Thank you for a great year @CHESTPrez for your leadership in these difficult times! You have been an inspiration! Thank you @mnarasimhan getting presidential citation! @ChrisCarrollMD@sqsimp
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1. Be a physician, be critical in thinking, no two patients are the same. Weigh Risk vs Benefits & reevaluate regularly 2. No definitive data on therapies for #COVID-19 3. Precision medicine tailored to patient care in collaboration with your teams ( ID, Rhem, Immunology etc)
4. Early prone is key to improving PF ratio, do it even in non-intubated patients 5. Early steroids in my short humble experience seem to show improvement in oxygenation (study out of China 26 on steroid vs 20 not on steroids had less O2 requirement and less vent days)