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Ever since the coronavirus disease 2019 (COVID-19) has emerged, the number of affected individuals has been increasing exponentially. The frontline health workers are in constant risk because of the etiology and mode of transmission of the disease. Thus, the proper use of personal protective equipment (PPE) is very crucial during this pandemic. This study is to assess the knowledge regarding the handling of PPE among frontline allied health professionals who are directly in contact with patients with COVID-19. A standard questionnaire was prepared in Google Forms and circulated within the network of health-care workers via online platforms. A total of 143 frontline health workers participated in the questionnaire survey. It was found that only 44.1% of the total participants had previously undergone training regarding the handling of PPE. About 86.0% of participants gave correct response to the safety etiquette questions. For another knowledge-based question about using the N95 respirator in conjunction with a face shield, 86.7% of participants responded correctly. Only 67.8% of participants gave the right response to the question regarding the sequence of donning and doffing of PPE. The last question was regarding knowledge about the disposal of PPE, where 95.8% of participants responded correctly. Despite the safety precautions and procedures set forth by the Centers for Disease Control and Prevention for handling patients with COVID-19, the health-care workers are still prone to occupational hazards. The only barrier standing between the health-care workers and COVID-19 is the PPE. Thus, in-depth training and education should be imparted on the health-care workers in the present pandemic situation.

The prevalence of burnout among US registered nurses ranges from 35 to 45%. In one study, nurses had twice the rate of depression compared with other health care professionals. Owing to the Covid-19 pandemic, burnout is a major threat to the stability of the workforce on the front lines. Consultation-liaison (C/L) psychiatry can provide assistance through liaison meetings, stress management programs, and curbside consults to help reduce the risk of burnout. Narrative medicine programs, mindfulness-based stress reduction, and meditation apps are additional means to alleviate stress. Given the current challenges facing C/L psychiatry and the mental health field in general, there is an urgent need to overcome stigma and financial barriers to make treatment readily accessible., Highlights • Nurses are among the health care professionals on the front lines treating Covid-19 patients and they are suffering from high rates of burnout. • There is an urgent need for readily accessible mental health treatment for all health care workers during this pandemic. • Consultation-liaison psychiatry can provide this care within the hospital and clinic setting but immediate increased funding is necessary to provide the scope of care required. • Other treatment approaches are outlined as well as strategies to overcome the barriers that exist.

In response to coronavirus disease 2019 patient care requirements and clinical staff shortages, radiology nurses are being reassigned to directly or indirectly support hospital patient care in medical/surgical, critical care, and emergency room settings. Through this reassignment, radiology nurses have become witnesses to and/or caregivers for dying patients. Being with and caring for the dying is a unique and profoundly spiritual experience, which may result in the radiology nurses unexpectedly experiencing grief and loss. Using relationship-based care theory, the author proposes PACE as a person-centric, relational mindset, and communication model, explores the significance of providing end-of-life spiritual care, and highlights the profound implications of grief and loss for the radiology nurse.

This study aimed to share our experiences during the coronavirus disease 2019 (COVID-19) pandemic obtained in diagnostic radiology facilities of five Training Research Hospitals in the Asian part of Istanbul (North Hospitals). Accordingly, we reported the utilised examination details, allocation of radiology staff and actions and safety procedures for patients and radiology staff. As the corporate radiology team serving in these designated pandemic hospitals, examination details and safety procedures of some diagnostic radiology facilities among five training research hospitals have been identified in the current study. Our guidelines and preparedness protocol aimed to reduce patient morbidity and infection-related mortality through quick and proper diagnosis to prevent the spread of COVID-19 to our employees, patients and the general public during the COVID-19 pandemic. Results showed that teamwork is a key factor while providing medical services. In addition, continuous communication efforts and individual responsibilities of radiology staff were remarkable during the COVID-19 pandemic. The recent situation also showed that co-operation of radiology facilities with device manufacturers and applicators are quite significant especially for development of special protocols in the frame of As Low As Reasonably Achievable. The COVID-19 pandemic has tackled several challenges in radiology among radiology departments. Therefore, continuous co-operation plans and motivational actions are highly recommended not only between radiology staff but also between radiology stakeholders and service providers in the future. Technical details of recent investigation can provide useful information about the management of diagnostic radiology departments during the fight with the COVID-19 pandemic in cities with high population density such as Istanbul., Highlights • Examination details and safety procedures during the COVID-19 pandemic have been shared. • Allocation of radiology staff and actions and safety procedures for patients have been discussed. • Low dose and ultra-low dose computed tomography examinations were presented. • Continuous co-operation plans and motivational actions are highly recommended • Teamwork is a key factor while providing medical services.

Disasters often occur without warning and have the potential to affect large numbers of people. Those in the radiology environment experience unique effects on them, their equipment, and their ability to provide quality patient care. Lessons can be learned by reviewing events and their impact on imaging departments around the world. Radiology departments need to be actively involved in the disaster planning and the management of disasters when they occur. Common themes emerge regardless of the type of disaster and these themes should be included in all planning., Highlights: ♦ Planning for catastrophes affecting imaging departments ♦ Disaster management plans rarely include radiology ♦ 160 million people worldwide are affected by a disaster each year ♦ Lessons can be learned from those who lived through one

Due to isolation and social distancing to maintain patient and staff safety during the COVID-19 pandemic, an alternative to face-to-face interaction was needed. Nurses facilitated critical patient-family communication. Video conferencing applications aided socially distanced families to connect with dying loved ones. This article will explore the use of these popular apps., Highlights • Isolation and social distancing during the COVID-19 pandemic restricted visitor access to healthcare organizations. • Alternate forms of remote communication were needed. • The use of videoconferencing applications ramped up to connect friends and families with their loved ones. • Videoconferencing technology is essential to health care delivery during the pandemic. • Providers must be mindful of patient confidentiality and risk management when using social media. • Sharing in the death experience can lead to nurse grief and burnout.

Since the initial reports surfaced of a novel Coronavirus causing illness and loss of life in Wuhan, China, COVID-19 has rapidly spread across the globe infecting millions and leaving hundreds of thousands dead. As hospitals cope with the influx of COVID-19 patients, new challenges have arisen as healthcare systems care for COVID-19 patients while still providing essential emergency care for patients with acute strokes and acute myocardial infarction. Adding to this complex scenario are new reports that COVID-19 patients are at increased risk of thromboembolic complications including strokes. In this paper, we detail our experience caring for acute stroke patients, and provide some insight into neurointerventional workflow modifications that have helped us adapt to the COVID-19 era., Highlights: • COVID-19 continues its relentless march through the United States and the globe, presenting unique challenges for healthcare providers as they treat other emergent conditions while minimizing the risk of COVID-19 exposure and infection. • Acute stroke is especially challenging during the COVID-19 due to time constraints required for effective mechanical thrombectomy to improve neurologic outcomes and survival in patients whose COVID infection status is unknown. • The institutional protocol for mechanical thrombectomy described in this article may help inform models at other centers as they prepare for their respective COVID peaks