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Posted on 3/25/20 at 10:38 am to tiger91
Gov. Cuomo stated today they asked medical professionals to volunteer for a surge health care force.
40,000 have answered the call so far.
40,000 have answered the call so far.
Posted on 3/25/20 at 10:38 am to Tiguar
No, Spain is considerably worse off than Italy right now. I would much rather be in Italy.
Spain's new cases reported today is higher than any one-day total from Italy, and they have been testing about the same number of people (last number I saw from Spain was 20,000 per day, and Italy did just over that yesterday). Spain's death toll yesterday would only have been Italy's 3rd-highest day, but Italy's has flattened off, while Spain's mortality rate is still spiking up.
Oh and Spain's population is a lot smaller than Italy's.
Spain's new cases reported today is higher than any one-day total from Italy, and they have been testing about the same number of people (last number I saw from Spain was 20,000 per day, and Italy did just over that yesterday). Spain's death toll yesterday would only have been Italy's 3rd-highest day, but Italy's has flattened off, while Spain's mortality rate is still spiking up.
Oh and Spain's population is a lot smaller than Italy's.
Posted on 3/25/20 at 10:41 am to GOP_Tiger
spain is going to go down as worse off than Italy when this is over, I agree
Posted on 3/25/20 at 10:41 am to tiger91
So far we haven’t been faced with a vent shortage that requires those decisions. We have 10 ventilated pts currently (I think). About 6 of those have been placed on rotoprone beds so we are lovingly calling the COVID ICU the “rotisserie”. Those beds fell out of favor about 7 years ago so I am sure the company is living this resurgence. We have 20+ pts in our COVID Med surg unit but not all have resulted yet. Some are on Bipap there but only a few. Even if everyone of them needed a vent we could accommodate thanks to the anesthesia carts and other vents being moved to our makeshift ICU. I honestly can’t tell you how the decision tree would look. Admins haven’t shared that info.
Posted on 3/25/20 at 10:48 am to jennBN
Thanks -- always just curious as I know once they're on it can be hard to wean them off. It's like a feeding tube -- once it's in and going, can you ethically stop it?
I keep asking my mom and dad about my 98 yo grandmother who lives in a nursing home if she has a dnr -- if she were to get sick and doesn't have one or advanced directives, what would they do if they thought she "needed" a vent? Their answer to me was they weren't sure. While I know and appreciate that the thought isn't a pleasant one, I think it's important.
Anyway, continued best wishes for you all.
eta: Are those on vents in a drug induced coma/paralyzed? One video that reportedly came out of Italy some time ago showed people on vents but some I swear were moving arms and almost looked like they were waving. That's not normal is it???
I keep asking my mom and dad about my 98 yo grandmother who lives in a nursing home if she has a dnr -- if she were to get sick and doesn't have one or advanced directives, what would they do if they thought she "needed" a vent? Their answer to me was they weren't sure. While I know and appreciate that the thought isn't a pleasant one, I think it's important.
Anyway, continued best wishes for you all.
eta: Are those on vents in a drug induced coma/paralyzed? One video that reportedly came out of Italy some time ago showed people on vents but some I swear were moving arms and almost looked like they were waving. That's not normal is it???
This post was edited on 3/25/20 at 10:49 am
Posted on 3/25/20 at 10:59 am to Commander Data
quote:
Commander Data
Check in with us. How are y’all doing?
Posted on 3/25/20 at 11:05 am to FulshearTiger
quote:Just bought the tickets
Have you taken that trip to italy yet, you worthless sack of shite?
Posted on 3/25/20 at 11:13 am to Tiguar
Has anyone heard from LSUTigerShark?
Posted on 3/25/20 at 11:19 am to tiger91
At the point of intubation you are administered sedation and medication to paralyze your muscles. The initial paralysis wears off in a few minutes to hours depending on what you are given; sedation is continued to the point that you are in somewhat of a twilight. They want you to be able to do some of the work. The ventilator is programmed to support the breaths hat you take while also making sure you have adequate ventilation.
For more severe ARDS it becomes necessary to administer full time paralysis. This is the last step before going prone.
In order to wean the ventilator it is necessary to turn off/administer minimal sedation so that you are able to do more work on your own and basically prove that at you are able to adequately breathe to not need the ventilator. So seeing people move their arms, etc while on the ventilator is accurate.
For more severe ARDS it becomes necessary to administer full time paralysis. This is the last step before going prone.
In order to wean the ventilator it is necessary to turn off/administer minimal sedation so that you are able to do more work on your own and basically prove that at you are able to adequately breathe to not need the ventilator. So seeing people move their arms, etc while on the ventilator is accurate.
Posted on 3/25/20 at 11:20 am to tiger91
If they are on an oscillator then yes they are paralyzed. The others are just on various sedation. Unless they are weaning and then they go on sedation vacations and they could theoretically wave. But they are typically restrained.
Posted on 3/25/20 at 12:12 pm to jennBN
That sounds miserable.
I mean, it's better than dying, but still miserable.
I mean, it's better than dying, but still miserable.
Posted on 3/25/20 at 12:48 pm to Commander Data
So my cough is getting worse and the tylenol is keeping my fever manageable. My oxygen got as low as 90 last night. My doctor thinks I should go to the hospital but I am pretty stubborn. If my oxygen drops again I will go but I am hoping it doesn't. I hate hospitals.
Posted on 3/25/20 at 12:49 pm to Commander Data
What day after diagnosis are you?
Posted on 3/25/20 at 12:51 pm to Commander Data
My wife is doing good considering. Her cough seems to be getting better. She feels like shite but she just looks like she has a bad case of the flu. Thanks for asking guys.
Posted on 3/25/20 at 1:05 pm to Commander Data
Get better man and if you need to get to the hospital get over your ego and stubborness and get your arse in there. Being at the hospital alive is better than the alternative at home.
Posted on 3/25/20 at 1:08 pm to Tiguar
Five days after diagnosis. The doctor presumed I was positive about a week before that.
Posted on 3/25/20 at 1:11 pm to Commander Data
quote:
My doctor thinks I should go to the hospital but I am pretty stubborn. If my oxygen drops again I will go but I am hoping it doesn't.
I mean this lovingly..
Get your arse to the hospital.
Posted on 3/25/20 at 1:11 pm to Commander Data
Data, we had a 42-year-old healthcare worker with no underlying medical conditions found dead in her home a couple of days ago, her 4-year-old child running around the house when they found her. This can hit you quick, apparently. The fact she didn’t feel bad enough to seek help and then she’s dead.....that’s scary. You need to go in, man.
Posted on 3/25/20 at 1:12 pm to Commander Data
quote:
Commander Data
Praying you can turn the corner soon.
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