Notes from Today’s National #COVID19 Clinical rounds. A thread
Vikram Mukherjee, MD Bellevue
gender M>F
Full spectrum of ages & ethnicities
Many more young patients without comorbidities
gender M>F
Full spectrum of ages & ethnicities
Many more young patients without comorbidities
25% of hospitalizations end up in ICU, extended stays
Severe ARDS -> Cytokine Storm -> Renal Failure
HCQ - ZPAC (monitor ECG for QT)
HCQ - ZPAC (monitor ECG for QT)
Cytokine Storm in almost all ARDS patients
Unclear how to mitigate
50% of ICU patients have acute renal failure
renal replacement failure treatment serious shortfall
Unclear how to mitigate
50% of ICU patients have acute renal failure
renal replacement failure treatment serious shortfall
no clear data on mitigation of cytokine storms
all approaches FDA off-label
all approaches FDA off-label
hypoxia despite clear lung X-ray
then show with progression into ARDS
then show with progression into ARDS
Need for negative pressure ICU capable beds
Mechanical CPR
Butterfly ultrasounds
Not doing shared Vents (last, last resort)
Mechanical CPR
Butterfly ultrasounds
Not doing shared Vents (last, last resort)
More to come later #COVID19 #coronavirus
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