Joseph Nunan's research while affiliated with Royal Berkshire NHS Foundation Trust and other places
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Publications (4)
COVID-19 pneumonia produces a heterogeneous array of clinical, biochemical, and radiological findings. Over the last few months of global hurry to optimize a testing strategy, it has been suggested that bedside point-of-care lung ultrasound may have a diagnostic role. We present 3 patients with RT-PCR nasopharyngeal swab-confirmed COVID-19 pneumoni...
In this edition of Acute Medicine, Knight et al. demonstrate from SAMBA data that access to ultrasound machines and supervision is geographically heterogeneous.1 They raise concerns that this may lead to inequity of provision of Point of Care Ultrasound (POCUS) and the benefits it can provide for patients. This point is well made: Since the develop...
Introduction:
COVID-19 pneumonia presented a unique problem for healthcare systems with the potential to overwhelm hospitals and lead to unnecessary morbidity and mortality. Safe triage and follow up systems are required to manage this unprecedented demand.
Methods:
We designed a pathway for the triage and assessment of patients based on their r...
In this edition of Acute Medicine, Knight et al. demonstrate from SAMBA data that access to ultrasound machines and supervision is geographically heterogeneous. They raise concerns that this may lead to inequity of provision of Point of Care Ultrasound(POCUS) and the benefits it can provide for patients. This point is well made: Since the developme...
Citations
... Further analysis into patients' reasons for returning to ED, particularly those who were not readmitted, may provide useful information to improve the efficiency and effectiveness of hospital resource allocation. Similarly, at the Royal Berkshire Hospital in the UK, a virtual monitoring pathway for managing COVID-19 patients was established [7]. Of the 31 patients who returned to ED, 19 (61%) were readmitted, but analysis of patient experiences was limited. ...
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... The role of lung ultrasound will particularly be useful in low and low-middle income settings, where access to health care diagnostics may be limitedparticularly in rural settings. Studies have suggested that lung ultrasound may be useful in COVID-19 patients [11,21,22]. Indeed, a study found that the sensitivity and specificity of POCUS examination of lungs was good for diagnosis of non-critical COVD-19 infection [23]. ...
