In Italy, one year after the start of the pandemic, we still have a home care protocol for patients with Covid 19, which includes paracetamol and watchful waiting. Physicians who violate the protocol and treat patients early with anti Cox2, antibiotics, heparin and dexamethesone when the reduction in saturation indicates interstitial pneumonia, almost totally reduce hospital admissions and deaths. Should we as doctors follow the EBM protocols, awaiting randomized double-blind trials or treat the sick with our experience and creativity?
Home care for patients with suspected or confirmed COVID-19 and management of their contacts - BY World Health Organization
This document is an update of the guidance published on 17 March 2020 entitled “Home care for patients with COVID-19 presenting with mild symptoms and management of their contacts”. This interim guidance has been updated with advice on safe and appropriate home care for patients with coronavirus disease 2019 (COVID-19) and on the public health measures related to the management of their contacts.
https://www.who.int/publications/i/item/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts
Thank you dear Srinivas, I know this WHO document, but for us practicing doctors used to heal people, the documents of an international agency that helped China delay the epidemic data are unreliable. My question is about the freedom of individual doctors to treat in the face of a demented protocol.