If You Get Critically Ill With COVID-19, How Far Should Doctors Go To Keep You Alive?

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If You Get Critically Ill With COVID-19, How Far Should Doctors Go To Keep You Alive?
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If you're at high risk for serious complications from COVID-19, now is the time to create a living will and choose who can make medical decisions for you, two doctors write for WBUR. It protects you, your loved ones and your medical providers.

what they want for their loved one with what the patient would have conveyed if they had been able. Further, when physicians cannot clearly determine a patient’s code status, we often default to “full code,” or perform all measures necessary to sustain life.The prognosis for in-hospital CPR tends to be poor, withto hospital discharge. For many patients, being kept alive on machines with little hope of survival is not a way they would want to die.

We expect that during the COVID19 pandemic, physicians will be pushed to intubate and perform CPR on patients who would not want these interventions done. Not only will this cause personal harm to the patient , but it will also risk, potentially putting numerous doctors and nurses in isolation for multiple days or weeks.

Per early estimates from the Chinese CDC, 5 to 15% of those infected with COVID-19 will have severe to critical symptoms possibly requiring management in intensive care units . In early reports from the United States CDC,, the majority of them between 60 to 80 years of age . Moreover, those who are elderly with co-morbidities who do end up requiring ventilator support have very high mortality rates.

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