Italian ICU that uses helmet CPAP as first-line for severe COVID-19 has half the death rate of US ICU (in Seattle) that uses invasive mechanical ventilation for all severe cases. 24% vs 50%. Similar disease severity at admission.
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Simple suggestion by NYC emergency physician Richard Levitan: get a pulse oximeter at the drug store. Check yourself BEFORE you have trouble breathing. If people with asymptomatic hypoxemia get prompt oxygen therapy, they might never progress to severe disease.
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Another report that matches this from an ICU doctor in the UKhttps://www.nomoresurgeons.com/post/wishful-thinking …
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This is what happens when you abandon evidence based medicine and rush to build ventilators. We should have required Randomised Controlled Trials to prove ventilation helps, as we do for Hydroxychloroquine.
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fwiw the group I was working with *is* building CPAP/BiPAP machines, not ventilators.
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Weeks ago I got a chain-y “COVID tips!” email with the claim that a home diagnostic is to try and hold your breath for ten seconds, and that difficulty doing so is a sign of COVID. If happy hypoxics are compensating for reduced lung function, maybe this actually works(ish)?
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