Event Medical Media Scan – September 2020 Edition

FOREWORD

The traditional summer event season came and gone without one single event held in Canada due to COVID-19.  It is certainly devastating for the event, sport and live entertainment industries (and all the associated suppliers, contractors and the loss of revenues for all levels of government).  As the re-opening continues across Canada, what can we expect come fall?  One thing for sure: masks will become ubiquitous!

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Event Medical Media Scan – August 2020 Edition

The links below represent a wide range of topics in news articles, resources, and journal articles. The views and opinions expressed are those of the author(s) identified in the respective articles, and do not necessarily reflect the views of Odyssey Medical, or the author of this blog post.

FOREWORD:

We ended June ranking 20th in terms of the number of confirmed COVID-cases around the world, according to the Johns Hopkins University Coronavirus Resource Centre. At the end of July, we are now ranked 22nd – a certain sign that Canada is doing relatively well in flattening the curve.

This edition of the Media Scan will focus on the future: What kind of guidelines for mass gatherings or sports events? How would a music festival or rave fit into the physical-distance world?  We will also shift back into our regular EMMS feature in looking at harm reduction.

As usual, we welcome your feedback and comments.

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Event Medical Media Scan – July 2020 Edition

The links below represent a wide range of topics in news articles, resources, and journal articles. The views and opinions expressed are those of the author(s) identified in the respective articles, and do not necessarily reflect the views of Odyssey Medical, or the author of this blog post.

FOREWORD:

Canada has continued to make strive in flattening the curve of COVID-19. At one point in the past few months, based on the ranking of the Johns Hopkins University Coronavirus Resource Centre, Canada had the 6th highest number of confirmed cases. As of the timing of writing, we are now ranked the 20th.

As we enter into the Summer months, we know life will not be the same again. No music  festivals, no sports or other mass gatherings allowed for public health reasons.  It may very well be mid-2021 before we see some form of mass gathering to return – or maybe even later?

The question that will linger on this summer: Are we ready for the second wave when it strikes?

COVID RESOURCES

I would definitely recommend everyone to read the Scientific American’s visual guide to SARS-COV-2 for an in-depth molecular exploration of the virus. 

Got a question about COVID? Find trusted information from the Canadian Medical Association, The College of Family Physicians of Canada and the Royal College of Physicians and Surgeons of Canada at
https://www.covidquestions.ca

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EVENT MEDICAL MEDIA SCAN – JUNE 2020 EDITION

The links below represent a wide range of topics in news articles, resources, and journal articles. The views and opinions expressed are those of the author(s) identified in the respective articles, and do not necessarily reflect the views of Odyssey Medical, or the author of this blog post.

FOREWORD:

We ended the month of April with 53,236 confirmed and presumptive cases of COVID-19 in Canada. As of May 31, we had 90,947 confirmed and presumptive cases across the country. Nunavut remains the only Canadian jurisdiction to be COVID-free (after a false positive case identified at the beginning of May)

Canada, and countries around the world are slowly beginning the re-opening. Having said that, mass gatherings of all kinds (i.e. music festivals, sports, fairs, etc.) are on hold for fear of rapid spreading of SARS-COV-2. When can we expect the return of music festivals? Read the predictions below.

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Event Medical Media Scan – May 2020 Edition

The links below represent a wide range of topics in news articles, resources, and journal articles. The views and opinions expressed are those of the author(s) identified in the respective articles, and do not necessarily reflect the views of Odyssey Medical, or the author of this blog post.

Foreword:

We ended the month of March with 8,591 confirmed and presumptive cases of COVID-19 in Canada. As of April 30, we had 53,236 confirmed and presumptive cases across the country. Nunavut was the last part of Canada to be free of COVID, but has since had its first  confirmed case.

As parts of the country begin the slow re-opening, we will look at COVID-related materials, while also branching out to other topics that may be of interest to the event medicine community.

COVID Learning Tools

COVID-19 Primer: Virtual Patient Simulation
https://interactives.nejm.org/external/covid_simulation/index.html

This is an interactive learning tool from The New England Journal of Medicine. It provides a primer for the basic (i.e. not ICU) clinical considerations in managing patients with possible COVID infection.

Quick ICU Training for COVID-19
https://www.quickicutraining.com

This training tool is a project between multiple Ontario-based hospitals and the University of Toronto to ensure clinicians who don’t normally operate in a critical care environment to become prepare for such operation. You will find videos, instruction text and pocket cards/cheat sheets available on the website.

COVID Clinical Resources

Two clinical resource below that you will find lots of good summary on research articles, best practices, etc. – one from John Hopkins University (a point of care guide) and one from EMRAP (a guide directed towards emergency physicians and staff)

Johns Hopkins POC Guide: Coronavirus COVID-19 (SARS-CoV-2)
https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540747/all/Coronavirus_COVID_19__SARS_CoV_2_

COVID Journals/Research

The NEJM presents a case study, and the various treatment options available. It is give you some good food-for-thoughts.

[NEJM] Clinical Practice:  Mild or Moderate Covid-19
https://www.nejm.org/doi/full/10.1056/NEJMcp2009249

Given the close proximity to Mainland China, and its experience with SARS, Hong Kong was slated to be hit hard by COVID. However, case numbers remains low – the study looked into how early measures impacted the transmission of SARS-COV2 and the seasonal flu.

[The Lancet] Impact assessment of non-pharmaceutical interventions against coronavirus disease 2019 and influenza in Hong Kong: an observational study
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30090-6/fulltext

“If clinical suspicion of infection associated with COVID-19 remains
after an initially negative nasopharyngeal swab, we urge clinicians
to continue isolation procedures to prevent nosocomial infection.”

[CMAJ] SARS-CoV-2 infection in a 76-year-old man with negative results for nasopharyngeal swabs and possible nosocomial transmission
https://www.cmaj.ca/content/cmaj/early/2020/04/29/cmaj.200641.full.pdf

This article looks at how psychological science can help reinforce COVID19 public health messaging.

[The Lancet] Pitfalls of judgment during the COVID-19 pandemic
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30096-7/fulltext

This article looks at disease progression in the post-pandemic world and what public health surveillance needs to be in place.

[Science] Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period
https://science.sciencemag.org/content/early/2020/04/24/science.abb5793

COVID News Articles

The four news articles below look into different aspects of COVID.

First, the WHO cautioned whether we can rely on the common percpetion “got it once and you are immuned to the disease”. 

The second article looks at how our own immune system may be contributing to the replication of SARS-COV2 in our bodies. 

The third article looks at how drug supplies have shifted in face of COVID – are people more likely to die from contaminated drugs as borders close and the movement of people restricted?

Finally, as the situation with COVID stabilize across the country and plans to re-open gets closer, are we really able to go back to life as we knew pre-COVID?  

“Immunity passports” in the context of COVID-19
https://www.who.int/news-room/commentaries/detail/immunity-passports-in-the-context-of-covid-19

SARS-CoV-2 may be exploiting our immune system’s ‘first responder’ cells
https://www.livescience.com/coronavirus-immune-interferon-response.html

Pre-Hospital Care

Some US paramedics have been given the authority to use ketamine in an ambulance setting. Some Canadian doctors have also argued for the use here. Is the drug effective?

[Prehospital and Disaster Medicine] Ketamine as a Prehospital Analgesic: A Systematic Review
https://doi.org/10.1017/S1049023X20000448

Mass Gatherings

It’s increasingly evident that mass gatherings will not happen around the world this summer. What are the impacts to event organizers and the event community as a whole?  Would insurance have saved them?

In demonstrating why the need to cancel mass gathering, the article “Point of Contagion” described how “superspreaders” managed to pass the SARS-COV2 to others in otherwise mundane activities.

Finally, a study in Australia looked into the data of event medical teams – if you have been part of a medical team, no doubt you will find some aspect of it resonates with you.

The Impact of Coronavirus on Meetings and Events
https://www.eventsforce.com/blog/infographic-the-impact-of-coronavirus-on-meetings-and-events/

A summer like no other: Canada’s COVID-19 crisis puts festivals, concerts, fun on ice
https://globalnews.ca/news/6862504/coronavirus-canada-summer-cancelled/

Photo Credits:

“Together for What’s to Come” – Photo taken by Stephen Chui of a mural in Vancouver by artist Mega McGrath

Photo by Piron Guillaume on Unsplash

Photo by Hans-Peter Gauster on Unsplash

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Photo by johnhain on Pixabay

Event Medical Media Scan – April 2020/COVID-19 Edition

Foreword: We ended the month of February with just 76 confirmed cases of COVID-19 in Canada. Fast forward to March 31, we had 8591 confirmed and presumptive cases across the country – a whopping 11204% increase in a span of a month.

As we look back on March,  and unlike the previous editions of the media scan – COVID-19 will be the only topic we focus on. We included a number of government directives, resources, journal articles and other clinical resource you may find useful.

Guidance

[Health Canada] Optimizing the use of masks and respirators during the COVID-19 outbreak

https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/masks-respirators-covid19.html

[Health Canada] 3D printing and other unconventional manufacturing of personal protective equipment in response to COVID-19

https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/covid-19-unconventional-manufacturing-personal-protective-equipment.html

Journal Articles

We have chosen articles from three well-respected peer-reviewed journals (The British Medical Journal, The Lancet and The New England Journal of Medicine) looking at different aspect of COVID-19. 

The BMJ conducted a retrospective analysis of patients who died from COVID-19 in China, and attempted to come up with clinical characteristics and laboratory findings relevant to the mortality of COVID-19 patients.

The Lancet reflects on how COVID-19 affected mass gatherings around the world, and what impact it has beyond health.

Finally, NEJM looked at the grim reality of the ethics in allocating medical resources in a public health crisis. Who gets to live? Who will sacrifice?

[The Lancet] Mass gathering events and reducing further global spread of COVID-19: a political and public health dilemma

“These cancellations have social and economic impacts on public morale, on national economies, and on individual livelihoods.”

https://www.thelancet.com/journals/lancet/article/PIIS0140673620306814/fulltext

[New England Journal of Medicine] Fair Allocation of Scarce Medical Resources in the Time of Covid-19

“Priority for limited resources should aim both at saving the most lives and at maximizing improvements in individuals’ post-treatment length of life. Saving more lives and more years of life is a consensus value across expert reports.”

https://www.nejm.org/doi/full/10.1056/NEJMsb2005114

Resources

We have included a number of resources – from drug trials underway, to symptom evaluation, mental health to preparing for the workplace and cyber-security realities of COVID-19. 

News Articles

The first article echoes the NEJM journal article on resource allocation at a time when the medical system is overburdened. 

The second and third news article details how Mexico is bucking the trend from other world countries – as they continue to allow mass gatherings to be held, and allowing cruise-ships to dock when no other countries are willing to allow port calls.  Mexico has so far only reported 1215 cases of COVID-19. Is the country heading into a dangerous territory, or do they know something we don’t?

[Inside Science] Ethical Anguish in a Time of COVID-19

“One way to ease the ethical problem for physicians is to use committees to make the decisions, taking the burden off individual doctors. In Italy, a set of rules newly formulated by the Italian College of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) gives external support for the decision. Physicians can then follow the guidelines.”

https://www.insidescience.org/news/ethical-anguish-time-covid-19

[USA Today] Mexico holds off canceling mass gatherings amid coronavirus threat

https://www.usatoday.com/story/news/world/2020/03/14/coronavirus-mexico-holds-off-canceling-mass-gatherings-amid-pandemic/5049632002/

[USA Today] Mexico will receive cruise ships amid coronavirus pandemic, but will ‘individually fumigate’ passengers

https://www.usatoday.com/story/travel/cruises/2020/03/27/covid-19-mexico-receive-cruise-ships-but-fumigate-passengers/2924077001/

Photo credits:

Photo by CDC on Unsplash

Photo by Dimitri Karastelev on Unsplash

Photo by Macau Photo Agency on Unsplash

Photo by Mika Korhonen on Unsplash

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Event Medical Media Scan – March 2020 Edition

News

The City of Edmonton recently passed Bylaw 19166, regulating the Electronic Dance Music events in the City. 

Why it matters? Edmonton is one of the first jurisdictions to create bylaws regulating EDMs (for example, requiring a medical plan and chill zone as mandatory conditions). Other cities will likely monitor the development, and may decide to implement similar bylaws in their home jurisdiction. 

http://sirepub.edmonton.ca/sirepub/agdocs.aspx?doctype=agenda&itemid=79301

[UK] Revealed: how drugs giants can access your health records
“Truly anonymous data – utterly incapable of being traced back to an individual – is very hard to achieve, given that there is so much information about us in the public domain and held by companies such as Facebook and Google … In fact, it’s almost impossible for record-level data (where each line of the dataset corresponds to an individual) to be made truly anonymous.”

Why it matters? This is the perfect example (and followup) to our social media/privacy links in our February edition of the media scan. Breadcrumbs across different profiles/platforms may be enough to give a determined person enough to piece together the information beyond what may be intended.

https://www.theguardian.com/technology/2020/feb/08/fears-over-sale-anonymous-nhs-patient-data

Research articles

[British Columbia Medical Journal] Drug-induced psychosis and neurological effects following nitrous oxide misuse: A case report

https://www.bcmj.org/articles/drug-induced-psychosis-and-neurological-effects-following-nitrous-oxide-misuse-case-report

[Canadian Medical Association Journal] Five things to know about …: Atrial fibrillation in athletes


https://www.cmaj.ca/content/cmaj/192/2/E40.full.pdf

Coronavirus – COVID-19/SARS-CoV-2

The novel coronavirus has been dominating headlines across the globe for the last few months. You might be wondering how does that relate to event medicine?  Beyond the obvious as COVID-19 becomes a global health matter, many countries have or are considering the cancellation of mass gathering events to limit the spread of SARS-CoV-2. This could have an impact to the traditionally busy Summer music festival scene across the Northern Hemisphere.

The World Health Organization has created 3 separate and free online courses for those wanting to learn more about COVID-19. Once you have an openWHO account, you can enroll in any or all of the courses below. You will also find additional courses on communicable diseases that you may find interesting.

Emerging respiratory viruses, including nCoV: methods for detection, prevention, response and control

https://openwho.org/courses/introduction-to-ncov

Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19)


https://openwho.org/courses/COVID-19-IPC-EN

‘Nobody talks about it because everyone is on it’: Adderall presents esports with an enigma
https://www.washingtonpost.com/video-games/esports/2020/02/13/esports-adderall-drugs/

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