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Message

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

Posted on 3/18/20 at 7:47 pm to
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/18/20 at 7:47 pm to
Luckily that's not an at-risk group at all...
Posted by Volvagia
Fort Worth
Member since Mar 2006
53552 posts
Posted on 3/18/20 at 7:50 pm to
Can they hurry up and pass the damn bill before government gets shut down?
Posted by UnluckyTiger
Member since Sep 2003
43567 posts
Posted on 3/18/20 at 7:53 pm to
The way this country handled the Popeyes pandemic should’ve been a warning to us all.
Posted by tiger91
In my own little world
Member since Nov 2005
40251 posts
Posted on 3/18/20 at 7:57 pm to
quote:

Nah. Just means isolated and monitored. Didn't need a respirator so she was discharged after mostly recovering


To me the simple fact that there was an icu bed for her to have (even though she may not have REALLY needed it) is a good thing — not over run yet.

That’s why I’m curious to know what is icu occupancy and how many vents are being used??? These are important figures.
Posted by Tigerfan1274
Member since May 2019
4783 posts
Posted on 3/18/20 at 7:58 pm to
quote:

SK had people starting to die at home waiting for so much as a triage nurse before they doubled down on the lockdown to turn it around.


You sure? I thought SK had 8,400 cases and 84 deaths?

LINK
Posted by jennBN
Member since Jun 2010
3250 posts
Posted on 3/18/20 at 8:02 pm to
Update from California:

Things are deteriorating some. We are completely out of face shields, N95s, and swabs. That means we can't test for now. We are running very low on surgical masks as well. No more isolation rooms available so we are cohorting pts. Put up 2 more tents today as well. We have stopped all visitors and the only exceptions are end of life or minor child pt. Quite a few more sick in the last 24 hours but no way to test for now so our numbers appear lower than they are. Had 3 different MDs refuse to see pts in our ED because of lack of PPE (hospitalists not ED MDs) so that slows the flow from ED due to admitting orders. and such. A 34 y/o nurse is positive and intubated. Its anecdotal but we have more young people than I expected? Maybe because we only looked at death rates and failed to look at who was getting critical care.

Lastly, we have had to think out of the box for solutions to supply issues. So here are the ideas we have implemented. To make face shields we used laminate run through the laminator to stiffen, weatherstripping, double sided tape and coban. For all emergent procedures (STEMI strokes etc) Put the pt in a simple mask instead of nasal cannula since there is not time to screen. No nebulizer treatments in the ED. It aerosolizes the virus. Use other treatments until you can get them in their own room. If you have a bay that can be in any way closed off cohort and never take off your ppe. Use garbage bags in place of gowns if possible. We found respirators at an auto paint supply place as well.

Good Luck everybody

EDIT: If anyone else has ideas for substitutes PPE I would love to see them, please.
This post was edited on 3/18/20 at 8:05 pm
Posted by eiasjsf
Ellensburg, Washington
Member since Sep 2009
532 posts
Posted on 3/18/20 at 8:03 pm to
Found out today that the 4th grade teacher of my cousin's son has tested positive, so all the the school staff and students have been asked to quarantine for 14 days.
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 3/18/20 at 8:07 pm to
quote:

Update from California:

Things are deteriorating some. We are completely out of face shields, N95s, and swabs. That means we can't test for now. We are running very low on surgical masks as well. No more isolation rooms available so we are cohorting pts. Put up 2 more tents today as well. We have stopped all visitors and the only exceptions are end of life or minor child pt. Quite a few more sick in the last 24 hours but no way to test for now so our numbers appear lower than they are. Had 3 different MDs refuse to see pts in our ED because of lack of PPE (hospitalists not ED MDs) so that slows the flow from ED due to admitting orders. and such. A 34 y/o nurse is positive and intubated. Its anecdotal but we have more young people than I expected? Maybe because we only looked at death rates and failed to look at who was getting critical care.

Lastly, we have had to think out of the box for solutions to supply issues. So here are the ideas we have implemented. To make face shields we used laminate run through the laminator to stiffen, weatherstripping, double sided tape and coban. For all emergent procedures (STEMI strokes etc) Put the pt in a simple mask instead of nasal cannula since there is not time to screen. No nebulizer treatments in the ED. It aerosolizes the virus. Use other treatments until you can get them in their own room. If you have a bay that can be in any way closed off cohort and never take off your ppe. Use garbage bags in place of gowns if possible. We found respirators at an auto paint supply place as well.

Good Luck everybody

EDIT: If anyone else has ideas for substitutes PPE I would love to see them, please.




That entire post is hoax. Several people on my FB who work at hospitals and ambulance services in California have commented about that sayings it's simply untrue. Those last few sentences were bad and I should feel bad,especially saying it's a hoax. My apologies, I'll leave up for everyone to read.

ETA: There's been lots of posts like that spreading around, especially about Cali and Washington. Hospitals are not running out of PPE either.

ETA 2: Didn't mean to come across harsh. I obviously haven't visited all the hospitals in California I'm just reading quite a few post on FB from people on the front lines saying there's rumors of their hospitals and ambulance services running low and they are saying it's not true. Hopefully if some of these places are actually running low they get supplies very soon.

This post was edited on 3/18/20 at 8:40 pm
Posted by Midtiger farm
Member since Nov 2014
6352 posts
Posted on 3/18/20 at 8:07 pm to
quote:


That literally happened in both SK and Italy.

SK had people starting to die at home waiting for so much as a triage nurse before they doubled down on the lockdown to turn it around.


Link where this happened in SK ?
They are on their way back to normal life
Posted by Volvagia
Fort Worth
Member since Mar 2006
53552 posts
Posted on 3/18/20 at 8:08 pm to
LINK


Basically this was before the field hospital surge in Daegu. They had 600 identified positive cases self quarantined at home that were monitored via twice daily calls.

The article topic has one of them dying of respiratory failure
Posted by Jon Ham
Member since Jun 2011
29726 posts
Posted on 3/18/20 at 8:08 pm to
Question for our thread experts:

Is it possible that getting the flu could give you some level of immunity to or make your body better prepared to fight off covid-19, or vice versa?

I did a quick google search and couldn’t find an answer to this, so I assume the answer is “no,” but I thought it was worth confirming.
Posted by Poker_hog
Member since Mar 2019
3690 posts
Posted on 3/18/20 at 8:09 pm to
quote:

Had 3 different MDs refuse to see pts in our ED because of lack of PPE (hospitalists not ED MDs) so that slows the flow from ED due to admitting orders. and such.


This raises interesting ethical concerns. Medical boards have sent out warnings to licensees about pt abandonment.

Thanks for the update. Sounds like your area is at least a week or two ahead of most of the country.
Posted by Volvagia
Fort Worth
Member since Mar 2006
53552 posts
Posted on 3/18/20 at 8:10 pm to
Um. I don’t think that was a cut and paste. It’s her antedoctal assessment

And how do you know which part of Cali she is speaking of?
Posted by Volvagia
Fort Worth
Member since Mar 2006
53552 posts
Posted on 3/18/20 at 8:10 pm to
quote:

Is it possible that getting the flu could give you some level of immunity to or make your body better prepared to fight off covid-19, or vice versa?


Not even a smidgen.
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 3/18/20 at 8:12 pm to
quote:

Um. I don’t think that was a cut and paste. It’s her antedoctal assessment

And how do you know which part of Cali she is speaking of?



I edited, so maybe correct. But there's a shite ton of posts like that I'm seeing on social media. I'm a medic and follow many medical and ambulance pages and people are saying none of it's true.

If that's her case then I apologize and she may very well be correct.
Posted by jennBN
Member since Jun 2010
3250 posts
Posted on 3/18/20 at 8:12 pm to


I can't speak of other hospitals in California but I can tell you a number of facilities in Northern California are experiencing shortages.
This post was edited on 3/18/20 at 8:15 pm
Posted by Antonio Moss
The South
Member since Mar 2006
49558 posts
Posted on 3/18/20 at 8:15 pm to
quote:

Is it possible that getting the flu could give you some level of immunity to or make your body better prepared to fight off covid-19, or vice versa?


No

But one of the prevailing theories as to why kids are less susceptible is because they are constantly exposed to the other corona viruses that cause common colds.
Posted by Burhead
Member since Dec 2014
2100 posts
Posted on 3/18/20 at 8:17 pm to
quote:

That entire post is hoax. Several people on my FB who work at hospitals and ambulance services in California have commented about that sayings it's simply untrue.

ETA: There's been lots of posts like that spreading around, especially about Cali and Washington. Hospitals are not running out of PPE either.



@PatDooris
·
2h
Personal protective supplies dwindling from Oregon stockpile...used up: 28% of N95 masks, 63% of surgical masks, 83% surgical gowns says OHA Director, Patrick Allen.

I mean given the numbers out of Oregon I wouldn't be surprised to hear areas are starting to run low already.
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 3/18/20 at 8:17 pm to
quote:

I can't speak of other hospitals in California but I can tell you a number of facilities in Northern California are experiencing shortages.


Do you work at a hospital? Do you mind sharing a few of the hospitals having shortages? I promise I'm not arguing with you, just wondering if you're being told that or if you are on the front lines and seeing it.
Posted by Rhino5
Atlanta
Member since Nov 2014
30970 posts
Posted on 3/18/20 at 8:18 pm to
This has been here longer than a few weeks. You’ve all probably had it and processed it out.
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