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Mar 20, 2020 • 18 tweets • 8 min read
Going thru the Surviving Sepsis Campaign guidelines on COVID. There's some good stuff here, if you can skip thru the usual SSC boiler-plate nonsense (lactate as a perfusion endpoint 🤣).
(guidelines: bit.ly/2QvTm5x) #COVID19foam
Air quality:
- SSC rec's negative pressure rooms for aerosol-generating procedures. Sure, but we are rapidly running out of them.
- When negative pressure isn't available, HEPA filters should be used whenever possible (they asked: how many? GIVE ME ALL THE HEPA FILTERS).
Mar 17, 2020 • 12 tweets • 5 min read
#1/12 Going thru the fresh ANZICS guidelines, to make sure that important points are included in the IBCC. will tweet out some pearls from them...
(full guidelines: bit.ly/2x68dwG)
(IBCC chapter: emcrit.org/ibcc/covid19/)
#2/12 ANZICS recommends airborne precautions for known COVID patients in ICU. This makes sense, especially given today's NEJM article about the plausibility of airborne transmission. In the United States, I worry that N95 masks will be exhausted soon.