Coronavirus Update From the CDC – August 20, 2020
Play episode · 31 min

CDC Director Robert Redfield, MD, discusses recent developments in the COVID-19 pandemic and US response, including prospects for dual outbreaks of COVID-19 and influenza in the fall and winter.

Related Article(s):

Addressing Influenza Vaccination Disparities During the COVID-19 Pandemic

Bedside Rounds
Bedside Rounds
Adam Rodman, MD, MPH, FACP
57 - The Second Wave
In August of 1918, a horrific second wave of the Spanish Flu crashed across the world. In this episode, the third of a four-part series exploring hydroxychloroquine and COVID-19, I’ll explore this single moment in time, through the mysterious origins of the Spanish Flu and historiographical controversies, scientific missions to mass burial sites in remote Alaskan villages, the ill-fated journey of the HMS Mantua, debates about how to count victims of a pandemic, and the mystery behind Pfeiffer’s bacillus. Plus a new #AdamAnswers about that annoying yellow on blue powerpoint template so common in the medical field! Sources: * Viboud, C. et al. Age- and Sex-Specific Mortality Associated With the 1918–1919 Influenza Pandemic in Kentucky. J Infect Dis 207, 721–729 (2013). * Oxford, J. S. & Gill, D. A possible European origin of the Spanish influenza and the first attempts to reduce mortality to combat superinfecting bacteria: an opinion from a virologist and a military historian. Hum Vacc Immunother 15, 2009–2012 (2019). * Epps, H. L. V. Influenza: exposing the true killer. J Exp Medicine 203, 803–803 (2006). * Patterson, S. W. & Williams, F. E. PFEIFFER’S BACILLUS AND INFLUENZA. Lancet 200, 806–807 (1922). * Taubenberger, J. K. & Morens, D. M. The 1918 Influenza Pandemic and Its Legacy. Csh Perspect Med a038695 (2019) doi:10.1101/cshperspect.a038695. * Trilla, A., Trilla, G. & Daer, C. The 1918 “Spanish Flu” in Spain. Clin Infect Dis 47, 668–673 (2008). * Taubenberger, J. K. The origin and virulence of the 1918 “Spanish” influenza virus. P Am Philos Soc 150, 86–112 (2006). * Heinz, E. The return of Pfeiffer’s bacillus: Rising incidence of ampicillin resistance in Haemophilus influenzae. Microb Genom 4, (2018). * Barry, J. M. The site of origin of the 1918 influenza pandemic and its public health implications. J Transl Med 2, 3 (2004). * Johnson, N. P. A. S. & Mueller, J. Updating the Accounts: Global Mortality of the 1918-1920 “Spanish” Influenza Pandemic. B Hist Med 76, 105–115 (2002). * Tomkins SM, Colonial Administration in British Africa during the Influenza Epidemic of 1918-19. Canadian Journal of African Studies / Revue Canadienne des Études Africaines. Vol. 28, No. 1 (1994), pp. 60-83 (24 pages) * Qiang Liu et al, The cytokine storm of severe influenza and development of immunomodulatory therapy. Cell Mol Immunol. 2016 Jan; 13(1): 3–10. * Spreeuwenberg et al. Reassessing the Global Mortality Burden of the 1918 Influenza Pandemic.Am J Epidemiol . 2018 Dec 1;187(12):2561-2567. doi: 10.1093/aje/kwy191. * R. F. J. Pfeiffer: Vorläufige Mittheilungen über den Erreger der Influenza. Deutsche medicinische Wochenschrift, Berlin, 1892, 18: 28. Die Aetiologie der Influenza. Zeitschrift für Hygiene und Infektionskrankheiten, 1893, 13: 357-386.
45 min
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
Matthew Watto MD, Stuart Brigham MD, Paul Williams MD
#238 DVT / PE Triple Distilled
DVT / PE Triple Distilled! Our favorite VTE pearls summarized in this fast paced recap gleaned from our discussions with Dr Oren Friedman #92 Pulmonary Embolism for the Internist and hematologist, heavy metal enthusiast, Dr Michael Streiff #154 DVT and PE Master Class. Introducing our new Triple Distilled sub-series offering shorter episodes that reinforce and refresh key concepts from past shows along with any pertinent updates. Listeners can claim 2 hours of Free CE credit through VCU Health at (CME goes live at 0900 ET on the episode’s release date). Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | | Free CME! Credits * Written and Produced by: Matthew Watto MD, FACP * Cover Art by: Matthew Watto MD, FACP * Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP * Editor: Matthew Watto MD (written materials); Clair Morgan of Sponsor: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit. Time Stamps * 00:00 Intro, disclaimer * 01:40 Making the diagnosis of VTE * 09:07 Triage and risk stratify Pulmonary Embolism * 14:00 Anticoagulant choice; Duration of therapy after unprovoked DVT / PE * 21:00 Workup for unprovoked DVT / PE; DOACs in special populations: at extremes of weight, advanced CKD and in antiphospholipid syndrome * 28:22 IVC filters * 30:20 Outro Links Check out the full show notes from previous Curbsiders’ shows covering VTE. * Dr Oren Friedman #92 Pulmonary Embolism for the Internist * Dr Michael Streiff #154 DVT and PE Master Class Goals Listeners will feel confident in the diagnosis and management of VTE Learning objectives After listening to this episode listeners will... * Diagnose (VTE) DVT and PE using imaging, risk scores and clinical gestalt * Risk stratify patients with pulmonary embolism * Choose the appropriate initial anticoagulant for VTE * Decide duration of anticoagulation for VTE * Recall real risks and questionable benefits of IVC filters in DVT / PE * Determine need for cancer or thrombophilia workup in unprovoked DVT / PE Disclosures The Curbsiders report no relevant financial disclosures. Citation Watto MF, Williams PN, Brigham SK, Watto MF. “#238 DVT / PE Triple Distilled”. The Curbsiders Internal Medicine Podcast. Final publishing date October 22, 2020. Tags Pulmonary embolism, vte, dvt, pe, heparin, anticoagulation, right ventricle, RV, left ventricle, LV, circulation, hypotension, shock, IVC filter, TPA, echocardiogram, CT scan, bleed, clot, deep, vein, thrombosis, DOAC, NOAC, anticoagulation, d-dimer, Wells, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student
32 min
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