COVID 19


Surgical Resources

General Surgery Position Statement on
Cancellation of Elective Surgery during the Covid-19 Pandemic
download

June 2, 2020 - ONTARIO STATE OF EMERGENCY EXTENDED (originally declared on March 17) - download
May 29, 2020 - All Ontario Emergency Orders (extended) - download
May 19, 2020 - Stage 1 of Ontario Financial Recovery Commences - includes gradual reopening of healthcare services such as scheduled surgeries and procedures. - details
May 7, 2020 - A Measured Approach to Planning for Surgeries and Procedures During the COVID-19 Pandemic - download
April 27, 2020 - A Framework for Reopening our Province - download
March 24, 2020 -
The Ontario government went further to announce a mandatory shutdown of all non-essential services.
March 15, 2020
- The Ontario Medical Association has announced that all "non-essential care and elective surgery must be temporarily put on hold to protect all health-care providers, patients and the public, and most importantly, to manage what we expect may be tremendous demand on the system from spread of the virus." Ongoing updates pending Ministry guidelines. Section on General Surgery and OAGS Executives STRONGLY SUPPORT this decision and urge our members to work with their hospitals to cancel all non urgent care interactions in a coordinated fashion with other surgical services.

COVID19 Symptoms

  • Fever, new cough, pneumonia, or difficulty breathing (or a combination of these symptoms)
  • Muscle aches, fatigue, headache, sore throat, hoarse voice, runny nose or diarrhea
  • Symptoms in young children may also be non-specific (i.e. lethargy, poor feeding, Kawasaki Disease)
  • Latest: impairment of senses (i.e. loss of taste/smell, stumbling, falling, dizziness, slurred speech, Covid Toe)
NOTE:  Whether you are a surgeon or a member of the public... If you're sick, no signs of illness but recently returned from a trip outside Canada or in close contact with someone who has been travelling or sick, you should self isolate for 14 days. If you are having difficulty breathing or experiencing other severe symptoms, call 911 immediately. Advise them of your symptoms and travel history.  - Ontario Health COVID 19 Symptoms; Johns Hopkins COVID19 Symptoms
Ontario Health Self Assessment - TAKE ONLINE ASSESSMENT NOW
Telehealth Ontario: 1-866-797-0000

Ontario MOH COVID19 Advance Payment Program

  • Ontario MOH COVID19 Advance Payment Program: download
  • These loan payments are automatic in May, June, July, 2020 for ALL Ontario physicians who qualify
  • Payment will appear as "EMERGE ADVANCE PAYMENT (COVID19)" under Accounting Transactions
  • Interest free loan
  • Monthly average derived based on previous 12mth payments (April2019-Mar2020) and this will be used to top up physician payments to 70% of this average.
  • Recipients must agree to terms (i.e. 5 equal payback installments against OHIP earnings commencing Nov.2020-Mar.2021)

Advance Payment Program: How to Opt Out

  • For months that have already been paid out (i.e. May), you can pay it back via cheque
    Made payable to "Minister of Finance". Note: "Re-payment of the advance payment for month of ...". Mail chq to: Financial Management Branch, 49 Place d'Armes, 3rd Floor, Kingston, ON K7L 5J3 .
  • To opt out in advance: Contact Service Support Contact Centre
    Phone: 1.800.262.6524
    Email: SSContactCentre.MOH@ontario.ca - Subject Line: "Opting Out"; In your email content, include your name, your billing number and the months for opting out. (Note: This option is preferable for your paper trail.)

Other Financial/Billing Resources

Federal Assistance Summary - download
Canada Emergency Response Benefit (CERB)
Canada Emergency Wage Subsidy (CEWS)
- extended until the end of August,2020
Canada Emergency Business Account (CEBA)
Canada Emergency Commercial Rent Assistance (CECRA)

Canada's COVID19 Economic Response Plan
Temporary OHIP Billing Codes & More Details (MOH Bulletin):  download ; download
MDFM Navigating COVID19: Considerations, Assistance and Resources - download webinar

COVID19 Data/Clinical Resources

Centres for Disease Control and Prevention (CDC): website
WHO Update - download
OMA - Temporary Fee Codes for Virtual Care - download / MOH OHIP Virtual Billing Manual - download
OMA Physician Health Program (Getting Help Managing Stress during COVID 19)- details
OMA COVID19 Informational Chart & MD Processes - download
MOH/Ontario Health: COVID19 - Guidance for Acute Care - download

MOH/Ontario Health: Guidance for Health Sector - download
MOH/Ontario Health COVID19 Data Update - download
MOH/Ontario Health:  Status of Cases within Ontario & Info - here
MOH/Ontario Health:  COVID19 Updates here  and Guidelines here
Ontario Health Force: Resources Matching Portal - download
Ontario Public Health:  Updates
Ontario Public Health: COVID19 Testing - Updates
Canada Health:  Updates
OCC & OMA Joint Press Release Re. Sick Notes: download
Johns Hopkins Coronavirus Resource Centre: download
Johns Hopkins COVID19 Global Cases Dashboard: download

COVID-19 Canada Open Data Working Group:  download

CLINICAL Resources

Title: Quick ICU Training for COVID-19 Training Resources - Critical Care Education Pandemic Preparedness

Source: (ONTARIO) UofT, UofOttawa, McMasterU... Critical Care Education Pandemic Preparedness (CCEPP) project

Format: web

URL: https://www.quickicutraining.com/

Title: Canadian Association of General Surgeons COVID19 Webinar Series

Source: CAGS

Format: webinar (live and recorded)

URL: download

Title: OntarioMD’s virtual care webinars for physicians

Source: Ontario MD

Format:web / stream

URL: download

Title: What doctors and parents should watch for when COVID-19 affects children, including 'COVID toes'

Source: CBC News

Format:article

URL: download
Other Sources: Pediatrics - Journal of AAP; AAAS - Science Journal

Title: Adopting and Integrating Virtual Visits into Care: Draft Clinical Guidance

Source: Ontario Health Quality

Format:PDF

URL: download

Title: Virtual Care and the 2019 Novel Coronavirus (listing of virtual tools/platforms available to MDs for communications with their patients)

Source: Ontario MD

Format: web

URL: https://ontariomd.news/

Title: Recommendations for Surgical Procedures on Potential COVID-19 Patients

Source: Michigan Surgery

Format: Photo

URL: https://twitter.com/DrJohnScott/status/1240328260493307904/photo/1

Title: Sequence for Personal Protective Equipment (PPE)

Source:CDC (Centres for Disease Control and Prevention)

Format:PDF (poster)

URL: https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf

Title: (Mask - ear elastics) Donning/Doffing PPE Technique by General Surgeon

Source: Dr. Michael Lisi, Collingwood, ON - demo

Format:Twitter / video

URL: https://twitter.com/dr_michael_lisi/status/1248703645560057856

Title: (Mask - head elastics) Donning/Doffing PPE Technique by Anaesthesiologist

Source: Dr. Tim Jen, Vancouver, BC - demo

Format:Twitter / video

URL: https://twitter.com/DrTimJen/status/1238950595437850625

Title: (DONNING) How to Safely Put on PPE, Selected Equipment: N95 and Gown

Source:CDC & Johns Hopkins

Format:Youtube Video

URL: https://www.youtube.com/watch?v=Ca66dpjPWZc

Title: (DOFFING) How to Safely Take off PPE, Selected Equipment: N95 and Gown

Source:CDC & Johns Hopkins

Format:Youtube Video

URL: https://www.youtube.com/watch?v=bZA424c5sWQ

Title: COVID-19 Ventilator Management Refresher for Surgeons

Source:Behind the Knife: The Surgery Podcast

Format: audio Podcast

URL: https://open.spotify.com/episode/0qdLULXnM30Yk3ZcAHOMIR?si=ELlQ4sCFQ4yjOPkA0ZJLrQ

Title: COVID19 Information for Health Professionals

Source: Canadian Thoracic Society

Format: web

URL:https://cts-sct.ca/wp-content/uploads/2020/03/Coronavirus-Ver6.pdf
https://cts-sct.ca/

Title: COVID19 Recommendations During Airway Manipulation

Source: Canadian Anesthesiologists Society

Format: web

URL: https://www.cas.ca/en/practice-resources/news/cas-articles/2020/covid-19-recommendations-during-airway-manipulation

Title: COVID19 Essentials for Surgeons

Source: Behind the Knife: The Surgery Podcast

Format: audio Podcast

URL: https://behindtheknife.libsyn.com/covid-19-essentials-for-surgeons

Title: COVID19 Clinical Cheat Sheets

Source: University of Illinois at Chicago

Format: PDF / posters

URL: download

Title: (CLINICAL CASES) See what COVID19 looks like: Share your clinical experience on Figure 1 and tag it with #COVID-19 to help your colleagues around the globe.

Source: Figure 1 platform - various world medical institutions/organizations

Format: web

URL: https://www.figure1.com/covid-19-clinical-cases

Title: COVID-19 Statement: Advice from the Canadian Association of Gastroenterology for Endoscopy Facilities, as of March 16, 2020

Source: Canadian Association of Gastroenterology

Format: web/PDF

URL: https://www.cag-acg.org/images/publications/CAG-Statement-COVID-&-Endoscopy.pdf

Title: Coronavirus and IBD Reporting Registry

Source: Secure IBD Registry: Surveillance Epidemiology of Coronavirus Under Research Exclusion

Format: web

URL: https://covidibd.org/?idU=2

Title: Guide to Local Production: WHO-recommended Handrub Formulations

Source: World Health Organization

Format: PDF

URL: https://www.who.int/gpsc/5may/Guide_to_Local_Production.pdf

Title: COVID19 - What we do when a COVID19 patient needs an operation: OR prep and guidance

Source: Canadian Journal of Anesthesia

Format: Journal

URL: https://twitter.com/ThielsCA/status/1239328372439875592/photo/3 ; https://link.springer.com/article/10.1007%2Fs12630-020-01617-4

Title: Everything you should know about COVID-19 (Precautions for Surgeons)

Source: AIS Channel - COVID19 Resources Center (Surgical Infection Division)

Format: video/podcast

URL: http://covid19.aischannel.com/

Title: ACS COVID19 Frequently Asked Questions

Source: American College of Surgery

Format: web

URL: https://www.facs.org/about-acs/covid-19/faq

Title: Covid19 - How to Protect Yourself / If you are sick...

Source: Centers for Disease Control and Prevention

Format: web

URL:https://www.cdc.gov/coronavirus/2019-nCoV/index.html

Title: Healthcare Professionals: Frequently Asked Questions and Answers

Source: Centers for Disease Control and Prevention

Format: web

URL:https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html

Title: Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)

Source: Centers for Disease Control and Prevention

Format: web

URL:https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html

Title: CovidSurg

Source: NIHR Global Health Research on Global Surgery

Format: web

URL:https://globalsurg.org/covidsurg/

Title: Emergency Resources: COVID19 / COVID19 ICU Preparedness Checklist

Source: Society of Critical Care Medicine

Format: web

URL:https://www.sccm.org/disaster / https://www.sccm.org/Disaster/COVID-19-ICU-Preparedness-Checklist

Title: Behind the Knife: Ventilators Simplified?

Source: Behind the Knife Podcast, Dr. Georgoff is a Trauma and Critical Care Fellow at UT Houston

Format: YouTube

URL: https://www.youtube.com/watch?v=RHx-p5RFoaA&feature=youtu.be

Title: Resus COVID Crit Care and Ventilator Learning Resources

Source: Resus Med Northwest Health Services LLC

Format: web

URL:http://www.resusmed.com/2020/03/21/covid-critical-care-and-ventilator-learning-resources/

Title: Digestive Symptoms Tied to Worse COVID19 Outcomes

Source: Medscape / American Journal of Gastroenterologists

Format: web

URL:https://www.medscape.com/viewarticle/927112?src=soc_tw_share

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