Patients with a clinical diagnosis of Covid-19 including respiratory distress with a rate of more than 30 per minute and heart rate more than 125 beats per minute and shortness of breath and oxygen saturation less than 90%, despite receiving oxygen with a positive PCR test and Radiographs in CT SCANING or Chest X Ray, admitted to the intensive care unit. Uncontrollable fevers like T> 39 C. An laboratory evidence of increased inflammatory factors Patients 12 years and older Evidence of severe hemodynamic disturbance using moderate doses of norepinephrine or using a second dose of vasopressor Involvement of more than two vital organs (lungs, kidneys, liver, and heart)

Patients with a clinical diagnosis of Covid-19 including respiratory distress with a rate of more than 30 per minute and heart rate more than 125 beats per minute and shortness of breath and oxygen saturation less than 90%, despite receiving oxygen with a positive PCR test and Radiographs in CT SCANING or Chest X Ray, admitted to the intensive care unit. Uncontrollable fevers like T> 39 C. An laboratory evidence of increased inflammatory factors Patients 12 years and older Evidence of severe hemodynamic disturbance using moderate doses of norepinephrine or using a second dose of vasopressor Involvement of more than two vital organs (lungs, kidneys, liver, and heart)