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Brief thread on the deadly overuse of ventilators, which killed many hospitalised Covid patients. Contemporary treatment guidelines from New York-Presbyterian hospital (published 22 March 2020) shed a lot on these procedures and their purpose. https://www.cuimc.columbia.edu/sites/default/files/media/documents/2020-06/nypguidelines_respiratorysupport_suspected_confirmed_covid-19ptnon-invasivevent.pdf …https://twitter.com/eugyppius1/status/1397254215886585862 …
Brief background: WHO report from 24 February endorsed mass containment, and also said aerosol transmission wasn't a concern except in hospitals. From early March, WHO & China began pushing hard for hospitals to ventilate early & aggressively, in large part to limit aerosols.
The NY Presbyterian guidance says, explicitly, that less invasive methods of ventilation have "higher risk of contamination and pathogen spread".pic.twitter.com/L338NCfXre
Patients on less invasive ventilation require "airborne precations," namely N95 respirators (these were in extremely short supply) or confinement to special aerosol-confining rooms. It is thus strongly recommended to avoid less invasive ventilation for Covid patientspic.twitter.com/hWAIVzTvFs
tfw you get intubated and ventilated at high positive end-expiratory pressure because you have a beard.pic.twitter.com/AnKyQzo4To
Intubated patients are way less hassle. You only need the aerosol precautions (special room, N95s) for the act of intubation. Afterwards you only need "droplet and contact precautions"pic.twitter.com/ehdikQ8h8P
Treatment guidelines similar to these were used across the west and condemned thousands of Covid patients to death. While hospital staff were wantonly intubating all and sundry, they were celebrated as heroes.https://www.youtube.com/watch?v=Z5EpwAUwLkk …
It was after a few weeks of very high hospital fatality rates, as a direct result of these treatment protocols, that the dancing nurses videos began to flood western social media. Hard not to see a connection.https://www.youtube.com/watch?v=EMHU6MtPVqQ …
Notice how early horror stories like this have never repeated. Very high odds all the infected members of this family were treated at the same aggressively ventilating hospital.https://www.nytimes.com/2020/03/18/nyregion/new-jersey-family-coronavirus.html …
Or all those hospital staff deaths from the first wave. This emergency room nurse lost *eleven* of her co-workers in spring 2020.https://khn.org/news/article/covid-decimated-our-staff-as-the-pandemic-ravages-health-workers-of-color-in-us/ …
This was criminal. All the procedures were done to maximise nursing staff convenience. There is long history of this though, negative pressure ventilators (the "iron lung") were far superior to PPV, but phased out because they were inconvenient and took up more space
Yes, in this case it's primarily significant because it's mostly where the image of Corona as a super deadly disease come from.
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