Is this COVID-19 case?
Patient in early 50s who has a history of SARS when it was going round. Presents with shortness of breath, oxygen saturation in high 80s despite no chronic pulmonary disease. The patient seems to be coping well, but when do you decide to proceed to intubation assuming this is COVID-19? Watch and observe until they begin to deteriorate, or intubate while still well?
Should be intubated while still well Yes he is in ARDS As xray chest is suggestive of ggos bilateral pneumonitis covid19
Prominent Brocho Vascular markings. More of streaky interstitial infiltrates with basal fluffy patchy peumonitis. Radiologically indicative of LRTI. Pls note : covid features vary in a spectrum of early LRTI to diffuse opacification of lung fields. Hence serial repetition of CXR should be the dictum.
SPO2 less than normal, requiring increasing concentrations of nasal O2, to keep up the SPO2 , clinical deterioration in patients condition, in a patient with or without COVID positivity, can be taken as indications for need to intubate .
Gross pneumonitis bilateral with pulmonary oedema with mild consolidation of lt lower zone.causing respiratory distress Pt shoul be with life support like ventilation with oxygen
As it’s SARS ??Covid-19c O2 saturation low, Ground glass appearance in x-ray, don’t wait..... Intubation is better
COVID-19 pneumonia having less SPO2 Intubation to provide oxygen with other measures of treatment
Diffuse patchy infiltration both lungs Dilated mediastenum ? Covid pneumonia
B/L Pneumonitis ARDS COVID infection
Pt is in ARDS and bilateral pneumonitis suggestive of covid19 pt should be kept on noninvasive method to maintain oxygen saturation if be intubate the pt it require GA once the effect of GA is over pt thrown out intubate tube so it is necessary to keep the pt on continous GA drip such pt generally not recover
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COVID-19?? 68 year old male with no significant past medical history or surgical history. Presented with shortness of breath, and chest pain. In the emergency department, the patient has a saturation of 79% on room air and is in Moderat respiratory distress. It requires 10 L of nasal oxygen high flow to obtain 93% oxygen saturation. The patient is also febrile to 101°F. Social history: non-smoker, non-drinker. Surgical history: no surgical history. What do you say about the case?
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A 70 years male with Respiratory distress presented in ED - he was given oxygen support. He was investigated for COVID-19. His USG was normsl His X- ray had typical Ground glass opacities. As he was being stabilised on treatment after his investigations were complete- he suddenly collapsed and died 4 hours after admission in ED Only after his death- his report of RT - PCR came - which was positive for COVID-19. The Aim of this post is to emphasize that a patient in Respiratory distress due to COVID-19 if presents in emergency- it is very difficult to save such a patient as our colleagues in ED - also fear of getting contacted and so patient is not enthusiastically managed . There are lot of draw - backs .Our valiant P.G"s are attending to most of ED patients with lack of good quality PPE kits and no provision like negative pressure Emergency rooms . There is,a grave risk for our junior doctors in ED and they don't get help from senior doctors
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