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The Internet Book of Critical Care Podcast

IBCC COVID-19 Update #7

The Internet Book of Critical Care Podcast

Adam Thomas

Foam, Medicine, Health & Fitness, Science, Criticalcare, Medicaleducation

5714 Ratings

🗓️ 4 December 2020

⏱️ 20 minutes

🧾️ Download transcript

Summary

We were actively trying to fill your life with non-covid things... but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn't work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid bits.

Transcript

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0:00.0

All right, so welcome back to the IBCC podcast.

0:08.0

I'm here with Adam Thomas and we're going to dip our feedback into the COVID update topic.

0:13.0

It's been a bit.

0:14.0

Josh, we took a bit of a break, but I think there's a lot of things going on that we definitely

0:18.3

need to get back into it, don't we?

0:20.0

Yeah. It's pretty interesting looking at the amount of evidence that has accumulated over

0:23.5

the last couple months and, you know, there's a lot of evidence and also in some ways things

0:27.4

haven't changed a whole lot.

0:28.5

So today, let's update around some therapeutics and some prognostication and then

0:33.8

aerosol transmission.

0:35.2

So you want to get straight into it, don't you, Josh?

0:41.3

Let's get into transmission stuff, shall we say?

0:45.9

Start us off with, we know distancing in masks, but should I be quiet?

0:54.0

I think what kind of tipped this whole topic over a little bit recently was the Damask trial, which is an

0:54.6

RCT, of whether or not masks could reduce transmission. And the trial did not show a benefit

1:00.5

or obviously a detriment for masks, but it was super underpowered and had a lot of technical

1:05.5

problems with it. But this kind of unleashed a new debate about aerosol transmission and masking on Twitter.

1:12.7

Unleased debate is correct.

1:15.2

And I think the discourse is worth it.

1:18.1

But what I would say is knowing that it's a public forum, that discourse could be misconstrued sometimes, can it, Josh?

1:25.2

Yeah.

1:25.4

And this is so challenging because honestly, I've lost track of exactly what we're doing.

...

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