12 April 2020 — EVMS COVID

URGENT! Please circulate as widely as possible. It is crucial that every pulmonologist, every critical care doctor and nurse, every hospital administrator, every public health official receive this information immediately.


This is our recommended approach to COVID-19 based on the best (and most recent) available literature including the Shanghai Management Guideline for COVID. We should not re-invent the wheel, but learn from the experience of others around the world. It is important to recognize that COVID-19 does not cause your “typical ARDS”… this disease must be treated differently and it is likely we are exacerbating this situation by causing ventilator induced lung injury. This is a very fluid situation; therefore, we will be updating the guideline as new information emerges. Please check on the EVMS website for updated versions of this protocol.



Developed and updated by Paul Marik, MD Chief of Pulmonary and Critical Care Medicine Eastern Virginia Medical School, Norfolk, VA April 6th 2020

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