[pugmama]

Dr. Marik's protocol and comments are really important. Time and time again, CDC, WHO etc have published articles that have tied physicians hands. “The pathologies are not novel, although the combined severity in COVID-19 disease is considerable. Our long-standing and more recent experiences show consistently successful treatment, if traditional therapeutic principles of early and aggressive intervention is achieved, before the onset of advanced organ failure. It is our collective opinion that the historically high levels of morbidity and mortality from COVID-19 is due to a single factor: the widespread and inappropriate reluctance amongst intensivists ( these are critical care physicians)to employ anti-inflammatory and anticoagulant treatments, including corticosteroid therapy early in the course of a patient’s hospitalization. It is essential to recognize that it is not the virus that is killing the patient, rather it is the patient’s overactive immune system. The flames of the “cytokine fire” are out of control and need to be extinguished. Providing supportive care (with ventilators that themselves stoke the fire) and waiting for the cytokine fire to burn itself out simply does not work. This approach has FAILED and has led to the death of tens of thousands of patients. The systematic failure of critical care systems to adopt corticosteroid therapy resulted from the published recommendations against corticosteroids use by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the American Thoracic Society (ATS) amongst others. A very recent publication by the Society of Critical Care Medicine and authored by one of the members of our group (UM), identified the errors made by these organizations in their analyses of corticosteroid studies based on the findings of the SARS and H1N1 pandemics. Their erroneous recommendation to avoid corticosteroids in the treatment of COVID-19 has led to the development of myriad organ failures which have overwhelmed critical care systems across the world. Our treatment protocol targeting these key pathologies has achieved near uniform success, if begun within 6 hours of a COVID19 patient presenting with shortness of breath or needing ≥ 4L/min of oxygen. If such early initiation of treatment could be systematically achieved, the need for mechanical ventilators and ICU beds will decrease dramatically. It is important to recognize that “COVID-19 pneumonia” does not cause ARDS. These patients have 
normal lung compliance with near normal lung water (as measured by transpulmonary thermodilution). Treating them with early intubation and the ARDNSnet treatment protocol will cause the disease you are trying to prevent i.e. ARDS.These patients tolerate hypoxia remarkable well, without an increase in blood lactate concentration nor a fall in central venous oxygen saturation.

[rodguy911]

It’s found here:

https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf

EVMS CRITICAL CARE
COVID-19 MANAGEMENT PROTOCOL
Developed and updated by Paul Marik, MD
Chief of Pulmonary and Critical Care Medicine
Eastern Virginia Medical School, Norfolk, VA
April 20th, 2020
URGENT! Please circulate as widely as possible. It is crucial that every pulmonologist, every critical care doctor
and nurse, every hospital administrator, every public health official receive this information immediately.
This is our recommended approach to COVID-19 based on the best (and most recent) literature. We
should not re-invent the wheel but learn from the experience of others. This is a very dynamic situation;
therefore, we will be updating the guideline as new information emerges. Please check on the EVMS
website for updated versions of this protocol.

EVMS COVID website: https://www.evms.edu/covid-19/medical_information_resources/

Short url: evms.edu/covidcare

“If what you are doing ain’t working, change what you are doing”
Dr AB (NYC).
“We have zero success for patients who were intubated.
Our thinking is changing to postpone intubation to as
long as possible, to prevent mechanical injury from the
ventilator. These patients tolerate arterial hypoxia
surprisingly well. Natural course seems to be the best.”
............................
Above is what Dr. Marik had to say.
Your knowledge of medicine is so good most won’t understand you not sure I do.
What I get is that when you stick tubes or ventilators down sick peoples throats it kills them or makes things worse.
Marik has another way of doing things. Not too sure I know what that is.
Seems the patients immune system is overactive trying to fight off the virus too hard and this leads to his death.
seems corticosteroid therapy needs to be adpoted but the WHO is against it. Basically, is it the use of steroids to solve the problem rather than sticking the tube down the patients throat.Or can you clean this post up a little since I’m not a doctor but do it in layman’s terms?