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05/26/20

Intensive care in a big city these days when the outbreak of covid-19

Ontario scientists and doctors have formed 2 high-powered committees to sift via the mountain of often conflicting and even risky scientific studies on how to best to treat patients with COVID-19 intensive care.

The 2 committees –one charged with advising the most effective drugs and other with how to manage the serious illness  were formed to make sure treatment for patients hospitalized with the novel coronavirus is based on the best science accessible.

Dr. Andrew Morris, a transmittable disease specialist at the University Health Network and Mount Sinai Toronto Hospital, is the chair of the committee targeted on providing drug guidance, known as the Clinical Practice Guidelines for Immunomodulatory and Antimicrobial Therapy in Adult Patients with COVID-19.

This twenty member antimicrobial committee formed in March contains infectious disease experts, ethicists, pharmacists, and even a patient who has recovered from COVID-19.

Starting from scratch

There are no provincial or national guidelines for the treatment of most infectious diseases, so the committee – all volunteers – has worked fully from scratch to develop its advice and disseminate them to health-care providers.

The committee has so far not advised any drugs unless a patient enrolled in a verified clinical trial. One reason, Morris says, is based on his infectious disease experience and expertise with COVID-19. The human body and nature will actually perform a perfect job of fighting the infection. Unless we know what we are doing, the bad thing we can do is harm patients with Cronavirus.

Proof-based critical care

For the sickest patients in intensive care units, a committee of critical care experts formed the Toronto University interdepartmental Division of Critical Care COVID working group to offer care guidance. It was formed in March, at the same time as the antimicrobial committee.

This group suggests critical care providers on the latest management of COVID-19 and how to stop it spreading in hospitals.

Five critical care physical from Toronto biggest academic hospital entail the committee. These doctors care for Ontario sickest Cronavirus patients, even as they update the guidelines twice each week.

Reflecting on her twin responsibilities, Mahan says. Cronavirus is something we are all consumed by. There are no business hours during this serious issue.  We are either taking care of patients with critical sickness or desperately trying to keep up with the literature, and keep our guidelines new as helpful as possible.


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