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Home / US / With the surge in hospitalization for Covid-19, medical staff in some places have run out.What will happen next

With the surge in hospitalization for Covid-19, medical staff in some places have run out.What will happen next



Or have a heart attack and be taken to the hospital just to understand that you do not have enough emergency services.

Dr. Leana Wen, an emergency medicine physician, said: “The difference between what is happening now and what happened before is that the virus is everywhere now.”

She said: “Before, there were only a few hot spots in the country. Some health care workers can volunteer and travel between different states.”

“However, when this virus spreads so widely, we are likely to…deplete medical staff, which means patient care will be affected. We will be at a tipping point in the hospital.”

Record-breaking hospitalization

Health experts say that the current fall of Covid-1

9 is the result of more indoor social activities, the reopening of schools and people’s disregard of safety precautions due to pandemic fatigue.

According to the Covid Tracking Project, across the country, 61,964 patients were hospitalized for Covid-19 on Tuesday. This is the highest number since the pandemic began.

“We have seen our hospitals at breakpoints in certain areas of the United States. This means that it will not only affect coronavirus patients,” Wen said.

“This also means that selection surgery will delay work such as hip replacement, cancer surgery or heart surgery.”

The crisis is expected to worsen. According to Johns Hopkins University, 136,325 new cases of Covid-19 were reported in the United States on Tuesday.

In the following weeks, the surge of new infections led to more hospitalizations and deaths.

Dr. Ashish Jha, Dean of the Brown University School of Public Health, said: “Unfortunately, I think the statement about the “new record” will be repeated over and over again.

“Since the beginning of the pandemic, we now have more infections than we are certain. I hope these numbers will continue to climb. Hospitalization will continue to climb.”

When the hospital cannot accommodate more patients

In Idaho, some patients who need hysterectomy or joint replacement will have to wait.

St. Luke’s Magic Valley, Jerome and Wood River Medical’s Vice President of Medical Affairs, Dr. Joshua Cohen, said: “We are already making the decision not to accept pediatric admissions and to close the pediatric floor to save beds and personnel. ,”center.
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“We say no to elective programs that require overnight stays.”

According to the Covid Tracking Project, Idaho is one of the 17 states with a record number of Covid-19 hospitalizations on Monday.

Kern said in Twin Falls for about two hours: “We have reached the point where we have not rejected patients, but we have been asked to transfer them to a sister hospital in Boise, where there is indeed capacity.”

“Basically, when we reach the point where the hospital is full-based on our existing staffing capabilities-then we will say no to any other patient. Therefore, the patient in our own emergency room will then have to go through ambulance Car, helicopter or fixed-wing aircraft transferred to Boise.”

Even patients without coronavirus are suffering from a pandemic.

He said: “We have put a lot of pressure on the area of ​​the hysterectomy…knee replacement, hip replacement-anything that can be postponed.”

“Is this the best choice? Never. If someone needs spinal surgery or hysterectomy, then whether this is really selective is critical. But we have such high demands on our employees, we must make these Decided.”

Doctors who volunteered to work in New York City now do not travel

When Covid-19 severely paralyzed New York City earlier this year, thousands of volunteers from all over the United States came here.

Dr. Tomas Diaz, an emergency room doctor in San Francisco, volunteered for a month in a New York hospital during the spring peak.

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But now, Diaz is still in California.

Diaz said: “I am worried about leaving my current home when I need it.”

He said that the situation in San Francisco is much better than in many cities, possibly because of early mask requirements and shelter-in-place orders.

But the situation may change at any time.

Diaz said: “This is an unprecedented period for all of us.”

“From a people’s point of view, we are seeing its impact… Visitors cannot be admitted to the hospital, isolated (from) relatives, and may even die.”

He also saw young people also hospitalized due to Covid-19.

He said: “I have some young patients, such as their 30s and 40s, otherwise they are healthy. They are completely eliminated by Covid and need to stay in the hospital with low oxygen saturation.”

When a heart disease patient cannot be taken care of quickly

Governor Gary Herbert said that in Utah, hospitals are “really on the verge of not being able to accommodate more people…especially in our intensive care unit.”

Utah hospitals may start distributing healthcare in overwhelmed facilities

“We just don’t have rooms where doctors and nurses can provide medical services.”

Laurie Terry, the mother of Utah, knew this difficult method. And she doesn’t even have coronavirus.

Terry recently had a heart attack and needed special equipment in the intensive care unit of the hospital. But the doctor told her family that the hospital did not have enough resources due to the pandemic.

Finally, Terry came to the hospital with a hospital and the professional care she needed. But her sister said her condition had worsened.

6 hours from the nearest ICU bed

Large cities have been the first to bear the brunt of previous outbreaks, while Covid-19 cases are now exploding in rural areas of the country.

Dr. Drew Miller sprayed disinfectant on his shoes, while respiratory therapist Jade Carabajal-Richter removed protective equipment at Kearney County Hospital in Larkin, Kansas.

Nancy Foster, Vice President of Quality and Patient Safety Policy of the American Hospital Association, said: “The surge in rural areas is particularly worrying because many rural hospitals have insufficient capacity to expand patient care capabilities and rely on Resources are also getting scarce.”

Kansas Governor Laura Kelly said that hospital capacity in rural and urban areas of the state is now a major issue.

She recalled a recent example in rural Kenny County, where the nearest ICU bed was in Kansas City-a six-hour drive.

The governor said: “We must (work) to flatten the curve.” “We know how to reduce the spread of the virus. We know the role of masks.”

Some Covid-19 doctors and nurses can continue to work

In North Dakota, where there is a severe shortage of personnel, asymptomatic health care workers infected with the coronavirus can work in the medical facilities of Covid-19 units.

Governor Doug Burgum said when announcing the adjustment on Monday: “Our hospital is under tremendous pressure.”

Some hospitals have hired traveling nurses and suspended elective surgeries. Burgum’s office said, but with a large number of patients, staffing is still a challenge.
Health care workers infected with the coronavirus can continue to work in Covid-19 units, “as long as they remain asymptomatic and take other preventive measures as recommended by the Centers for Disease Control and Prevention and the North Dakota Department of Health to protect the worker and the community “, the governor’s office said.

These preventive measures include taking the body temperature of medical staff daily and wearing masks.

Request help from retired health care workers

“The biggest nurse is about to retire to solve this problem,” said Gerald Brogan, director of nursing practice at the National Nurses Federation, the largest registered nurse union in the United States.

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Like many states, Wisconsin is responding to the violent attacks of Covid-19 patients and the severely strained healthcare system.

Laura Hieb, Chief Nursing Officer of Green Bebelin Medical System, said: “The number of absentees due to illness or quarantine is also a factor in our staffing needs.”

So Beilin has asked the retired medical staff to return.

“They provide help in some of our urgently needed areas, such as test sites, follow-up calls and data entry. Some work in the clinical field, but most of them cannot work in the front line due to age and other factors.” She said.

Heber said the health care system has redeployed or re-employed more than 200 people. They include retirees, as well as “many faculty and staff at Belling College and students engaged in low-level jobs.”

Heber said there is a key difference between the Covid-19 peak this fall and previous peaks: “The number of hospitalized patients is greater than last time.”

The doctor defends personal responsibility

Brogan said that for many months, Americans have heard that “we have to flatten the curve so as not to overwhelm the hospital.”

However, here we are again: the hospital has reached or is close to capacity, has begun to divert patients’ attention and delay certain operations. why?

“I think it’s simple: people don’t show themselves,” Brogan said.

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“Many people think this is an’epidemic’. They don’t believe in science.”

“There is a myth among young people that they cannot get Covid. There is no social distancing between people. People are not wearing masks. This is a false information propaganda that exacerbates the epidemic.”

Dr. Emily Spivak, who has been treating Covid-19 patients in Salt Lake City, said that many people will not take simple steps to help them-physically alienate, wear masks and wash their hands. depressed”.

She said: “I can’t see the end. No one does anything to stop what is happening.”

“It’s a bit like people just going out and not realizing they are exhausting our healthcare system.”

Idaho officials say the pandemic
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said it is important to remember that medical staff “really put their lives and safety at risk”.
Many people lost their lives. The National Nurses Federation reported in late September that more than 1,700 medical staff in the United States had died of Covid-19.

This is not only a tragedy for relatives and colleagues, but also a tragedy for patients who rely on their care.

Brogan said that exhausted nurses work 12 hours a shift, and sometimes take care of twice as many patients as usual.

He said that for those who think they will not be personally affected by this crisis, do not expect your luck to last.

“Don’t let this system be overwhelmed. If you have no close relatives or relatives in the community or people who have suffered from Covid, unless you adhere to these basic public health measures, you will continue in the future,” Brogan said.

“This is a little sacrifice for the greater good of everyone.”

CNN’s Raja Razek, Claudia Dominguez, Brynn Gingras, Martin Savidge, Dan Przygoda and Konstantin Toropin contributed to this report.


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