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This may be one of the most important pieces of content @medscape has ever published. What if we are doing it wrong in the treatment of #COVID19? What if @cameronks is correct? https://www.medscape.com/viewarticle/928156
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It's not like the ICU mortality of intubated patients is good. In fact, it is terrible. There is no argument that #COVID19 behaves differently than other causes of respiratory failure.
Another thought. It's just a thought. Don't cancel me. What if the reason healthcare workers seem to fair so poorly is that we are more likely to be intubated earlier? B/c of ingrained action bias and the bias of wanting to give colleagues the "extra protection" of intubation.
I put this thread out on March 24, not because I am a wizard, but because frontline colleagues were afraid to speak publicly--like @cameronks https://twitter.com/drjohnm/status/1242499896969756673?s=20 This does not mean I think ventilators or ICUs are not necessary.
What we need IMHO is a hell of a lot more people in our profession like @cameronks -- Maybe just maybe when we the history of this crisis is written we will see the wisdom of not shutting down thoughtful but contrarian views.
