Coronavirus (COVID-19) Update: Critical Care Management

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  • Опубліковано 16 гру 2024

КОМЕНТАРІ • 42

  • @sandyb1184
    @sandyb1184 4 роки тому +6

    Such a great interviewer, thank you so much, Dr.Bauchner! Great interview series! Thank you, Dr. Angus for such valuable information.

    • @ncbluegrassevents1984
      @ncbluegrassevents1984 4 роки тому +1

      Homeopathic doctors using hydrotherapy had 1/30th of the deaths vs doctors who gave aspirin during the Spanish flu.... hot shower 3 minutes 15 second cold as can ... 3 minutes hot ... 15 second cold ... 3 minutes hot ... finish 3 minutes cold and dry off ... crawl into bed for at least 20 minutes .... be careful as might make you lightheaded & if you have health problems don’t do such extremes.... then use hot towels or hearing pad on chest ... then ice water ... repeat 7 x in bed

    • @sandyb1184
      @sandyb1184 4 роки тому +1

      @@ncbluegrassevents1984 Very interesting! Apparently the stress seemed to enhance the immune system, just as the stress to our muscles when weight lifting leads to a reparative response

  • @sandyb1184
    @sandyb1184 4 роки тому +6

    What about hydrothermal therapy used to great effect during 1918 pandemic in sanatoriums?

  • @islandbirdw
    @islandbirdw 4 роки тому +1

    Proning, low tidal volume & PEEP to help the patients with mechanical ventilation and to improve outcomes. Appears to be needed to re-inflate and recruit the alveoli that need to be re-recruited.
    I wonder if there may be a wayward child

  • @gregbingaman2344
    @gregbingaman2344 4 роки тому +1

    For coverage in the tiered model or tele model don't forget about utilization of acute care trained nurse practitioners.

  • @dawnguritzky8191
    @dawnguritzky8191 4 роки тому

    I was just going to ask about the use of CPAP usage, but with monitoring

  • @AuerbachPlexus
    @AuerbachPlexus 4 роки тому +3

    Which N95 does he use with that goatee?

  • @newhorizon4066
    @newhorizon4066 4 роки тому +2

    Dr.'s hair keeps me mesmerized....

  • @internationaltax7708
    @internationaltax7708 4 роки тому +6

    Please widely disseminate Dr. Angus' comments on organizing, about 45 min. into video. This is the strategy used in large public accounting firms, and works well: Pyramid structure, with quasi-expert good leaders at top and multiple readily available expert consultants to advise. His caveat just thereafter is well noted: you need someone who can intuitively detect and anticipate when the patient is on the verge of serious problems. Thanks for great vid.

  • @eduardohoover2127
    @eduardohoover2127 4 роки тому +1

    What about using prone with a degree of trendelenberg positioning in the ARDS patient? Would this enhance the oxygen level?

  • @sandyb1184
    @sandyb1184 4 роки тому +4

    Visitation should not be allowed in ICU during a pandemic. It is a sad reality of an already horrendous situation. To use valuable ppe that could save a healthcare workers life is unacceptable. These patients are sedated and relatives must understand that the risk is too high. Until you are in the war that Italy is currently enduring, you will not be even able to comprehend the severity of it. Were parents of critical soldiers during WW1 or WW2 airlifted in to frontline battlefields to say 'goodbye' to their loved ones? This is a very serious war, and while unfortunate, we must all realize this.

  • @jackdong6336
    @jackdong6336 3 роки тому

    is there a more recent update?

  • @SteezyHG
    @SteezyHG 4 роки тому +1

    Any knowledge yet of the long term lung damage? And respiratory capacity afterwards?

  • @SenseMed
    @SenseMed 4 роки тому +2

    Bravo to you both. Phenomenal overview

  • @luminyam6145
    @luminyam6145 4 роки тому +3

    The reason ppl are so excited about the malaria drug is bc you don't have healthcare in the USA. It is not popular here in Canada, where we follow science.

    • @notsogreen
      @notsogreen 4 роки тому

      Plaquenil is science. You're going to wish Canada was like USA healthcare. It has worked in many.

    • @cvan1075
      @cvan1075 4 роки тому

      During the first wave of SARS in Toronto, very aggressive IV meds destroyed organ capacity for longterm in patients. The second wave of SARS patients were not given the aggressive anti-virals. Can you concentrate on the decisions discussed?

    • @notsogreen
      @notsogreen 4 роки тому

      Plaquenil the medication used in Lupus and RA patients was noted and used because those patients on it DIDN'T get COVID-19. If given in the onset it really dropped viral load and replication. Of course, there are possible side effects but for those who can continue on it it can work wonders.

  • @bibego
    @bibego 4 роки тому +2

    About the paper with Covid19 1500 patients, where is it published?

    • @cvan1075
      @cvan1075 4 роки тому +1

      Still to be published, perhaps next week

  • @judiemaguteledge7578
    @judiemaguteledge7578 4 роки тому +1

    Love a doc who speaks French.....why doesn't JAMA get more views.

  • @susane4078
    @susane4078 4 роки тому

    Please address latest Medscape article “Toilets May Spread Covid-19” about potential spread of covid via virus found in stool and a viral flume when toilets are flushed.
    ***
    Does CPAP/BIPAP aerosolize virus more easily than ventilators??
    ***
    Could lack of vitamin D, especially in African-Americans, be a factor in higher mortality? Considering relationship between vitamin D and respiratory function.
    **
    Discussion of viral load and severity of covid infections.

  • @louisebrigidobrien772
    @louisebrigidobrien772 4 роки тому

    Proning in awake patients definitely works! Please use, referred to as 'self proning'

  • @haze1123
    @haze1123 4 роки тому

    Hydroxychloroquine, azathioprine, and zinc show a lot of promise in keeping infected patients OFF of ventilators. Unfortunately, some of these drug trials are only being used on intubated patients who are dying. And if it doesn't work in those dire circumstances, the medical community simply announces that the treatment doesn't work at all.

    • @susane4078
      @susane4078 4 роки тому

      haze1123 The medical journal which had published the anecdotal reports about hydroxychloroquin has withdrawn its support of this article. Our teaching hospital is looking at it at all phases of this infection. Rita Wilson said it’s side effects were hard.

    • @haze1123
      @haze1123 4 роки тому

      @@susane4078 Hydroxychloroquine is a well-tolerated drug that's been available without a prescription in France and many other countries for 50 years. Side effects are rare.

    • @susane4078
      @susane4078 4 роки тому

      haze1123
      It is common to have side effects from this medication when first using. And, there can be very serious side effects when using this drug. This drug is sold only by prescription in USA. The FDA issued some warnings about this drug in 2017
      professionals.optumrx.com/content/dam/optum3/professional-optumrx/news/rxnews/drug-safety/drugsafety_plaquenil_2017-0201.pdf
      And, the anecdotal evidence about this drug first published in the journal, International Journal of Antimicrobial Agents, on March 20. Now it has been repeatedly questioned: “The April 3, 2020, notice, from the International Journal of Antimicrobial Agents, states that the March 20 article, "Hydroxychloroquine and azithromycin as a treatment of Covid-19: results of an open-label non-randomized clinical trial"
      does not meet the [International Society of Antimicrobial Chemotherapy's] expected standard, especially relating to the lack of better explanations of the inclusion criteria and the triage of patients to ensure patient safety”.
      I will wait to see if scientific clinical trials confirm its safety & efficacy for covid-19.

  • @roxannetyroch6910
    @roxannetyroch6910 4 роки тому

    I am surprised at your ideas at how to manage the COVID situation in the outpatient setting. Please have more respect for the roles that outpatient physicians have in this pandemic.

  • @Tom-kt8lu
    @Tom-kt8lu 4 роки тому

    I predict this pandemic will give rise to much ingenuity.

  • @sandyb1184
    @sandyb1184 4 роки тому +1

    Aren't anti malarials generally given routinely as a prophylactic for relatively healthy traveller's who journey to areas of malaria risk? Sounds like an ideal medication to trial as preventative on an outpatient basis, to volunteer participants.

    • @j.scottgrimes7966
      @j.scottgrimes7966 4 роки тому

      haha

    • @johnrhodes3350
      @johnrhodes3350 4 роки тому

      Ivermectin is cheap, probably more effective and safer as a prophylactic and first line treatment.

  • @CoolBreezeAnthony
    @CoolBreezeAnthony 4 роки тому

    Shared.

  • @madisonian50
    @madisonian50 4 роки тому +2

    “CORona VIrus Disease-19”

  • @lesliebrown6378
    @lesliebrown6378 4 роки тому

    Not watched this is confused rambling

  • @lesliebrown6378
    @lesliebrown6378 4 роки тому

    Please respect people time edit this and then present results

  • @cronx1337
    @cronx1337 4 роки тому +1

    For a 'professor' this guy does not know much

  • @SouthFloridaWoman
    @SouthFloridaWoman 4 роки тому

    Thank you