Ebola Update

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 17 October 2014

⏱️ 11 minutes

🔗️ Recording | iTunes | RSS

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Summary

Ebola has been in the news for the past few months and it has taken on more urgency in the US as cases have arrived from outside the country Within the past week, transmission to two healthcare workers outside of Africa has been reported. Dr. Prabu Selvam, an intern at the Wright-Pratt Emergency Medicine Residency, provided the resources for today's episode on Ebola. In this short episode we will discuss appropriate screening for Ebola, it's signs and symptoms, lab abnormalities, how to confirm infection with laboratory testing, treatment of Ebola, and how to properly isolate patients with this disease. While now is not the time to panic and think that every fever and sniffle is Ebola, we should certainly be aware of how to properly screen, diagnose, and treat this deadly disease.

Transcript

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0:00.0	This is Steve Carroll, and you're listening to the EM Basic Podcast. Today's episode will cover the basics and the need to know information about Ebola. This is certainly a topic that is in the news a lot right now, and it has spread beyond West Africa into other countries. The U.S. recently reported the first death from Ebola from a foreign traveler, as well as transmission to a health care
0:21.6	worker who is caring for that patient. While we don't need to panic right now, we need to be
0:26.6	aware of the basics of this disease should it show up on your doorstep. Today's episode
0:31.6	is based on an excellent written summary compiled by Dr. Prebu Selvon, an emergency medicine intern at Wright-Praton Air Force Base.
0:39.7	The summary will be available at DMBAS.org in the show notes.
0:43.5	One quick note is that I recorded this podcast on Thursday, October 16, 2014, so any information
0:50.0	on this podcast is current as of today's date.
0:53.1	So with that said, let's get started. As always,
0:55.4	this podcast is represent the views of the opinion to the U.S. Army or the Shostak EM Residency
0:59.5	program. In addition, this episode does not represent the Visi Opinions of the U.S. Air Force
1:04.1	or the Wright-Prat Residency Program. The first thing to talk about is how Ebola is transmitted.
1:09.7	A bowl is transmitted in a similar fashion to HIV
1:12.6	and that it requires direct contact with infected persons bodily fluids. It is not airborne.
1:18.6	However, it seems that Ebola demands much stricter infection control measures than HIV.
1:24.6	Even with healthcare workers wearing full protective equipment, there seems to have been transmission
1:28.5	to healthcare workers that was probably based on exposure to mucus membranes such as the eyes or face.
1:34.8	The latest report is that a nurse in Spain may have contracted Ebola after her dirty gloves
1:40.0	brushed against her face.
1:41.9	The case of transmission in the U.S. was based on some sort of breach of
1:45.4	protocol, is not known exactly what occurred, and there's also questions as to whether there were
1:50.2	established protocols in the first place. I won't go into that issue here. Now, this one case of
1:55.7	transmission to a health care worker does not prove that Ebola is transmitted in that manner,
	...

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