Wuhan Coronavirus Thread

[Assassin 2.0]

Lol howdy mudi.

 

[Assassin 2.0]

Lol howdy mudi.

 

[ezsasa]

Read the few tweets above this one..

story from what I could grasp..

Delhi counsel Mehra was blaming entirely on central govt

SG for GoI informs the court about war rooms and nodal officers, also informs Delhi govt has a nodal officer in charge of this coordination

Delhi Nodal officer joins court proceedings via VC, says all is fine

another party is telling the judge, oxygen supply has been ready for 3 hours and nobody has come to pick them up, inspite of informing nodal officer

judge gives a free pass to Delhi nodal officer.

all the brickbats are reserved only got central govt it seems.

 

[Lost user]

i suspect it will go the other way around, Biden durbaris will get a chance to drive a deeper wedge between India & US.

I posted in think tank thread yesterday, they have already started a campaign to find excuses to justify why mudi is baaad.

No.. their end game is to get a better deal for the US, and an explicit Indo-US military alliance. If making Modi appear to be a villiam accomplishes it, then so be it. Congis and lefties in India, have too much love for Chicoms to stand up to Chinese bullying.. Its only thw BJP that can make any meaningful anti China moves.. be it crazy border infra buildup along LAC, Pivoting a strike corps towards China, or more meaningful military cooperation with US.. and I am sure the US knows this..
My whole bet is this: There is a fundamental clash of interests betwen US and China in the western Pacific, and the US and Russia for domination of eastern Europe. The pansies in western Europe and the woke Janata of America, are not ready to see thousands of body bags of soldiers to defend Taiwan or even the NATO allies like Latvia, they dont have any intention or will to sacrifice thousands of soldiers to defend an over reach by NATO upon the ruins of Soviet Russia. Thats why the Hindustan times article, by ex US secretary to NATO, talking about India-NATO collaboration.. because, India is not squeamish about bloodshed, nor puts a premium on a soldier's life. A couple of decades from now, they hope Indian troops, will be defending pansy land in Europe..

 

[ezsasa]

No.. their end game is to get a better deal for the US, and an explicit Indo-US military alliance. If making Modi appear to be a villiam accomplishes it, then so be it. Congis and lefties in India, have too much love for Chicoms to stand up to Chinese bullying.. Its only thw BJP that can make any meaningful anti China moves.. be it crazy border infra buildup along LAC, Pivoting a strike corps towards China, or more meaningful military cooperation with US.. and I am sure the US knows this..
My whole bet is this: There is a fundamental clash of interests betwen US and China in the western Pacific, and the US and Russia for domination of eastern Europe. The pansies in western Europe and the woke Janata of America, are not ready to see thousands of body bags of soldiers to defend Taiwan or even the NATO allies like Latvia, they dont have any intention or will to sacrifice thousands of soldiers to defend an over reach by NATO upon the ruins of Soviet Russia. Thats why the Hindustan times article, by ex US secretary to NATO, talking about India-NATO collaboration.. because, India is not squeamish about bloodshed, nor puts a premium on a soldier's life. A couple of decades from now, they hope Indian troops, will be defending pansy land in Europe..

Cold war 2.0 will go beyond modi, for decades.
i was referring only to U.S and modi/bjp govt.

 

[Assassin 2.0]

A lot of people are dying but deaths are getting under reported. Tomorrow night i was at a oxygen plant it was heavily guarded by Police and saw a ambulance of Rathi hospital throwing their cylinder in anger as they didn't received the oxygen..

Remdisvir is rarer than cocain you can try to run around with 50K in your pocket still you will not be able to find it for your patient which is in home. And don't have a bed.

 

[IndianYonko]

A lot of people are dying but deaths are getting under reported. Tomorrow night i was at a oxygen plant it was heavily guarded by Police and saw a ambulance of Rathi hospital throwing their cylinder in anger as they didn't received the oxygen..

Remdisvir is rarer than cocain you can try to run around with 50K in your pocket still you will not be able to find it for your patient which is in home. And don't have a bed.

And this is the story of which city/town?

 

[SKC]

A lot of people are dying but deaths are getting under reported. Tomorrow night i was at a oxygen plant it was heavily guarded by Police and saw a ambulance of Rathi hospital throwing their cylinder in anger as they didn't received the oxygen..

Remdisvir is rarer than cocain you can try to run around with 50K in your pocket still you will not be able to find it for your patient which is in home. And don't have a bed.

Remdisivir is not even needed. Many hospitals have done tests and found Dexamethasone to be highly effective. it is only Rs. 10 per injection and in abundant quantity. It seems to be a nexus between Pharma companies with many influential people who are creating demand for Remdi in market.

 

[Assassin 2.0]

And this is the story of which city/town?

Delhi. Not story but a reality.

 

[Assassin 2.0]

And this is the story of which city/town?

I was at this gas plant with my friend because he needed to refill his cylinder and then at night I saw multiple hospital ambulance leaving without oxygen.

 

[IndianYonko]

Delhi. Not story but a reality.

Sorry for wording; i know its reality.

If you know can you tell me how much oxygen one person needs per day or hour!

 

[Assassin 2.0]

Sorry for wording; i know its reality.

If you know can you tell me how much oxygen one person needs per day or hour!

One big oxygen cylinder last for 6-7 hours. Depending on the patient.

 

[shade]

Lol howdy mudi.

All Americunt dalals have vanished now.

 

[sajobajo]

Zydus has an improved version of pegylated interferon alpha 2b undergoing human trials. Hopefully apart from a vaccine, we see an effective drug as well.

And its approved by the DGCI !

Virafin: Zydus Cadila gets DCGI nod for hepatitis drug for Covid-19 treatment | India News - Times of India

India News: Drug firm Zydus Cadila on Friday said it has received restricted emergency use approval from the Indian drug regulator for the use of Pegylated Interf

timesofindia.indiatimes.com

Experts, how effective is this treatment? Can patients be jabbed immediately within the first day of the test report turning out to be positive for symptomatic cases ?

 

[Pash]

 

[Pash]

 

[LondonParisTokyo]

You bet.

See the levels we have fallen to at this late hour ...

Centre asks Indian embassies to explore options on importing oxygen

Read more at:
https://economictimes.indiatimes.co...ofinterest&utm_medium=text&utm_campaign=cppst


Russia offers oxygen and Remdesivir to India, imports likely to begin in the next 15 days

Read more at:
https://economictimes.indiatimes.co...ofinterest&utm_medium=text&utm_campaign=cppst

15 days????!!!

I truly felt under Trump, India would do well to become closer to the US. However, I was mistaken. I did not in a million years expect the Democrats to do what they did. India should entirely shun the US and re-align back with Russia.

 

[LondonParisTokyo]

The import of oxygen and conversion of industrial oxygen to medical is not going to yield immediate results. Reason is logistics - you need cryogenic containers (-90C) to transport in large quantities and we have a limited number of such containers.

What should have been done is augment existing hospitals with on-site oxygen generating plants.

I know Karnataka and some other states did this anticipating 2nd wave (news from Dec)

Karnataka allocates Rs 82 crore to buy oxygen generators at COVID-19 hospitals

Gearing up for a possible second wave of coronavirus in the state, the Karnataka government has approved over Rs 82 crore for the purchase of oxygen generator f

www.thenewsminute.com

The cryogenic issue makes it that much more important to felicitate Nambi Narayan, who wanted to bring cryogenic technology to India 15 years ago or whenever. Actually, this is the angle to go on the offense by once things start to calm down a little. But it will require aggressive maneuevering

 

[here2where]

I truly felt under Trump, India would do well to become closer to the US. However, I was mistaken. I did not in a million years expect the Democrats to do what they did. India should entirely shun the US and re-align back with Russia.

sorry buddy while bubba was sucking orangie-ade, porkis occupied the ruski room.
now we gotta re-book rooms...
what a nuisance. ..

 

[johnq]

AIIMS issues new guidelines for treatment of Covid-19 cases

AIIMS New Delhi has issued new guidelines for treatment of Covid-19 among adults. The guidelines have specific recommendations based on the severity of a case i.e. mild, moderate and severe cases.

www.indiatoday.in

AIIMS issues new guidelines for treatment of Covid-19 cases
AIIMS New Delhi has issued new guidelines for treatment of Covid-19 among adults. The guidelines have specific recommendations based on the severity of a case i.e. mild, moderate and severe cases.

The New Delhi-based All India Institute of Medical Sciences (AIIMS) has issued new guidelines for treatment of Covid-19 cases among adults. In the guidelines, AIIMS has suggested specific treatments based on the seriousness of the patient i.e. mild case, moderate case and severe case.
Here are the details:
Treatment for mild Covid-19 cases:
Identification: A patient is considered to be having mild Covid-19 is they have upper respiratory tract symptoms and/or fever WITHOUT shortness of breath or hypoxia.
Recommendation: Home isolation and care
MUST DOs:

• Physical distancing, indoor mask use, strict hand hygiene.
• Symptomatic management (hydration, anti-pyretics, antitussive, multivitamins).
• Stay in contact with treating physician.
• Monitor temperature and oxygen saturation (by applying a SpO2 probe to fingers).

Seek immediate medical attention if:

• Difficulty in breathing
• High grade fever/severe cough, particularly if lasting for more than five days
• A low threshold to be kept for those with any of the high-risk features.

MAY DOs

• Therapies based on low certainty of evidence
• Tab Ivermectin (200 mcg/kg once a day for 3 days). Avoid in pregnant and lactating women.
• Tab HCQ (400 mg BD for 1day f/b 400 mg OD for 4 days) unless contraindicated.
• Inhalational Budesonide (given via Metered dose inhaler/ Dry powder inhaler) at a dose of 800 mcg BD for five days) to be given if symptoms (fever and/or cough) are persistent beyond five days of disease onset.

Treatment for moderate Covid-19 cases:
Identification: The patient's respiratory rate is more than 24/min, there is breathlessness and the SpO2 is 90% to


Recommendation: Admit in ward
Oxygen Support:

• Target SpO2: 92-96% (88-92% in patients with COPD).
• Preferred devices for oxygenation: non-rebreathing face mask.
• Awake proning encouraged in all patients requiring supplemental oxygen therapy (sequential position changes every 2 hours).

Anti-inflammatory or immunomodulatory therapy

• Injection Methylprednisolone 0.5 to 1 mg/kg in 2 divided doses (or an equivalent dose of dexamethasone) usually for a duration of 5 to 10 days.
• Patients may be initiated or switched to oral route if stable and/or improving.

Anticoagulation

• Conventional dose prophylactic unfractionated heparin or Low Molecular Weight Heparin (weight based e.g., enoxaparin 0.5mg/kg per day SC). There should be no contraindication or high risk of bleeding.

Monitoring

• Clinical Monitoring: Work of breathing, hemodynamic instability, change in oxygen requirement.
• Serial CXR; HRCT chest to be done ONLY if there is worsening.
• Lab monitoring: CRP and D-dimer 48 to 72 hourly.

Treatment for severe disease
Identification: Any one of these--Respiratory rate more than 30/min, breathlessness orSpO2

Recommendation: Admit in ICU
Respiratory support

• Consider use of NIV (Helmet or face mask interface depending on availability) in patients with increasing oxygen requirement, if work of breathing is low.
• Consider use of HFNC in patients with increasing oxygen requirement.
• Intubation should be prioritised in patients with high work of breathing /if NIV is not tolerated.
• Use conventional ARDSnet protocol for ventilator management.

Anti-inflammatory or immunomodulatory therapy

• Injection Methylprednisolone 1 to 2mg/kg IV in 2 divided doses (or an equivalent dose of dexamethasone) usually for a duration 5 to 10 days.

Anticoagulation

• Weight-based intermediate dose prophylactic unfractionated heparin or Low Molecular Weight
• Heparin (e.g., Enoxaparin 0.5mg/kg per dose SC BD).
• There should be no contraindication or high risk of bleeding.

Supportive measures

• Maintain euvolemia (if available, use dynamic measures for assessing fluid responsiveness).
• If sepsis/septic shock: manage as per existing protocol and local antibiogram.

Monitoring

• Serial CXR; HRCT chest to be done only if there is worsening.

What about Remdesivir and other drugs?
As per the new AIIMS guidelines, Remdesivir should be used in rare cases and its emergency use authorisation (EAU) is based on "limited available evidence and only in specific circumstances".

Remdesivir may be considered ONLY in patients with

• Moderate to severe disease (requiring SUPPLEMENTAL OXYGEN), AND
• No renal or hepatic dysfunction (eGFR 5 times ULN (Not an absolute contradiction), AND
• Who are within 10 days of onset of symptom(s).

Recommended dose: 200 mg IV on day 1 f/b 100 mg IV OD for next 4 days.

• Not to be used in patients who are NOT on oxygen support or in home settings

Tocilizumab (Off-label) may be considered when ALL OF THE BELOW CRITERIA ARE MET

• Presence of severe disease (preferably within 24 to 48 hours of onset of severe disease/ICU admission).
• Significantly raised inflammatory markers (CRP &/or IL-6).
• Not improving despite use of steroids.
• No active bacterial/fungal/tubercular infection.

Recommended single dose: 4 to 6 mg/kg (400 mg in 60kg adult) in 100 ml NS over 1 hour.
Convalescent plasma (Off label) may be considered ONLY WHEN FOLLOWING CRITERIA ARE MET

• Early moderate disease (preferably within 7 days of symptom onset, no use after 7 days).
• Availability of high titre donor plasma (Signal to cut-off ratio (S/O) >3.5 or equivalent depending on the test kit being used).