Let's be quite clear here, there's no miracle drug for all this. I am personally not enthusiastic about Remdesivir in Severe COVID-19. I personally have zero experience with Remdesivir at this point in time. Hopefully you all can comment on whether you anecdotally think it works or not. This study was published earlier today in …
Summer heat may help us with COVID! (Hopefully!!)
Summer, my favorite season. It can't get here soon enough. Will summer help us with the coronavirus/COVID and help terminate this thing sooner rather than later? This study was published on April 2nd out of Hong Kong in Lancet Microbe. I believe it may be some good news or I may be too optimistic. This paper …
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Respiratory Management Protocol for SARS-CoV-2 by WeVent
The WeVent team came together to create this respiratory management protocol to help us take care of patients with COVID-19. First of all, a big hat tip to the authors: Aurio Fajardo C; MD. Medicina Interna. Unidad de Paciente Crítico. MsC en Ventilación Mecánica, Universitat de València. MsC en Medicina Intensiva. Grupo Ventilación Mecánica Chile …
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Ivermectin for COVID-19
This is a discussion regarding an in-vitro study of how Ivermectin could potentially work for COVID-19. Give credit where credit is due. This paper was sent to me by @itskatiesway, @bug_drugs, @sanamoh92, @sy_doctornetwork, @paul.neil95, @nascarnora. Thank you all for sending data to me. Also, I am getting somewhere around 50-100 messages per day from the community. …
Hydroxychloroquine & Azithromycin in COVID-19: Analyzing The Data
This first post was published on 4/4/2020 regarding hydroxychloroquine and azithromycin in COVID patients. Other studies will be noted by dates below. I decided to consolidate multiple posts into one for the sake of simplicity. For those of you new to the page/blog, I am a Critical Care physician. My team and I are usually …
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The Cytokine Storm & Tocilizumab in COVID-19 Infections
One of the beauties of practicing in the ICU is that although many of my patients take up a lot of resources, the pharmacy-cost component of it isn't too high. I like my cheap IV fluids, norepinephrine, run-of-the-mill antibiotics, heparin, PPI's, tube feeds, sedation meds, etc. None of these are too outlandishly expensive. People generally …
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Nutrition in the Critically Ill with COVID-19 Infection
We can always count on the ASPEN team to come through for us regarding nutritional recommendations for our patients with COVID-19. A hat tip to them. A hat tip also to my pharmacist teammate, Amanda, for sending this to me (and many other literature goodies). This is free so download your own copy and don't …
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The WHO Strikes Back: Droplet vs. Airborne Precautions
I cannot believe that there is still a mystery from the WHO as to whether COVID is a droplet or airborne virus. The World Health Organization has obtained the paper I referenced yesterday. In addition, the study in the NEJM that I covered on 3/18/2020. Please read the document for yourself. I have provided links, …
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COVID: Let’s call it airborne already. UPDATED on 4/1/2020 and 9/21/2020
Disclaimers before we get this started. The following is my opinion. This article has not been peer-reviewed. I am going to attempt to be said peer. A hat tip to the folks at the University of Nebraska Medical center who have looked into trying to determine if COVID-19, or SARS-CoV-2 (the virus that causes COVID-19) …
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Convalescent Plasma for COVID-19: First Update in JAMA
Several days ago I posted about the FDA approval to start clinical trials to see how convalescent plasma of patients who had already beat COVID-19 would hopefully help patients who are currently suffering from COVID-19. This was now published in JAMA. This paper on plasma in COVID was published in JAMA yesterday states that there …
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