UK guidelines and unnecessary deaths
COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community
Correlate the use of these drugs with ‘covid’ deaths
https://coronavirus.data.gov.uk/details/deaths?areaType=nation&areaName=England
Spike in deaths, spring 2020
2 Treatment and care planning
2.3 For patients with pre-existing advanced comorbidities, find out if they have advance care plans or advance decisions to refuse treatment,
including do not attempt resuscitation decisions.
Document this clearly and take account of these in planning care.
Table 1 Treatments for managing cough in adults aged 18 years and over
only if cough is distressing: morphine sulfate oral solution (10 mg/5 ml)
2.5 mg to 5 mg when required every 4 hours
Increase up to 5 mg to 10 mg every 4 hours as required
Table 4 End-of-life treatments for managing breathlessness for patients aged 18 years and over
For associated agitation or distress: midazolam 2.5 mg to 5 mg subcutaneously when required
Sedation and opioid use should not be withheld because of a fear of causing respiratory depression
6 Managing breathlessness
6.5 Consider an opioid and benzodiazepine combination (see tables 4 and 5) for patients with COVID-19 who:
are at the end of life and
have moderate to severe breathlessness and
are distressed.
Consider concomitant use of an antiemetic and a regular stimulant laxative. At the time of publication (April 2020), opioids and benzodiazepines did not have a UK marketing authorisation for moderate to severe breathlessness (see the General Medical Council's guidance on prescribing unlicensed medicines for further information).
Midazolam
Spike in midazolam use, spring 2020
Increased levels of use through to Autumn 2022
https://bnf.nice.org.uk/drugs/midazolam/
Important safety information
For all benzodiazepines
MHRA/CHM advice:
Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020)
Levomepromazine
https://openprescribing.net/analyse/#org=CCG&numIds=0402010L0AAAAAA&denom=nothing&selectedTab=chart
Spike in use, spring 2020
Somewhat increased levels of use through to Autumn 2022
phenothiazine neuroleptic
https://bnf.nice.org.uk/drugs/levomepromazine/
Restlessness and confusion in palliative care
Nausea and vomiting in palliative care
Schizophrenia
Haloperidol
https://openprescribing.net/analyse/#org=CCG&numIds=0402010J0AAACAC&denom=nothing&selectedTab=chart
Spike in use, spring 2020
Increased levels of use through to Autumn 2022
https://bnf.nice.org.uk/drugs/haloperidol/
Nausea and vomiting in palliative care
Schizophrenia and schizoaffective disorder
Acute delirium [when non-pharmacological treatments ineffective]
So
How many of these deaths were covid?
How many of these deaths were iatrogenic?
To precisely what degree did this make covid look more deadly that in was?
How did this artificially inflated death date influence national policy?
-
14:26
Dr. John Campbell
13 days agoState overreach
38.9K101 -
LIVE
2 MIKES LIVE
2 hours ago2 MIKES LIVE #96 OPEN MIKE FRIDAY w CONGRESSIONAL CANDIDATES DARIUS MAYFIELD, AND JOHN MORRISON!
282 watching -
LIVE
Fresh and Fit
1 hour agoLive Q&A Coaching
1,620 watching -
LIVE
Right Side Broadcasting Network
1 day agoLIVE: President Trump Keynotes TPUSA Faith's Believers' Summit in West Palm Beach 7/26/24
15,031 watching -
DVR
Bitcoin Magazine
3 days agoBitcoin 2024 Conference Nashville | General Day 1 (07/26)
76.9K48 -
24:24
Bright Insight
5 hours agoAncient Baalbek: PROOF of Advanced Prehistoric Civilization
55.9K78 -
1:02:03
In The Litter Box w/ Jewels & Catturd
22 hours agoBorder Czar Kamala | In the Litter Box w/ Jewels & Catturd – Ep. 613 – 7/26/2024
75.5K61 -
2:02:57
Twins Pod
20 hours agoSports Culture & Black Culture Are All WOKE! | Twins Pod - Episode 23 - Sage Steele
102K20 -
1:17:20
Talk Nerdy 2 Us
5 hours agoDigital Doomsday: Hacking Havoc Unleashed Globally - What You Must Know!
45.5K6 -
1:29:34
The Quartering
8 hours agoBombshell NEW Trump Assassination Bodycam Footage!
101K225