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COVID-19

November President’s Message – Responding to COVID-19

Read Full eNews As a continuation from last week’s message on the primary health care’s pathway on COVID-19, we have invited back Dr. Adam Vyse with a call to action for family physicians of Alberta. Dr. Vyse’s account of how he and his primary care colleagues are responding to the outbreak reinforces just how impactful the family physician-patient…

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Back to School Resources – COVID-19

Preparing for back to school is going to look a little different this fall. A great resource, co-written by Family Physician Dana Abenstein and Educator Darren Abenstein “Helping Your Family Prepare for Return to School” is available for you and your family as you navigate our new normal. Dr. Dana Abenstein also has a complementary blog…

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TFP #267 – Serology, Serology: How Accurate and Prevalent Art Thou?

Clinical Question:  What is the role of serology testing in the COVID-19 pandemic? Bottom Line:  IgM and IgG antibodies may reveal an individual’s recent (after ~2 weeks) exposure to COVID-19. How long serology remains positive and whether antibodies confer immunity to subsequent infection is unknown. Many different tests exist, each with different accuracy. Current evidence…

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COVID-19 CME Reviews

By Dr. Cathy Scrimshaw 1. Primary Care COVID-19 Pathway Explainedhttps://www.specialistlink.ca/files/RW_COVID_V6.pdf This webinar series is from the Calgary PCN’s group and covered several topics including a public health update, mental health advice, and tools as well as presentation of the primary care pathway for COVID-19 care. Physicians presented the primary care pathway for patients with COVID-19…

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What Made the Difference in Canada’s Worst COVID-19 Outbreak?

By Dr. Adam Vyse, the Calgary Zone PCN, and the Calgary Rural PCN In April 2020, the Cargill Foods meat packing plant was the epicentre of one of North America’s single largest outbreaks of COVID-19. With 2,000 employees, 932 were confirmed positive, with one-third living in and around High River, a town of 13,000 just…

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TFP #264 – From theory to reality: ACEi, ARB, and COVID-19

Clinical Question: Do angiotensin converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARB) increase the risk of catching, or severity of infection with, COVID-19? Bottom Line: Despite initial theoretical suggestions that ACEi and ARB are harmful, four observational studies have since found no association between COVID-19 infection or severity of disease and ACEi/ARB. One cohort study with…

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ACFP Webinars: 2020: Crisis & Opportunity for Physicians – Dr. John Van Aerde

Check out our Check In Check-Up Virtual Webinar Series The ACFP has created a Webinar series to provide continuing medical education and professional development opportunities for its members. Stay tuned on Upcoming Webinars by visiting our Webinars page. Next Webinar: 7 PM Tuesday, June 2 – 2020: Crisis & Opportunity for Physicians – Part 1 The…

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TFP #263 – Finding COVID – How Good is the Test to Detect it?

Clinical Question: What is the chance of obtaining an incorrect result with the polymerase chain reaction (PCR) test for COVID-19? Bottom Line: If the PCR COVID-19 test is positive you have COVID-19 (specificity ~100%). Small Canadian studies suggest the test will detect COVID-19 ~80-90% of the time (sensitivity), although estimates range from ~50%-90%. Collection technique, anatomical sample…

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TFP #261 – Antivirals for COVID-19

Clinical Question: Do treatments such as remdesivir or other anti-virals change patient outcomes in COVID-19 patients? Bottom Line: To date, published RCTs have not demonstrated benefit of treating COVID-19 patients with remdesivir, lopinavir-ritonavir or oseltamivir.  There are signals of potential benefits from one interim analysis of remdesivir and non-statistically different results, but more research is needed. Full publication of studies…

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TFP #260 – Are there tools to help assess dyspnea virtually?

Clinical Question: Are there any techniques (like the Roth Score) to augment a typical history when assessing dyspnea/pneumonia over the phone or by video? Bottom Line: Unfortunately, no specific technique, including the Roth Score, is reliable in assuring dyspneic patients are not at risk and safe to stay home. Furthermore, no studies have evaluated dyspnea assessment in…

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TFP #259 – Unmasking the evidence around masks for healthcare workers

Clinical Question: Is there a difference between mask types in preventing viral respiratory infections for healthcare workers? Bottom Line: In healthcare workers; Surgical masks and respirators (N95) appear to provide similar protection against viral infections, with N95 masks having slightly lower, but not statistically different, infection rates in the wearer (~1-2%).  Cloth masks are less effective than…

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TFP #258 – Stealth style transmission? Covert data on COVID-19

Clinical Question: What is the evidence for asymptomatic transmission of COVID-19 (including those who will remain asymptomatic and those who are early and not symptomatic yet)? Bottom Line: Transmission of COVID-19 can occur in people who are currently asymptomatic. Case reports suggest this occurs in 6-13% of cases, although modelling suggests this might be higher. The importance of…

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