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**A PULSE OXIMETER CAN SAVE YOUR LIFE**
There’s a significant link between oxygen saturation levels and 30 day mortality rates in #COVID19
THREAD...
There’s a significant link between oxygen saturation levels and 30 day mortality rates in #COVID19
THREAD...
SILENT HYPOXIA in COVID-19:
-> Patients who UNKNOWINGLY have dangerously low oxygen levels with minimal symptoms.
- As symptoms are mild it can be VERY difficult to detect without a pulse oximeter
-> Patients who UNKNOWINGLY have dangerously low oxygen levels with minimal symptoms.
- As symptoms are mild it can be VERY difficult to detect without a pulse oximeter
Study below (pre-print)
points
Even SMALL shifts away from normal sats can increase mortality:
Sats 95%
30 day mortality 2.3%
Sats 94-95%
30 day mortality 5.4%
Sats 92% or below
1 IN 3 CHANCE of death or ICU admission within 30 days https://www.medrxiv.org/content/10.1101/2020.11.06.20225938v1
pointsEven SMALL shifts away from normal sats can increase mortality:
Sats 95%
30 day mortality 2.3%Sats 94-95%
30 day mortality 5.4% Sats 92% or below
1 IN 3 CHANCE of death or ICU admission within 30 days https://www.medrxiv.org/content/10.1101/2020.11.06.20225938v1
In patients with sats 92% or below:
Significant increase in mortality for EVERY DAY of delay in presentation
**EARLY DETECTION WILL DETERMINE MORTALITY AND SAVE LIVES**
@mattinadakim credit for graph
Significant increase in mortality for EVERY DAY of delay in presentation
**EARLY DETECTION WILL DETERMINE MORTALITY AND SAVE LIVES**
@mattinadakim credit for graph
Patients with silent hypoxia may need empowering to go to hospital as due to feeling relatively well they may lack insight to the severity of their condition
Groups at risk of late presentation:
- HCWs
- BAME background
Groups at risk of late presentation:
- HCWs
- BAME background
Guide for using pulse oximeter:
1. Remove nail polish/fake nails
2. Ensure hands are warm
3. Rest for 5 mins prior to reading & take reading sat upright
4. Use middle/index finger (NOT EAR)
5. Ensure adequate battery life
1. Remove nail polish/fake nails
2. Ensure hands are warm
3. Rest for 5 mins prior to reading & take reading sat upright
4. Use middle/index finger (NOT EAR)
5. Ensure adequate battery life
Guide to interpreting saturation readings:
92% or BELOW
999 or A&E within 1 HOUR
93-94%
Call GP or NHS 111
95% or above
Continue home monitoring
* guide is for patients with NORMAL baseline values
* see #NHS leaflet below RE: symptoms
https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/12/C0719_COVID-Isolating-at-Home-Safety-Netting-Leaflet-Revised-FINAL-171220.pdf
92% or BELOW
999 or A&E within 1 HOUR 93-94%
Call GP or NHS 111 95% or above
Continue home monitoring * guide is for patients with NORMAL baseline values
* see #NHS leaflet below RE: symptoms
https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/12/C0719_COVID-Isolating-at-Home-Safety-Netting-Leaflet-Revised-FINAL-171220.pdf
Thank you to @AHSNNetwork for
such a brilliant webinar on COVID Oximetry at home. Many learning points as above that have impacted my practice. https://twitter.com/wessexahsn/status/1343485617099972618
such a brilliant webinar on COVID Oximetry at home. Many learning points as above that have impacted my practice. https://twitter.com/wessexahsn/status/1343485617099972618
