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All we need to know about COVID-19 10
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Lecture1.1
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Lecture1.2
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Lecture1.3
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Lecture1.4
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Lecture1.5
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Lecture1.6
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Lecture1.7
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Lecture1.8
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Lecture1.9
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Lecture1.10
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CONCLUSION: 0
The COVID-19 infection has two phases, the first is the viraemic phase and the second one is the immunologic phase. These two have to be promptly identified and managed appropriately as mentioned above. The critical treatments are oxygen therapy when hypoxic and steroids during severe immunologic phase of the disease. Non Invasive Ventilation and other supportive care including appropriate anticoagulation when needed are crucial and may help to avoid ventilation as prognosis by then can be grim with almost 30-50% mortality.
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When to access need for critical care intervention?
- Respiratory distress with difficult airway
- RR≥30, Unable to speak full sentences
- Cyanosis or SpO2<85% on room air; ABG P/F ratio <250
- Systolic blood pressure <90 despite fluid resuscitation
- Agitated, confused, (or comatose) with respiratory distress
- Early MODS: 2 or more organ failures
- CURB-65 (confusion, urea >40, RR>24, BP<90 and Age >65) score of 3 or more.