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New experience: gave keynote this morning via FaceTime (Thank you Georgia Infection Prevention specialists!). Here are some things I shared. Apologies for the medical lingo:
There's a lot of talk about burnout in medicine, but this pandemic presents a unique opportunity. The entire focus is on caring for patients. That's it. All the nonsense takes a backseat. Coronavirus is why we went into medicine.
Based on data from West coast, we see: presenting symptoms = fevers, cough/SOB, low/normal WBC, mild bump in LFTs. Procal very low. Rare AKI. CXR = interstitial pattern; CT = groundglass.
Key strategy for sick patients = Early intubation. Acquiring ventilators is crucial. Create a triage plan. Avoid steroids when possible. Important difference: Flu deaths often from refractory hypoxemia; coronavirus deaths from cardiac disturbances.
All eyes are on Iran (1234 new cases today) but we must watch India. Just 31 confirmed cases. What are we missing?
WE WILL BEAT THIS!
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