We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.
We are joined by Dr. Rory Spiegel (@EMNerd_) who blogs at EMcrit and discuss why many places have switched from an “intubate early” paradigm in COVID-19 to a “try not to intubate” protocol.
Example of respiratory protocols we discuss (collection at REBEL EM)
Wang et al. The experience of high-flow nasal cannula
in hospitalized patients with 2019 novel coronavirus-infected pneumonia in two hospitals of Chongqing, ChinaAnn Intensive Care. 2020 10(37)
Sun et al. Ann. Lower mortality of COVID-19 by early recognition and intervention: experience from Jiangsu Province. Intensive Care (2020) 10:33
Ding et al. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Critical Care. 24(28). 2020
Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: A retrospective study. J Crit Care 2015;30(6):1390–4.
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