In a medical class of 250, what do you call the person who graduated 250th?
Doctor
You really don't know what you are getting....
Not shot, dog bite
OMG. thank you. but OMG! nurses and doctors arent the people you see on tv. there are more than a few over educated idiots out there and the hospital admins are focused on the bottom line $$$$$. Ive had surgerys and always felt they were not concerned about doing the right thing just going “ by the book” or less!
This is in general hogwash and this RN doesn’t have the education nor credentials to make the judgments she makes.
I can assure you we don’t stuff people on ventilators to kill them. As a matter of fact a recent critical care article has refuted the notion that 80% of patients with SARS Died. The number is more like 35-40% which though it sounds drastic is the mortality for any ARDS and sepsis shock case.
When we make the decision to intubate three things are taken into account. Oxygenation, ventilations, and mechanics. We look at indicators on blood gas, radiology, and clinical diagnosis to make the decision and weight the risks against the benefits. We look at things like the Pa : Fi gradient and make judgments on a plethora of well established criteria and clinical experience.
What we also know is that early on non clinician researchers made some horrible reconditions they we went with. Avoid high flow oxygen. Avoid bipap we it might aerosolize the virus. And cause spread. So we took several steps that are intermediate to intubation off the table.
We sedate people on mechanical ventilation lightly because not being able to talk with a tube on tour throat is not overwhelmingly comfortable. We have someone looking for a moment of fame who doesn’t know what she is talking s out in this case.
But hey it stirs up controversy.