Louisville Medicine Volume 68, Issue 1 | Page 12

TECHNOLOGY IN MEDICINE USING EVERYDAY TECHNOLOGY IN CLINICAL PRACTICE AUTHOR Kathryn Vance With the onset of COVID-19, our emergency rooms and hospitals are more overwhelmed than ever. Amongst this chaos, physicians and hospital administrators are facing challenges they’ve never seen before and having to make difficult decisions with answers they would have never imagined. I sat down to talk with Dr. Martin Huecker, emergency medicine faculty at UofL Health - UofL Hospital, about his experience over the last few months. “You know, it’s kind of scary to go to work. It’s a weird feeling going in,” he said. “We always know we could potentially catch a virus or bacterial infection going to work, that’s part of my job. But with this one, there’s so much mystery around it and we don’t know exactly how to protect ourselves.” While working in an ER always means no two days are ever alike, the uncertainty and constantly evolving information surrounding the novel coronavirus make it very difficult to know what to expect day to day. Guidelines from the Center for Disease Control and Prevention and the World Health Organization are changing in a matter of days, and sometimes even hours. That continuous change can sometimes make it difficult to focus on the usual demands of the ER. “Not only do we have to think about those new guidelines every day, but also we have to think about managing our so-called ‘bread and butter’ ER patients, like heart attacks and traumas,” he said. “There have been instances of trauma patients coming into the ER showing no signs of COVID-19, but after a screening test [UofL Health is now testing all patients as a precautionary measure], results came back positive. That patient who was in the ER for a trauma may have now exposed several other patients and health care workers to the virus as it aerosolized around the room.” In addition to thinking about the constant influx of new information, physicians must always think about conserving their PPE due to the national shortages. “The PPE question is always on everyone’s mind,” he said. “We’re making decisions on how to protect ourselves and the patient based 10 LOUISVILLE MEDICINE