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re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***

Posted on 4/10/20 at 1:30 pm to
Posted by GOP_Tiger
Baton Rouge
Member since Jan 2005
21139 posts
Posted on 4/10/20 at 1:30 pm to
quote:

Vents are but PPE not so much, not even close.



The frantic, desperate demand for PPE is over. We are over the hump on PPE. I don't think that's because of fewer patients, but because we are getting better supplied.
Posted by Scruffy
Kansas City
Member since Jul 2011
77889 posts
Posted on 4/10/20 at 1:35 pm to
quote:

Vents are but PPE not so much, not even close.
Yes we are.

We are better stocked on both.

The big concern was always vents anyway.
Posted by fargobison
Member since Aug 2011
4456 posts
Posted on 4/10/20 at 1:36 pm to
quote:

The frantic, desperate demand for PPE is over. We are over the hump on PPE. I don't think that's because of fewer patients, but because we are getting better supplied.



I work in an ICU, when I get a new surgical mask with every shift instead of the same for five shifts I might start to agree with that. PPE isn't there yet.
This post was edited on 4/10/20 at 1:37 pm
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 1:36 pm to

This post was edited on 4/10/20 at 1:37 pm
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 1:37 pm to
quote:

I work in an ICU, when I get a new surgical mask with every shift instead of the same for five shifts I might start to agree with that.



Where?

99% of hospitals are stocked with PPE.
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 1:37 pm to
The thing is, it won’t remain a slow burn if you:

1. Don’t have massive testing capacity to rapidly identify new cases and test/isolate all their contacts.

2. Have improved the supply chain to ensure ready access to ppe for first responders and health care employees. In Italy hospitals became a major transmission source. Need to protect staff and non infected patients.

3. Need to have a plan for what to do if/when numbers rise again. Disorganized return to house arrest will be harder and more demoralizing than the first time.
This post was edited on 4/10/20 at 1:38 pm
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 1:40 pm to
quote:

1. Don’t have massive testing capacity to rapidly identify new cases and test/isolate all their contacts.



May 1st it'll be there likely and definitely for C19 testing. It's close already. Antibody testing hopefully ramps very quickly.

quote:

2. Have improved the supply chain to ensure ready access to ppe and health care employees. In Italy hospitals became a major transmission source. Need to protect staff and non infected patients.



It's there.

And most hospitals are dead empty. 99% of ours are stocked with PPE for weeks of burn rate and 95% are operating at less than 50% patient capacity because of this quarantine and elective procedure pause.
Posted by fargobison
Member since Aug 2011
4456 posts
Posted on 4/10/20 at 1:42 pm to
quote:

Where?

99% of hospitals are stocked with PPE.


The Upper Midwest, large regional hospital. Rationing is still going on. Tells me that stock isn't there yet and we aren't even really that impacted.
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 1:44 pm to
Not ours. Chicago area. We’re ok but a rapid rush would burn inventory quick.

I’d like to see the 15 minute test available in nearly every facility - with some exceptions - before opening up completely.

Rural areas first obviously but high pop density areas need to be slow and cautious.
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 1:44 pm to
Agreed. We’re managing but a few action packed days would rapidly burn supplies
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 1:45 pm to
quote:

The Upper Midwest, large regional hospital. Rationing is still going on. Tells me that stock isn't there yet and we aren't even really that impacted.



That's a shame for your hospital. That is not the case most places in the country.

At the couple hundred I work with in 15+ states, I think 2 are in a similar situation to you where they have masks, but ration. Those facilities are hard hit by COVID though and they have shipments basically en route. The supply chain is really catching up nationally.
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 1:49 pm to
I would disagree. I work as an md with two very large nationwide health agencies.

Managing but hardly amply stocked
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 1:56 pm to
quote:

I would disagree. I work as an md with two very large nationwide health agencies.

Managing but hardly amply stocked



Are they rationing masks? Or are you saying it appears like they will have to ration soon?

A lot of people in the facilities are saying things like "We'll be out of PPE in 3 days!" without realizing that they'll get relief. The supply chain calls I've been on are really optimistic right now.


ETA:
I just caught up in the posts above, my apologies.

So you have masks/PPE but worry a rush of patients will deplete inventory in a critical way at the moment?
This post was edited on 4/10/20 at 1:59 pm
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 2:16 pm to
Yeah, we’re rationing and it’s ok right now. But you start seeing a lot more folks, contaminating more gear, dragging ever more providers into the covid environment and we’ll use it up

ETA which is obviously always true but I’d like to be sure supplies can be easily replenished when the time comes. Right now areas like NYC/NJ take priority and it’s not clear we could support another couple hot spots simultaneously
This post was edited on 4/10/20 at 2:21 pm
Posted by uway
Member since Sep 2004
33109 posts
Posted on 4/10/20 at 2:18 pm to
quote:

But you start seeing a lot more folks, contaminating more gear, dragging ever more providers into the covid environment and we’ll use it up


Good thing that's never going to happen.
Posted by escatawpabuckeye
Member since Jan 2013
1056 posts
Posted on 4/10/20 at 2:21 pm to
Indeed.

Posted by cable
Member since Oct 2018
9735 posts
Posted on 4/10/20 at 2:59 pm to
seems like this has leveled off, at least in the county where I live. No new cases in about 5 days, zero deaths.
Posted by SabiDojo
Open to any suggestions.
Member since Nov 2010
84831 posts
Posted on 4/10/20 at 3:22 pm to
Glad to know we ruined the economy for nothing
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/10/20 at 3:30 pm to
IHME updated some more numbers today.

Everything fell besides deaths, which up-ticked slightly.


Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
41721 posts
Posted on 4/10/20 at 3:33 pm to
Nice.
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