ALERT!

This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Covid-19 in Critically Ill Patients in the Seattle Region — Case Series

Wednesday, April 1, 2020

Submitted by

Aristotle Protopapas

Source

Source Name: The New England Journal of Medicine

Source URL: https://www.nejm.org/doi/pdf/10.1056/NEJMoa2004500?articleTools=true

Author(s)

Avan K. Bhatraju, Bijan J. Ghassemieh, Michelle Nichols, Richard Kim, Keith R. Jerome, Arun K. Nalla, Alexander L. Greninger, Sudhakar Pipavath, Mark M. Wurfel, Laura Evans, Patricia A. Kritek, T. Eoin West, Andrew Luks, Anthony Gerbino, Chris R. Dale, Jason D. Goldman, Shane O’Mahony, Carmen Mikacenic

Useful series from the Pacific North West, main questions:

-Why four patients who had a do-not-resuscitate order on admission were included in the dead and, ultimately, why been admitted in an ITU/ICU setting?

-How come no sputum samples from nine fatalities were ever sent for bacterial culture in an ITU/ICU setting?

It has been highlighted by experts such as Ioannides of Stanford that, since we cannot/will not screen for this elusive SARS-associated virus, we cannot computate mortality nor ultimately ascribe CAUSATION.