https://nitter.net/JacquiDeevoy1/status/1730990669995331733?t=FGY6VZdF_v5q2O5q8YpMyw&s=19
Has the link for the amended NICE guideline, amended in the last couple of days.
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To be strictly accurate, benzodiazepines are no longer advised for consideration for treatment of ‘anxiety’, ‘delirium’ or ‘agitation’ in connection with a “diagnosis” of “COVID”; they never were ‘recommended’ for treatment of respiratory illness as such. The nitter (good name) message stating that "recommendations that benzodiazepines (including Midazolam) and other meds should be administered for respiratory issues/anxiety and agitation" is an unnecessary exaggeration. The board message “Recommended for COVID Care” is in consequence sensational but misleading. There really is no need to get so excited.
Social media. Right.
Amending a guideline two or more years later has a certain panache i suppose
Hi @AlanG , you’re surely not suggesting that midazolam was not actually given to thousands of UK “covid” patients - I thought this had been established early on see:
https://forum.5filters.info/search?q=midazolam
cheers
Hi CJ1, no, I’m not! Midazolam is/was prescribed for anxiety etc., and as such was recommended for ‘consideration’ etc. It was not, as far as I can make out, ever recommended as a treatment for ‘COVID’ per se so it follows that it can’t therefore have been dropped as such.
My recollection is that the killing fields were the care/nursing homes where it was given as part of end-of-life ‘care’ along with morphine; three times as many prescriptions in 2020 compared with ‘normal’. (h/t M. Hancock). Come back Harold Shipman, all is forgiven.
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Hi folks, I’ve found it exceedingly difficult to find the full Nice document in its pre- amended state - finally found it on a Dr Campbell video (
)
The old NG163 came with this snappy little URL:
https://web.archive.org/web/20200409054527/https://www.nice.org.uk/guidance/ng163/resources/covid19-rapid-guideline-managing-symptoms-including-at-the-end-of-life-in-the-community-pdf-66141899069893
This clearly sets out midazolam for use on covid patients in various instances including within certain times before death ( see table 5)- I am always amazed when medics, after clearly failing to help patients, can suddenly become oracles of the future in determining when people will die - and hence what medicines to give them at certain times before that date!
the reference to BNF is here:
various videos from Debbie Evans on UKColumn
https://www.ukcolumn.org/search?keywords=midazolam
the Highwire
and articles on the Expose like this one:
all point to “death paths” for Covid and the use of midazolam.
cheers
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The issue has reached the Scottish covid inquiry, albeit with probably inadequate number of testimonies. The one mentioned below is inexplicable in terms of normal standards of patient care.
‘Absolutely Tragic’: 38-Year-Old COVID Patient Refused to Sign DNR Five Times Before He Died
A 38-year-old cancer patient who developed COVID-19 was pressured five times in 24 hours to sign a DNR order. He refused, but he died after the hospital administered a combination of midazolam and morphine, usually reserved for end-of-life care, according to his wife who testified in Scotland’s COVID-19 inquiry.
Dr John Campbell (whose youtube video is linked in the above CHD piece) seems to be leading the fight on this issue.
He has made a reasonable call IMO, which is to call for proper inquiry for the many cases and complaints to be carefully assessed by experts. (He has already been threatened on Twitter).
As seen in previous posts here, others are making stronger ones though.
JC is backed up by Dr Clare Craig which helps fend off the inevitable “he’s only a nurse” calls from the medical profession, which ought to know better. If a highly experienced nurse/educator can’t comment and ask questions of such rushed and seemingly incoherent policy, then why would such clinicians ever be put in charge of patients’ critical care.
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