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INTUBATION DURING THE PANDEMIC

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INTUBATION DURING THE PANDEMIC

BIG QUESTION MARKS

Abir Ballan, MPH
Mar 4
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INTUBATION DURING THE PANDEMIC

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Do you want to know about INTUBATION DURING THE PANDEMIC?
What is intubation?
A tube -attached to a ventilator- is inserted through the nose or mouth straight into the lungs to assist in breathing when O2 levels in the blood become too low. Source

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What are the risks of intubation?
Most important ones:
> bacterial infection
> reliance on intubation- inability to breathe again normally when the tubes are removed
> death

During the Pandemic...
"More than 70% of the critically ill Covid-19 patients received intubation and invasive mechanical ventilation (IMV) support" Source

WHY?
Because this is what the JAMA and WHO protocols stated…

GO TO TWEET

They also prescribed lots of Midazolam in some counties to sedate people who were intubated which ironically has the effect of suppressing respiration.

GO TO TWEET

What is the prognosis of INTUBATION?
Not so good...
"a report revealed that of 32 Covid-19 patients who received intubation and IMV support, 31 (97%) died" Source

But wait... why was intubation recommended and less invasive methods cautioned against?
let's zoom in...
Not because it was the right thing to do for the patient but because they wanted to reduce spread in the hospital

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So they recommended to intubate patients EARLY when according to previous protocols they would NOT BE ELIGIBLE for intubation (O2 levels not low enough)
DISREGARDING:
patient need for procedure
potential benefit to patient
potential harm to patient
alternative treatments

Image

Also disregarding at least two ethical principles in healthcare
1) First do no harm
2) Treat people as ends in themselves not as means to another's end: never use one human being (exposing them to risk) for the sake of improving the health of another human being unless they consent to a selfless act such as blood donation or organ donation...

In order to reduce spread in hospitals, they could've simply opted to:
1) use negative pressure covid wards forcing the contaminated air away from the rest of the hospital (source)
2) proper ventilation of the hospitals in general

3) use temporary makeshift hospitals to treat covid patients to ensure isolation
To reduce risk for staff:
4) have younger staff look after covid patients (as they have a very low risk from covid even with no immunity)
5) or staff who already had covid and developed immunity

A list of ideas here: What about the vulnerable Source

How much did these poor practices contribute to 'Covid' deaths during the pandemic?
How many lives could've been saved if sound protocols were followed?

HOW ARE THE CULPRIT NOT GOING TO PRISON FOR THIS?

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INTUBATION DURING THE PANDEMIC

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5 Comments
SimulationCommander
Writes Screaming into the Void
Mar 4

"How much did these poor practices contribute to 'Covid' deaths during the pandemic?"

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I'm going to exaggerate and say 100%. It's not correct but my number is a lot closer than the 'official' number.

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Renee Marie
Mar 5

I have an extremely difficult time even reading this. I had heard about this when it began three years ago. It makes me sick. These poor souls could have been saved. I don’t know how ANY doctor or nurse can live with themselves.

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