If you will be caring for critically ill COVID-19 patient in the near future, you’ll want to watch this interview by ZDoggMD of Barbara McLean, RN, NP. Sounds like she’s knee-deep in **** right now in an Atlanta ICU.
If you’re not a physician, nurse, hospital PCT, or respiratory therapist, this is not for you. Even I had never heard of a few of the therapies and concepts mentioned.
Here’s their current progression to being on a ventilator: nasal cannula oxygen up to 6-7 liter/minute, non-rebreather mask, then if still not adequate oxygenation, to to mechanical ventilation. No fooling around with CPAP or BIPAP.
I also agree fully with limiting the number of folks in the room handling a code blue (cardiac or pulmonary arrest) in a COVID-19 patient, or even COVID-19 PUI (person under investigation, not definite yet).
All their COVID-19 patients in the ICU get arterial and central lines.