CME INDIA Presentation by Dr. Dhruva Chaudhry, M.B.B.S, MD, DNB(Med), DM(PCCM), Sr. Professor & Chair Pulmonary & Critical Care Medicine (PCCM), PGIMS, UHS, Rohtak, State Nodal Officer COVID19, Haryana, Immediate Past President, Indian Society of Critical Care Medicine, President Association of Commonwealth Scholars & Fellows (ACSF).

“The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge” – Stephen Hawking.

Science and technology revolutionize our lives, but memory, tradition and myth frame our response – Arthur M Schlesmger.”

Covid - What Every Physician Should Know
(This article is based on the talk given by Dr Dhurva Chaudhary on 05.06.2021 during CCDSI-BJ annual virtual conference)

1. Understand the structure of virus

Covid - What Every Physician Should Know

2. Know the risk factors for severe disease in patients with COVID-19

Covid - What Every Physician Should Know

3. It is very important to minutely scan Time line of COVID-19 disease

Covid - What Every Physician Should Know

4. Understand the nature of unique Biphasic illness

Covid - What Every Physician Should Know

5. Alert for symptoms and know how to detect the virus

Covid - What Every Physician Should Know

Covid - What Every Physician Should Know

6. Identifying people at risk/National Early Warning Score (NEWS) – NEWS 2

Covid - What Every Physician Should Know

7. Managing minimally  symptomatic/Asymptomatic

Covid - What Every Physician Should Know

8. Managing Moderate Covid Cases

Covid - What Every Physician Should Know

9. Managing Severe Disease

Covid - What Every Physician Should Know

10. Using Steroids

Covid - What Every Physician Should Know

11. Total Snap Shot in one view

Covid - What Every Physician Should Know

12. Now Keep Track of Long COVID

Covid - What Every Physician Should Know

13. Know Covishield Vs Covaxin

Covid - What Every Physician Should Know

14. Know Variant of Concern around you

Covid - What Every Physician Should Know

15. Mucormycosis Essentials

Covid - What Every Physician Should Know

16. Final Points

  • COVID is a disease with myriad of symptoms ranging from mild ones to life threatening.
  • Diagnosis is by serology tests combined with radiology and blood investigations.
  • Management is by tailored based approach.
  • Vaccination along with social measured is the key factor for spreading the disease.

CME INDIA Tail Piece

Evidence based medicine, finally.

(By Dr Rajeev Jayadevan, Member, National Task Force IMA for Coronavirus epidemic, Vice Chairman Research Cell Kerala State IMA – 6th June.)

The latest COVID-19 guideline from Directorate General of Health Services at Ministry of Health & Family Welfare @MoHFW_INDIA, are pristine no-nonsense science.

✅ NO UNNECESSARY MEDICATIONS. Period.

Major features:

  1. Bold and clear statement about asymptomatic infection: “NO MEDICINES REQUIRED.”
  2. No antibiotics.
  3. No place for HCQ, Zinc, Vitamins, Ivermectin on the document.
  4. Clear instructions on steroid dose. One dose, one fixed duration.
  5. No steam inhalation advised (people sometimes do this in excess).
  6. Hydration, diet and positive mindset/social connections get attention.
  7. Clear instructions on Remdesivir and Tocilizumab, these are to be carefully used – only in highly selected patients.
  8. Bold instructions to “ACTIVATE HOSPITAL INFECTION CONTROL COMMITTEE” (HICC).

👆This is an absolutely important & assertive step that will change the way medicine is practiced in hospitals. Antibiotic stewardship / infection control practises are part of it.

On a personal note, as a long-term advocate of rational prescribing and no-nonsense evidence-based medicine, I am relieved that our voices have been heard by those who are formulating these guidelines.

MoHFW Guidelines for Management of Covid-19 Patients:

Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know
Covid - What Every Physician Should Know



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