CNN Medical Analyst Dr. Jonathan Reiner explained: “When your capacity is used up, doctors and bioethicists in these hospitals will need to determine which patients can be saved-may be saved-which patients cannot be saved.”
Chief Executive Officer Dr. Elaine Batchlor said on Monday that this surge will put the Martin Luther King Jr. Community Hospital in Los Angeles in a position that requires rationing.
Batchlor told CNN’s Brooke Baldwin: “If we continue to see an increase in the number of Covid patients, we may be forced to do certain things. As health professionals, we really just hate or even have to think about it.”
Infectious disease expert Dr. Kimberly Srina told CNN on Sunday that at Huntington Memorial Hospital in Pasadena, California, nurses who usually take care of one or two patients are now caring for three or four people.
Shriner explained: “We have a limited number of ventilators and a limited number of ICU beds,” he added, adding that a team that includes bioethicists, community members, doctors, nurses, and administrative leaders will decide how to allocate these resources if it comes down to it.
“If there are no ventilators, no nurses to take care of patients, no ICU beds, we will have to have terrible discussions with family members, which is why people need to stay at home and when they need to wear masks when they go out.”
Battlefield diversion skills
Batchlor said that the Martin Luther King Jr. Hospital will not reject patients, but staff may have to adopt techniques used in war.
She said: “We are using the so-called classification diagnosis technology on the battlefield, which can assess the needs and prognosis of each person and use scarce resources with the patients most likely to benefit from it.”
Resources have been used in unconventional ways to adapt to the surge.
Batchlor said: “Our employees have been very skilled and flexible in adapting to more and more patients. Therefore, as you have heard, we have five tents outside the hospital.” “The small in our meeting room There are patients in the church.”
She said that there are many small ships in the gift shop.
Although Batchlor did not specify how many new patients are suffering from Covid-19, the increase in its number is stressing all care.
Los Angeles County Health Services Director Christina Ghaly (Christina Ghaly) said that some hospitals are seeing patients still in ambulances.
Galley said: “These patients are being cared for and treated in the ambulance as if it were part of the emergency room.”
Experts say the United States needs to increase vaccines
According to data from the US Centers for Disease Control and Prevention, so far, as of Monday, the US has received 2.1 million doses of vaccine and 11.4 million doses have been distributed.
Brett Giroir, assistant secretary of health for the U.S. Department of Health and Human Services, said an additional 4.7 million will be allocated by the end of this week. This will bring the total to 15.5 million doses “more than the states”.
Governor Phil Murphy (Phil Murphy) said at a press conference on Monday that New Jersey is expected to reach the level of state leadership through vaccine doses and is expected to vaccinate approximately 31,000 long-term care residents by the end of this weekend.
Murphy told reporters: “Our vaccination plan is changing with each passing day and is getting stronger and stronger.” “As the New Year approaches, we look forward to opening six large-scale vaccination sites, further expanding vaccine work, and continuing to prioritize each Work in groups.”
Despite these advances, Dr. Ashish Jha, Dean of the School of Public Health at Brown University, said on Monday that the United States lags behind countries such as Israel and Canada in the pace of vaccination efforts.
He said: “We really have to increase our efforts.” “Things are in crisis.”
He said that manufacturers like Pfizer have millions of doses waiting to be distributed, and he blames part of the problem on the federal government instead of continuing to manage the doses after they are delivered to the states.
He told CNN’s Jim Acosta: “There is a lot of work to be done to push vaccines from the state government into people’s arms, and the plans we need are much clearer than before.”
California restrictions may expand
Los Angeles County Public Health Director Barbara Ferrer said that he has been hit hard by the impact of the coronavirus. In the past week, Los Angeles County has reported nearly 100,000 new cases.
Ferrer said: “The sad reality is that all indicators show us that our situation may only start to deteriorate in 2021.”
Southern California and the San Joaquin Valley have already been subject to regional time-limited arrangements, which will expire on Monday. However, based on current trends and the reduction of ICU capacity in these areas to 0%, California Governor Gavin Newsom (Gavin Newsom) announced that the order is likely to be extended.
On Monday, the state added 33,170 new cases of coronavirus and another 64 deaths. Newsom warned that the slight drop in death toll was due to the lag in reporting over the weekend.
Newsom said the California Department of Health and Human Services Director Dr. Mark Gurry will use Monday’s final data to announce a four-week forecast based on Tuesday.
Since the pandemic began, California has reported 2.1 million coronavirus cases and more than 24,000 deaths.
CNN’s Lauren Mascarenhas, Virginia Langmaid, Paul Vercammen, Artemis Moshtaghian, Taylor Romine, John Bonifield, Naomi Thomas, Deidre McPhillips, Jenn Selva, Sarah Moon, Steve Almasy and Holly Yan contributed to this report.