Coronavirus Pandemic Update 53: Anticoagulation; Can Mechanical Ventilation Make COVID 19 Worse?

Published 2020-04-10
COVID-19 Update 53 with critical care specialist Roger Seheult, MD of www.medcram.com/?utm_source=Youtube&utm_medium=Vid…

A recent paper from Dr. Gattinoni, a physician on the frontlines in Italy, describes how there may be two different "phenotypes" of COVID-19… and one of them is not amenable to mechanical ventilation. Dr. Seheult discusses the details of how some have compared COVID-19 to high altitude pulmonary edema (HAPE). Embolism risk and anticoagulation with COVID-19 are also discussed.

Links referenced in this video:

Johns Hopkins Tracker - gisanddata.maps.arcgis.com/apps/opsdashboard/index…

Worldometer - www.worldometers.info/coronavirus/

IHME Projections - covid19.healthdata.org/united-states-of-america/ne…

MedPage Today - www.medpagetoday.com/infectiousdisease/covid19/858…

AWR360° Health - awr.org/health/

ATS Journals - www.atsjournals.org/doi/pdf/10.1164/rccm.202003-08…

ESICM - www.esicm.org/wp-content/uploads/2020/04/684_autho…

EVMS - www.evms.edu/media/evms_public/departments/interna…

Some previous videos from this series (visit MedCram.com for the full series):
- Coronavirus Pandemic Update 52: Ivermectin Treatment; Does COVID-19 Attack Hemoglobin?:    • Coronavirus Pandemic Update 52: Iverm...  
- Coronavirus Pandemic Update 51: State by State Projections; Ultrasound to Diagnose COVID19 Pneumonia:    • Coronavirus Pandemic Update 51: State...  
- Coronavirus Pandemic Update 50: Dip in Daily New Deaths; Research on Natural Killer Cells & COVID-19:    • Coronavirus Pandemic Update 50: Dip i...  
- Coronavirus Pandemic Update 49: New Data on COVID-19 vs Other Viral Infections (Ventilator Outcomes):    • Coronavirus Pandemic Update 49: New D...  
- Coronavirus Pandemic Update 48: Curve Flattening in California, PPE in the ICU, Medication Trials:    • Coronavirus Pandemic Update 48: Curve...  
- Coronavirus Pandemic Update 47: Searching for Immunity Boosters & Possible Lessons From Spanish Flu:    • Coronavirus Pandemic Update 47: Searc...  
-Coronavirus Pandemic Update 46: Can Hot/Cold Therapy Boost Immunity? More on Hydroxychloroquine    • Coronavirus Pandemic Update 46: Can H...  
- Coronavirus Pandemic Update 45: Sharing Ventilators, More on Sleep, Immunity, & COVID-19 Prevention    • Coronavirus Pandemic Update 45: Shari...  
- Coronavirus Pandemic Update 44: Loss of Smell & Conjunctivitis in COVID-19, Is Fever Helpful?    • Coronavirus Pandemic Update 44: Loss ...  
- Coronavirus Pandemic Update 43: Shortages, Immunity, & Can a TB Vaccine (BCG) Help Prevent COVID-19?    • Coronavirus Pandemic Update 43: Short...  
- Coronavirus Pandemic Update 42: Immunity to COVID-19 and is Reinfection Possible?    • Coronavirus Pandemic Update 42: Immun...  
- Coronavirus Pandemic Update 41: Shelter In Place, FDA Investigates Hydroxychloroquine for COVID-19:    • Coronavirus Pandemic Update 41: Shelt...  
- Coronavirus Pandemic Update 40: Ibuprofen and COVID-19 (are NSAIDs safe?), trials of HIV medications:    • Coronavirus Pandemic Update 40: Ibupr...  
- Coronavirus Pandemic Update 39: Rapid COVID-19 Spread with Mild or No Symptoms, More on Treatment:    • Coronavirus Pandemic Update 39: Rapid...  
- Coronavirus Pandemic Update 38: How Hospitals & Clinics Can Prepare for COVID-19, Global Cases Surge:    • Coronavirus Pandemic Update 38: How H...  
- Coronavirus Pandemic Update 37: The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs):    • Coronavirus Pandemic Update 37: The A...  
- How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment:    • How Coronavirus Kills: Acute Respirat...  

Many other videos on COVID-19 (coronavirus outbreak, coronavirus symptoms, Spanish Flu pandemic, influenza, coronavirus epidemic, ultrasound to diagnose COVID-19) and other medical topics (ECG Interpretation, hypertension, anticoagulation, DKA, acute kidney injury, influenza, measles, mechanical ventilation, etc.) at MedCam.com

Speaker: Roger Seheult, MD
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

MedCram provides videos to a variety of medical schools, education programs, and institutions (please contact us at [email protected] if you are interested)

Media Contact: [email protected]
Media contact info: www.medcram.com/pages/media-contact?utm_source=You…

MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.
#COVID19 #SARSCoV2 #Coronavirus

All Comments (21)
  • @Medcram
    Thank you for supporting our COVID-19 video updates by subscribing to this channel, and visiting us at www.medcram.com/ At our website, you can view all of our videos and CLEAR explanations of over 60 medical topics. We also offer CME/CEUs for medical professionals, medical programs, hospitals, and institutions. All links referenced in this video are in the video description. Quick links to our previous updates on the coronavirus pandemic: - Coronavirus Pandemic Update 52: Ivermectin Treatment; Does COVID-19 Attack Hemoglobin?: https://youtu.be/qc6VV7ue4cE - Coronavirus Pandemic Update 51: State by State Projections; Ultrasound to Diagnose COVID19 Pneumonia: https://youtu.be/E7MufS6dnJw - Coronavirus Pandemic Update 50: Dip in Daily New Deaths; Research on Natural Killer Cells & COVID-19: https://youtu.be/fya6Zwxch88 - Coronavirus Pandemic Update 49: New Data on COVID-19 vs Other Viral Infections (Ventilator Outcomes): https://youtu.be/uaIzj3s3p4A - Coronavirus Pandemic Update 48: Curve Flattening in California, PPE in the ICU, Medication Trials: https://youtu.be/JN-8bGB1cLM - Coronavirus Pandemic Update 47: Searching for Immunity Boosters & Possible Lessons From Spanish Flu: https://youtu.be/H1LHgyfPPQ8 - Coronavirus Pandemic Update 46: Can Hot/Cold Therapy Boost Immunity? More on Hydroxychloroquine: https://youtu.be/EFRwnhfWXxo - Coronavirus Pandemic Update 45: Sharing Ventilators, More on Sleep, Immunity, & COVID-19 Prevention: https://youtu.be/G1zsE9_85i4 - Coronavirus Pandemic Update 44: Loss of Smell & Conjunctivitis in COVID-19, Is Fever Helpful? https://youtu.be/A4eu-h_owaI - Coronavirus Pandemic Update 43: Shortages, Immunity, & Can a TB Vaccine (BCG) Help Prevent COVID-19? https://youtu.be/LqKwAIIy-Mo - Coronavirus Pandemic Update 42: Immunity to COVID-19 and is Reinfection Possible? https://youtu.be/q4P91VrfPGw - Coronavirus Pandemic Update 41: Shelter In Place, FDA Investigates Hydroxychloroquine for COVID-19: https://youtu.be/hPz5KxgI_K4 - Coronavirus Pandemic Update 40: Ibuprofen and COVID-19 (are NSAIDs safe?), trials of HIV medications: https://youtu.be/dT6mHi_8V5E - Coronavirus Pandemic Update 39: Rapid COVID-19 Spread with Mild or No Symptoms, More on Treatment: https://youtu.be/AToF8O5T86s - Coronavirus Pandemic Update 38: How Hospitals & Clinics Can Prepare for COVID-19, Global Cases Surge: https://youtu.be/MoisrCTu0SY - Coronavirus Pandemic Update 37: The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs): https://youtu.be/1vZDVbqRhyM - Coronavirus Pandemic Update 36: Flatten The COVID-19 Curve, Social Distancing, Hospital Capacities: https://youtu.be/vww1nIIoqmw - Coronavirus Pandemic Update 35: New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments: https://youtu.be/vE4_LsftNKM - Coronavirus Epidemic Update 34: US Cases Surge, Chloroquine & Zinc Treatment Combo, Italy Lockdown: https://youtu.be/U7F1cnWup9M - Coronavirus Epidemic Update 33: COVID-19 Medication Treatment Trials, Global Testing Remains Limited: https://youtu.be/Mm7UrZeu-74 - Coronavirus Epidemic Update 32: Important Data from South Korea, Can Zinc Help Prevent COVID-19? https://youtu.be/Eeh054-Hx1U - Coronavirus Epidemic Update 31: Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? https://youtu.be/7YI2tOoVVpk - Coronavirus Epidemic Update 30: More Global COVID-19 Outbreaks, Vitamin D May Aid Prevention: https://youtu.be/gmqgGwT6bw0 - Coronavirus Epidemic Update 29: Testing problems, mutations, COVID-19 in Washington & Iran: https://youtu.be/XjEacUyp4vY - Coronavirus Epidemic Update 28: Practical Prevention Strategies, Patient Age vs. Case Fatality Rate: https://youtu.be/quDYb_x54DM - Coronavirus Epidemic Update 27: Testing accuracy for COVID-19 (CT Scan vs. RT-PCR), California Cases: https://youtu.be/xQwfuJgJ9lo - Coronavirus Epidemic Update 26: Treatment Updates, Stock Markets, Germany & San Francisco, Pandemic? https://youtu.be/bV1CZxJ-uvU - Coronavirus Epidemic Update 25: Vaccine Developments, Italy's Response, and Mortality Rate Trends: https://youtu.be/UImSVhLLeGY - Coronavirus Epidemic Update 24: Infections in Italy, Transmissibility, COVID-19 Symptoms: https://youtu.be/wFoj2L2LpNA - Coronavirus Epidemic Update 23: Infections in Kids & Pregnancy, South Korea, Spillover From Bats: https://youtu.be/JGhwAGiAnJo - Coronavirus Epidemic Update 22: Spread Without Symptoms, Cruise Quarantine, Asymptomatic Testing: https://youtu.be/OqpHvK0XADY - Coronavirus Epidemic Update 21: Antibodies, Case Fatality, Clinical Recommendations, 2nd Infections?: https://youtu.be/9BYaywITXYk - Coronavirus Epidemic Update 20: Misinformation Spread, Infection Severity, Cruise Ship, Origins: https://youtu.be/Ka48UZDDzLY - Coronavirus Epidemic Update 19: Treatment and Medication Clinical Trials: https://youtu.be/4HK9QEy1KJ8 - Coronavirus Epidemic Update 18: Cellphone Tracking, Increase in Hospitalizations, More Sleep Tips: https://youtu.be/vE4pBkslqS4 - Coronavirus Epidemic Update 17: Spike in Confirmed Cases, Fighting Infections with Sleep (COVID-19): https://youtu.be/wlbM6VVkVZM - Coronavirus Epidemic Update 16: Strengthening Your Immune Response to Viral Infections (COVID-19): https://youtu.be/qqZYEgREuZ8 - Coronavirus Epidemic Update 15: Underreporting, Prevention, 24 Day Incubation? (COVID19): https://youtu.be/o804wu5h_ms - Coronavirus Epidemic Update 14: Hospital spread of infection, WHO allowed in China, N-95 masks: https://youtu.be/pDnmHu8x9C4 - Coronavirus Epidemic Update 13: Li Wenliang, nCoV vs Influenza, Dip in Daily Cases, Spread to Canada: https://youtu.be/0UgrPgJdzp0 - Coronavirus Epidemic Update 12: Unsupported Theories, Pneumonia, ACE2 & nCoV: https://youtu.be/GT3_A1bf9pU - Coronavirus Epidemic Update 11: Antiviral Drugs, Treatment Trials for nCoV (Remdesivir, Chloroquine): https://youtu.be/pfGpdFNHoqQ - Coronavirus Epidemic Update 10: New Studies, Transmission, Spread from Wuhan, Prevention (2019-nCoV): https://youtu.be/gPwfiQgGsFo - Coronavirus Epidemic Update 9: Fecal-Oral Transmission, Recovery vs Death Rate: https://youtu.be/8Hjy3UfaTSc - Coronavirus Outbreak Update 8: Travel Ban, Spread Outside of China, Quarantine, & MRSA: https://youtu.be/GpbUoLvpdCo - Coronavirus Epidemic Update 7: Global Health Emergency Declared, Viral Shedding: https://youtu.be/nW3xqcGidpQ - Coronavirus Outbreak Update 6: Asymptomatic Transmission & Incubation Period: https://youtu.be/UGxgNebx1pg - Coronavirus Update 5: Mortality Rate vs SARS / Influenza: https://youtu.be/MN9-UXsvPBY - How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment: https://youtu.be/okg7uq_HrhQ - Coronavirus Update 3: Spread, Quarantine, Projections, & Vaccine: https://youtu.be/SJBYwUtB83o - Coronavirus Symptoms, Diagnosis, Treatment: https://youtu.be/UCG3xqtcL3c - Coronavirus Outbreak - Transmission & Updates: https://youtu.be/9vMXSkKLg2I
  • @thestormypoet
    I like how it's only factual and logical information on this channel and not a bunch of fear mongering. It's actually information we can apply. Thank you for uploading these.
  • @lubnaahmed1461
    Excellent, as usual! When we doctors are busy to save lives, you are not only doing that,, but also enlightening us, teaching us, in the middle of your extremely busy schedule! Love and respect, doctor ♥️😍😇
  • @srbs73
    This channel is mandatory viewing for me now. I have no medical background, yet you are able to explain complex topics in such a way that even I can understand the key points.
  • @scarlet8078
    Hi, I'm a neuro working on a data set of CoV pts with neuropsych manifestations (post-ICU delirium & dementia as well as cognitive & neurosensory dysfunction). It's similar to what we see post-op, eg, in CABG pts. Hypoxia causes brain damages; this is widely known & i've never seen such a large data set of pts with (what I believe) is hypoxia-induced cognitive dysfunction. Can you please make a video covering this, bc I feel like there is not sufficient info being shared, particularly among acute care & ER providers. I realize not every clinic has a neuro available, but please do not discharge pts without some level of neuropsych eval - even if you're simply confirming knowledge of name, day, president, etc. With proper therapy many pts can regain function. HOWEVER it is vital that pts be closely monitored & ICU interventions not be over-used.
  • @irshadahmed7953
    As an obstetrician. Recently a maternal patient with type 2 diabetes who contracted covid 19 deteriorated rapidly, delivered her by caesarean section under general anaesthesia and subsequently transferred to ITU where she was ventilated for further 3 days. She had CT scan which showed a massive cerebral thrombosis which resulted in wide spread cerebral ischaemia. The covid 19 is not only causing microthrombi but also major thrombus. In my opinion covid patient who are in ITU should recieve therapeutic level of anticoagulantion rather than prophylactic dose. I understand we need further evaluation before reaching conclusion.
  • @LongDefiant
    6:16 I've been saying quecertin and zinc for weeks. Thank you for vindication
  • @ronimarquez350
    You’re so brilliant doctor. I told my husband if we get covid-19 we are coming to you! I already checked to see if you on my insurance and you are!
  • @Zucasa
    Thank you for your work and help, following you from the beginning from Italy here near Venice. I'm not working with covid patients but I shared a lot of your publication with colleague in the hospital. Hope to end this period united and stronger for the future
  • For me a diagram is worth a thousand words. Thank you sir once again. 🇨🇦
  • @naughtyorgneiss
    Ha Dr Seheult must actually read these messages when I posted that NY's ER Dr Cameron Kyle-Sidell said ventilators were hurting more than helping his patients and that they exhibited H.A.S. (High Altitude Sickness) symptoms, not ARDS. Great video and thanks for listening to your viewers Dr Seheult!
  • @josephkesar5771
    These updates need to get viral! No pun intended, seriously im so grateful for you work here doctor.
  • So appreciate this up to the minute "what we see now" video series....thank you so much!!!
  • Thank you Dr. I was wondering about the D-dimer elevation- makes sense now. God bless you! Look forward to these updates and when I don't see one praying for your safety because I know you are busy at work.
  • @girlgeniusNYC
    *Happy Easter / Passover* To Team MedCram and all of us here :)
  • Thank you for reviewing Dr. Mariks work and all the you are doing to educate us!
  • You deserve a medal for the work you put in, for how informative these posts are. Thanks barely starts to cover it!
  • @jim2980
    Anothe great lecture Roger and Kyle! Look forward to my daily medcram video. You guys are providing a amazing service for people to be Understand what’s going on. Thanks!!