COVID treatment protocols

Very interesting. Thank you for sharing. It confirms a lot of what I have read and heard from some of the better sources I have been following as well as several new things that I had not heard. I have been hearing about zinc, vitamins C & D3, Melatonin and the anticoagulation (heparin). Likewise I heard recently about Ivermectin showing promise too Didn't really think about the steroid, but that makes sense to stave off or stop a cytokine storm (immune reaction). I found their position on HCQ interesting in that they didn't recommend it but mentioned that with the redaction of the Lancet paper that there is evidence to support their effectiveness but ALSO mentions that one needs to include zinc which I have been hearing repeatedly but studies seem to avoid the subject. It also shows the evolution in the thinking about avoiding mechanical ventilation if at all possible, when one thinks back to the early days of this thing....
 
I argued with a doctor about it recently, because keeping a patient off a vent isn't really helpful if they're breathing 40-50 times a minute and they're becoming tachycardic. They're going to wear out and get the tube anyway, all you've done by letting them flounder is stressed their body even more. In a cardiac patient, maybe pushed them over a line into an episode. And then you get to practice your ACLS skills in a quarantined room wearing plastic clothes.
That being said, we've had a couple patients riding the high flow at 100% and max flow who have eked out a win despite just barely keeping their sat somewhere tolerable.
It gets a little over my head, but it sounds like they recommend trying a high volume nasal cannula, up to 60-80L/min as long as the O2 sat is >-86%. It also looks like they try to use Vitamin C with steroids at this earlier stage to suppress out of control immune responses.

The paper does talk about avoiding the use of the bag during intubation, etc, but it sounds like their basing it on risk of exposure.
 
Or go to whitehouse.gov I think they have a procedure for huffing sodium hypochloride.
 
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