5 • 714 Ratings
🗓️ 11 March 2021
⏱️ 56 minutes
🧾️ Download transcript
In this episode we summarize the new COVID Chapter (well not so new, but spot on predictions from Jan 26th).
Steroids = Yes. Dose... 6mg and keep going up?
Toci / Bari = maybe
Cocktails / Plasma = Nope
Come take a listen for all things anticoagulation, immune modulation and organ support.
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0:00.0 | All right, so welcome back to the Internet Book of Critical Care Podcast. |
0:08.2 | I'm here with Adam Thomas. |
0:09.2 | And we're going to kind of go over a revision of the COVID chapter that we've boiled down |
0:13.6 | and kind of fleshed out a bit for critically ill patients. |
0:16.3 | We're now post inocuration. |
0:17.5 | We have a new president. |
0:18.2 | We want a new COVID chapter. |
0:19.9 | New hope, new eyes. |
0:22.2 | So we're going to keep this kind of lean and mean, right? Josh, we're not going to go into the weeds of |
0:26.5 | some crazy vasculitis, endothelitis, quagulopathy, and pathophys. We're going to keep it straight to what |
0:32.5 | you need to know clinically, aren't we? Exactly. So today, organ support specifics to the organs. We've covered this before, |
0:40.2 | but we're going to review it again. We're going to focus hard on immunomodulation because we shall say |
0:46.4 | this is the farcest level controversy that we need to flesh out today. So preambles and caveats, |
0:52.1 | as always, Josh, do we know a lot of things definitively a year |
0:56.3 | into this? I think we've made some progress, but I think mostly we don't know a whole lot. And everything, |
1:01.7 | like all of our COVID castes, will probably be wrong in like two or three months. But we're doing |
1:05.5 | our best. Go back to last March. Let's have a little walk down memory lane because you've updated this chapter and |
1:11.5 | this is the eighth update, but you've made it lean and mean. But let's talk about all the buildup |
1:16.1 | that came here. What's happened last year? What things were we wrong? Humbly, we were wrong |
1:20.9 | about a lot of things, but what were we wrong about? What were we not so wrong about? What |
1:24.4 | happened? You know, certainly covering COVID has been probably like one of |
1:28.1 | the biggest challenges that we've ever faced. Just because it's moving so quickly, there's so many |
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