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Stupid question about the rona and hospitals
Posted on 4/4/20 at 1:26 pm
Posted on 4/4/20 at 1:26 pm
Why in the hell are we not centralizing treatment of corona patients and those suspected of having the virus. Take the Birmingham area for example, we have multiple hospitals in the area plus many more in the surrounding vicinity. All are being used to treat corona virus patients. Now ordinarily this would be no big deal, but because of the fear of infection, many services and procedures are being shut down and medical personnel furloughed. Elective surgeries are on hold, and things like ultra sounds are only being done on a very limited basis. I’m sure other areas of medical treatment are also suffering. Would it not be feasible instead use 1 hospital in the area for centralized corona treatment while allowing other hospitals to continue providing medical services that people need? I just can’t understand the rationale for not using a targeted, centralized approach to treat these patients in a singular environment.
9
Posted on 4/4/20 at 1:28 pm to Blizzard of Chizz
In theory it is a good idea. But honestly, every hospital in The New Orleans area is full of covid-19 patients. I guess they could try to designate one hospital as the non-covid hospital.
This post was edited on 4/4/20 at 1:29 pm
Posted on 4/4/20 at 1:29 pm to Blizzard of Chizz
That would make the fear and hysteria plan, much harder to implement.
Posted on 4/4/20 at 1:29 pm to Blizzard of Chizz
Who the hell knows? No standardized OPs if you ask me. But my liberal buddy says it's because OMB and he gutted the system. Didn't plan for a pandemic.
Posted on 4/4/20 at 1:31 pm to Blizzard of Chizz
quote:
Why in the hell are we not centralizing treatment of corona patients and those suspected of having the virus. Take the Birmingham area for example, we have multiple hospitals in the area plus many more in the surrounding vicinity. All are being used to treat corona virus patients. Now ordinarily this would be no big deal, but because of the fear of infection, many services and procedures are being shut down and medical personnel furloughed. Elective surgeries are on hold, and things like ultra sounds are only being done on a very limited basis. I’m sure other areas of medical treatment are also suffering. Would it not be feasible instead use 1 hospital in the area for centralized corona treatment while allowing other hospitals to continue providing medical services that people need? I just can’t understand the rationale for not using a targeted, centralized approach to treat these patients in a singular environment.
NY and NJ are in the process of doing just that. But it's harder than you might think because it essentially requires merging the operations of most of the health systems in the area on the fly. But I would suspect that the folks in Birmingham are contingency planning something similar to what you're describing. It'll almost certainly be more than just one COVID hospital though.
Posted on 4/4/20 at 1:34 pm to AndyJ
quote:
every hospital in The New Orleans area is full of covid-19 patients.
bullshite.
According to John Hopkins, there are currently 3328 confirmed cases in New Orleans. How many of those are hospitalized? 10%? Less?
Posted on 4/4/20 at 1:35 pm to longwayfromLA
From a practical standpoint, a centralized treatment facility allows for a concentration of resources and it reduces putting the medical staff at every hospital ask risk. Once the medical staff medical staff is lost, we are in big trouble.
Posted on 4/4/20 at 1:36 pm to Blizzard of Chizz
Because patients present symptomatically when they require hospitalization, before its known coronavirus. I’d guess most of the time vulnerable folks dont get tested before needing to go to the hospital.
Sure people could be transferred to a singular location (if there were even a singular location that could handle to load), but it would be an even worse strain on EMS services to undertake those transfers and all the logistics involved. Usually transfers are reserved for when a facility doesnt offer services required for patient care.
In short, its just not a great option from cost-benefit perspective.
Sure people could be transferred to a singular location (if there were even a singular location that could handle to load), but it would be an even worse strain on EMS services to undertake those transfers and all the logistics involved. Usually transfers are reserved for when a facility doesnt offer services required for patient care.
In short, its just not a great option from cost-benefit perspective.
Posted on 4/4/20 at 1:37 pm to Blizzard of Chizz
Because we lack the structure to make this happen.
After this is all over, I sincerely hope that we put our nose to the grind stone and make sure if this ever happens again we're much more prepared.
After this is all over, I sincerely hope that we put our nose to the grind stone and make sure if this ever happens again we're much more prepared.
Posted on 4/4/20 at 1:56 pm to Blizzard of Chizz
Because it isn't nearly all that dire.
Posted on 4/4/20 at 2:19 pm to Blizzard of Chizz
Because of asymptomatic spreaders. Generally, the people accessing health care services are less well than the general population. When possible during a viral pandemic with the ability for those not displaying symptoms to infect others, you don't bring those people together.
It's just good policy.
It's just good policy.
Posted on 4/4/20 at 2:30 pm to Blizzard of Chizz
They are in the process of setting up temporary hospitals in New Orleans now (Convention Center), to be followed by Lamar in Gonzales, and Lafayette and
Shreveport.
Shreveport.
This post was edited on 4/4/20 at 2:31 pm
Posted on 4/4/20 at 2:31 pm to BamaAtl
You can't centralize treatment to just one facility. It just would not work in reality.
You have to understand, you have to try to actually treat this. For those that get hospitalized, a whole lot end up on a vent in ICU.
Not every bed in a hospital is set up to be an ICU bed, and you don't have enough ventilators available. And not every nurse is ICU-trained.
Look at Baton Rouge- you have the Lake, General, Oschner. Consolidate them? How? You want 2 other systems to send all their equipment to the third one, without integrating any administration etc? How's that going to work?
You want ICU nurses to pick up and go to work tomorrow at a building they may not have even been to? I mean, just the simple shite like parking, clocking in, etc would be a huge mess.
And then, you have the patients. What do you do with the onese at the other facilities, already in place? Waste a lot of EMS resources moving potentially unstable people? That would be insane.
You have to understand, you have to try to actually treat this. For those that get hospitalized, a whole lot end up on a vent in ICU.
Not every bed in a hospital is set up to be an ICU bed, and you don't have enough ventilators available. And not every nurse is ICU-trained.
Look at Baton Rouge- you have the Lake, General, Oschner. Consolidate them? How? You want 2 other systems to send all their equipment to the third one, without integrating any administration etc? How's that going to work?
You want ICU nurses to pick up and go to work tomorrow at a building they may not have even been to? I mean, just the simple shite like parking, clocking in, etc would be a huge mess.
And then, you have the patients. What do you do with the onese at the other facilities, already in place? Waste a lot of EMS resources moving potentially unstable people? That would be insane.
Posted on 4/4/20 at 2:43 pm to greygoose
I work in healthcare. What I said is true. A much higher percentage is admitted because of the lack of testing (originally), so the actual denominator is much, much higher. But that is also why I don’t really care when they talk about the new cases that are confirmed. Because we are finally testing people who are not sick. Initially we only tested the very sick.
This post was edited on 4/4/20 at 2:46 pm
Posted on 4/4/20 at 3:21 pm to AndyJ
quote:
. But honestly, every hospital in The New Orleans area is full of covid-19 patients.
that is utter BS
my cousin is a doctor at east jeff and he says its a ghost town there, only 20% of the hospital at best is in use and while most of that is for china flu, most people are just plain sick and not on ventilators except for a select few
Posted on 4/4/20 at 9:25 pm to keakar
.
This post was edited on 4/5/20 at 6:21 am
Posted on 4/4/20 at 9:35 pm to greygoose
quote:
According to John Hopkins, there are currently 3328 confirmed cases in New Orleans. How many of those are hospitalized? 10%? Less?
Here in Ark. today's stats show 734 confirmed cases with 71 hospitalized, a hair under 10%.
Posted on 4/4/20 at 10:29 pm to AndyJ
I know the Lake in Baton Rouge has designated floors for Covid patients. Once the nurses enter we’re not allowed to leave floor.
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