Special episode: COVID-19 brief
Critical Care Scenarios - Un pódcast de Critical Care Scenarios - Miercoles
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A fast-tracked update: what we know about the active pandemic of the novel coronavirus (SARS-CoV-2) and its resulting respiratory syndrome, COVID-19. Takeaway lessons * Treat like viral pneumonia/ARDS. High PEEP. Prone early. Keep fluid balance dry.* Probably avoid CPAP/BiPAP except perhaps for very short trials. Unclear role for HFNC.* Watch out for myocarditis-type picture with cardiogenic shock and arrhythmias.* Take isolation extremely seriously.* Think about innovative ways to optimize patient flow.* Take care of yourself and each other, and try to stay sane. Resources References * NTEC PPE donning/doffing video: One of the better ones online.* Pulmcrit COVID-10 chapter: Summary at the IBCC on the disease. Probably the best single summary. Kept fairly current by Josh Farkas.* Summary of potential disease-specific therapies* Letter to the editor on remdesivir and chloroquine* Sampling of informal online reports:* From Washington* From Italy* U of Washington residency* Viral survival on surfaces , van Doremalen et al: 3 hours post aerosolization, up to 4 hours on copper, up to 24 hours on cardboard and up to 2-3 days on plastic and stainless steel.
