1/🧵COVID & Death: #JAMA
📍N=1,846 pneumonia patients w versus w/out COVID
📍COVID didn’t “invent” a new lung disease
📍We freaked out saying vents needed to be so different
📍Docs erred as we deviated from our evidence-based
Why should YOU care?
bit.ly/3QIp2Tl
📍N=1,846 pneumonia patients w versus w/out COVID
📍COVID didn’t “invent” a new lung disease
📍We freaked out saying vents needed to be so different
📍Docs erred as we deviated from our evidence-based
Why should YOU care?
bit.ly/3QIp2Tl
2/ COVID is a very long pneumonia process, but we exacerbated it…
This graph shows that Death occurs similarly, but COVID #death takes longer (10 vs. 7 days).
Time to discharge alive is twice as long (10 vs. 5 days) in COVID vs non-COVID pneumonia.
We caused a lot of this 😞
This graph shows that Death occurs similarly, but COVID #death takes longer (10 vs. 7 days).
Time to discharge alive is twice as long (10 vs. 5 days) in COVID vs non-COVID pneumonia.
We caused a lot of this 😞
3/ Let’s breaks outcomes down by O2 levels…
At 90 days, death rates were same in COVID & non-COVID pneumonia for patients w moderate & severe low O2 levels
COVID was NOT a predictor of more death or liberation from the vent or hospital (after matching & multivariable models)
At 90 days, death rates were same in COVID & non-COVID pneumonia for patients w moderate & severe low O2 levels
COVID was NOT a predictor of more death or liberation from the vent or hospital (after matching & multivariable models)
4/ At the beginning of the pandemic, gurus speculated this was a DIFFERENT lung disease.
Look at these 6 physiology graphs.
Does anything look different to you?
Why does this matter to you and your family now?
Look at these 6 physiology graphs.
Does anything look different to you?
Why does this matter to you and your family now?
5/ It matters because you’ll have to advocate for your spouse or best friend or child.
In this piece I unpacked ways, you can speak up if they get sick and land in the ICU.
Let’s keep going w more data…there’s more…
bit.ly/3DhC6Xe
In this piece I unpacked ways, you can speak up if they get sick and land in the ICU.
Let’s keep going w more data…there’s more…
bit.ly/3DhC6Xe
6/ Based on hype & speculation of how “different” covid pneumonia was, patients all over the 🌎 got (& still get) DIFFERENT care 20 years of research had taught us.
👇In our COVID-D study, we showed VERY heavy sedation w benzos & almost no family.
It was ANTI-MEDICINE
👇In our COVID-D study, we showed VERY heavy sedation w benzos & almost no family.
It was ANTI-MEDICINE
https://twitter.com/weselymd/status/1347688683902652419
7/ This is an excellent 🧵 by @MiscSusan explaining a lot of how we got off course by acting too quickly on bad intel…
https://twitter.com/miscsusan/status/1614289587521703938
8/fin
How do we rehumanize care so it’s safe again?
✔️ We made errors
✔️We abandoned proven comprehensive #A2Fbundle safe care
✔️ What matters is what we do next
Teams, return to basics💥
Families speak up!💥
bit.ly/2YF64G2
How do we rehumanize care so it’s safe again?
✔️ We made errors
✔️We abandoned proven comprehensive #A2Fbundle safe care
✔️ What matters is what we do next
Teams, return to basics💥
Families speak up!💥
bit.ly/2YF64G2
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