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Thread: Home medical gear & supplies
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March 21st, 2020, 08:35 AM #41
Re: Home medical gear & supplies
All of the evidence I have seen have said gauze impregnated clotting agents, and that is what I personally always go with.
There are 1 or 2 brands, but quiclot makes combat gauze, and they have really been the leader in this arena since the beginning, improving and introducing new products that made their previous ones obsolete."Cives Arma Ferant"
"I know I'm not James Bond, that's why I don't keep a loaded gun under the pillow, or bang Russian spies on a regular basis." - GunLawyer001
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March 21st, 2020, 10:57 AM #42
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March 28th, 2020, 01:55 PM #43
Re: Home medical gear & supplies
If you plan to use a BiPAP to help ventilate your spouse in possible pneumonia scenario, invest in some type of ETCO2 (end tidal co2)monitoring device. A bilevel machine or BiPAP helps maintain ventilation compared to a CPAP that helps only with hypoxia. A pulse oximetry monitor won’t be able to tell you if she is able to adequately ventilate. She can appear to have perfectly normal blood oxygen saturation and in fact have hypercapnia and eventually lose consciousness. I would also recommend a quality skin barrier for the BiPAP interface as she will need to wear it for long periods of time.
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March 28th, 2020, 02:43 PM #44Grand Member
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Re: Home medical gear & supplies
Sorry but I think you are fooling yourself that giving oxygen at home will do any good. And being even more cynical, being placed on a mechanical ventilator in the hospital doesn't do much either. To be blunt....if you are sick enough to be placed on a ventilator you are probably going to die. Here is a correspondence from Lancet (a well respected journal) that studied the effectiveness of giving oxygen (non-invasive ventilation) and mechanical ventilation (invasive mechanical ventilation) in Wuhan. The results are not encouraging and to make things worse some doctors are starting to not recommend even giving patients oxygen. It does little good and you spew infections particles all over infecting the healthcare providers.
As of Feb 27, 2020, coronavirus disease 2019 (COVID-19) has affected 47 countries and territories around the world. Xiaobo Yang and colleagues described 52 of 710 patients with confirmed COVID-19 admitted to an intensive care unit (ICU) in Wuhan, China. 29 (56%) of 52 patients were given non-invasive ventilation at ICU admission, of whom 22 (76%) required further orotracheal intubation and invasive mechanical ventilation. The ICU mortality rate among those who required non-invasive ventilation was 23 (79%) of 29 and among those who required invasive mechanical ventilation was 19 (86%) of 22.
Jonathan Chun-Hei Cheung and colleagues do not recommend use of a high-flow nasal cannula or non-invasive ventilation until the patient has viral clearance. Supporting the recommendation of the authors, I would like to add some points in relation to the use of high-flow nasal oxygen therapy and non-invasive ventilation in patients with COVID-19 infection:
First, although exhaled air dispersion during high-flow nasal oxygen therapy and non-invasive ventilation via different interfaces is restricted, provided that there is a good mask interface fitting, not all hospitals around the world have access to such interfaces or enough personal-protective equipment of sufficiently high quality (ie, considered fit-tested particulate respirators, N95 or equivalent, or higher level of protection) for aerosol-generating procedures, and several hospitals do not have a negative pressure isolation room. Of 1688 health-care workers who have become infected with COVID-19, five (0·3%) have died; a sign of the vastly difficult working conditions for health-care workers.
Second, the fundamental pathophysiology of severe viral pneumonia is acute respiratory distress syndrome (ARDS).
Non-invasive ventilation is not recommended for patients with viral infections complicated by pneumonia because, although non-invasive ventilation temporarily improves oxygenation and reduces the work of breathing in these patients, this method does not necessarily change the natural disease course.Last edited by Delkal; March 28th, 2020 at 02:53 PM.
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December 1st, 2020, 11:08 AM #45
Re: Home medical gear & supplies
I didn't peruse this entire thread but here is some useable info. on degration studies of medicines by reputable orgs. Use at your own risk.
https://jamanetwork.com/journals/jam...rticle/1377417
https://www.sciencedirect.com/scienc...887?via%3Dihub
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December 1st, 2020, 11:51 AM #46
Re: Home medical gear & supplies
I have two tanks of Nitrox. Better not fuck with me.
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December 1st, 2020, 12:08 PM #47Banned
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Re: Home medical gear & supplies
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December 9th, 2020, 07:02 AM #48Junior Member
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