2. Basic concepts
- •Social distancing — keeping at least six feet (1.8 m) between individuals in waiting rooms and work spaces as much as feasible.
- •Encourage sick employees to stay home. Personnel who develop respiratory symptoms (e.g., cough, shortness of breath) or unexplained fever should be instructed not to report to work.
- •Ensure that your sick leave policies are flexible and consistent with public health guidance and that employees are aware of these policies. Make contingency plans for increased absenteeism
- •Screen patients and visitors for symptoms of acute respiratory illness (e.g., fever, cough, difficulty breathing) or gastrointestinal symptoms and coronavirus exposure in the last 2 weeks before entering one's healthcare facility.4Centers for disease control and prevention: what healthcare personnel should know about caring for patients with confirmed or possible COVID-19 infection.
- •Ensure technologist and CCT imager hand hygiene best practices. If soap and water are not readily available, use of a hand sanitizer that contains at least 60% alcohol.
- •Consider standard droplet precautions for patients and healthcare personnel as per institutional infection control protocols.
- •Increase scheduling intervals or appointment times to allow adequate time to clean equipment as needed.
- •Leverage telemedicine technologies and isolated workstations to allow for reading and interpretation, that allow for social distancing to limit staff exposure, when possible.
- •Assign a team member to monitor and incorporate regular updates from the CDC and appropriate regional jurisdictions.
3. Patients under investigation (PUI) and confirmed COVID-19
- •Ensure proper use of personal protection equipment (PPE). Healthcare personnel including technologists, radiologists and cardiac imagers who come in close contact with confirmed or suspected COVID-19 should wear the appropriate personal protective equipment.5,Centers for disease control and prevention: infection control.6Patients should wear a surgical mask during imaging to ensure standard droplet precautions.Centers for disease control and prevention: interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings.
- •Appropriate environmental cleaning and decontamination of rooms by thorough cleaning of the surfaces by a staff member with appropriate PPE as per CDC and local institutional guidelines for airborne viral diseases.7Centers for disease control and prevention: environmental infection control guidelines.
4. Cardiac CT indications and timing
5. Incidental pulmonary findings in patients at risk of COVID-19 exposure
SCCT COVID-19 Guidance Statement (Endorsed by the ACC) - Relationships With Industry
|Committee Member||Employment||Consultant||Speakers Bureau||Ownership/Partnership/Principal||Personal Research||Employment or Salary Support||Institutional, Organizational or Other Financial Benefit||Expert Witness|
|Andrew D. Choi, Co-Chair||The George Washington University School of Medicine, US||None||None||None||None||None||None||None|
|Ron Blankstein, Co-Chair||Brigham and Women’s Hospital and Harvard Medical School, US||None||None||None||None||None||Research grant Amgen Inc., Astellas Inc||None|
|Suhny Abbara||University of Texas Southwestern Medical Center, US||None||None||None||None||None||Elsevier (Royalties)||None|
|Kelley R. Branch||University of Washington Medical Center, US||None||None||None||None||None||None||None|
|Gudrun M. Feuchtner||Innsbruck Medical University, Austria||None||None||None||None||None||None||None|
|Brian Ghoshhajra||Massachusetts General Hospital, US||Siemens Healthineers||None||None||None||None||None||None|
|Koen Nieman||Stanford University, US||None||None||None||None||None||Unrestricted research support from Siemens Healthineers, Bayer Healthcare and Heartflow, Inc.||None|
|Gianluca Pontone||University of Milan, Italy||None||GE Healthcare, Heartflow, Inc., Bracco||None||GE Healthcare, Heartflow, Inc.||None||None||None|
|Todd C. Villines||University of Virginia, US||None||None||None||None||None||None||None|
|Michelle C. Williams||University of Edinburgh/British Heart Foundation, UK||None||None||None||None||None||None||None|
- Centers for disease control and prevention: steps healthcare facilities can take now to prepare for coronavirus disease 2019 (COVID-19).(Available from)
- European Centre for disease prevention and control: COVID-19.(Available from)
- NHS England: coronavirus guidance for clinicians.(Available from)
- Centers for disease control and prevention: what healthcare personnel should know about caring for patients with confirmed or possible COVID-19 infection.(Available from)
- Centers for disease control and prevention: infection control.(Available from)
- Centers for disease control and prevention: interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings.(Available from)
- Centers for disease control and prevention: environmental infection control guidelines.(Available from)
- Radiology department preparedness for COVID-19: radiology scientific expert panel.Radiology. 2020; : 200988
- British Society of thoracic imaging: COVID-19 Resources.(Available from)