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SARS-CoV-2 is a global threat that still reaps hundreds of thousands of deaths worldwide(1). Among the most serious effects of the virus, hypercoagulability present an important aspect and many studies suggest that pulmonary microvascular thrombosis might be responsible for the high mortality rate in patients with SARS-CoV-2 and acute respiratory distress syndrome(2). Considering the high incidence of thromboembolic events in critically ill patients with COVID-19, prevention of this disorder should be essential in order to reduce mortality in these patients. This Case Study aims at stressing the importance of monitoring the possible side-effects of the much-needed anticoagulant therapy, which can manifest itself as a retroperitoneal bleeding posing un undetectable threat for the physician and the patient's safety. [ABSTRACT FROM AUTHOR]

Introduction: The required The reorganisation of the hospital and territorial network due to the SARS-CoV-2 pandemic has inevitably involved cardiology and caused the strong remodelling of protocols and diagnostic and therapeutic procedures. Purpose: A qualitative study was carried out to assess the impact of the SARS-CoV-2 emergency on cardiac patients' care. Materials and methods: The study was conducted from May to September 2020 through semi-structured interviews. The sample for the interviews is composed of 14 nurses and 2 technicians of cardiocirculatory physiopathology and cardiovascular perfusion (TFCPC). Results: The content of the interviews was classified with 140 codes grouped into 8 different sections. The main issues that emerged from the interviews concerned the reorganisation of the hospital health system, the outcome and perception of cardiologic patients, the role of health care providers and their moods during the emergency, with an eye to future care proposals. Conclusion: At the end of the study, we can say that the professionalism expressed by the health care providers has led to positive results through a concrete spirit of adaptation and despite the uncertainties that emerged, especially during the first pandemic wave. [ABSTRACT FROM AUTHOR]

Since December 2019, the SARS-Cov-2 epidemic, also known as Coronavirus Disease-2019, or COVID-19, has spread worldwide. The COVID-19 pandemic has increased the workload for healthcare workers hugely due to its high contagiousness. SARS-Cov-2 is airborne transmitted via droplets. This is why healthcare workers must wear appropriate personal protective equipment (PPE) such as face masks, goggles, and visors, for they are designed to stop the virus from entering the upper airways, thus preventing human-to-human contagion. Almost all healthcare workers in COVID wards have suffered facial pressure injuries or other problems due to prolonged use of PPE. The aim of this article is to analyse the pathophysiological genesis of skin lesions caused by PPE in healthcare workers. The article will also present two cases of facial lesions that occurred in two medical Officers working in the COVID wards in Lombardy, and the solutions in the literature related to both primary prevention and therapy. [ABSTRACT FROM AUTHOR]

COVID-19 represents a challenge for modern Health Care Systems, due to the mismatch between the number of patients and hospitals capabilities. It is important not only to consider the total number of patients requiring ICU capabilities, but also their condition and clinical history. Our experience in Northern Italy has been that many present to the hospital after spending 10-15 days at home, with fever and cough, without any medical therapy. In lieu of the growing numbers of patients presenting to the hospitals in serious condition (after delaying care until they deteriorate), it was obvious that intensive care therapy could be the solution. An earlier intervention was needed to try and reduce the burden on the over-extended intensive care capabilities. We must not only concentrate on delivering the best medical care, but to understand the right timing. In this context we suggest to translate the military deployed medical system approach: push forward the health care in order to be earlier and more effective. [ABSTRACT FROM AUTHOR]