MeCram is not a reputable intensivist, and his credentials when you dig a little deeper are that he teaches respiratory therapists and midlevels. It is another doc trying to make 15 minutes and springboard into some other profession.
I assure you he does not qualify for “keeping people up to date”. It was originally pulmonologists like him who advocated early intubation and ventilation and bypassing HFNC and NIPPV because of the fear that these modalities would aerosolize and spread the virus.
If you want to read the cliff notes of medicine and make recommendations, at least pick cliff notes that are not totally erroneous.
I sent Dr. Seheult a copy of your reply to see if he wants to say anything in response. I’ll post again if he does.