transition to CPAP if HFNC isn't working. we're looking at high FiO2 and low PEEP, and also no added fluids. (logic being: lung recruitment isn't the primary problem, so pressure won't help; hypoxemia is severe and hypercapnia pretty rare, so more oxygen is better)
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is opening up the country with no adequate antibody testing, no prophylactic treatment, no vaccine, and not even knowledge of how long immunity lasts, a good idea? NOPE, says doc.
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for heart problems in COVID19: you can't tell myocarditis from STEMI from EKG alone, "take 'em to the cath lab" (ie heart biopsy) because you treat these conditions very differently.
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scary thing: the EDs aren't seeing their usual *non* COVID19 cases, their heart attacks and strokes and DKAs, because telling everybody to stay home has worked so well. people are showing up to their GP's office with these emergency conditions.
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apparently trying to resuscitate after a non-shockable cardiac arrest has a very poor success rate and can aerosolize the virus, so they're telling people *not* to do chest compressions in COVID19 patients.
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(they recommend talking to your patients about end-of-life plans beforehand, and reciprocally it seems like PATIENTS should think about their end-of-life wishes because I can see a lot of people being very disturbed by finding out that the default is not to resuscitate!)
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There are others tracks about the cure of the illness. Here are some informations https://www.youtube.com/watch?v=aDi7JkqSiRU …https://www.medicine.com/health/spotlight-inflammation-blood-clots-covid-19-complications-key-concern …
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A french doctor defines a new treatment that get very good results https://translate.google.fr/translate?hl=fr&tab=wT&sl=fr&tl=en&u=https%3A%2F%2Fblogs.mediapart.fr%2Fbasicblog%2Fblog%2F160420%2Fcovid-19-traitement-au-macrolides-du-dr-sabine-paliard-franco-le-rapport-disparu …
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