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re: Local ER doc (South LA) here to answer your COVID-19 questions
Posted on 4/1/20 at 8:55 pm to Buttoncollector
Posted on 4/1/20 at 8:55 pm to Buttoncollector
quote:
Honestly if you go on a vent are you gonna make it or is that the kiss of death?
Reports out of UMC in NOLA are that 40% of patients going on vents are coming off.
So not great.
Hospitals are very concerned about PPE and staff getting sick and running out of staff. Intubation mitigates that risk. As a patient, lay on your stomach and cough like a mother fricker, avoid intubation.
This is the only time in my life where even if you aren't "DNR", you are.
2
Posted on 4/1/20 at 8:56 pm to MrWiseGuy
quote:
Hannity
quote:
Dr Oz
quote:
China
Trust none of them. I’m hoping like hell the drugs work, but give me someone with credibility.
Posted on 4/1/20 at 8:56 pm to Red Drum
quote:
As a patient, lay on your stomach and cough like a mother fricker, avoid intubation.
Posted on 4/1/20 at 8:57 pm to The Boat
quote:
What’s the average male/female weight of deaths under 70?
300 pounds? BMI >40.
This seems to be the most reliable risk factor other than age. Not sure if its due to poor clearance of secretions due to body habitus or if there's underlying OSA leading to increased pulmonary pressures and that makes them high risk.
Regardless, exercise.
Posted on 4/1/20 at 8:58 pm to white perch
quote:
What are your initial vent settings for intubated pts.
P/CC doctor I talked to who has seen the most success is doing the things the evidence has always shown in ARDS... high PEEP, low TV, prone positioning.
Posted on 4/1/20 at 8:59 pm to Chipand2Putts
quote:
1 being a bad flu. 10 being zombie apocalypse. Where do we stand currently, and where are we headed.
< 20 years old and healthy: -10
21-50 and healthy: 1
severely obese or poorly controlled medical problems and 30-60: 5
>60 and obese: 7
>80 and obese: you have 6 seconds for Brad Pitt to chop your fricking arm off.
Posted on 4/1/20 at 9:00 pm to Red Drum
What makes this virus something to freak out about? I read today that your 6x more likely to know someone with aids than corona
Posted on 4/1/20 at 9:00 pm to Red Drum
What hospital? Just wanna know to what degree to consider your answers anecdotal.
-From a medic in NO
-From a medic in NO
Posted on 4/1/20 at 9:01 pm to SmackoverHawg
Asking the real questions. I was given that shite for a few years for arthritis
Posted on 4/1/20 at 9:02 pm to Red Drum
What's the probability of catching it from my side piece? Can it be passed through oral sex?
Posted on 4/1/20 at 9:02 pm to Red Drum
Does partaking in a couple of glasses of scotch every night help prevent Covid?
Posted on 4/1/20 at 9:02 pm to Red Drum
quote:
Local ER doc
quote:
Ask my ex
fricked a nurse didn’t you? $100 Says she had a tramp stamp
Posted on 4/1/20 at 9:03 pm to fishfighter
quote:
Mask or no mask? More so if a person is more at risk. Thanks.
Mask is a small part of it, meticulously washing hands and not touching face is more important. If you wear a mask, it will live on that for hours to days, so when you take it off you have it on your hands.
Regular masks have evidence to suggest they help block an infected person's virus droplets from hitting the open air. So good for symptomatic people.
Not much evidence to support prevention from getting it. So not great for asymptomatic people.
Posted on 4/1/20 at 9:05 pm to Red Drum
My wife who works in the PACU is getting transferred into the ICU to treat CV patients and she’s scared shitless....and I’m beginning to be.
anything she can ask/demand before her new shift starts on Monday?
anything she can ask/demand before her new shift starts on Monday?
Posted on 4/1/20 at 9:06 pm to Uncle JackD
quote:
What’s your thoughts on ACEI & ARBS and it’s effects on China virus?
Date from china suggested they were bad, but this is likely BS. Some experts believe they are protective. General consensus is more harmful to stop them if already taking than to keep taking.
Check out this from NEJM:
Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19
Posted on 4/1/20 at 9:06 pm to AUCE05
quote:
Asking the real questions. I was given that shite for a few years for arthritis
We use it all the time. Long term for lupus and other connective tissue diseases, sarcoidosis, and recently for severe osteoarthritis. In the OP's defense, he's an ER doc and has never prescribed it or managed a pt on it.
One thing that needs to make a comeback is mucomyst via nebulizer for those thick arse secretions. Nothing works better for breaking that shite up.
Posted on 4/1/20 at 9:07 pm to Tigerpaw123
quote:
Are the paralytic meds really in short supply, what is the backup plan for such?
I've heard that but not sure about locally. Backup would be barbituates, rectal/enteral administration.
Real cure would be to stop intubating people who only need high flow O2
Posted on 4/1/20 at 9:08 pm to 9Fiddy
quote:
9Fiddy
I had afib last year and have some info that may help if interested
Posted on 4/1/20 at 9:09 pm to Red Drum
quote:
I've heard that but not sure about locally. Backup would be barbituates, rectal/enteral administration. Real cure would be to stop intubating people who only need high flow O2
I'm betting many could be on Bipap to help reduce respiratory fatigue. If started soon enough, can keep many off vent.
Posted on 4/1/20 at 9:09 pm to TheAstroTiger
quote:
How concerned are you for people
Under 60 without pre-existing conditions
Assuming not morbidly obese and no underlying, undiagnosed hypertension or sleep apnea?
Zero. Carry on. Stay away from elderly.
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