COVID19 is serious. We need to take it seriously.
*Nobody* manages MI in anyone on outpt basis. It's malpractice.
Vast majority of 40yo w/ COVID aren't sick enough to get admitted
Many not sick enough for ED visit
Wrong to compare sickest sliver vs entire spectrum
We admit people with MI to the hospital who aren't in that high risk of dying because we have specific hospital based therapies (anticoagulation, angiography) that can reduce mortality and morbidity.
We also do it because the sickest sliver of MI pts are sick as stink and we can't always tell 100% up front which are which.
If a trial tomorrow showed a 48 hour admission for remdesivir improved outcomes compared to outpatient management in non-O2 requiring mold COVID19 pts, you would find the average mortality of COVID19 inpts drops overnight.
A better comparison would be to hospitalized patients with pneumonia from non-COVID causes, but comparing it to heart attack certainly gets people to sit up!
Two tweets back should have said mild COVID and not mold COVID19!
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