the first @iBookCC COVID update cast is up! something to amuse and distract (and perhaps edify) while we are all social distancing. stay safe & keep fighting the good fight
(Casts #1-2: https://bit.ly/2xV0EJH )
#COVID19foampic.twitter.com/tbLYGJDtDE
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Have you seen any specificity or sensitivity data on the new Roche rapid qualitative assay?its supposed to result w/in24hrs
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Replying to @ICUJoseNi @PulmCrit
not yet... will eval further if this comes to fruition...pic.twitter.com/7Hx56FqXOa
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What are your thoughts on the sudden rapid deterioration described here ?https://apple.news/AKRPlM2nmQuWhJkQ12Za_tQ …
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The phenotype for these cases seems so inconsistent that I fear relying on niv/hfnc to ward off using a vent may lead to more terrible crash intubations. However I do think a subset of pts will benefit from cpap. I just dont know how to accurately predict who those pts are.
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In podcast linked above, Italian intensivist said you usually know in 1-2h who responds and who needs tubed. Felt it was a good test and way to save ventilators-> half could get away with CPAP.
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