 |
| SOURCE: BBC |
Coronavirus: When doctors have to select Patients for Ventilator
Whenever the voice on the mic at Elmhurst Hospital in Queens, New York City, 'Team 700' is alerted. This requires a team immediately. Someone is experiencing a heart attack.
Under normal circumstances, this is probably once a week, said a young doctor. During a 12-hour shift last day, 'Team 700' was repeated nine times and no single patient survived.
She is on the emergency staff and in her training, she could not learn that she saw such horrific scenes on a daily basis at the epicenter of the epidemic.
According to a recent email released by the hospital administration, the hospital, which has beds for 282 patients, currently has 500 patients under treatment.
In the early stages of the outbreak, it was worrying who would help the Elmhurst area. Now everyone is sick there. Really sick. Half of the patients are people who do not have data and cannot speak English. They cannot help themselves and their families.
These are people who work in restaurants and hotels.
And this member of the medical staff, who is over 30, said that there was severe pressure.
Although it has not been declared the first Cod 19 hospital. Yes, the emergency department is still working here but the patients who were admitted here have been shifted here. Here are the beds for only those who have difficulty breathing.
Almost everyone who came to the emergency room was fitted and placed on a ventilator.
This is something that is usually done in the ICU, but now it is happening everywhere.
These people needed 'pressure' to maintain their blood pressure. This job is usually done by a specific training nurse, but the nurses were not there to do it. So those who were uneducated were doing it.
'How can I not be upset when patients do not get the care they need?'
She says it's not just the elderly who are suffering from the virus.
"There are patients in the '30s and 40's who didn't have any symptoms before, so we have a 90-year-old who was brought to the emergency room one day when he fell into the house. His leg was broken. But his Coronavirus test also came out positive, though he did not show any signs of the disease. '
 |
| SOURCE: BBC |
It's a virus that's unclear.
The hospital was given two ventilators from what he already had.
They are all already in use and need more. All are in use and it will only take weeks for the outbreak to progress. And the situation she's just saying is that not everyone has a ventilator facility.
I had a talk with a young doctor. She had come home after finishing the twelve-hour shift. We talked through a mutual friend. She told me that she would call me in the washing machine, make dinner for her and after some work.
Their daily life runs with this intense stress. Where there is an atmosphere like life and death.
She says they are not scared.
'I am not worried that I will fall ill. I will be fine I'm young and healthy. I had a sore throat last week. But who is the senior medical staff? Those whose personal health histories are complex are very worried. '
She says dozens of colleagues have become ill.
Coronavirus was confirmed in 47,500 people in New York City. But the outbreak has not spread in away.
Helm Hurst and Corona are ahead of New York. There were 831 and 947 certified cases on March 31, respectively.
According to data from the New York Times, there is a working-class in Queens, and there were 616 positive cases per 100,000 population.
There were 376 and 453 patients in one million residents in Manhattan and Brooklyn, respectively.
Under normal circumstances, if you see a patient who thinks he is infected, you use personal protective equipment, PPE. And when you see the patient, then you take off the gown and mask and it is discarded.
When you start your duty at Elmhurst, you wear PPE and don't take it off all day. Because all the people you see are infectious.
This has reduced the pressure on the kit to some extent. It is also true that this hospital is the first one on the front line. And it became known that supply was coming here.
She says that even though her N95 mask was lost a few days ago, the situation in the hospital is worsening. Will they get the kit they need?
I asked them if they had time to think about how wrong they were.
He said "a little" but he also said that it might be later because his focus is now on his work and on saving as many lives as he can.
As they told me, I think if you are driving on a mountain and the brakes fail then you will not have time to think about what life's problems are, but you just try to Let you safely descend the mountain.
They are comfortable, confident and mature beyond their age.
Then they said a little about how hard they are working. And she admits that there is a lot of work that needs to be done in what they do.
The biggest forehead for me was about giving the patient a ventilator. Watching people die is not a problem. We train to face death. Nor is it how many people are dying. The problem is that people get frustrated about being healthy which we usually are not.
He said that an elderly patient was brought from the Old Home. They were already on the ventilator. They have been relying on it for a long time. His attitude to health was not good.
But at that time she could see the ventilator, not the patient.
The doctor told me that when he arrived he was anxious for the ventilator. All I wanted to do was remove them from the ventilator and let them take it for someone else.
The young woman did not think she would be playing the role of God at this stage of her career.
Source: BBC
0 Comments