California hospitals are considering overcrowding rationing care


Hospitals in California are fighting to find beds for in-house patients amid fears that an outbreak of coronavirus infection could drain resources and health care workers.

As of Saturday, about 17,400 people had been hospitalized with confirmed or suspected COVID-19 infection – more than double the previous peak reached in July – and state models that use current data to predict future trends show that the number is up to 75% by mid-July. Can reach -January.

More than 3,600 confirmed or suspected COVID-19 patients were in intensive care units.

Some areas of California are “overpopulated,” said the country’s top infectious disease specialist at an event hosted by the California State University System. Said Anthony Fauci.

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Corona Regional Medical Center, southeast of Los Angeles, has converted an ICU into an old emergency room to help nearly double the normal number of patients. He is using the space in two disaster tents to try out ER patients because the emergency room is full of patients who need to be hospitalized.

Ambulances can sit for two hours unless they arrive in patients with a serious, life-or-death crisis.

“The inn has no space, so to speak,” said Mark Ufer, the hospital’s chief executive. “Literally every corner of the hospital and cranes are being used.”

It’s a scene to play all over California. All of Southern California and the north-facing 12-county San Joaquin Valley are depleting the capacity of their regular intensive care unit, and some hospitals have begun using the “bounce” space, according to state data Friday.

In the heavily affected Fresno County in Central California, a new 50-bed alternative care site near the Community Regional Medical Center opened Friday. Dan Lynch, the county’s director of emergency medical services, said Covid-11 would make room for 19-negative patients in bed area hospitals, where 11 out of about 1 IC0 ICU beds were available on Friday.

Lynch said he expects to use the Fresno Convention Center, which can accommodate 250 patients, given the current demand.

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Fresno and three neighboring counties have also taken the unprecedented step of sending paramedics to emergency calls to assess people. Lynch said he would not be taken to the emergency room if he could go to an emergency care facility or wait a few days to talk to his doctor.

Some hospitals have canceled non-essential alternative surgeries such as hip replacement, which may require a bed that may soon be needed for Covid-19 patients. Others are increasing staff hours or moving patients to vacate.

“I’m not going to sugarcoat in this. We’re crushing,” said Drs. Brad Spielberg said it has more than 600 beds and is one of the largest hospitals in the county. .

Spielberg said that since last week, his hospital has been exploring every day for intensive care beds and places that do not normally handle critically ill patients, such as post-surgical recovery areas.

“And they’re not just secret patients,” he said. “She is a victim of a car accident and heart attack and violence. She needs a place to get serious care.”

The ever-increasing demand can also strain human resources.

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“We still have physical beds available, but we need staff to take care of the patients. Sitting in a bed when no one is taking care of you doesn’t work so well,” said Dr. Amy Harold, chief medical officer at the Queen’s Medical Center in Valley Medical Center, told the San Francisco Chronicle. “People are working overtime often and they’re tired and it’s getting worse.”

John Chapman, president and chief executive of the San Antonio Regional H Hospital Spital in Upland, said telemetry nurses who monitor patients’ vital signs should monitor more than four people, but they could include five or six because of the reduction in cases.

“It definitely increases the risk of something going wrong,” he said.

Emergency Room Physician in Los Angeles, located on the California Chapter Board of the American College of Emergency Physicians. Many emergency rooms are already using outdoor tents to create more space, Mark Futernick said. A hospital that has expanded its outdoor overflow tent is expanding into a nearby gym, he said.

Yet cases of coronavirus have not reached a climax in this third and most devastating wave and that means more drastic measures are being taken on the horizon.

Many hospitals are preparing for the prospect of rationing care. Doctors at four hospitals run by Los Angeles County recently released a document asking them to shift the strategy: instead of making every effort to save lives, their goal is to save as many patients as possible during an emergency.

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“Document received by LOS,” some compromise of the standard of care is inevitable; It’s not that any entity, system or locale chooses to limit resources, those resources are clearly not available for regular care, ”the document obtained by Los Angeles Times reads.

The county’s director of health services, Dr. Christina Ghali said the guide was not in the guide until Friday night but as it increased they needed to evolve and “the worst is yet to come.”

As of Saturday, the country’s most populous state had recorded more than 43,000 newly confirmed cases and 322 deaths, the highest single-day average during both epidemics. In the past week, more than a quarter-million cases and 1,500 deaths have been reported in California.

California has begun taking the new COVID-19 vaccine. But the available doses are too short and too late, so there is an immediate effect on the rising infection rate.

Recent cases have erupted with people ignoring the rules of social distance during Thanksgiving holiday. Health care officials and activists expressed frustration that many people were not following state-mandated safety rules designed to slow those rates down.

“Whatever comes up, I don’t think any of us can handle it.” Uefer said. “You have a dam that is going to break, and you have stopped pouring water into the dam.”

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If people don’t cut back on upcoming holiday travel and get-togethers, the state could see a “boom on boom”.

“I’m afraid it will be worse than what we saw in New York.” “When New York’s hospitals were overflowing, health care providers from across the country admitted.”

“None of that is happening right now, and there’s no way it’s going to happen because everyone is busy,” Futernick said. “There comes no equestrian.”