MATH+ COVID19 Early Intervention Treatment Protocol
Credit to ICU Advantage Channel!
In this lesson we take a look at the MATH+ treatment protocol for COVID-19, put together by the Frontline COVID-19 Critical Care work group. This protocol was designed in a time when people were desperately looking for something to use to treat these patients, and this work group of critical care and emergency medicine clinical scholars combined the best available evidence and best practices in to a protocol to treat COVID-19.
The most important take away with this protocol is that timing is imperative
and that this is meant for early intervention. The goal by utilizing this protocol and these medications aggressively is that we can prevent the 2 major complications of COVID-19; the hyper-inflammatory state, or cytokine storm, as well as the hyper coagulable state that we see in these patients. By doing this and doing this early, we can try to prevent ICU admission, ventilator usage, and ultimately save lives.
The name MATH+ is an acronym for the medications. Methylprednisolone, Ascorbic Acid, Thiamine, low molecular weight Heparin, and PLUS additional options, such as zinc, vitamin D and other treatments the provide may determine. I go through each of these talking about why we use them as well as the recommended dosing.
Finally we finishing up covering a few points that they make regarding hypoxemia in COVID patients. Hopefully at the end of this lesson, you will have a much better understanding of what is involved in this treatment protocol, how to use it, and more importantly, why.
0:00 Intro
1:42 What is MATH+?
5:46 The Protocol
11:15 Hypoxemia
13:20 Conclusion
