قالب وردپرس درنا توس
Home / Health / The mortality rate of severely ill patients has fallen

The mortality rate of severely ill patients has fallen



In the early days, doctors placed the patient on a mechanical ventilator to assist in breathing. Over time, they learned to put the patient on the stomach and provide them with oxygen in a less invasive way, and delay or avoid ventilation as much as possible.

By mid-June, clinical trials in England proved that treatment with the cheap steroid drug dexamethasone can reduce the deaths of patients on ventilators by one-third, and that of patients with supplemental oxygen by one-fifth. However, the early advice from China and Italy was “Never use steroids, even if many of us think it is reasonable to use steroids,”

; said Dr. Gita Lisker, critical care physician at Northwell Health. “I think this played a big role. But when we started the research in March, data and advice from China and Italy said:’Don’t use them, steroids are harmful.'”

In the beginning, doctors did not realize that the Covid-19 disease caused by the new virus would cause deadly blood clots. Now, if necessary, apply the patient’s blood thinner at the beginning of the treatment.

But another problem in the spring is that hospitals are overwhelmed in disaster-stricken areas such as New York City. Doctors who have not worked in the intensive care unit for many years are being drafted to take care of critically ill patients. There is a shortage of nurses and equipment. Dr. Lisk said: “There is a huge overwhelming tide that overtakes the healthcare system.” “You have an intensive care unit run by doctors who haven’t even been in intensive care in ten years.”

She added: “There is no doubt whether you lived or died in April, part of the reason is related to the unit you landed in.”

In fact, she said: “The whole idea of ​​flattening the curve is to avoid overwhelming the health care system.”

Medical experts worry that the surge in cases across the country will reverse or offset these gains. Last month, the number of Covid patients hospitalized increased by 40%, and there are now more than 41,000 patients hospitalized in the United States. Hospital managers in Idaho, Utah and Kansas City, Missouri, warned that they were close to capacity. Some have turned away ambulances, others are making plans to ration care if they don’t have a bed, and say they may be forced to transfer patients to facilities in other states.


Source link