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re: Are the hospitals overwhelmed yet?
Posted on 4/3/20 at 8:53 pm to longwayfromLA
Posted on 4/3/20 at 8:53 pm to longwayfromLA
quote:
there is no one to put on it, but rather red tape to get people transferred there. This will wor itself out in a few days.
Did we read the same article?
The one I read said that the Navy had no intention of taking Corona patients onto the ship? I guess the plan then is that they take over other medicals and trauma calls? Or at least a portion.
I do not know its trauma capacity. I can only assume with it being military that it can do what a level 1 trauma center can? But it is a "hospital ship" sent also to areas of natural disaster.
2
Posted on 4/3/20 at 9:04 pm to rphtx
quote:
How can you make that statement, when a new admission can't be tested and if they can won't have immediate results. Bottom line, are we triaging people with the flu who feel bad and are scared they will die and seek attention, or are there significant numbers that are on the verge of succumbing to the virus and were forced to go in or die?
The MSM atm can scare anyone into going to seek help if they sneeze twice...
I know what's in the house at the facilities in my system. Everday the last couple of weeks has been the same. We have a bunch of people with upper respiratory issues presenting in the ED, we admit some of them, test them and for the moment classify them as "persons under investigation" We then learn that 70%- 80% of the PUIs admits from 3 days ago were COVID positive. Rinse repeat. Counterparts at the other systems are seeing the same thing.
Posted on 4/3/20 at 9:08 pm to LSU alum wannabe
quote:
Did we read the same article?
The one I read said that the Navy had no intention of taking Corona patients onto the ship? I guess the plan then is that they take over other medicals and trauma calls? Or at least a portion.
Not necessarily trauma, but the other garden variety medical services hospitals used to do before COVID. There is plenty of that stuff to offload, give it a few days. They'll be full.
Posted on 4/3/20 at 9:12 pm to partyboy1930
quote:
Im asking out of curiosity because I remember hearing that hospitals would be overwhelmed in 10 days 10 days ago.
"They're not overwhelmed/overwhelmed."
W. Goldberg
Posted on 4/3/20 at 9:14 pm to Lsut81
quote:
Nope and the 1000 bed ship they sent to NYC to alleviate burden has a whopping 18 people in it
You should read and try to understand why.
It isn't because there's a lack of available patients.
Posted on 4/3/20 at 9:17 pm to longwayfromLA
quote:
I know what's in the house at the facilities in my system. Everday the last couple of weeks has been the same. We have a bunch of people with upper respiratory issues presenting in the ED, we admit some of them, test them and for the moment classify them as "persons under investigation" We then learn that 70%- 80% of the PUIs admits from 3 days ago were COVID positive. Rinse repeat. Counterparts at the other systems are seeing the same thing.
Makes sense. Thanks for the perspective. It still begs the question, if we changed 'covid' to 'flu' would we be seeing this many people flocking in for treatment because they think they will die? Just asking, cause life has dramatically changed in my pharmacy and the only thing different is all the BS we have to endure with social this and that. Otherwise, have not seen an increase in the cough/cold meds that would be associated with respiratory illness of any kind. I'm in Austin, and this is also the worst allergy season we have seen and we are still scratching our heads. They say its going to ramp up, but it just feels 'off' after doing this for 25 years. We'll see. Good luck.
Posted on 4/3/20 at 9:23 pm to rphtx
quote:
Makes sense. Thanks for the perspective. It still begs the question, if we changed 'covid' to 'flu' would we be seeing this many people flocking in for treatment because they think they will die? Just asking, cause life has dramatically changed in my pharmacy and the only thing different is all the BS we have to endure with social this and that. Otherwise, have not seen an increase in the cough/cold meds that would be associated with respiratory illness of any kind. I'm in Austin, and this is also the worst allergy season we have seen and we are still scratching our heads. They say its going to ramp up, but it just feels 'off' after doing this for 25 years. We'll see. Good luc
That's a good question. To be frank, if I had flu-like symptoms, I'd be afraid to go to the ED on the chance that I didn't have COVID. Try as we might, the ED is a dangerous place right now...
Be safe, as a pharmacist, you're probably are getting a solid amount of mildly symptomatic COVID positives.
Posted on 4/3/20 at 9:30 pm to longwayfromLA
quote:
Be safe, as a pharmacist, you're probably are getting a solid amount of mildly symptomatic COVID positives.
Indeed. We have employees who are positive, but that comes as no surprise to me. If I had to guess, I had it maybe 3 weeks to a month ago. I don't do hospital visits unless a limb gets lopped off, so anyone's guess if it was covid/flu/random cold. I would like to have an antibody titre test much more than a viral detection test. Be nice to know at least that I had it already and can't infect my coworkes and such. For them as well, I think we all had it the past month or more, but they are seriously stressing way more than I am about getting sick.
Posted on 4/3/20 at 9:30 pm to Redleg Guy
quote:
Central Park field hospital is at 50% and filling up.
So you're saying it's still half empty.
Posted on 4/3/20 at 9:31 pm to LSU alum wannabe
quote:
Did we read the same article?
I really have not looked into this and this is the only article I have seen. Which article are you referencing?
Posted on 4/3/20 at 10:00 pm to highcotton2
Some hospitals in Mobile have sent back Wuhan virus testing tents because no one is using them.
Last week was supposed to be bad. Not much virus activity. This week was supposed to be “really bad”. Still not much virus patients in Mobile.
Last week was supposed to be bad. Not much virus activity. This week was supposed to be “really bad”. Still not much virus patients in Mobile.
This post was edited on 4/3/20 at 10:08 pm
Posted on 4/3/20 at 10:11 pm to longwayfromLA
quote:
that 70%- 80% of the PUIs admits from 3 days ago were COVID positive. Rinse repeat.
Why is your number so much different than everyone else's positive testing %? Which the majority of those tested are have symptoms.
Maybe I'm not getting what youre saying.
Posted on 4/3/20 at 10:38 pm to partyboy1930
quote:
Im asking out of curiosity because I remember hearing that hospitals would be overwhelmed in 10 days 10 days ago.
The timing might be off by a few days, but my wife's hospital system sent out a message via social media asking people who can sew to make masks because they're getting very low. She's been notified of patients that she has treated who tested positive.
When the PPE runs out, you'll have providers and staff being more and more exposed. If they get infected, you'll have a staffing shortage on top of a PPE shortage. This is the event they're trying to prevent.
Based on what we're seeing here, we're still on the front end of the timeline.
Posted on 4/3/20 at 10:41 pm to partyboy1930
There's also this, which is pretty jarring:
ABC11
quote:
Cardiac patients who cannot be revived at home must be declared dead, according to jarring new orders given to EMS teams in New York.
Effective immediately, patients in cardiac arrest will not be transported to a hospital if first responders cannot get a pulse on their own while administering CPR, a new internal memo obtained by ABC News states. City hospitals are overrun with COVID-19 patients and some cardiac patients may not receive the medical care they need to survive.
"These orders are binding and the FDNY will devise a plan for implementation," Deputy Fire Commissioner Frank Dwyer told ABC News.
The FDNY on Thursday issued new orders in response to REMSCO guidelines set forth during the COVID-19 pandemic. The EMS orders pertain to all FDNY EMTs, paramedics and firefighters. The orders apply to adult cardiac arrest patients only (18 years and older) and "if the patient meets criteria for obvious death, do not initiate resuscitation." Every occurrence will also be documented by the department.
In a blunt advisory on March 29, the Nassau County Regional Emergency Medical Advisory Committee on Long Island stated, "There is no medical benefit to transporting patients in cardiac arrest with CPR in progress." The statement goes on to justify the new protocol with a statistic saying successful resuscitation rates increase when patients are not moved during CPR.
There is an exception to the new overarching rule. Patients in cardiac emergencies may be transported to a new location if there is "imminent physical danger" in the area to the responder.
The new approach shows how stretched thin EMS and hospitals are and how emergency rooms are trying to minimize the number of difficult arrivals.
"We always have to balance benefit versus risk in health care and right now the risk is that we use up resources on a population where intervention may be both futile or even worse," said Dr. Vinayak Kumar of the ABC News Medical Unit.
Patients who go into cardiac arrest outside a hospital have a slim chance of survival and CPR risks "wide dissemination" of coronavirus particles, according to American College of Cardiology guidance issued last month.
"In the event of a cardiac arrest, efforts at cardiopulmonary resuscitation causing aerosolized pathogens could result in the wide dissemination of virus particles to clinicians, health care workers, and other patients," the American College of Cardiology said.
ABC11
Posted on 4/3/20 at 11:17 pm to rphtx
A friend of 40+ years is in one in NOLA, transferred from OR giving happy meds, now to Covid patients. ICU is full of Covid. A week on vent and dead, a few last 2 weeks. This ain't the flu
This post was edited on 4/4/20 at 6:41 am
Posted on 4/3/20 at 11:21 pm to Palmetto08
quote:Maybe the virus took AMTRAK?
Last week was supposed to be bad. Not much virus activity. This week was supposed to be “really bad”. Still not much virus patients in Mobile.
Posted on 4/3/20 at 11:22 pm to partyboy1930
Layoffs and furlows at hospitals Nationwide.....outside of that crap hole NYC... this is a sham.
Posted on 4/3/20 at 11:26 pm to partyboy1930
There is seriously so much denial in this thread.
This is the same board that said 2 weeks ago that we would NEVER shelter in place in the USA.
I work for an Italian company that was in the same denial. When I talk to my coworkers now, it is dire warnings.
Keep playing stupid games and win stupid prizes.
This is the same board that said 2 weeks ago that we would NEVER shelter in place in the USA.
I work for an Italian company that was in the same denial. When I talk to my coworkers now, it is dire warnings.
Keep playing stupid games and win stupid prizes.
Posted on 4/3/20 at 11:29 pm to partyboy1930
They would be if any of you clowns were running things.
Posted on 4/3/20 at 11:29 pm to longwayfromLA
quote:
We then learn that 70%- 80% of the PUIs admits from 3 days ago were COVID positive. Rinse repeat. Counterparts at the other systems are seeing the same thing.
Hmmm...We only test folks who have a temp and a cough and other comorbidities...in other words, we test people who are really good candidates for CV19. Our postive results fall in line with the averages seen almost everywhere else, around the 15-18% mark.
If your area is testing 70-80% positive? First, run like hell...second blow the bridges behind you.
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