https://covidrelief.glideapp.io/
Group of Punjabi Association, facilitating the availability of O2 and ICU beds across Dehradun-
- Jitinder Singh 9897272545
- Jagjit Kukreja 9719737456
- Rajeev 9897274151
For telephonic guidance on COVID-19 from 8 am to 12 noon -
Dr Tushar Shah. 9321469911
Dr M Bhatt. 9320407074
Dr D Doshi. 9820237951
Dr D Rathod. 8879148679
Dr R Gwalani. 8779835257
Dr D Kansara. 8369846412
For telephonic guidance on Covid-19 from 12 to 4 pm -
Dr G Kamath. 9136575405
Dr S Manglik. 9820222384
Dr J Jain. 7021092685
Dr A Thakkar. 9321470745
Dr L Bhagat. 9820732570
Dr N Shah. 9821140656
Dr S Phanse. 8779328220
Dr J Shah. 9869031354
For telephonic guidance on Covid-19 from 4 to 8 pm -
Dr N Zaveri. 9321489748
Dr S Ansari. 7045720278
Dr L Kedia. 9321470560
Dr B Shukla. 9321489060
Dr S Halwai. 9867379346
Dr M Kotian. 8928650290
For telephonic guidance on Covid-19 from 8 to 11 pm -
Dr N Kumar. 8104605550
Dr P Bhargav. 9833887603
Dr R Chauhan. 9892135010
Dr B Kharat. 9969471815
Dr S Dhulekar. 9892139027
Dr S Pandit. 9422473277
*P.S. - Another excellent helpline (24×7) has been initiated by Indian Medical Association. The numbers are +919999672238 and +919999672239.
If anyone requires bed in Delhi:
Apollo Hospital Sarita Vihar has made Hotel Crown Plaza Okhla as additional facility, at nominal charge of 10K per day. ..Pls call and book ..
Call Apollo no. for Admissions
Nodal Officer
Dr. Sanjeev Sharma
8929700878 thanks 🙏 if could be of help to anyone who needs.
Oxygen Refilling Delhi Govt..pdf
RespiKart
3449, delhi chamber, delhi gate
New delhi - 110002
Behind telephone exchange
RespiKart
3449, delhi chamber, delhi gate
New delhi - 110002
Ashutosh 9810061827
Medirent. Noida. 5 litres.. 90000
Oxygen
At Mayapuri b-53 or 59 , they are refilling cylinder, need patient details.
Star Special Air Gases Pvt Ltd
Plot No:324,sector-7,phase-2, Imt,manesar, Gurugram, Haryana 122050
098999 30828
https://maps.app.goo.gl/DofaSfRoUdZEfcwW7
Dial 100 or local SHO of Delhi Police. They are helping out.
0 90180 55655
Rinku JK surgicals
Dear All, We are dealing in Oxygen Portable Cylinders with supplies all over India. If any one require can call directly 9814145420.
+91 98805 98624: JAN SEWA NO PROFIT NO LOSS
Any family in need of oxygen can reach 8447390017
12 ltr oxygen @ Rs.400/- only.
No profit No loss.
https://m.facebook.com/khalsaaidindia13/ They are providing oxygen concentrator to ppl in India. They provide it free or else they can help in finding one.
Ambedkar hospital may have beds .. no to call to confirm 93105 86617
Web portal for COVId info is now live
Dashboard which fetches all latest tweets related to availability of Hospital Beds, Remedesivir injection and Oxygen cylinders, in various states.
https://drive.google.com/drive/u/0/folders/1Cx8VYInpOZMAIJpfBnBAlwNDJfF2gE_F
Covid relief app to track resources
https://covidrelief.glideapp.io/
https://stopcorona.tn.gov.in/beds.php
For beds:
Nalhar medical college in NUH in mewat ..around 600 beds. It's a tertiary care covid hospital. In addition two advance lifesaving ambulance and other facilities ..plus own covid sampling lab ...further it's just 20 km from sohna.
01267-282007
https://shor.by/findabed?fbclid=IwAR3WndfKVfTvwBapQ_fK8Cv4GV78OkOuenI2HNtqlBwWBzW5I9o2VnVnXxs
In the wake of the rising cases of COVID-19 in Delhi, Miranda House has formed a help desk with a support team of 300 student volunteers to help guide you through resources. The requirements in this hour of need are testing, treatment, hospitalisation, oxygen support , psychiatrist, medical counselling, food services etc. You can call the following coordinators for help/guidance:
Head of Operation and overall coordinator - Srishti Sensarma (8586985336)
Hospitalisation/Beds - Vitti Joshi (9717210919)
Oxygen support - Tavissi Jain (7094055415)
RTPCR and testing - Vaishnavi Nandkumar (7738119919)
Doctors and teleconsultation - Srishti Sensarma (8586985336)
Plasma - Falek Khatana (9990416354)
Medicines- Gauri S. Kumar (9867498533)
Ambulance/taxi services - Akshita Sharma (9772889844)
Food/Tiffin and Vaccination - Eshaa Wahie (9910758920)
Psychologists- Shyenika Upadhyay (8377910874) and Srishti Sensarma (8586985336)
Addtionally, the team of volunteers have created a Google Sheets spreadsheet wherein they are updating information regarding the above in real time.
AWHO Township Gurjinder vihar
Society Notice : Protocol for patient in home isolation at AWHO Gurjinder Vihar
Protocol for patient in home isolation at AWHO Gurjinder Vihar .
- Tab Paracetamol 500 mg SOS when there is fever or bodyache (atleast six hours apart)
- Tab Levocetrizine 5 mg at night time if there is cold or running nose.
- Tab Vitamin C 500 mg twice a day for two weeks
- Tab ZInc 20 mg once a day for two weeks
- If sore throat or symptom of cough , then tab Azithromycin 250 mg tab one tab twice a day for 5 days
- Warm saline gargles/ Steam inhalation twice a day
- Do 12 hourly monitoring of temperature and oxygen saturation by pulse oximeter.If saturation falls below 94 or shortness of breath develops, do Pronal or ventilator breathing.
- If there is diarrhoea, have Oral rehydration solution to maintain hydration.
- Eat nutritious food and have plenty of fluids.
- Do mild physical activity like Yoga and stretches when symptoms are better.
11. Maintain isolation for 17 days from date of onset of symptoms. Keep mind active and occupied by focussing on positive thought, reading, enjoying music, staying connected with family and friends.
12. There is no need for repeat RTPCR test. Can come out of isolation after completing 17 days (in which there should be no fever for last three days)
Hi All,
If anyone in your relatives is suffering shortage of oxygen cylinders. We at Sports365 will provide the cylinders in following cities within 24-30 hours. :-
- Bangalore
- Delhi (Ncr included).
- Chennai.
- Mumbai.
- Jaipur.
- Chandigarh.
- Pune.
- Nagpur.
- Ajmer..
- Lucknow.
- Jodhpur.
- Mysore.
- Vijayvada.
- Vizag.
Thanks and Regards,
Ashish Bhiwani
ashish@sports365.in
9986966909, 6304495317
We want to supply medical Oxygen gas free to all needy specially who are in isolation or at homes having other ailments (i.e. Asthma, Cancer or lungs problem).
Hitech Industries Limited, MOHALI
9872100006
9878800060
https://linktr.ee/indiacovid19resources
https://external.sprinklr.com/insights/explorer/dashboard/601b9e214c7a6b689d76f493/tab/5?id=DASHBOARD_601b9e214c7a6b689d76f493&utm_source=MyGovS4S&utm_medium=MyGovS4Sweb&tabId=5&home=1
ISA COVID-19 HELPLINE NUMBERS FOR ANAESTHESIOLOGISTS.pdf
new doc 2021-04-30 22.48.16.pdf
निःशुल्क ऑक्सीजन सिलेंडर सेवा
जय श्री श्याम
आपको जानकर अत्यंत प्रसन्नता होगी कि खाटू श्याम परिवार मंडल द्वारा एक निः शुल्क ऑक्सीजन सेवा का शुभारम्भ आज दिनांक 19 अप्रैल 2021 से किया जा रहा है।
जिसके अंतर्गत जिस किसी भी मरीज को ऑक्सीजन सिलेंडर की आवश्यकता होगी उस व्यक्ति को खाटू श्याम परिवार द्वारा निःशुल्क ऑक्सीजन सिलेंडर उपलब्ध कराया जाएगा। अतः आप सभी खाटू श्याम परिवार के सदस्यों से निवेदन है इस मैसेज को ज्यादा से ज्यादा लोगों तक पहुंचाए जिससे कोई बीमार व्यक्ति इस सेवा का लाभ ले सके।
ऑक्सीजन सिलेंडर प्राप्त करने के लिए आप निम्नलिखित नंबर पर संपर्क कर सकते हैं।
संजय दत्त बंसल "डॉलर" 9259038724
आशीष नागर 9411046525
गोपाल उपाध्याय 8077166805
धीरज अग्रवाल 9927433690
नोट - ऑक्सीजन सिलेंडर रुपए 5000/- की धनराशि जमा कर प्रदान किया जाएगा जो कि सिलेंडर वापस करने के साथ ही उक्त धनराशि वापस कर दी जाएगी।
https://www.covidsos.live/app/index.html
Tips on Selecting the right oxygen concentrator.
The most important is to understand Covid patients require 90% Oxygen concentration at 1to 5Litre flow and above to 10L when they are suffering with acute respiratory discomfort.
90% oxygen concentration is the most important point here.
-
We can break down oxygen concentrator into small (5 to 10 kg) oxygen concentrator suitable for COPD patients, medium (15 to 19kg) and large (20kg and above) oxygen concentrators are suitable for critical care and for COVID patients.
-
Small oxygen concentrators can have options from 1 Litre to 9 Litre Flow but this does not mean you get 90% oxygen at higher flow like at 5 litre. On small oxygen concentrators 90% oxygen contration is achieved only at lower flows of 1litre to 2 litre. on higher flows the oxygen concentration drops to 30% as you increase the flow. Suitable for COPD patients but not for COVID patients.
-
Check the specs of the oxygen concentrator and if you see 90% - 30% or ( 1L/min , 2L/min) means 90% oxygen is available only at 1Litre flow or 2Litre flow respectively and on higher flows oxygen drops to 30%. The air we breathing is with 29% oxygen. So small (5kg to 10kg ) oxygen concentrator at higher flows gives output of 30% oxygen means its just blowing air.
-
weight is the best indicator to understand the oxygen production capacity.
A 5kg to 10kg oxygen concentrator means a small compressor which will only mange to give an output of 90% oxygen at 1 litre to max 2 Litre
A 15kg to 19kg Oxygen Concentrator will have a compressor that can easily give an output of 90% oxygen at flows from 1 Litre to 5 Litre Oxygen (Ideal for COVID patients and critical care patients)
A 20 kg and above oxygen concentrator will have a large compressor which can give an output of 90% oxygen from 1Litre to 10Litre flow. (Ideal for COVID patients and critical care patients and for dual patients to use same machine with accessories)
Please do not only see the output flow of an oxygen concentrator like 5litre, 10litre or so. the most important is to make sure you get 90% Oxygen at highest flow level.
For a small family with no senior citizens a 5 litre at 90% oxygen concentration should be good enough.
For 2 senior citizens or for a big family 10 litre at 90% oxygen concentration should be good enough as it can support 2 patients at once if the need arises. And can assist senior citizens during home critical care if the need arises.
Please do not get fooled and pay big money for small oxygen concentrator sold by highlighting 5 Litre and 8 Litre and do not give an output of 90% concentration of oxygen at higher flows which is the need of the hour.
Please read the specs well and if required please ask your supplier to show you the oxygen output on an oxygen analyzer at higher flow of 5 Litre or 10 Litre.
We wish all the best of health and hopefully none of us has to use an oxygen concentrator.
DeVilbiss O2 concentrator model no. 525DS will be available from 7th May onwards with us for delivery. Imported directly from USA with higher freight paid to DHL for fast delivery. This is a superior model with O2 concentration at 93% even during continuous use and at full capacity of 5lts and can be used for patients to revive back normal oxygen levels even for the ones whose oxygen falls to 60 level.
It weighs 16.3 kgs with a heavy compressor pump. (Unlike the cheaper ones weighing only 5 to 6kgs in Indian markets.) This is FDA approved and is rated the most superior item worldwide and used by leading hospitals of the world.
The unit runs on an average for 40,000 hours and has a 3 year warranty fulfilled by the brand directly.
PRICE- Rs107000 plus GST @ 12%
Contact Widsons Scientific Works. Delhi ,a company of repute dealing in Laboratory Equipment since 60 years.
Ph. 99111 02020
9990912111
011 28761010
Mail. widsonsdelhi@gmail.com
DeVilbiss concentrator.pdf-pdf (1).pdf
Army opens a FREE 1000-bedded Covid Care Hospital in Delhi for Everyone.
Army provides its rakes and tankers to make oxygen express train, assists in oxygen supply management.
China ho ya Corona, it's IndianArmy to the rescue, always!
Yeh hai Aapki Army #IndianArmy
Jai Hind 🇮🇳
Helpline numbers:
7835964323
7835964336
7835964348
7835964349
7835964354
7835964363
7835964370
Delhi
IMPORTANT LINKS
(All are Verified on 16th April 2021)
▪️For availability of Hospital Beds
https://t.co/k1kogBKpm3
Hospital Numbers/Bed availability:
https://coronabeds.jantasamvad.org/beds.html
▪️For e-pass during Night Curfew
https://t.co/sgUHw2Fy16
▪️For Vaccination registration
https://t.co/A4SNR55ldx
▪️For Plasma Request
https://delhifightscorona.in/requestplasma/
▪️Find Health Services closer to you on Map
https://goo.gl/maps/P1zr4uZ8mxDLmFFq5
Below was forwarded to me...I haven't joined or vetted these particular chats, but might be helpful to others in India. I can tell you that the COVID what's app chat I'm a part of on grounds in India get like 500 pings a day and are connecting people to O2 and beds if they can. Keep trying ladies! Praying!
Art of Living volunteers have created this 24x7 COVID crisis resolution framework in multiple cities in India.
They are working round the clock helping with medicines, plasma, oxygen, hospitals, testing, food and any help related to this at any time of day and night! Extremely prompt and vigilant!
They are awake the entire night in shifts and getting immediate assistance.
Please pass this on to those in need and help us to help them!
Bangalore
https://chat.whatsapp.com/CbxDUolW6anCGMKzrc4Rdg
Delhi
https://chat.whatsapp.com/CQPgfXskxaC2G9Eg4eKUgO
Mumbai
https://chat.whatsapp.com/Ha1nh3igVOXFNAGsxhQ1AX
Kanpur/ Lucknow
https://chat.whatsapp.com/JQEkI6aB241I0eWuwYSVNB
Indore
https://chat.whatsapp.com/K9GjHpKo4qSIQUv1FHip15
Kolkata
https://chat.whatsapp.com/LrZPWfxDXX39njPh4rwdm4
Lucknow
https://chat.whatsapp.com/KvjZilrsCKQ29RuboMCxlO
Pune
https://chat.whatsapp.com/FlFMFMsJjQi17FqENA4BrG
Bhopal
https://chat.whatsapp.com/FZ9dR8d0lD509EDwLsXkfS
For Remdesivir injection
Cipla customer care : 8657311088; info.availability@cipla.com
Hetero Helpline : 18001034696; whatsapp : 9320985814; covifor@heterohealthcare.com
Hetero Healthcare (Mumbai)
Priorities
Mr Yogesh Patil -9322067716 yogeshpatil@heterohealthcare.com
Mr Pathik Shah -9769727771
Mr Vaibhav Khairnar -9272372811
Mr Bose 9347341757 bose@heterohealthcare.com
Mr Vijay thorat 9820748050
Mr Shastri 9820528432
Mr Shenoy – 93231 43036
Hetero International & Cipla
Mr Pankaj Thakur : +91 8433946055
Mr Bhavesh Shah : +91 9821044912
Mr Rudra : +91 9833809177
Mr Subhadeep Sinha : +91 9393922434
Distributors for Remdesivir
- Nexus : +91 9664400575
- Royal : +91 9820344456
-
Supply strictly to Hospitals / Patients only after verifying prescription.
-
It's better to add their numbers on what's app and send following documents at first and than co-ordinate
-
MEDICAL REPORT
-
DOCTOR'S Prescription
-
Aadhar card
Bank Details
HETERO HEALTHCARE LTD.
CC A/C DETAILS :
BANK NAME : AXIS BANK LTD.
A/C NO. 917030029025790
IFSC CODE : UTIB0001634
Hetero healthcare Head Office in Mumbai
A / B – 201 / 202 Dipti Classic,
32 / 34, W.T. SUREN ROAD,
ANDHERI (E), MUMBAI – 400 093. INDIA.
For ACTEMRA (tocilizumab) – Cipla Ltd
S.K. Distributors
Unit no 1, Bombay industrial estate,
Narayan Nagar, Off LBS Marg,
NSS Road, Next to Union Bank of India, Ghatkopar West, Mumbai 400086
email- hospitaldiv@sk1932.com
Mr Dhaval +919619861781
+919930220993
+918879142101
BYCULLA PHARMACY & STORES ***
(PROP.FARMACROSS(I)PVT.LTD) ( MASINA HOSPITAL )
AT-MASINA HOSPITAL SANT SAVTA MARG
MASINA BYCULLA EAST
MUMBAI - 400027
MR.Altaf - 09870008051 Day time 9.00 Am to 9 Pm
Night shift : Mr Arun 02261313000/61313001
CIPLA LTD
Customer care : 8657311088
info.availability@cipla.com
Mr Vinayagam – 99943 99990
Mr Dipendra – 75079 46363
Mr Apoorv – 96626 12576
COVID_Management 14 April 2021.pdf
Remdesivir-Distributor-List.pdf
Caregivers for family members
For those of you if you are not having any beds in Delhi, gurgaon, faridabad ...beds r there in nalhar medical college in NUH in mewat ..around 600 beds. It's a tertiary care covid hospital. In addition two advance lifesaving ambulance and other facilities ..plus own covid sampling lab ...further it's just 20 km from sohna. Pls do circulate. So that precious life can be saved
01267-282007 please call at this number if you need help. If any issue.
Zydus receives emergency use approval from Indian regulator (DCGI) for the use of Pegylated Interferon alpha-2b, ‘Virafin’ in treating moderate #COVID-19 infection in adults
Zydus says 91.15% of patients treated with PegIFN were RT-PCR negative by day 7. The treatment significantly reduces the hours of supplemental oxygen in the patients
Looking at overall confusion and panic in the society, and even doctors, we a group of AIIMS-trained doctors have tried to summerise what seems reasonable.
Consensus guidance of AIIMS-trained specialists (AIMS2Health.com) on treatment of COVID 19
Q-1: I am running fever for three days, should I go for RT-PCR/Rapid Antigen Test/CBNAAT? In the current situation ( April 2021), it is presumed you have Covid 19 infection. Treat accordingly. If available, get RT-PCR test done for COVID 19. Only if RT-PCR test facility is not there, Rapid Antigen Test or CBNAAT may be done.
Q-2: I am running fever for 3 days, and my RT-PCR result for COVID 19 is positive. What all should I do? Which tests and what medicine should I take? (A) General Care:
- Strict isolation at home. All positive patients in the same house do not have to remain in different rooms.
- Monitor your temperature six hourly. If temperature rises above 101, take tab paracetamol 650mg.
- Monitoring blood oxygen level by pulse oximeter, 6 hourly. If reading 94% or higher, nothing to worry. If reading drops <94%, start deep breathing exercises (Pranayam). Lie on your tummy (not on your back) for as long as you can; this is likely to improve your oxygen level. If oxygen level not getting better, see if you can do a six-minute walk test(see below).* Please note that the period in which oxygen level may fall is generally from day 5 to day 11 from the date of onset of first symptom. If lying in prone position or six minute does not improve level above 94%, then you need to see a doctor, and you may need supplemental oxygen.
- Normal diet (Patient with comorbidities need to continue to follow illness specific dietary restrictions).
- Drink sufficient fluids (Patient with comorbidities need to adjust fluid intake as needs to be for each specific comorbidity). (B) Blood Tests: Normally no blood test is needed in mild cases. In those with severe symptoms (high fever, severe diarrhoea, severe fatigue etc.) but good oxygen levels, the following tests may be done (fasting) as baseline: (a) CBC, (b) CRP, (c) LFT. (C) Treatment: There is no specific treatment for COVID 19 infection. Only, treatment for relief of symptoms is needed. (a) For fever/body pains/headache: Paracetamol SOS. (b) Sore throat: warm saline gargles. (c) Throat irritation, sneezing or running nose: Tab Cetirizine (Zyrtec): One tab once a day (d) Dry Cough: Tab Montair LC; one tab per day (e) Wet Cough (with phlegm/sputum): Bro-Zedex Syrup, 1 or 2, teaspoons thrice daily. (f) Loose motions: • Take Electral Oral Rehydration Powder, as many times as needed; • In severe diarrhoea, Tab Imodium 2 mg as needed. • Also take Curd, at-least once a day. (g) General immunity boosters: a. Tab Zinc 50 mg (Tab Zinconia) for 15 days.
E. Those with co-morbidities such as obesity, diabetes, high BP, asthma, kidney disease, smokers, chronic chest diseases, history of lung tuberculosis, etc): Continue all medicines already being taken for chronic illnesses like high BP, diabetes, thyroid illnesses, asthma, cancer, arthritis, etc. You have to go by the advise of your treating doctor. You may be advised to do the following tests by your doctor -: Serum Ferritin, LDH, D-Dimer, Interleukin 6.
Just to repeat, those above 70, and those with diabetes and other co-morbidities, go as per your doctor's advise.
F. Need for HRCT chest: Those with normal (>94) oxygen level do not need HRCT of the chest. It is to be done only if oxygen consistently remains below 94, or there is severe breathlessness. CT score being done these days may have interpretation issues, and hence do not get alarmed. Abnormal blood tests alone is NOT a reason to do CT.
G. Note: (A). Please do not give/take Fabiflu (Favipiravir) Doxycycline, Ivermectin or Azithromycin. None of these has any proven role. These may harm the patient as all medicines have side effects. Most common side effects of most drugs are nausea, vomiting, abdominal pain, loose motions.
(B). Steroids (Medrol/Dexona) are prohibited and dangerous for those having normal oximeter reading. Only those who need more than 3L/min supplemental oxygen support should receive a short course for five days. Early start of steroids (practiced by some) in our opinion, can make the condition worse.
(C). Neither Inj Remdesivir nor convalescent plasma is of proven value. So do not worry too much if these cannot be arranged. Neither of these will change the final outcome.
(D). Much more important than blood tests or HRCT findings is the oxygen saturation level as seen in the finger oximeter. This is the key to management of Covid 19.
*Disclaimer: This is a simplified and basic guidance for patients and their family doctors. It is based on consensus of five AIIMS-trained specialists with over 40 years of practical experience of each. Every patient should take treatment for COVID 19 as per the instructions of a competent doctor.
** How to measure oxygen level: Put the oximeter on right (dominant) hand’s middle finger. First, cross check functioning of the finger oximeter by test readings on other members of the family/caregiver. Check both at rest and after walking around the room for six minutes. Those who cannot walk for six minutes should try and walk for three minutes at-least.
Lessons from the second wave. India today seems to be in the exact same situation that the UK was in mid december. First an exponential number of people testing Covid positive followed a week later by an exponential increase in number of hospitalizations followed 2 weeks later by an exponential increase in Covid deaths. Here are some of the lessons learnt
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99% of Covid positive recover on their own. The only things needed for them are oxygen level monitoring to make sure sats are >93, paracetamol (Crocin or Dolo) for fever and bodyache and home isolation to make sure they do not pass it on to others. There is no need or benefit in giving plasma, remdesivir, ivermectin, hydroxychloroquine , antibiotics or even steroids, blood thinners or toclizumab to these 99%. There is NO need for hospitalization as long as oxygen levels are above 93%.
-
Covid is an illness that affects a lot of people at the same time, however it is how severely it affects the 1% who are unlucky enough to have severe covid which makes it the dreaded illness it is. All our medical resources (hospital beds, oxygen cylinders etc) need to be saved for these severely affected 1% and not the 99% with mild illness irrespective of wealth , contacts , influence etc.
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For the 1% that have severe illness the only medications that have been found to have significant benefit are steroids and blood thinners. Toclizumab also has been found to have benefit (only 4%) and should be given whenever available. Remdesivir has very minimal benefit (no mortality benefit at all) and should be given if available however the patient does not loose much if not given . However it will be wrong to call either of them (toclizumab/remdesevir) life saving in Covid.
-
Plasma has been extensively studied and found to be of no benefit. This is after painstaking analysis of 11,000 patients given plasma vs 11,000 not given plasma. It should NOT be given. It uses up a significant amount of resources with no benefit.
-
Hydroxychloroquine/Ivermecin. No serious medical organisation is the world found any benefit in giving them and should not be given. However they are cheap and relatively harmless .
-
Oxygen shortage - Many hospitals in the UK had to stop admitting patients due to running out of oxygen for short periods of time. We only need to give enough oxygen for levels to be above 93 to 94 . There is often a tendency to turn oxygen flows to the highest levels possible. This has to be avoided.
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Vaccine. In London before the vaccine all our ICUs were full, all theatre recoveries were full, all cardiac HDUs etc were full of intubated covid patients and we were transferring intubated covid patients to as far as Scotland, Bristol etc in helicopters to relieve ICU capacity in London. After the vaccine we have hardly any hospital admissions and and almost nil new ICU admissions. However this could also have been due to the serious nature of the lockdown.
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Rationing of resources. In the UK every patient who needed a hospital bed got one and every patient who was suitable for an ICU bed got one. This was only possible as there were strict criteria for hospital admission which meant that the 99% of Covid positive who do not need oxygen were not hospitalised. This needs to be done strictly in India as well.
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Once someone has tested covid positive there is no need to get retested to see if they are still covid positive. This unnecessary re testing results in wastage of testing resources. Once 2 weeks of home isolation following date of onset of symptoms is complete a person is considered covid negative and non infectious.
he 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.
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 diseaseIdentification: 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 settingsTocilizumab (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).COVID19_Management_Algorithm_2-1200x2100.webp
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वाह रे मनुष्य
अपनी मृत्यु..... अपनों की मृत्यु डरावनी लगती है बाकी तो मौत का उत्सव मनाता है मनुष्य...
मौत के स्वाद का
चटखारे लेता मनुष्य....
थोड़ा कड़वा लिखा है पर मन का लिखा है......
मौत से प्यार नहीं , मौत तो हमारा स्वाद है।
बकरे का,
पाए का,
तीतर का,
मुर्गे का,
हलाल का,
बिना हलाल का,
ताजा बच्चे का,
भुना हुआ,
छोटी मछली,
बड़ी मछली,
हल्की आंच पर सिका हुआ।
न जाने कितने बल्कि अनगिनत स्वाद हैं मौत के।
क्योंकि मौत किसी और की, और स्वाद हमारा....
स्वाद से कारोबार बन गई मौत।
मुर्गी पालन, मछली पालन, बकरी पालन, पोल्ट्री फार्म्स।
नाम "पालन" और मक़सद "हत्या"। स्लाटर हाउस तक खोल दिये। वो भी ऑफिशियल। गली गली में खुले नान वेज रेस्टॉरेंट, मौत का कारोबार नहीं तो और क्या हैं ? मौत से प्यार और उसका कारोबार इसलिए क्योंकि मौत हमारी नही है।
जो हमारी तरह बोल नही सकते,
अभिव्यक्त नही कर सकते, अपनी सुरक्षा स्वयं करने में समर्थ नहीं हैं,
उनकी असहायता को हमने अपना बल कैसे मान लिया ?
कैसे मान लिया कि उनमें भावनाएं नहीं होतीं ?
या उनकी आहें नहीं निकलतीं ?
डाइनिंग टेबल पर हड्डियां नोचते बाप बच्चों को सीख देते है, बेटा कभी किसी का दिल नही दुखाना ! किसी की आहें मत लेना ! किसी की आंख में तुम्हारी वजह से आंसू नहीं आना चाहिए !
बच्चों में झुठे संस्कार डालते बाप को, अपने हाथ मे वो हडडी दिखाई नही देती, जो इससे पहले एक शरीर थी, जिसके अंदर इससे पहले एक आत्मा थी, उसकी भी एक मां थी ...??
जिसे काटा गया होगा ?
जो कराहा होगा ?
जो तड़पा होगा ?
जिसकी आहें निकली होंगी ?
जिसने बद्दुआ भी दी होगी ?
कैसे मान लिया कि जब जब धरती पर अत्याचार बढ़ेंगे तो
भगवान सिर्फ तुम इंसानों की रक्षा के लिए अवतार लेंगे ?
क्या मूक जानवर उस परमपिता परमेश्वर की संतान नहीं हैं ?
क्या उस ईश्वर को उनकी रक्षा की चिंता नहीं है ?
आज कोरोना वायरस उन जानवरों के लिए, ईश्वर के अवतार से कम नहीं है ।
जब से इस #वायरस का कहर बरपा है,
जानवर स्वच्छंद घूम रहे है ।
पक्षी चहचहा रहे हैं।
उन्हें पहली बार इस धरती पर अपना भी कुछ अधिकार सा नज़र आया है। पेड़ पौधे ऐसे लहलहा रहे हैं, जैसे उन्हें नई जिंदगी मिली हो। धरती को भी जैसे सांस लेना आसान हो गया हो।
सृष्टि के निर्माता द्वारा रचित करोङो करोड़ योनियों में से एक कोरोना ने हमें हमारी औकात बता दी। घर में घुस के मारा है और मार रहा है। और उसका हम सब, कुछ नही बिगाड़ सकते। अब घंटियां बजा रहे हो, इबादत कर रहे हो, प्रेयर कर रहे हो और भीख मांग रहे हो उससे, कि वो हमें बचा ले।
धर्म की आड़ में उस परमपिता के नाम पर अपने स्वाद के लिए कभी ईद पर बकरे काटते हो, कभी दुर्गा मां या भैरव बाबा के सामने बकरे की बली चढ़ाते हो।
कहीं तुम अपने स्वाद के लिए मछली का भोग लगाते हो ।
कभी सोचा.....!!!
क्या ईश्वर का स्वाद होता है ? ....क्या है उनका भोजन ?
किसे ठग रहे हो ?
भगवान को ?
अल्लाह को ?
जीसस को?
या खुद को ?
मंगलवार को नानवेज नही खाता ...!!!
आज शनिवार है इसलिए नहीं...!!!
अभी रोज़े चल रहे हैं ....!!!
नवरात्रि में तो सवाल ही नही उठता....!!!
झूठ पर झूठ....
...झूठ पर झूठ
..झूठ पर झूठ...!!
फिर कुतर्क सुनो.....फल सब्जियों में भी तो जान होती है ...?
.....तो सुनो फल सब्जियाँ संसर्ग नहीं करतीं, ना ही वो किसी प्राण को जन्मती हैं ।
इसी लिए उनका भोजन उचित है।
ईश्वर ने बुद्धि सिर्फ तुम्हे दी । ताकि तमाम योनियों में भटकने के बाद मानव योनि में तुम जन्म मृत्यु के चक्र से निकलने का रास्ता ढूँढ सको। लेकिन तुमने इस मानव योनि को पाते ही स्वयं को भगवान समझ लिया।
आज कोरोना के रूप में मौत हमारे सामने खड़ी है।
तुम्ही कहते थे, की हम जो प्रकति को देंगे, वही प्रकृति हमे लौटायेगी। मौते दीं हैं हमने प्रकृति को, तो मौतें ही लौट रही हैं।
बढो...!!!
आलिंगन करो मौत का....!!!
यह संकेत है ईश्वर का।
प्रकृति के साथ रहो।
प्रकृति के होकर रहो।
वर्ना..... ईश्वर अपनी ही बनाई कई योनियों को धरती से हमेशा के लिए विलुप्त कर चुके हैं। और आगे भी ऐसा करने में उन्हें एक क्षण भी नही लगेगा ।
प्रकृति की ओर चलो......
हे दयानिधे !
रथ रोको अब,
क्यों प्रलय की तैयारी है ?
ये बिना शस्त्र का युद्ध है जो,
महाभारत से भी भारी है !!
नैना रोते रोते सूखे,
अब नीर कहाँ इन आँखों में !!
परवाज पे जिनकी गर्व बड़ा,
अब जान कहाँ इन आंखों में !!
अपने भी साथ नही अपने,
जंग जीवन से यूँ जारी है ,
ये बिना शस्त्र का युद्ध है
जो महाभारत से भी भारी है !!
हमने खुद को यूं बसा लिया,
वैज्ञानिकता की बांहों में।
अवरोध खड़े कर दिए बड़े,
हर एक दूजे की राहों में।।
धरती माता का दोहन तो कर लिया
गगन की बारी है।
ये बिना शस्त्र का युद्ध है
जो महाभारत से भी भारी है।।
जिन मुश्किल से गुजर रहे,
ये खेल हमारे अपने हैं ।
जीवन अनमोल बिका जिन पर
कुछ चंद सुखों के सपने हैं ।।
हर ओर तमस दिखता है अब,
भय में हर रात गुजारी है ।
ये बिना शस्त्र का युद्ध है
जो महाभारत से भी भारी है!!!
कितने परिचित-कितने अपने-
कितने आखिर यूँ चले गए।
जिन हाथों में दौलत-संबल,
सब क्रूर काल से छले गए !!
हे राघव-माधव-मृत्युंजय,
पिघलो ये अर्ज हमारी है !!
ये बिना शस्त्र का युद्ध है
जो महाभारत से भी भारी है !
