Just saw where a drugged strong male took out his intubation tube after recovering somewhat with tocilizumab.
Texas, of course.
I am assured by my physician daughter that while there are many uses for invasive ventilators, if any patient, of any age needs one for ARDS, whether or not caused by the ChiCom bio-weapon, the prognosis is never good.
It’s truely a last resort.
So the reason we had to Prolong the Spread (aka Flatten the Curve) was to save lives by not overwhelming the hospitals which were constrained by ventilator capacity. Now that has proven to be false can we get back Shorten the Spread?
I love Rush....but there is a lot of marginal and bad info in that piece.......
I just read the Army shut down the field hospital they built in the Seattle sports complex. After 9 days. Never used.
https://www.kuow.org/stories/washington-state-to-return-centurylink-field-hospital-to-feds
Hemolung vs. Ventilator
You up the ante based not just on numbers but by symptoms. A lot of folks show low sats on a finger monitor because of circulatory issues or have a long running stable COPD that keeps their sats in the 85 to 90 percent range but are as oriented as you and me(I presume the best for you...I might be a bit crazy...ya never know).
If you have low numbers but are not overly dyspnic and are alert and oriented...just careful monitoring and minimal o2 to keep sats at the 88 to 92 percent range for copd’ers is often enough. PH between 7.3 to 7.5 is the key. Numbers above and below cause issues but there are lots of tricks that can be done to maintain them.
So the key is to look at the arousal and orientation of your patients...not just the “raw numbers”. A declining level of responsiveness despite a “good” o2 sat is a bad sign as the patient’s co2 levels may be rising and his abg ph is dropping. If Ph is dropping(and the patient has become drowsy and confused) but the gas levels look good(or the co2 is low in the blood) but the metabolic bicarb is low...then the patient may have a metabolic or kidney or hydration issue.
Always look at what the patient is doing...not just the numbers.
Title: “Bombshell Plea From NYC ICU Doctor: COVID-19 A Condition of Oxygen Deprivation, Not Pneumonia”
VENTILATORS may be causing the lung damage, not the virus
Opening excerpt:
A NYC physician named Cameron Kyle-Sidell has posted two videos on YouTube, pleading for health practitioners to recognize that COVID-19 is not a pneumonia-like disease at all. It’s an oxygen deprivation condition, and the use of ventilators may be doing more harm than good with some patients. The ventilators themselves, due to the high-pressure methods they are running, may be damaging the lungs and leading to widespread harm of patients.
Dr. Cameron Kyle-Sidell describes himself as an “ER and critical care doctor” for NYC. “In these nine days I have seen things I have never seen before,” he says. Before publishing his video, we confirmed that Dr. Kyle-Sidell is an emergency medicine physician in Brooklyn and is affiliated with the Maimonides Medical Center located in Brooklyn.
In his video (see below), he goes on to warn the world that the entire approach to treating COVID-19 may be incorrect, and that the disease is something completely different from what the dogmatic medical establishment is claiming.
“In treating these patients, I have witnessed medical phenomena that just don’t make sense in the context of treating a disease that is supposed to be a viral pneumonia,” he explains.