(COVID/ETC CONTENT HERE) China Locks Down 11 Million in Wuhan,

Originally Posted by ABNAK

I've read a couple things about triage in Italy. The hospitals are overwhelmed, so naturally (and realistically) they are triaging patients. The criteria is what is troubling. From what I've read they are at a point where if you are 80+ you don't get treated, period (another article I read said over 65). If you are younger than the magical age but have a co-morbidity you won't get treated either. Not just not treated, but not even ASSESSED!

Yeah, this is in Italy, I get that. But next week I'm supposed to return to my hospital Respiratory Therapy job after being off since December with my bilateral knee replacement/quadriceps debacle. I told my wife that I'm just now relearning how to freaking walk and will be jumping right into the middle of this shit. Of course she's an RN at the same facility so in the same boat as me. I don't look forward to it, and I don't particularly like the fact that our way of earning a living (i.e. it's a job, not a calling from God or something) will likely ensure our eventual exposure to this crap. If it gets dicey will we then be subject to triage? I would no-shit throat-punch some bastard who had the audacity to tell me I (or my wife) wasn't getting treated after my job exposed me to it WAY more than the general public. Something tells me we won't be afforded the luxury of a two-week at-home quarantine either.

Spoke to my boss today and she said they've been running "COVID-19 drills", making the RT department pull out all those portable ventilators we've had stored for years for emergency and disaster situations.

Locally 911 has been doing telephone triage and screening, and sending public health to people's homes that are deemed high risk, trying to prevent them from even making it to the emergency department. If they come to the emergency department, and they screen a certain way, they're fast tracked into an entirely different area.

At our university about an hour ago they suspended all classroom instruction until further notice, going entirely to online and WebEx, it is also spring break and they've advised students to not come back until further notice.

I continue to work with the ED planning group and we are also looking at alternative TTPs.

Originally Posted by chuckman

Locally 911 has been doing telephone triage and screening, and sending public health to people's homes that are deemed high risk, trying to prevent them from even making it to the emergency department. If they come to the emergency department, and they screen a certain way, they're fast tracked into an entirely different area.

At our university about an hour ago they suspended all classroom instruction until further notice, going entirely to online and WebEx, it is also spring break and they've advised students to not come back until further notice.

I continue to work with the ED planning group and we are also looking at alternative TTPs.

The university my wife works for did the same until at least the end of the spring semester.

Originally Posted by chuckman

Locally 911 has been doing telephone triage and screening, and sending public health to people's homes that are deemed high risk, trying to prevent them from even making it to the emergency department. If they come to the emergency department, and they screen a certain way, they're fast tracked into an entirely different area.

At our university about an hour ago they suspended all classroom instruction until further notice, going entirely to online and WebEx, it is also spring break and they've advised students to not come back until further notice.

I continue to work with the ED planning group and we are also looking at alternative TTPs.

Jeez, most public health departments can't possibly be staffed with enough bodies to home-visit every potential COVID-19 call. Maybe now if the number of calls are relatively low but will likely soon outgrow their ability to make those home-visits. Certainly not a bad idea, but I suspect it will become overwhelming for a public health department without a hospital ER/screening place to augment the effort in the future.

Then of course you will have those who get seen by a public health official and think "Fvck it, I'm going to the hospital anyway, they're just trying to keep me away!".

What are the credentials of those public health folks doing home-visits? RN's?

Originally Posted by Honu

Not false it mostly effects old people

True some in their 40s who almost all seem to be compromised had issues seems to be the case so 0.4% Of the 40-49 range is super low and not a serious issue making old age false

And these numbers are from?

Originally Posted by chuckman

Locally 911 has been doing telephone triage and screening, and sending public health to people's homes that are deemed high risk, trying to prevent them from even making it to the emergency department. If they come to the emergency department, and they screen a certain way, they're fast tracked into an entirely different area.

What area is that? In my county, if you call 911 you still get an ambulance EVEN IF YOU SPECIFICALLY SAY YOU DO NOT WANT ONE. ED’s have said they are going to screen EMS crews, but they only seem to be doing so sporadically. There are sometimes security goons in masks at ambo entrances splitting away family members (100%, not anyone specifically) to the waiting room, to ensure that groups of people get as mixed as possible.

I’ve been stealing face masks with shields from my favorite hospital because our internal resupply method sucks on a good day. But why am I so worried about masks? Because every &$&&&)&@ing idiot has the flu. The damned flu. And no shot, of course. And they need to goto a university hospital because they think they’ve discovered a new medical mystery for Dr House. &)&&$ing morons. The damn flu.

Get vaccinated, and quit calling me for nonsense.

Originally Posted by Honu

No scheme to start agreed
BUT this is one of the worst in the world for cluster deaths so why how did it happen ?
We are at 28 deaths up 1 since yesterday and 19 happened in one home ! That really needs to be looked at big time (not sure where the extra 1 was)
Did they ignore hand washing ? Why
Did they not clean dishes or was it food prep ? Why
With every precaution etc.... this place messed up big time
If you don’t see something wrong with this major screw up especially in a home like this how and why needs to be investigated big time if not for future what never to do and most likely will come down to one person ignoring precautions/methods etc...
Who knows maybe some psycho new they were infected and made others infected on purpose would not be the first time for that kinda thing to happen

I'm thinking someone asymptomatic came to visit a relative.

Originally Posted by 1168

What area is that? In my county, if you call 911 you still get an ambulance EVEN IF YOU SPECIFICALLY SAY YOU DO NOT WANT ONE. ED’s have said they are going to screen EMS crews, but they only seem to be doing so sporadically. There are sometimes security goons in masks at ambo entrances splitting away family members (100%, not anyone specifically) to the waiting room, to ensure that groups of people get as mixed as possible.

I’ve been stealing face masks with shields from my favorite hospital because our internal resupply method sucks on a good day. But why am I so worried about masks? Because every &$&&&)&@ing idiot has the flu. The damned flu. And no shot, of course. And they need to goto a university hospital because they think they’ve discovered a new medical mystery for Dr House. &)&&$ing morons. The damn flu.

Get vaccinated, and quit calling me for nonsense.

LOL.

Like I said a few pages back, I was my RT department's "Disaster Preparedness" person in the early 2000's when they were worried that smallpox could be weaponized by terrorists. Suffice it to say that should "plans" be put into effect that healthcare would take on a whole new face. Doubt you'd get a warm fuzzy anymore as a patient or family member. Customer satisfaction would be at the bottom of the list of priorities. It would be a seemingly cold and methodic process, but sheer numbers would dictate it's necessity. Have a complaint? "Call someone who gives a shit. Next person please."

Originally Posted by WillBrink

But very clear the vast majority of serious cases, men over 60 with co morbidity, being smokers as male smokers very common in those countries. Far lower in age matched women who don't smoke. He also mentioned the co morbidity he's concerned about in the US was the % of obese people, who also tend to have poorer outcomes.

Biggest surprise to me was his saying washing hands and making sure not to touch your face, not well supported by the data for this virus. It is supported for the flu, so it stands to reason applies well to this virus, but of course if droplets from someone breathing on you gets in your nose, you'll likely get sick, which is why he recommends avoiding crowded locations if you're at higher risk especially.

I was surprised about hand washing. But he had a point. Most are getting sick not from touching something but from breathing

Originally Posted by Arik

I was surprised about hand washing. But he had a point. Most are getting sick not from touching something but from breathing

We don’t really know. The well researched coronavirus family is spread through respiratory droplets. This can be spread from being within ten feet of somebody who has the virus coughing and sneezing or touching surfaces which those droplets land and then touching your mouth, nose, eyes, etc.


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https://www.businessinsider.com/pres...zations-2020-3

0F6896B1-E44C-41DB-B387-07F7D5A749D4.jpg

Estimates:
4.8 million hospitalizations associated with the novel coronavirus
96 million cases overall in the US
480,000 deaths
Overall, the slide points out that hospitals should prepare for an impact to the system that's 10 times a severe flu season