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3 hours ago, Pete W. said:... and, I have really come to the conclusion that it is most closely clinically related to a condition I have never seen which is pulmonary decompression sickness or "the bends".
Welp really hope a hyperbaric chamber isn't what they need because that would make the ventilator shortage look like absolutely nothing.
"Reports from Italy indicate that approximately 50% of patients given CPAP have avoided the need for invasive mechanical ventilation, reducing the demand on intensive care staff and beds."
"There is a growing evidence base that there is a significant role for the use of CPAP in COVID-19 positive patients, more so than was initially understood."
He’s right. Watch the EMRAP updates on you tube. There’s a lot of great information being discussed. Recommendations are changing practically daily because we are learning more as the days go by.
What we are seeing is more of an altitude sickness. Intubation may or may not help, but for a lot of people it’s starting to look like intubation just prolongs the dying process. I’m not saying we aren’t intubating, but a lot of research is beginning to show intubation might not be the life sustaining tool we once thought it was.
Pete W.
17 Posts
Dr. Cameron Kyle-Sidell is an ED physician in New York. He tweeted a response at the end of March that challenged intubating COVID patients.
The following is from the audio discussion.
Listen to this very interesting audio discussion: ThinkingCriticalCare.com: COVID Clinical Discussion w/Cameron Kyle-Sidell NYC ED/ICU doc in the trenches. #FOAMed
Another very interesting discussion about atypical acute respiratory distress syndrome from Italian physicians treating COVID patients.
Read in its entirety and view graphics in the PDF: American Journal of Respiratory and Critical Care Medicine: Covid-19 Does Not Lead to a "Typical" Acute Respiratory Distress Syndrome