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10.1186/s13049-021-00831-3 http://scihub22266oqcxt.onion/10.1186/s13049-021-00831-3 33436033!7802999!33436033     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Scand+J+Trauma+Resusc+Emerg+Med 2021 ; 29 (1): 16 Nephropedia Template TP {{tp|p=33436033|t=2021. Pre-hospital critical care management of severe hypoxemia in victims of Covid-19: a case series |pdf=|usr=}}{{33436033}} gab.com Text Pre-hospital critical care management of severe hypoxemia in victims of Covid-19: a case series JO: Scand J Trauma Resusc Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33436033 #FOAvip OBJECTIVE: Despite critical hypoxemia, Covid-19 patients may present without proportional signs of respiratory distress. We report three patients with critical respiratory failure due to Covid-19, in which all presented with severe hypoxemia refractory to supplemental oxygen therapy. We discuss possible strategies for ventilatory support in the emergency pre-hospital setting, and point out some pitfalls regarding the management of these patients. Guidelines for pre-hospital care of critically ill Covid-19 patients cannot be established based on the current evidence base, and we have to apply our understanding of respiratory physiology and mechanics in order to optimize respiratory support. METHODS: Three cases with similar clinical presentation were identified within the Norwegian national helicopter emergency medical service (HEMS) system. The HEMS units are manned by a consultant anaesthesiologist. Patient's next of kin and the Regional committee for medical and health research ethics approved the publication of this report. CONCLUSION: Patients with Covid-19 and severe hypoxemia may pose a considerable challenge for the pre-hospital emergency medical services. Intubation may be associated with a high risk of complications in these patients and should be carried out with diligence when considered necessary. The following interventions are worth considering in Covid-19 patients with refractory hypoxemia before proceeding to intubation. First, administering oxygen via a tight fitting BVM with an oxygen flow rate that exceeds the patient's ventilatory minute volume. Second, applying continuous positive airway pressure, while simultaneously maintaining a high FiO(2). Finally, assuming the patient is cooperative, repositioning to prone position. Twit Text FOAVip Pre-hospital critical care management of severe hypoxemia in victims of Covid-19: a case series ????Scand J Trauma Resusc Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33436033 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33436033 #FOAvip English Wikipedia <ref>{{Cite pmid|33436033}}</ref> Pre-hospital critical care management of severe hypoxemia in victims of Covid-19: a case series #MMPMID33436033 Maehlen JO; Mikalsen R; Heimdal HJ; Rehn M; Hagemo JS; Ottestad W Scand J Trauma Resusc Emerg Med 2021[Jan]; 29 (1): 16 PMID33436033show ga OBJECTIVE: Despite critical hypoxemia, Covid-19 patients may present without proportional signs of respiratory distress. We report three patients with critical respiratory failure due to Covid-19, in which all presented with severe hypoxemia refractory to supplemental oxygen therapy. We discuss possible strategies for ventilatory support in the emergency pre-hospital setting, and point out some pitfalls regarding the management of these patients. Guidelines for pre-hospital care of critically ill Covid-19 patients cannot be established based on the current evidence base, and we have to apply our understanding of respiratory physiology and mechanics in order to optimize respiratory support. METHODS: Three cases with similar clinical presentation were identified within the Norwegian national helicopter emergency medical service (HEMS) system. The HEMS units are manned by a consultant anaesthesiologist. Patient's next of kin and the Regional committee for medical and health research ethics approved the publication of this report. CONCLUSION: Patients with Covid-19 and severe hypoxemia may pose a considerable challenge for the pre-hospital emergency medical services. Intubation may be associated with a high risk of complications in these patients and should be carried out with diligence when considered necessary. The following interventions are worth considering in Covid-19 patients with refractory hypoxemia before proceeding to intubation. First, administering oxygen via a tight fitting BVM with an oxygen flow rate that exceeds the patient's ventilatory minute volume. Second, applying continuous positive airway pressure, while simultaneously maintaining a high FiO(2). Finally, assuming the patient is cooperative, repositioning to prone position. |COVID-19/complications/epidemiology/*therapy[MESH] |Continuous Positive Airway Pressure[MESH] |Critical Care/*methods[MESH] |Critical Illness/*therapy[MESH] |Female[MESH] |Hospitals[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Norway[MESH] |Oxygen Inhalation Therapy/*methods[MESH] |Respiratory Insufficiency/etiology/*therapy[MESH]Pre-hospital critical care management of severe hypoxemia in victims o(epmc).pdf DeepDyve Pubget Overpricing