Share this page!

Maybe Scrolly?
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
Twitter logo
21 Apr, 20 tweets, 7 min read
got my hands on the covid19 management protocol developed by the Medicine, Pulmonary and Critical Care Medicine team of Eastern Virginia Medical School

will share a few pertinent screen shots

#MedTwitter
#Covid19
those who want protocol can download from here

others can see the screen shots below which i chose

evms.edu/media/evms_pub…
general approach
what we know at this point in time with regards to drugs
timing is everything
While there is no cure or “Magic-bullet” for COVID-19, recently, a number of therapeutic agents have
shown great promise for both the prevention and treatment of this disease
NIH Recommendations for the Treatment of COVID-19 across the stages of the disease
MATH+ Hospital Treatment Protocol for COVID-19
you can down the MATH+ Hospital Treatment Protocol for COVID-19 here

covid19criticalcare.com/covid-19-proto…
The I-MASK+ Protocol
complements the MATH+ Hospital Treatment Protocol for Covid-19 from March 2020, which is intended for hospitalized patients.
The IMASK + protocol MUST be part of an overall strategy which includes common sense public health measures, i.e., masks, social distancing, and avoidance of large groups of people.

you can download IMASK+ here

covid19criticalcare.com/covid-19-proto…
Comparison of Methylprednisolone, Dexamethasone and Hydrocortisone - Number
Need to Treat (NNT)
General Scheme For respiratory support

try to avoid intubation if possible
One Page Summary of the Clinical Trials Evidence for Ivermectin in COVID-19

available here

covid19criticalcare.com/wp-content/upl…
Clinical and Scientific Rationale
for the “MATH+” Hospital
Treatment Protocol for COVID-19 can be obtained from here

covid19criticalcare.com/wp-content/upl…
Review of the Emerging Evidence Demonstrating the Efficacy of
Ivermectin in the Prophylaxis and Treatment of COVID-19

covid19criticalcare.com/wp-content/upl…
you can read about optional drugs here

covid19criticalcare.com/covid-19-proto…
stay safe everyone!
#WearAMask
#WashYourHands
#Physicaldistance

we can fight this together
I just want to add my personal opinion here

Ivermectin is still being studied

this particular hospital is using it as they feel they have enough evidene

more studies awaited
AIIMS guidelines
LATEST!

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Dr. Jonathan Fernandez👨‍⚕️⚕️

Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @just1doctorwala

Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
22 Apr
Excellent Doubt
As we learned in school, Earth's Atmospheric air is made up of
Nitrogen 78%
Oxygen 21%
and the remaining 1% made up of other gases
See Pie chart below

So we are breathing this air
We need ONLY 21% right?
Why 99.9% oxygen cylinders then?
Image
This answer is a little long so bear with me. I will try and keep this as simple & brief as possible.

To start with 4 questions...
What is ventilation?
What is oxygenation?
What is respiration?
What is the difference?
Ventilation is a term that refers to the molecular exchange of oxygen and carbon dioxide in the body. Carbon dioxide is transported through the veins to the lungs where it can be exhaled. This natural phenomenon keeps the blood acidity (the pH) down within the normal range.
Read 38 tweets
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
22 Apr
Let's talk about Oxygen

What Are The Differences Between Medical Oxygen And Industrial Oxygen?

Medical oxygen is high purity oxygen that is used for medical treatments and is developed for use in the human body. Medical oxygen cylinders contain a high purity of oxygen gas
no other types of gases are allowed in the cylinder to prevent contamination. There are additional requirements and rules for medical oxygen, including requiring a person to have a prescription to order medical oxygen.
Industrial oxygen is focused on uses in industrial plants including combustion oxidation cutting & chemical reactions The industrial oxygen purity levels arent appropriate for human use & there could be impurities from dirty equipment or industrial storage that could harm people.
Read 6 tweets
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
19 Apr
damn
they did it
they actually did it
WOW

twitter.com/i/events/13839…
A European Super League is 'ELITIST' & creates a power struggle with the... via @YouTube
"It's a disgrace!" - Rio lashes out at European Super League proposal via @YouTube
Read 11 tweets
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
19 Apr
Let's talk about "evidence" in Evidence Based Medicine
#MedTwitter
We have Levels of evidence
Sources regarded as strong evidence include clinical practice guidelines, systematic reviews with meta-analyses, systematic reviews alone, individual randomized controlled trials (RCT)
and well-designed non-randomized control studies. The hierarchy of evidence for treatment questions is based on the notion of causation and the need to control bias.

see figure below
Although each level may contribute to the total body of knowledge, "...not all levels are equally useful for making patient care decisions."
Read 17 tweets
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
17 Mar
I saw this discussion going on yesterday
Wasn't able to comment for various reasons
There is a lot to unpack here so let's take a step back & look at this objectively & subjectively.
Objectively - the original person is upset because of the way her doctor treated her. She is well within her right to complain & seek alternative options. The person QTing her commented with some friend's comment (hearsay) there by steering the narrative to where she wanted it
Everything else and I mean EVERYTHING else is subjective. If you agree with me till this point then we can carry on. Else I'm afraid you are wasting your time reading on

So let's look at this subjectively. This is where I feel the core of most of the disagreements yesterday were
Read 12 tweets
Dr. Jonathan Fernandez👨‍⚕️⚕️ Profile picture
16 Mar
Classic case of generalizing based on anecdotal evidence
There are Christians who believe they shouldn't eat food which is blessed in another religion & there are those who don't care just like there are Hindus who eat beef & there are Hindus who don't

To each their own🤷‍♂️
I will never understand this obsession by certain folks about what is on their neighbour's plates. Why does it matter to you? Like seriously i just don't get it.
just as in any religion
you have extremist fanatical followers on one end & liberal laissez faire followers on the other

I have eaten Sabarimala Aravana from colleagues who have climbed up the mountain, and have seen other colleagues who have refused. Why take it personally?
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

Like this author's thread?

Get emails when @just1doctorwala has new unrolls!

Check out other threads from @just1doctorwala!

Read all threads by @just1doctorwala