View our growing collection of the latest COVID-19 resources from trusted publications and healthcare professionals around the world.

Share, view, and discuss real-world medical cases with healthcare
professionals from around the world on Figure 1.

This page will be continuously updated as more COVID-19 clinical cases are shared in the community. 
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UPDATED APRIL 4, 2020

Ventilator basics

Thanks to "New England Nurse," an MICU nurse, for sharing this guide to ventilators for the non-ICU nurse. 

 

Read the guide

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UPDATED APRIL 3, 2020

From Brief19: More Studies On Hydroxychloroquine, Same “Iffy” Results

Once obscure, known mainly to patients with rheumatoid arthritis and lupus, hydroxychloroquine is now quite famous, despite limited data supporting its use for covid-19. Nevertheless, President Trump recently hailed (on Twitter) hydroxychloroquine as a potential cure for covid-19. So far, no high quality data supports this claim. Numerous low quality studies have been published on this topic though. Now another study has been published assessing hydroxychloroquine in a “preprint” non-peer reviewed medical journal medRxiv. The primary goal of the trial was to measure how long it took patients to recover (both overall and with respect to lung health). However, the scientific methods used in the study were so seriously flawed that the results are almost impossible to take seriously. Sadly, this trial does not provide the answers we need... Read today's Brief19

Shared with permission from Brief19, a daily review of #covid-19 research and policy.

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UPDATED APRIL 2, 2020

A call for chest X-rays to develop new COVID-19 screening tool

Researchers at the University of Waterloo and Darwin AI have launched an open-source project to improve COVID-19 screening using artificial intelligence and chest X-rays. 

 

The team is currently looking to collect more chest X-ray data, which is needed to teach the AI models they are building. Do you have chest X-rays (PA or AP view) of patients with COVID-19? Share them on Figure 1 using the hashtag #covid-19 or via the link below to contribute to the project. 

All data and learnings from this initiative will be made publicly available to the community.

Share a COVID-19 chest X-ray

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UPDATED APRIL 2, 2020

From Brief19: Initial Observations Of Covid-19 Patients In Critical Care In Three Cities

In a paper published in Anesthesia & Analgesia, a group of intensive care doctors from Seattle, New York City, and Chicago report on their experiences with the covid-19 epidemic to-date. While reports from China and Italy described the initial presenting symptoms of covid-19 as a influenza-like illness, the authors report that the general presentation of patients admitted to the ICU had complaints including “chest pain, headaches, altered mental status” and gastrointestinal symptoms such as “nausea, abdominal pain, vomiting and diarrhea.” 

 

Shared with permission from Brief19, a daily review of #covid-19 research and policy.

Read today's Brief19

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UPDATED APRIL 2, 2020

Diagnosis and Management of COVID-19 Disease

Read the American Thoracic Society’s rapid response packet on the diagnosis and management of #covid-19. This document summarizes the most recent knowledge regarding the biology, epidemiology, diagnosis, and management of covid-19.

 

Thanks to the American Thoracic Society for publishing on March 30, 2020.

 

See the document

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UPDATED APRIL 1, 2020

From Brief19: Multiple patients on a single mechanical ventilator?

Recently, the notion of splitting single mechanical ventilators over multiple patients in acute respiratory failure has come to the forefront, especially as New York City may run out of ventilators as soon as April 1st. The Society of Critical Care Medicine led a consortium of groups in developing a consensus statement addressing the concept, released on March 26, 2020. The article recommends against using a single mechanical ventilator for multiple patients. Reasons for this include variability of patients’ lung needs and concerns related to engineering. These limitations, however, can be overcome in some cases... Given New York City’s trajectory in the covid-19 pandemic, the need to maintain multiple patients on a single mechanical ventilator may soon become a reality. Read today's Brief19

Shared with permission from Brief19, a daily review of #covid-19 research and policy. 

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UPDATED APRIL 1, 2020

COVID-19 Treatment Protocol

A #COVID19 treatment algorithm shared by the Department of Internal Medicine at the Yale School of Medicine.

See the algorithm

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UPDATED MARCH 31, 2020

From Brief19: Covid-19 patients requiring the ICU have high mortality rates

A new report published in the New England Journal of Medicine yesterday describes the outcomes of twenty-four patients who were hospitalized in nine Seattle-area hospitals and who required treatment in intensive care units for novel coronavirus. As of March 23, half of these ICU patients had died, 13 percent remained on breathing machines (in the ICU), 17 percent remained in the hospital but had improved so as to permit leaving the ICU, and 21 percent had been able to go home.

Read today’s Brief19

Shared with permission from Brief19, a daily review of #Covid-19 research and policy.

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UPDATED MARCH 31, 2020

Covidprotocols.org

Covidprotocols.org is a Brigham and Women's Hospital project for clinical management guidelines for COVID patients. Targeted towards intensivists and hospitalists, it was compiled by over 50 content experts in 15 different departments. It is kept up to date with the help of users as new data comes out. 
Shared with permission from Brigham and Women's. 

See the guidelines

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UPDATED MARCH 31, 2020

Cheat sheets for non-ICU clinicians

Thanks to Dr. Daniyal Hashmi, a chief resident in Washington DC, and future pulmonary and critical care medicine fellow at Henry Ford Hospital, for sharing these cheat sheets for non-ICU clinicians. Topics include: basics of mechanical ventilation, ARDR overview, APRV overview, shock, sepsis, and choosing respiratory support.

See the cheat sheets

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UPDATED MARCH 30, 2020

COVID-19: Describing a new disease

Thanks to Doctors Aaron Richterman and Eric Meyerowitz for sharing this comprehensive review of COVID-19. The presentation was originally given at Massachusetts General Hospital and Harvard Medical School’s joint infectious diseases conference.

See the video

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UPDATED MARCH 30, 2020

Ventilator Troubleshooting

Thanks to Dr. Nick Mark, a Seattle-based intensivist for sharing this one-pager on how to troubleshoot the high pressure alarm on the ventilator.

Access the document

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UPDATED MARCH 29, 2020

Should COVID-19 isolation be extended to 21 days?

An article published in Infection Control & Hospital Epidemiology, by Char Leung, questions the value of the current 14-day quarantine being implemented by health authorities globally for COVID-19. The study collected data from individual cases reported by the media which included information on location, gender, age, symptoms, time of exposure, time of first symptom onset, and type of exposure. Type of exposure was defined as either travellers or non-travellers. Significant differences were seen in the distribution of incubation periods between travellers and non-travellers. Due to the high variability of the incubation period, it is suggested that the duration of the quarantine period of three weeks is deemed more suitable.

Read the full study

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UPDATED MARCH 29, 2020

Assessing the impact of COVID-19: A global survey

The University of Alberta, Department of Psychology is conducting research on the way the current pandemic novel coronavirus (COVID-19) is impacting people's well-being. Dr. Norman R. Brown and Eamin Zahan Heanoy are looking for participants from around the world to complete a short online survey regarding their experience dealing with the global outbreak.

Participate in the study

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UPDATED MARCH 29, 2020

Covid-19 Cookbook

Here is a one-page COVID-19 Cookbook, developed by Mark B. Reid, an academic hospitalist from Denver, USA. His goal was to create a simple document any outpatient MD could use to admit COVID inpatients.

Access the document

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UPDATED MARCH 28, 2020

From Brief19: Does donated plasma cure COVID-19 for patients in critical condition?

In a paper published in JAMA, investigators from China treated five critically ill covid-19 patients with plasma donated from patients who had already recovered from SARS-CoV-2. “Convalescent plasma” contains antibodies that the body manufactures in bulk when fighting an infection. Four of five patients had substantial improvement in their breathing while using mechanical ventilation within 12 days. Three of five patients were discharged from the hospital; the remaining two are in stable condition. However, this was a non-randomized study in five patients with a disease that often improves on its own...

Shared with permission from Brief19, a daily review of #covid-19 research and policy. 

 

Read today's Brief19

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UPDATED MARCH 28, 2020

COVID-19 Toolkit

This COVID-19 Toolkit from Elsevier includes evidence-based clinical resources covering topics from symptom management to diagnosis, treatment, and ongoing wellness. 

 

Thanks to Elsevier for sharing these COVID-19 related materials. 

 

Access the Clinical Toolkit

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UPDATED MARCH 27, 2020

From Brief19: Can the SARS-nCov-2 infection be transmitted to the fetus?

Two papers appeared in JAMA today, both from investigators in Wuhan, China. In one, a woman with a SARS-Cov-2 positive test during the last twenty-three days of her pregnancy gave birth to a newborn who subsequently was found to have elevated immune markers (IgM antibodies) against the SARS-Cov-2 virus, as well as elevated inflammatory markers (cytokines). Both of these findings are suggestive of active or recent infection. A second JAMA paper describes a case series of six pregnant women with SARS-Cov-2. All six infected women underwent cesarean section and delivered healthy babies. All six of the babies were tested and were found to be negative for the SARS-Cov-2 virus… 

Shared with permission from Brief19, a daily review of #covid-19 research and policy. Read today's Brief19

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UPDATED MARCH 27, 2020

Mask basics

Thanks to Dr. Salim R. Rezaie and the Rebel EM team for sharing this one pager on Mask Basics.

See more

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UPDATED MARCH 26, 2020

Fair Allocation of Scarce Medical Resources in the Time of Covid-19

This article from the New England Journal of Medicine outlines six recommendations for the ethical allocation of medical resources in the Covid-19 pandemic. These recommendations can be used to develop guidelines to help ensure that individual doctors are never tasked with deciding unaided which patients receive life-saving care and which do not.

Read the article

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UPDATED MARCH 26, 2020

From Brief19: How is the covid-19 pandemic affecting healthcare workers?

In a study published in JAMA Network Open, researchers from China surveyed 1,257 health care workers in 34 hospitals from January 29, 2020, to February 3, 2020, in China who were directly involved in caring for patients with covid-19. Healthcare workers experienced profound psychological burden caring for these patients: 50.4 percent had symptoms of depression, 44.6 percent had anxiety, 71.5 percent reported symptoms of psychological distress. Inhabitants of Wuhan were particularly affected. Will New York City become the next Wuhan? 

 

Shared with permission from Brief19, a daily review of covid-19 research and policy.

Read today's Brief19

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UPDATED MARCH 25, 2020

From Brief19: New York bolsters its workforce at any cost

New York Governor Andrew Cuomo announced sweeping deregulations governing the practice of medicine as part of an executive order aimed at bolstering New York’s healthcare workforce. The executive order included provisions that remove supervision requirements of nurse practitioners and physician assistants, allow international medical graduates to practice without a license (provided they meet other requirements), allow retired physicians to resume practice, and most controversially, remove work hour restrictions from resident physicians and post-residency fellows in specialty training. New York had been the only state codifying work hour restrictions of residents and fellows. Shared with permission from Brief19, a daily review of covid-19 research and policy.

Read today's Brief19

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UPDATED MARCH 25, 2020

University of Washington Medicine COVID-19 Resource Site

The clinical and administrative teams throughout the University of Washington health system have developed a number of protocols and policies in response to the COVID-19 outbreak, including ones focused on drive-thru testing and discharge policies.

Thanks to John Lynch, an Infectious Diseases Specialist from Washington, for sharing.

Posted by Figure 1 on March 25, 2020.

Read the guide

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UPDATED MARCH 25, 2020

Medical Student COVID-19 Curriculum

Last week, a group of students at Harvard Medical School formed a Response Team to organize their efforts against COVID-19. One of the group’s efforts was to create a curriculum on what every medical student should know about the pandemic. The guide includes basic science, epidemiology, clinical management, testing, vaccines, the current state of the epidemic in MA, and how to have difficult conversations about COVID-19.

Read the curriculum

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UPDATED MARCH 24, 2020

COVID-19: A conversation with colleagues in Italy

Listen to the experiences of two physicians working in Italy during the pandemic. Marco Ripa, a researcher and infectious disease physician and Giacomo Monti, a consultant in anesthesia and intensive care, share their perspectives with Mike Rose of Clinical Problem Solvers.

Listen to the podcast

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UPDATED MARCH 24, 2020

From Cleveland Clinic: A Pulmonary Pathologist’s Perspective on COVID-19

In this 15-minute video, an expert in lung pathology presents an overview of COVID-19, starting with the global numbers and ending with what he and other pathologists are seeing under their microscopes. He explains the histology of acute respiratory distress syndrome, highlights the diffuse alveolar damage seen in patients who are infected with the virus and offers a patient-friendly explanation of alveolar function and hypoxia.

Watch the video

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UPDATED MARCH 23, 2020

Video: COVID-19 and the Cardiovascular System This video, from Dr. Jay Mohan, an Interventional Fellow from Michigan, demonstrates what we currently know about COVID-19 and its effects on the cardiovascular system.

Watch the video

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UPDATED MARCH 23, 2020

Leveraging lung ultrasound to diagnose and monitor COVID-19

Watch an on-demand webinar with Dr. John Martin (Chief Medical Officer), Rick Mendez (Head of Clinical Development), and Dr. Mike Stone (Head of Education) of Butterfly iQ and special guest, Dr. Yale Tung Chen, that discusses how to leverage lung ultrasound to diagnose and monitor COVID-19.
Dr. Chen tested positive for COVID-19 on March 9 and used the Butterfly iQ to track the progression of his condition. He spoke about his experience and the value of POCUS during the COVID-19 pandemic.

Access the webinar

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UPDATED MARCH 22, 2020

Coronavirus (COVID-19): Infection control and prevention measures

This Cochrane Library Special Collection pulls together the Cochrane Reviews that are identified as most directly relevant to the prevention of infection.

Access the special collection here

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UPDATED MARCH 22, 2020

Communicating with Spanish-speaking patients?View the printable translation resource for communicating with Spanish-speaking patients about the coronavirus.

Thanks to medical student Frida Teran for sharing this resource.

See the document

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UPDATED MARCH 22, 2020

Tracking the most recent publications and literature about the 2019 Coronavirus

Litcovid is a curated literature hub for tracking up-to-date scientific information about the 2019 novel Coronavirus. The articles are updated daily and are further categorized by different research topics and geographic locations for improved access.

 

Thanks to NIH for sharing such comprehensive resources on the outbreak.

View the resources

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UPDATED MARCH 21, 2020

Help reduce accidental transmission of #COVID-19

A helpful tip from Dr. Matthew Markert, an Epileptologist from Stanford, on how to stop touching your face and help reduce accidental transmission of COVID-19.

Watch the video

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UPDATED MARCH 21, 2020

“The CDC Strategic National Stockpile (SNS) has only ~10,000 ventilators.”

As many hospitals face a shortage of ventilators during this time, the 1 Million Ventilators project is trying to develop a strategic reserve of 1,000,000+ emergency ventilators. They aim to design and produce emergency ventilators, train thousands to operate them, and dynamically track ventilator supply and demand by hospital to efficiently distribute additional ventilators to hospitals with the highest unmet demand. 

Rafi Yusuf, a family practitioner in Queens, New York, is looking for critical care physicians, nurses, respiratory therapists, or other specialists willing and able to volunteer remotely for this project. 

See more information

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UPDATED MARCH 20, 2020

COVID-19: An approach for EMS 

Paramedic Bryan Johnson provides an informative presentation on COVID-19 for EMS responders, including what the virus looks like clinically, recommendations for screening, the projected stages of illness, and assessing the risk of mortality. Plus, how to protect yourself. 

See the full presentation

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UPDATED MARCH 20, 2020

How to use one ventilator to save multiple lives

In this video, emergency medicine physician Dr. Charlene Irvin Babcock shows how to modify one ventilator to ventilate two or four patients simultaneously if you are experiencing a shortage of ventilators due to COVID-19.


Watch the video

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UPDATED MARCH 19, 2020

CT Findings in COVID-19

Dr. Javad Azadi, from Johns Hopkins University School of Medicine Radiology Department, reviews the literature on CT imaging in COVID-19 and explains the role of imaging in the diagnosis of the virus. 
Many thanks to Dr. Javad Azadi, Dr. Pamela Johnson, and Radiology RSNA for sharing these important findings. 


Watch the full video

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UPDATED MARCH 19, 2020

COVID-19 is not just a cough

Dr. Brennan Spiegel, Editor-in-Chief of the American Journal of Gastroenterology, reviews the findings of a newly-published study from Wuhan, China that reveals digestive symptoms are a prominent feature of COVID-19. The study, which analyzed 204 patients with COVID-19, reports that 48.5% of patients presented to hospital with digestive symptoms as their chief complaint. 

Dr. Spiegel notes, “currently symptoms like diarrhea are not part of the #COVID-19 diagnostic checklist. But new data suggest it’s more common than thought…”

Read more about the study

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UPDATED MARCH 18, 2020

A Seattle Intensivist’s One-pager on COVID-19

See a one page summary of what Dr. Nick Mark, a Seattle intensivist has read and seen caring for patients with COVID-19. Available in Spanish, Indonesian, Portuguese, Albanian, German,  Farsi, Chinese, Czech, and Russian.

Access the full document

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UPDATED MARCH 17, 2020

Access Elsevier’s Novel Coronavirus Information Center

The free information center brings together all relevant COVID-19 content from Elsevier's journals, textbooks, clinical experts and other relevant information and resources.

 

Access now

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UPDATED MARCH 17, 2020

Coronavirus online handbook

A crowd-sourced document for healthcare professionals to find and share resources on the coronavirus, initiated by Ruth Ann Crystal, MD. The handbook includes valuable vetted and aggregated links sharing the latest protocols, lab findings, PPE, medications, and more – all in one place.

 

See the full document

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ABOUT FIGURE 1
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HOW  FIGURE 1 WORKS
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