Consultant in Intensive Care Medicine and Clinical Reader and Director of Clinical Skills and Simulation
Consultant in Intensive Care Medicine and Clinical Reader and Director of Clinical Skills and Simulation
Dr Paul Frost is a Consultant in Intensive Care Medicine at the University Hospital of Wales, and the Director of Clinical Skills for Cardiff University School of Medicine, and was one of the expert contributors on the All Wales COVID-19 Secondary Care Management Guideline.
All-Wales COVID-19 Secondary Care Guideline
The All-Wales Secondary care COVID-19 hospital guideline was created in early March as the COVID-19 pandemic gathered momentum. It was recognised that since this was a new disease, where evidence around the management of infected patients was scant, that we needed to create a guideline that was dynamic and responsive to emerging evidence.
We therefore created a guideline with two key components, a fixed aspect which reflected the general flow through the hospital of COVID-19 patients from admission, to COVID ward or ITU, or to discharge, and a variable component which encompassed management strategies at various stages of the pathway that were likely to change.
Information is presented by experts within their field working in Wales. Below are the contributions from Dr Paul Frost.
Triage of a patient with suspected COVID-19
In this video, Dr Paul Frost outlines the triage decision that is made when a patient presents to hospital with suspected COVID-19; those who need admission to hospital and those who can be discharged.... For the purpose of this classification system, patients should be classified according to the degree of oxygenation failure; severe and moderate failure who should be admitted, and no oxygenation failure who should be discharged and instructed to re-present to hospital if their symptoms deteriorate.
Change in Clinical Status: Escalating from Ward to ITU
In this video, Dr Paul Frost provides an overview of the decision to escalate a patient from a Ward to the intensive care unit. This decision should be made by a senior clinical decision maker when the SpO2 is... less than 90% despite maximal supplemental oxygen via ward based devices, and after discussion with the patient and their relatives.
All Wales COVID-19 Secondary Care Management Guideline
Dr Paul Frost was one of the expert contributors on the All Wales COVID-19 Secondary Care Management Guideline, advising on the variable aspects of patient management including the admission of a patient... to hospital, the management of a patient admitted to a COVID-19 Ward, and the escalation of a patient from a Ward to Intensive Care Unit.
