Dr. Ram Prasad Subedi Health blog

  Ventilation in ARDS:   Acute Respiratory Distress Syndrome, (ARDS) is a condition of diffuse alveolar damage and inflammation, secondary to any number of possible processes. While ARDS always causes hypoxemia, not all hypoxemia is ARDS. ARDS is the most common severe complication of COVID-19, contributing to the severe morbidity and mortality of the infection. ARDS is defined by 4 criteria: 1.       1.  The condition must be acute (< 7 days) 2.     2.  The findings are not solely explained by cardiogenic pulmonary edema 3.     3.    The chest X-ray must have bilateral opacities 4.     4.      While on at least 5 cmH 2 O of positive pressure ventilation, the ratio of PaO 2  to FiO 2  (expressed as a decimal, such as 0.7) must be < 300 1.       Mild ARDS is a PaO 2 /FiO 2  ratio of 200-300 2.       Moderate ARDS ...

Timeline of Pandemics Pandemic means disease prevalent over whole country or world. Human being is being suffered from several infectious pandemics from (160 s – 2020 s). As human spread across the world diseases also spread in the same manner. Pandemics brought the concept of Quarantine and advanced the modern public health measures. Many lives past away due to such pandemics. Following is the timeline of pandemics. picture source: slideshare.net Antonine Plague: Year: 165-180 Death: 5 million Cause: Measles or small pox Occurred at the Roman Empire Imported by troops. Plague of Justinian: Year: 541-542 Death: 30-50 million Cause: Yersinia pestis bacteria Fleas were infected with the plague. Japanese Smallpox Epidemic: Year: 735-737 Death: 1 million Cause: Variola major virus Killed 1/3 rd of Japan’s population. Imported to Japan by a fisherman. Black Death: (Bubonic plague) Year: 1347-1351 Death: 200 million Cause: Yersin...