3/20/2020

• Seattle COVID study patients showed very high mortality (67%) in patients >age 70 with comorbidities. As of March 17, 2020, Mechanical ventilation was initiated in 15 patients (71%). Acute respiratory distress syndrome (ARDS) was observed in 15 of 15 patients (100%) requiring mechanical ventilation and 8 of 15 (53%) developed severe ARDS by 72 hours. Although most patients did not present with evidence of shock, vasopressors were used for 14 patients (67%) during the illness. Cardiomyopathy developed in 7 patients (33%). As of March 17, 2020, mortality was 67% and 24% of patients have remained critically ill and 9.5% have been discharged from the ICU, the group wrote.(1) (Full article link in JAMA available below – open access).

A Seattle intensivist Dr Nick Mark MD has made a 1 page cheat sheet FOAMed resource for acute covid management, see below.

Updated #ICUOnePager (v2.6) on caring for people with #COVID19 in the ICU, now reflecting new data from @matthewarentz et al JAMA paper as well as data on new treatment options. #covid4mds #FOAMed #FOAMcc download the .PDF or .PPT for references ➡️https://t.co/y1s2DVdeSb pic.twitter.com/4XTnK79I6j

— Nick Mark MD (@nickmmark) March 22, 2020

Here it is enlarged for a printable version.:

References:

1. https://jamanetwork.com/journals/jama/fullarticle/2763485
2. https://www.onepagericu.com/covid-resources
3. Seattle: COVID-19 patients compromised by comorbidities https://www.auntminnie.com/index.aspx?sec=sup&sub=xra&pag=dis&ItemID=128508