COVID 19, CPAP, Ventilator MEGA THREAD...everything go here please

jnk... wrote: ↑

Fri May 22, 2020 10:58 am

zonker wrote: ↑

Fri May 22, 2020 10:45 am

jnk... wrote: ↑

Thu May 21, 2020 8:19 pm

I'm not so sure it is journalists getting it wrong; it seems to be the people who don't like being told what to do who are looking for any silly excuse not to do what they are being asked to do.

whynotboth.gif

But I though all journalists LOVE being told what to do, right?

zonker wrote: ↑

Fri May 22, 2020 10:59 am

jnk... wrote: ↑

Fri May 22, 2020 10:58 am

zonker wrote: ↑

Fri May 22, 2020 10:45 am

jnk... wrote: ↑

Thu May 21, 2020 8:19 pm

I'm not so sure it is journalists getting it wrong; it seems to be the people who don't like being told what to do who are looking for any silly excuse not to do what they are being asked to do.

whynotboth.gif

But I though all journalists LOVE being told what to do, right?

only by their corporate masters.

jnk... wrote: ↑

Fri May 22, 2020 11:39 am

Either way, doc wears a mask to protect the doc; member of the public wears a mask to protect fellow members of the public. It ain't brain rockets.

zonker wrote: ↑

Thu May 28, 2020 11:49 am

Wearable tech can spot coronavirus symptoms before you even realize you’re sick. Here’s how.

https://www.seattletimes.com/seattle-ne ... heres-how/

ChicagoGranny wrote: ↑

Thu May 28, 2020 12:22 pm

zonker wrote: ↑

Thu May 28, 2020 11:49 am

Wearable tech can spot coronavirus symptoms before you even realize you’re sick. Here’s how.

https://www.seattletimes.com/seattle-ne ... heres-how/

Thanks. That's cool. I've been tempted to buy a Oura smart ring ( https://www.nootropedia.com/oura-ring-review/ ) many times. So small and unintrusive.

Julie wrote: ↑

Thu May 28, 2020 3:16 pm

Just sent a note to my bro...

"New Brunswick (Canadian province), was the envy of the country really, no cases for wks, no deaths ever and only a small no. of cases at all... until ONE person, a 'healthcare' worker - they won't say more - decided to visit Quebec, came back and instead of isolating, went back to work with patients... a bunch of whom now test positive and THEIR contacts of course will start doing the same, etc... who knows how many, when or where. I'm so angry I can't see straight.

What is WRONG with people? Ones who, of all things, should know better!

Anyhow..."

May 29, 2020 09:48 AM Eastern Daylight Time
NEW YORK--(BUSINESS WIRE)--Week 9 (May 17 to 19) results from Sermo’s COVID-19 Real Time Barometer with 4,193 physicians reveal COVID-19 treatment patterns among frontline physicians. In total, Sermo’s Barometer study includes over 49,000 survey interviews in 31 countries, including the United States, Canada, United Kingdom, France, Brazil, Russia, China, Japan and Australia. Complete data published to date and study methodology can be found here.

“we are currently using ventilators too rapidly on patients and we should delay their use as much as possible trying all forms of oxygen therapy initially.”

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Universal medical guidelines on COVID-19 and ventilation strategies have not been written or widely adopted yet. Despite the learning that early intubation was often unnecessary and potentially lethal to patients (with ventilator-related mortality rates documented up to 88%)1, many hospitals still have not changed their protocols. One possible reason is that the overwhelming majority of physicians believe non-invasive oxygen therapies put hospital staff and other patients at risk by aerosolizing the virus.

Initially, physicians treated COVID-19 as they would any other virus-induced pneumonia. Patients quickly developed breathing difficulties, treatment protocols were created on the fly, and rapid intubation was encouraged based on older guidelines. Panicked, governments purchased a surplus of very expensive ventilators and the U.S. president invoked the Defense Production Act to compel automotive companies to manufacture ventilators.

This week (week 9) in Sermo’s COVID-19 Real Time Barometer, 72% of all doctors (base= 4193) and 80% of hospital physicians treating COVID-19 (base= 764) believe non-invasive ventilation aerosolizes the virus and increases the risk of infection to themselves, other healthcare professionals and patients.
Non-invasive oxygenation devices are inexpensive and widely available. They include heated high flow oxygen delivered via a face mask or nasal cannulas, sleep apnea machines such as continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP). CPAPs and BiPAPs work via a tube into a face mask, as opposed to invasive ventilation, which includes a tube placed deep in a patient’s throat while they are sedated, posing a much higher risk to the patient.

“At the outset of the pandemic, there were worldwide concerns about a shortage of ventilators. Non-invasive oxygen therapies, like CPAP and BiPAPs were and still are associated with an increased risk of virus transmission, and therefore many hospitals are still moving directly to invasive ventilation. If properly protected, physicians shouldn’t fear using these devices and should absolutely delay ventilation," said Dr. Mark Rumbak, Professor of Medicine, Pulmonary, Critical Care and Sleep Medicine, University of South Florida.

According to a recent study, non-invasive ventilation techniques were proven to be droplet (not aerosol)-generating procedures, producing droplets of > 10 µm in size. Due to their large mass, most fall onto local surfaces within 1 meter.

Gradually, the medical community began to see marked differences in the pathophysiology of the disease versus other known virus pneumonias, and in patient response. Physicians made a startling observation; many COVID-19 patients had blood oxygen levels so low they should have been either dead, gasping for air, or experiencing racing heartbeats from the lack of oxygen. Eventually, the medical community learned patients could tolerate these lower levels of oxygen.

“Oxygen blood levels have typically driven decisions about breathing support and intubation, but with COVID-19 they might be misleading. Additionally, many physicians are realizing respiratory failure of COVID-19 should be treated differently from routine Acute Respiratory Distress Syndrome (ARDS). It’s imperative to communicate that more patients could receive simpler, noninvasive oxygen support. These strategies should be used in the beginning of breathing difficulties and can even be used for the duration of the illness,” said Dr. Rumbak.

However, many physicians feel ventilators are still being used too quickly by their hospitals.

Full article ---> https://www.businesswire.com/news/home/ ... n-Believed

Julie wrote: ↑

Sat May 30, 2020 5:24 pm

Follow-up to yesterday's note - the healthcare worker who didn't isolate and went back to treating patients is a (male) doctor, and yes others have now tested + since. You don't want to know what's unprintable here.

chunkyfrog wrote: ↑

Sat May 30, 2020 7:24 pm

I look at every face with a mask, and feel hope.
But then I count those bare faces, oblivious to the health of others, and I despair.
Nose cheaters just make me see red.
They wear the mask because of their job, but drop it below their NOSE.

McSleepy wrote: ↑

Mon Jun 01, 2020 5:47 pm

And if that gets you down, wait until we find out - after all efforts to develop, test, manufacture and distribute the life-saving vaccine - that some are already hard at work undermining all efforts: US anti-vaxxers aim to spread fear over future coronavirus vaccine