Health Intelligence

COVID-19 Update – Fecal Transmission

Since the onset of the disease that would be named COVID-19, there have been questions about how it's transmitted & how to decrease direct and indirect transmission. Fecal transmission is another type  that is being considered, and is likely the mechanism of infection in some COVID cases.   Read the full update about Fecal Transmission of the SARS-CoV-2 virus that causes COVID-19, complete with links to articles in the literature. View/Download Full Update More Links & Resources

Acute Flaccid Myelitis (AFM) August 2020

It is important to realize that this time, between August and November is the peak time for AFM. Furthermore, EMS Personnel and other First Responders should be aware of the signs and symptoms and other presentations of the syndrome, as well as how to further assess, monitor, stabilize/treat, and transport an individual (typically a child) with possible AFM. The inability to recognize and manage AFM appropriately, including transport to an appropriate hospital, may result in a worsening condition and potentially...

Latest Strategies on COVID-19 Mitigation On & Off Duty

Most Public Safety & First Responders, especially EMS and Fire that work around COVID often, are keen to decrease its transmission to themselves or others.  And, recent studies and articles have suggested more ways to mitigate the risk of exposure, both on and off duty. View/Download the full update with links

Latest Data on COVID-19 Mitigation On & Off Duty Resources & Links

There are a lot of recently published scientific & observational studies, editorials, viewpoints, and more about both medical and lay person PPE. This includes predominantly masks & respirators, but also other mitigation strategies that have been moved beyond ‘might this help?’ to ‘likely some benefit’. In some cases, recommendations from international and national organizations & agencies, as well as industry organizations, have been made. Below, are some links to some of those documents. All of them provide good information, but...

Paramedic Chiefs of Canada – 15th COVID-19 Webinar – EMS Performance in Times of COVID-19: Montreal’s Experience – August 20th | Recording and Handout

Montreal was one of the regions hardest hit by the COVID-19 pandemic in Canada. As the situation progressed, Urgences-santé had to adapt and innovate in order to face this new reality. With the shut down of several links in the prehospital survival chain, the paramedics were left alone to face this invisible enemy.

Ebola Cases in the Democratic Republic of the Congo (DRC)

The Ebola outbreak in the DRC Equateur Province in Mbandaka continues to produce new cases with a total of 74 known cases and 32 deaths.  There was only one new case reported on August 3 and no new deaths, but one new case and one new death reported on August 5 by the WHO African Regional Office.  

Updated FDA Hand Sanitizer Warning 8-5-20

There is an ongoing and escalating issue with hand sanitizers manufactured in some factories in Mexico, and sold in stores throughout the U.S, that pose a danger to those who use them.  This is due to either methanol being added or substituted for ethyl or isopropyl alcohols, or subpotent percentages of appropriate alcohols in them. 

Finding & Reading the Literature on COVID-19

There are very few positives that have come from this COVID-19 Pandemic, but there is one that has made it easier for scientists, health care providers, and anyone who wants to know what is happening, from a scientific or medical perspective, to have access to the latest information on a wide range of topics related to SARS-CoV-2 and COVID-19. The downside is that those readers who are not used to reading scientific or medical literature, may not realize that the info...

FDA Warning about Hand Sanitizers Containing Methanol

Executive Summary: The FDA has put out a recommendation that advises all consumers to NOT use any hand sanitizer products manufactured in Mexico by the company ESKbiochem SA de CV.  There is potential for these products to contain methanol (aka wood alcohol), which can be extremely toxic when absorbed through the skin or ingested.  The FDA notified the manufacturer (6/17/20) that they should remove the products from sale but the company has not yet responded.  The FDA suggests that anyone with...

FDA Alert for Two Neuromuscular Blockade Meds 6-17-20

Executive Summary: The FDA is reportedly sending healthcare providers notice of temporary approval of a missing ‘Paralyzing Agent’ warning from the caps of vials of certain strengths of two neuromuscular blockade IV medications, namely vecuronium bromide and rocuronium bromide.  The affected products, with NDC numbers, manufacturers, and recommendations can be found at the FDA link below.  The missing vial cap warning is important as a safety reminder for a high-risk medication.  More complete details can be found in the body of...

COVID-19 First Responder Update 6/11/20

There is plenty of information about COVID-19 available for anyone who searches and clicks on a computer or turns on a TV or radio to catch up on the news. As more is learned about the disease, more info is written and released in an effort to help advance the ability to recognize, identify, track, treat and prevent COVID, so sometimes, as more insight is gained, the information changes.  In the beginning, a lot of it was because there just...

Upgrade Your Life Podcast with Del Denney – Super Charge Your Stress Management in the Age of Covid-19 | A Conversation with Mike Taigman

As a popular educator and author for several decades, Mike has focused on helping folks in emergency medical services take better care of themselves so they can take better care of their patients and communities. In this podcast, Mike shares strategies and discusses his new book Super Charge Your Stress Management in the Age of COVID-19.

New Ebola Outbreak NW DRC Declared 6-1-20

Executive Summary: On 6/1/20, the WHO announced a new outbreak of Ebola in the Northwestern part of the Democratic Republic of the Congo (DRC), the same area that had a short outbreak in May 2018.  WHO Responders & partners are already there and have done sampling & testing; more responders and supplies are on their way, including vaccine.  In this new outbreak, there are 9 cases, 5 of which have been fatal, and one healthcare workers infected.  This outbreak is worrisome...