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Toronto keyboardist R. Grunwald has played on sessions for hundreds of musicians, and has served as bandleader for jazz/pop chanteuse Jill Barber and country/folk songwriter Donovan Woods for the better part of a decade. Now he's ready to step onto the public stage with his own music'alone. Oma is an evocative and deeply personal solo piano record, inspired in part by the life story of his 96-year-old grandmother, a Holocaust survivor and pianist. Drawing from Erik Satie, Nils Frahm and others, Grunwald refers to his intensely melodic compositions as 'extended minimalism.' 'After quitting piano, it was my Oma who inspired me to get back into it. She survived the 2nd world war moving from town to town, hiding from the Nazis, and the Russians in Poland. Music was the one thing that tied her young life together. This music is a tribute to her.' Enjoy in a quiet environment.

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A 36-year-old man was brought to the emergency department with suspected COVID-19, following a 3-week history of cough, fevers and shortness of breath, worsening suddenly in the preceding 4 hours. On presentation he was hypoxaemic, with an SpO2 of 88% on 15 L/min oxygen, tachycardic and had no audible breath sounds on auscultation of the left hemithorax. Local guidelines recommended that the patient should be initiated on continuous positive airway pressure while investigations were awaited, however given the examination findings an emergency portable chest radiograph was performed. The chest radiograph demonstrated a left-sided tension pneumothorax. This was treated with emergency needle decompression, with good effect, followed by chest drain insertion. A repeat chest radiograph demonstrated lung re-expansion, and the patient was admitted to a COVID-19 specific ward for further observation. This case demonstrates tension pneumothorax as a possible complication of suspected COVID-19 and emphasises the importance of thorough history-taking and clinical examination.

Tension pneumothorax in a patient with COVID-19

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