How do hospitals treat people who get covid-19?

Discussion in 'The War Room' started by jeffk, Mar 24, 2020.

  1. jeffk

    jeffk Brown Belt

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    What kind of care do hospitals give people who catch it?

    Do they give IVs and the severe cases put them on a ventilator? Once someone is on a ventilator, what are the rough odds they recover? It is closer to 10% or 50% or 90%?

    What else do doctor and nurses do? Do those who get a bad case and suffer from it need to be in a hospital stetting and need a hospital bed?

    Could it be possible that once some people catch it and recover that they could easily be trained to work ventilators and do most of the treatment doctors and nurses do now?

    Is there a test now that shows if people have had it in the past and have recovered and are no longer contagious?
     
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  2. cincymma79

    cincymma79 Gold Belt

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    Uh

    wat?


    We treat it the same way we would any other infection
     
  3. Lubaolong

    Lubaolong A natural consequence of gamma radiation

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    Mostly just standard supportive care like other respiratory viral illnesses as far as I know. Experimental treatments (antivirals, hydroxychloroquine, chloroquine) usually reserved for lower respiratory tract infections. Complications (ARDs, AKI, cytokine storm) managed like they would be normally.

    Being on a vent is really bad. Don't know stats off top of my head.

    You can do immunoglobulin testing (some companies have already started selling kits online) to check to see if you've had previous infections. Not sure how important it is to know that for most people.

    Maybe there is an internist or ICU dr on Sherdog who can elaborate further.
     
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  4. Broken arrow

    Broken arrow Purple Belt

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    I think they give you a bunch of Tamiflu and send you home
     
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  5. 7437

    7437 Gold Belt

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  6. Samjj

    Samjj Blue Belt

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    lubao covered most of it but here's a nice summary from an intensivist out in seattle: (I realize a lot of these terms are probably gibberish to most folk but hey google.)
    [​IMG]
    [​IMG]
     
    Last edited: Mar 25, 2020
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  7. Richie Madano

    Richie Madano Green Belt

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    My county has no cases yet, but from I’ve been told, people requiring ventilator support either get better after 2-3 days or they don’t.

    Early elective intubations > emergent
     
  8. Richie Madano

    Richie Madano Green Belt

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    Procalcitonin isn’t a good marker for this disease. C-reactive protein is the one people have been going with in neighboring counties.
     
  9. Mani

    Mani Blue Belt

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    What happens to the people who don’t have healthcare in America?

    Not really sure or understand how your health system works there. If someone was to get coronavirus but didn’t have healthcare they wouldn’t just be left to die at home would they?
     
  10. eternaldarkness

    eternaldarkness Double Yellow Card Double Yellow Card

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    GET THE PICTURE. HEALTHCARE DOESN'T HELP. Watch the Spanish news.
     
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  11. eternaldarkness

    eternaldarkness Double Yellow Card Double Yellow Card

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    Why are they using the Chinese fatality rate, when the real rate is much higher.
     
  12. Richie Madano

    Richie Madano Green Belt

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    The real fatality rate is actually lower. Most of us are going to get this and only have mild symptoms. Of those, most won’t even be tested. The problem is sheer numbers. With so many people infected, a small percent of severe cases is still a big number.
     
  13. eternaldarkness

    eternaldarkness Double Yellow Card Double Yellow Card

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    Fuck it must be nice living in denial. Have you seen the footage coming out of Italy and Spain?
     
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  14. Richie Madano

    Richie Madano Green Belt

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    Facepalm
     
  15. eternaldarkness

    eternaldarkness Double Yellow Card Double Yellow Card

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    And what is that supposed to mean? Look up footage right now if you don't believe me. (I'm not stupid, I understand your hypothesis of untested percentages).
    It's running at a 15% in some places. Last I heard Spain is a 9% national average, and 15% of the infected are health care workers.
     
  16. Mani

    Mani Blue Belt

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    Don’t have Spanish news over here
     
  17. Samjj

    Samjj Blue Belt

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    CRP is a non specific entity and of little clinical meaning as an isolated value. Clinicians use constellations of tests, like CRP, D-dimer, procalcitonin, fibrinogen, (search SOFA criteria if you want to do some homework) to evaluate severity of disease.
     
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  18. Richie Madano

    Richie Madano Green Belt

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    I don’t know what’s happening in Spain, but Italy has a high fatality rate because they weren’t able to get behind the curve like we are trying to do. They don’t have the resources available needed to treat everyone requiring intensive care. I fear this same problem could happen in NY. I’m not living in denial about the seriousness of the situation, but I’m also not going to overblow the media hysteria. Although I don’t think the media is a bad thing right now. If it keeps people home for the next couple of weeks, then good.
     
    Last edited: Mar 25, 2020
  19. eternaldarkness

    eternaldarkness Double Yellow Card Double Yellow Card

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    With prayers...
     
  20. MiniCraque

    MiniCraque Black Belt

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    If you go to a hospital they have to treat you. You'll go bankrupt from the hospital bills but they can't say "sorry bud" and send you home to die.

    That's assuming there are enough hospital beds to go around, and that won't be the case if the infection curve doesn't get flattened.
     
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