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On the 19th March 2020 the WHO released this guidance intended for healthcare workers (HCWs), healthcare managers and IPC teams at the facility level & at national and district/provincial level:
https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf
https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf
Section 5 of WHO guidance on treatment of severe Covid19 begins like this: "Management of severe COVID-19: oxygen therapy and monitoring - Give supplemental oxygen therapy IMMEDIATELY to patients with SARI and respiratory distress, hypoxaemia or shock and target SpO2 > 94%."
"7 Management of critical COVID-19: acute respiratory distress syndrome (ARDS) - Recognize severe hypoxemic respiratory failure..and prepare to provide advanced oxygen/ventilatory support. Endotracheal intubation should be performed by a trained and experienced provider"
"-Avoid disconnecting the patient from the ventilator, which results in loss of PEEP and atelectasis. -Non-invasive ventilation (NIV) should be used only in selected patients with hypoxemic respiratory failure."
"There is no current evidence to recommend any specific anti-COVID-19 treatment for patients with confirmed COVID-19..ongoing clinical trials testing various potential antivirals; these are registered on https://clinicaltrials.gov/ or on the
Chinese Clinical Trial Registry"
Chinese Clinical Trial Registry"
The WHO was pushing oxygen & ventilators already on March 6th https://twitter.com/WHO/status/1235954139391315969?s=20
Tedros was framing the narrative of life & death as ventilator-no ventilator, completely ignoring standard infection treatments https://twitter.com/WHO/status/1235954258819899393?s=20
Who was working with Tedros on the narrative that was to lead to disastrous intubations? The Gates & the Clintons: https://twitter.com/WHO/status/1235954579046641664?s=20
And let's not forget the role of Klaus Schwab in all of this: https://twitter.com/WHO/status/1235955380355809280?s=20
"The WHO further justified this approach by claiming that the less invasive positive air pressure machines could result in the spread of aerosols, potentially infecting healthcare workers with the virus."
https://jordanschachtel.substack.com/p/first-choice-how-china-and-the-who
https://jordanschachtel.substack.com/p/first-choice-how-china-and-the-who
“This is more theoretical fear than a real fear,” Dr. David Hill, a pulmonary and critical care specialist who has experience treating COVID-19 patients, and who is a spokesperson for the American Lung Association, told Time Magazine." https://time.com/5820556/ventilators-covid-19/
"Hysterical epidemiological modelers, the same ones that had just claimed millions of people were about to die from COVID-19 in the United States, took to claiming that there was a mass ventilator shortage in the United States." https://jordanschachtel.substack.com/p/first-choice-how-china-and-the-who
"The WHO recommendation has opened up a continuing conversation in the scientific community about the medical ethics of potentially unnecessarily harming a patient to hypothetically protect one’s colleagues from a virus (And one that is simply not that lethal"
China's reports reference the WHO report above. It is clear that the WHO influenced China's approach, and vice-versa, the reports from China then influenced the WHO.
CHINA & US, April 17th 2020: "Based on a Chinese expert consensus, it is recommended that invasive mechanical ventilation be the first choice for moderate or severe ARDS" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162773/
June 7 2020, Canada, US, Italy: "The initial message from the Chinese medical teams was to intubate early..This seemed to stem from the accurate observation that many of these patients deteriorated precipitously and that they may be more safely intubated at an earlier stage"
"However, this also can come at a cost. Mechanical ventilation is inherently associated with a number of well described and accepted complications such as ventilator associated pneumonia, ventilator-induced lung injury, hemodynamic disturbances..sedation and immobilization."
June 20th: "What is new in the current study - Current experience suggests that many patients may avoid complications of mechanical ventilation and possibly avoid clinical deterioration by the use of non-invasive ventilatory support." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348679/
Doctor's admissions thread: https://twitter.com/robinmonotti/status/1340965662907375616?s=19
