This handbook is a set of recommendations for organizing national healthcare systems in the context of the novel coronavirus infection (COVID-19). Today, with the spread of the pandemic, these experiences are the most valuable sources of information and the most important weapon for medical workers on the frontline.
Therefore, the Jack Ma Foundation and Alibaba Foundation have convened a group of medical experts who have been fighting the pandemic in its epicenter in China. With the support of The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU), they quickly published a handbook on the clinical experience of how to treat this new coronavirus.
The Rossiya Segodnya International Information Agency, with support from the Russian Direct Investment Fund and scientific advice from I. M. Sechenov First Moscow State Medical University, have published the Russian version of the Handbook. The Roscongress Foundation, in its turn, presents a digest of the main facts set out in the publication.
Actions against occupational exposure to COVID-19
Importance of repeated testing
Use of digital technologies for COVID-19 prevention and control is at the core of systematic approach to combating the epidemic. Online healthcare can help reduce the chances of transmission and cross infection as a result of the patients visits to hospitals.
An online medical communication platform is an important element of the series of measures to combat epidemics. The Handbook presents the International Medical Expert Communication Platform of the First Affiliated Hospital, Zhejiang University School of Medicine. Through Zhejiangs Online Medical Platform, medical experts offer online healthcare with 24-hour free online consultation and telemedicine service to patients in China and even around the world.
COVID-19 at the early stage often presents with multifocal patchy shadows or ground glass opacities located in the lung periphery, subpleural area, and both lower lobes on chest CT scans.
Disease progression mostly occurs in the course of 7-10 days.
Critical cases may show further expanded consolidation, with the whole lung density showing increased opacity, sometimes known as a «white lung». After the condition is relieved, the ground glass opacities can be completely absorbed, and some consolidation lesions will leave fibrotic stripes or subpleural reticulation.
Mechanical ventilation (noninvasive ventilation (NIV) and invasive mechanical ventilation) is the key biotechnological solution in critical cases.
Extracorporeal membrane oxygenation (ECMO) is suggested as a salvage treatment.
COVID-19 is a disease of viral infection, therefore antibiotics are not recommended to prevent bacterial infection in mild or ordinary patients; it should be used carefully in severe patients based on their condition.
The convalescent plasma therapy was found to be effective in some cases, although the present SARS-CoV-2 specific IgG antibody detection does not fully demonstrate the actual virus neutralization capability of the plasma.
Underlying diseases and adverse drug reactions
Psychological intervention with COVID-19 patients
To combat COVID-19 effectively, it is critical that medical personnel benefit from first-hand experience accumulated by medical experts in various countries over the past few months. Sharing this knowledge and promptly introducing the practices recommended in this Handbook will help raise the effectiveness of measures currently being taken in Russia.