Timely start is key
Empowering patients to recognize warning signs is key
Access to an informed doctor is key
Considerable anecdotal reports of benefit with above strategy from peripheral centresc
Critics say no evidence it helps (rather evidence of possible harm). But closer reading of RECOVERY trial shows that at least 50% of patients in group not requiring O2 or resp support were started on steroids between 3 to 6 days of symptom onset.
At least in the face of massive resource crunch, Evidence Based Medicine must take the backseat. Absence of evidence is not the same as evidence of absence (can't believe I said it).
Steroid therapy is one of the cheapest and most effective therapy for COVID pneumonia. But, confusions abound. Stay with me. It's a little complicated.
RECOVERY trial looked at short course steroid use for hospitalized patients with COVID. Patients lived longer when steroids were given for patients who needed supplemental oxygen or resp device support.
My new heroes in medicine - That's the two-people trial team. One day I hope to visit their hospital in rural Maharashtra. For more: ncbi.nlm.nih.gov/pmc/articles/P…
"he prepared a paper on data of 51 cases of scorpion stings and sent it to an Indian journal. It was rejected for editorial reasons like “English writing not good enough.”