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I would welcome a handbook like this for individual or family use at home if hospitals become overwelmed and can no longer accommodate even seriously ill patien

I would welcome a handbook like this for individual or family use at home if hospitals become overwelmed and can no longer accommodate even seriously ill patients. The featured handbook looks very useful, but it's written for medical professionals in a hospital setting. I'm thinking about a handbook with instructions on how to do life critical procedures as best as possible with the resources one might have at home. Off the top of my head, one topic could be about the use of a bag valve mask[1] (as a "ventilator"), how to make one at home, when should it be used, things like that. [1] https://en.wikipedia.org/wiki/Bag_valve_mask https://en.wikipedia.org/wiki/Bag_valve_mask

est 7y ago
There's a Chinese tutorial of how to make ~n90 grade masks with HEPA and SMS non-woven fabric. https://www.zhihu.com/question/367499169/answer/996640281 https://www.zhihu.com/question/367499169/answer/996640281
- dirtyid 7y ago
  Somewhat related, Chinese CDC posted their official guidance on mask usage. Google translate: I. The general public (1) Home and outdoor, no people gathered, well ventilated. It is not recommended to wear a mask. (2) Being in a crowded place, such as office, shopping, restaurant, conference room, workshop, etc .; or taking a box elevator or public transportation. In low- and medium-risk areas, it is recommended that you wear spare masks (disposable medical masks or medical surgical masks) with you, and wear them when in close contact with other people (less than or equal to 1 meter). In high-risk areas, disposable medical masks are recommended. (3) For those with cold symptoms such as coughing or sneezing. It is recommended to wear disposable medical or surgical masks. (4) For those who live together with those who are separated from home and discharged from rehabilitation. It is recommended to wear disposable medical or surgical masks. 2. Personnel in specific places (1) It is located in densely populated hospitals, bus stations, railway stations, subway stations, airports, supermarkets, restaurants, public transportation, and community and unit import and export places. In medium and low risk areas, it is recommended that workers wear disposable medical masks or surgical surgical masks. In high-risk areas, it is recommended that workers wear medical surgical masks or protective masks that comply with KN95 / N95 and above. (2) In prisons, nursing homes, welfare homes, mental health medical institutions, school classrooms, construction site dormitories and other densely populated places. In medium and low-risk areas, it is recommended that you always wear spare masks (disposable medical masks or surgical surgical masks) with you daily, and wear masks when people gather or come into close contact with one another (less than or equal to 1 meter). In high-risk areas, it is recommended that workers wear medical surgical masks or protective masks that comply with KN95 / N95 and above; other personnel wear disposable medical masks. Key personnel Suspected cases, confirmed cases, and asymptomatic infections of new coronavirus pneumonia; close contacts of new coronavirus pneumonia; immigrants (from entry to end of quarantine). It is recommended to wear medical surgical masks or protective masks without exhalation valve that conform to KN95 / N95 and above. Occupational exposure (1) Medical personnel such as general outpatient clinics and wards; emergency medical personnel in medical institutions in low-risk areas; administrative personnel, police, security, cleaning, etc. engaged in epidemic prevention and control. Medical surgical masks are recommended. (2) Personnel working in the ward and ICU of patients diagnosed with a new type of coronavirus pneumonia, suspected case patients; medical staff at designated medical institutions for fever clinics; medical staff in emergency departments of medical institutions in middle and high risk areas; epidemiological investigations and experiments Room testing, environmental disinfection personnel; transfer of confirmed and suspected cases. Medical protective masks are recommended. (3) Operators engaged in the collection of respiratory specimens; staff who perform tracheotomy, tracheal intubation, bronchoscopy, sputum suction, cardiopulmonary resuscitation, or lung transplantation, pathological anatomy in patients with new-type coronavirus pneumonia. Suggestion: hood-type (or full-type) powered air-supply filter respirator, or half-plane power-supply air-filter respirator with goggles or full screen; P100 anti-particulate filter should be used for both types of respiratory protection Elements and filter elements should not be reused. Use protective equipment after disinfection. https://zhuanlan.zhihu.com/p/114129365 https://zhuanlan.zhihu.com/p/114129365
  - hackermailman 7y ago
    This blog has interesting information, like how to properly remove a mask to avoid infecting yourself @ 14:59, and to not contaminate your house with outdoor clothing by leaving it outside: https://youtu.be/yyucJekT87E https://youtu.be/yyucJekT87E (turn on subtitles)
- anon012012 7y ago
  I'm sorry if it's slightly off topic, but could we 3D print plastic masks? It seems they could at least protect from the biggest droplets. Better than nothing, I would say. Even we could create a transparent full facial mask, protecting the eyes.
  - Fjolsvith 7y ago
    Here is an open-source 3D mask model: https://www.3dnatives.com/en/mask-against-covid-19-180320205/ https://www.3dnatives.com/en/mask-against-covid-19-180320205...
- bmn__ 7y ago
  That design has no water-repellent part. Better design for an effectual makeshift mask made with household items, in English, with video illustration: https://www.consumer.org.hk/ws_en/news/specials/2020/mask-diy-tips.html https://www.consumer.org.hk/ws_en/news/specials/2020/mask-di...
ddeck 7y ago
While not exactly what you're after re: DYI, the WHO has published guidance on home care for patients presenting while mild symptoms in addition to their clinical care guidelines: - Home care for patients with COVID-19 presenting with mild symptoms and management of their contacts [1] - Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected [2] - All WHO technical guidance [3] [1] https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts https://www.who.int/publications-detail/home-care-for-patien... [2] https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected https://www.who.int/publications-detail/clinical-management-... [3] https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance https://www.who.int/emergencies/diseases/novel-coronavirus-2...
tangental 7y ago
A collaborative guide to COVID-19 care https://covid-at-home.info/ https://covid-at-home.info/
Pmop 7y ago
I still do think hospitals can benefit from this material. The issue I'm having right now is relaying this information to the right people. Also, living in a non-English speaking country, I have no idea if health professionals are having problems with the language barrier regarding getting themselves informed with the latest insights about covid-19. Plus, a great deal of people are playing it off.
DoreenMichele 7y ago
as best as possible with the resources one might have at home. Previous comment by me along those lines: https://news.ycombinator.com/item?id=22595343 https://news.ycombinator.com/item?id=22595343 I skimmed the home care thing posted by someone else. It said to use paper towels instead of towels to dry your hands. I almost never use towels to dry my hands. If you use paper towels, flush them down the toilet. (Assuming it won't be a plumbing problem. I can't do this currently because I live in a hundred year old building and my lease forbids it because the plumbing can't handle it.) But you can also just let your hands air dry. You don't have to dry them at all. From what I gather, they resort to ventilators with Coronavirus not due to paralysis of the lungs but due to inflammation and pneumonia (aka fluid in the lungs). Here are some ventilator substitutes in such cases: If you have fluid in your lungs and can't adequately clear it doing lung clearance in the shower, sleep propped up. A recliner is one option or prop yourself up on pillows against the headboard. If you are having breathing issues, absolutely do not lay flat on your back. It can cause half your lung surface to be blocked by fluid and this is a good way to basically drown. Instead, lay on your side or prop yourself up. It will reduce the amount of lung surface blocked by fluid. Ideally, have some caffeine, fluids and salt to help open up the airways and support mucus production and then go do lung clearance before trying to sleep. Then lay down on your side or prop yourself up somehow. (Yes, I'm aware: Ideally, you should be hospitalized at that point. I didn't want my child hospitalized when he was an infant and had pneumonia, so I laid him on my chest and slept sitting up for three nights after he started antibiotics so he could breathe. I've got an incurable lung condition. I routinely deal with fluid in my lungs without seeing a doctor. It can be done.) Obviously, ideally, see a doctor and all that. I'm only leaving this comment because the medical system is overwhelmed and that's not always going to be an option. There are going to be people in this crisis who can get info off the internet or have basically nothing because there aren't enough doctors, ventilators, etc to go around.
- bshoemaker 7y ago
  What is lung clearance?
  - ctack 7y ago

est 7y ago

There's a Chinese tutorial of how to make ~n90 grade masks with HEPA and SMS non-woven fabric. https://www.zhihu.com/question/367499169/answer/996640281 https://www.zhihu.com/question/367499169/answer/996640281

dirtyid 7y ago
Somewhat related, Chinese CDC posted their official guidance on mask usage. Google translate: I. The general public (1) Home and outdoor, no people gathered, well ventilated. It is not recommended to wear a mask. (2) Being in a crowded place, such as office, shopping, restaurant, conference room, workshop, etc .; or taking a box elevator or public transportation. In low- and medium-risk areas, it is recommended that you wear spare masks (disposable medical masks or medical surgical masks) with you, and wear them when in close contact with other people (less than or equal to 1 meter). In high-risk areas, disposable medical masks are recommended. (3) For those with cold symptoms such as coughing or sneezing. It is recommended to wear disposable medical or surgical masks. (4) For those who live together with those who are separated from home and discharged from rehabilitation. It is recommended to wear disposable medical or surgical masks. 2. Personnel in specific places (1) It is located in densely populated hospitals, bus stations, railway stations, subway stations, airports, supermarkets, restaurants, public transportation, and community and unit import and export places. In medium and low risk areas, it is recommended that workers wear disposable medical masks or surgical surgical masks. In high-risk areas, it is recommended that workers wear medical surgical masks or protective masks that comply with KN95 / N95 and above. (2) In prisons, nursing homes, welfare homes, mental health medical institutions, school classrooms, construction site dormitories and other densely populated places. In medium and low-risk areas, it is recommended that you always wear spare masks (disposable medical masks or surgical surgical masks) with you daily, and wear masks when people gather or come into close contact with one another (less than or equal to 1 meter). In high-risk areas, it is recommended that workers wear medical surgical masks or protective masks that comply with KN95 / N95 and above; other personnel wear disposable medical masks. Key personnel Suspected cases, confirmed cases, and asymptomatic infections of new coronavirus pneumonia; close contacts of new coronavirus pneumonia; immigrants (from entry to end of quarantine). It is recommended to wear medical surgical masks or protective masks without exhalation valve that conform to KN95 / N95 and above. Occupational exposure (1) Medical personnel such as general outpatient clinics and wards; emergency medical personnel in medical institutions in low-risk areas; administrative personnel, police, security, cleaning, etc. engaged in epidemic prevention and control. Medical surgical masks are recommended. (2) Personnel working in the ward and ICU of patients diagnosed with a new type of coronavirus pneumonia, suspected case patients; medical staff at designated medical institutions for fever clinics; medical staff in emergency departments of medical institutions in middle and high risk areas; epidemiological investigations and experiments Room testing, environmental disinfection personnel; transfer of confirmed and suspected cases. Medical protective masks are recommended. (3) Operators engaged in the collection of respiratory specimens; staff who perform tracheotomy, tracheal intubation, bronchoscopy, sputum suction, cardiopulmonary resuscitation, or lung transplantation, pathological anatomy in patients with new-type coronavirus pneumonia. Suggestion: hood-type (or full-type) powered air-supply filter respirator, or half-plane power-supply air-filter respirator with goggles or full screen; P100 anti-particulate filter should be used for both types of respiratory protection Elements and filter elements should not be reused. Use protective equipment after disinfection. https://zhuanlan.zhihu.com/p/114129365 https://zhuanlan.zhihu.com/p/114129365
- hackermailman 7y ago
  This blog has interesting information, like how to properly remove a mask to avoid infecting yourself @ 14:59, and to not contaminate your house with outdoor clothing by leaving it outside: https://youtu.be/yyucJekT87E https://youtu.be/yyucJekT87E (turn on subtitles)
anon012012 7y ago
I'm sorry if it's slightly off topic, but could we 3D print plastic masks? It seems they could at least protect from the biggest droplets. Better than nothing, I would say. Even we could create a transparent full facial mask, protecting the eyes.
- Fjolsvith 7y ago
  Here is an open-source 3D mask model: https://www.3dnatives.com/en/mask-against-covid-19-180320205/ https://www.3dnatives.com/en/mask-against-covid-19-180320205...
bmn__ 7y ago
That design has no water-repellent part. Better design for an effectual makeshift mask made with household items, in English, with video illustration: https://www.consumer.org.hk/ws_en/news/specials/2020/mask-diy-tips.html https://www.consumer.org.hk/ws_en/news/specials/2020/mask-di...

ddeck 7y ago

While not exactly what you're after re: DYI, the WHO has published guidance on home care for patients presenting while mild symptoms in addition to their clinical care guidelines: - Home care for patients with COVID-19 presenting with mild symptoms and management of their contacts [1] - Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected [2] - All WHO technical guidance [3] [1] https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts https://www.who.int/publications-detail/home-care-for-patien... [2] https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected https://www.who.int/publications-detail/clinical-management-... [3] https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance https://www.who.int/emergencies/diseases/novel-coronavirus-2...

tangental 7y ago

A collaborative guide to COVID-19 care https://covid-at-home.info/ https://covid-at-home.info/

Pmop 7y ago

I still do think hospitals can benefit from this material. The issue I'm having right now is relaying this information to the right people. Also, living in a non-English speaking country, I have no idea if health professionals are having problems with the language barrier regarding getting themselves informed with the latest insights about covid-19. Plus, a great deal of people are playing it off.

DoreenMichele 7y ago

as best as possible with the resources one might have at home. Previous comment by me along those lines: https://news.ycombinator.com/item?id=22595343 https://news.ycombinator.com/item?id=22595343 I skimmed the home care thing posted by someone else. It said to use paper towels instead of towels to dry your hands. I almost never use towels to dry my hands. If you use paper towels, flush them down the toilet. (Assuming it won't be a plumbing problem. I can't do this currently because I live in a hundred year old building and my lease forbids it because the plumbing can't handle it.) But you can also just let your hands air dry. You don't have to dry them at all. From what I gather, they resort to ventilators with Coronavirus not due to paralysis of the lungs but due to inflammation and pneumonia (aka fluid in the lungs). Here are some ventilator substitutes in such cases: If you have fluid in your lungs and can't adequately clear it doing lung clearance in the shower, sleep propped up. A recliner is one option or prop yourself up on pillows against the headboard. If you are having breathing issues, absolutely do not lay flat on your back. It can cause half your lung surface to be blocked by fluid and this is a good way to basically drown. Instead, lay on your side or prop yourself up. It will reduce the amount of lung surface blocked by fluid. Ideally, have some caffeine, fluids and salt to help open up the airways and support mucus production and then go do lung clearance before trying to sleep. Then lay down on your side or prop yourself up somehow. (Yes, I'm aware: Ideally, you should be hospitalized at that point. I didn't want my child hospitalized when he was an infant and had pneumonia, so I laid him on my chest and slept sitting up for three nights after he started antibiotics so he could breathe. I've got an incurable lung condition. I routinely deal with fluid in my lungs without seeing a doctor. It can be done.) Obviously, ideally, see a doctor and all that. I'm only leaving this comment because the medical system is overwhelmed and that's not always going to be an option. There are going to be people in this crisis who can get info off the internet or have basically nothing because there aren't enough doctors, ventilators, etc to go around.

bshoemaker 7y ago
What is lung clearance?
- ctack 7y ago