MDs with experience in non-invasive ventilation: I need your help to create a protocol for the use of CPAP/BiPAP in severe #COVID19 in low-resource environments. #medtwitter We have a $100 device prototyped; next steps are testing and use guidelines.
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If needed, a good compromise would be to equip the provider with a PAPR, then use NIPPV. Seems like a reasonable compromise
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Thanks for your thoughts! Yes agreed that providers should wear a PAPR.
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The evidence you cite has flaw and conclusions based on just those references are dangerous
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1. Ref one measured droplets only. Doesn't apply, we know SARS-COV2 aerosolizes even in the absence of coughing (https://www.medrxiv.org/content/10.1101/2020.03.23.20039446v2 …)
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