDー19 webinar w/ global gyn surgeons from Seattle to Italy & S.Korea. Sobering glimpse for what’s to come nationwide. I have summarized international takeaways below:

https://twitter.com/aagl/status/1241060338864279559

S.Korea has implemented many strategies that’s helping to effectively #FlattenTheCurve:

1. National coordinated/organized response:
-Government OPENNESS, TRANSPARENCY.
-Medical COLLABORATION, COMMUNICATION, PASSION
-“United we stand, divided we fall”

2. Testing:
-Ubiquitous
-Relatively cheap (<$200)
-Results available in 4-6 hours, -Convenience-drive thru testing launched quickly
-Fast Isolation and Treatment

3. Tracking (controversial)
-All confirmed cases using surveillance cameras, car license plates & credit cards

4. Public release of case locations
-Using an app sharing tracking routes of (+) patients

5. Masks
-Widely available & used by everyone

6. Hygiene

7. Strict social isolation
- Especially in hospitals and potential large gatherings

In Spain, cases are increasing rapidly with higher deaths than seen in Italy at their current curves, they have implemented:

1. Public and private hospital system collaboration

2. Every single patient regardless of insurance or economic status is attended to

3. Widespread work from home in many job sectors

4. New collaboration with sectors who have not been connected before (i.e. hotels to house patients who are not as sick for inpatient or ICU but can’t be home)

Seattle and France are bracing for their surges and peaks. Predictive models estimate this to occur in early April.

China’s early experience:
-Medical staff protection is VITAL
-Healthcare workers MUST have N95 masks & ALSO eye protection. Regular masks are not enough. It is highly contagious.
-Doctors & nurses stayed in hotels when working & isolated away from family x 14 days when done.

Dr. Raghavan-North Carolina recommends operating under Command and Control meaning sometimes there is lack of clarity or purpose. Therefore:
-We need clear guidelines that are adhered to.
-Active communication with all staff regarding policy and why we are doing things

-Electronically accessible evidence based pathways for the COVID19 patient in already established algorithms for conditions
-Stop all non-urgent visits, restrict face to face patient visits
-Use 3D printers to create products on short supply (face masks, ventilator pieces, etc)

-MUST protect against aerosolization with PPE
-Schedule A & B teams to conserve and protect healthcare staff. Idea is to have 14 days away from exposure.
-Standardization and communication is crucial
-This is a war and we need to fight it actively

I am so proud of the open collaboration and unification of doctors and hospital systems around the world. Thank you to our international colleagues and leaders for sharing their experiences.

@arpitdave @sadikah6 @LoraLiuMD @OlgaMuldoonMD @MigsRunner @meenalmisalMD @delararitchie @RachHaverland @dramypark @drmiguelluna @DrSamarNahas1 @JovanaTavcar @Jie59063832 @drjakelauer @ChrisDeSteph @drlindayang @NicholeMahnert @jmourad1 @drdre424 @ArtArellano

@JessicaTonMD @KatieSmithMD @nisseclark @JamesCaseyMD @mathewleonardi @WassonMegan @joyi1014 @AmandaYunkerDO @malstumd @GreenjrnlEd @Mikhail_MIGS @MIGS_TIPS @MasghatiSalome @XiaomingGuan

@NicholasSRaja @SarahSanti92 @BaillieBronner @medstudentsaga @BronwynBedrick

#FlattenTheCuve #COVIDー19 #pandemic #obgyn #womenshealth #Gynecology #migs #StayHome #StayAtHome #SocialDistance #Isolation #medtwitter #MedStudentTwitter

@AAGL @AAGLJMIG @acog @GynSurgery @uazmedphx @MayoGynecology @ClevelandClinic @ContempOBGYN @AJOG_thegray

@TheObGProject @creogsovercoff1 @NMoawad_MIGS @Peter_Movilla @DrOshinowo @WRossMD @salazarMIGS @camilapaiva88 @larafbharvey @ArielDubin @JenAngerMD @KellyLRyanMD @lgobrito @apgonews @AakritiCarrubba @markhoffmanmd @AngChaudhariMD @abrao_mauricio @NorthwesternCCG @mmqpacis

Tagging @jubileebrown and @BarbaraAGoff for their amazing contribution, thanks to @NitaKarnikLee.