California mobile field rolls out hospitals, health official says, rationing care template


Disneyland was allowed to reopen a long time ago in the days when outraged local mayors demanded the governor of California.

As Orange County continued to set new records for new Covid-19 infections and hospital admissions on Tuesday, a very different kind of facility was being set up for visitors. Orange County officials were running mobile sector hospitals to increase coronavirus patients.

Hospitals in the area will be housed in large trailers and will include canvas tiles with rigid flooring and temperature-controlled units with running water, toilets, showers and generators as well as air purification facilities.

The Fountain Valley Regional Hospital will have 50 such beds, St. Jude at Fullerton will get 25 beds and UC Irwin will get 50 beds.

County Supervisor Dr. Chag Chaffey said he received a text message last night from a medical professional at St. Jude’s Medical Center indicating that the hospital is at “99% capacity.”

The hospital has 301 beds filled with 138 Kovid-19 patients, Chefi said.

“The ICU is at 105% capacity,” Chaffey said. “They are using every available bed. There is an overflow in the emergency department … all Orange County hospitals are in the same situation. It’s horrible, so they’ll be pitching a tent in the parking lot soon. I think what we are seeing is not an increase, but a tsunami. “

“I’m scared,” said Dr. Clayton Chow, the county’s chief health officer and director of his health care agency, about the increase in patients. “I will lose sleep every night. I’m scared … I’ve never been scared of Christmas and New Year in my whole life… I can’t even imagine what it would be like after the holidays if people wouldn’t listen and follow.

In Los Angeles, hospitals were embracing large-scale covid spikes by canceling alternative procedures. Dr. Director of Health and Human Services. “Hospitals have started to some extent to prevent non-essential procedures,” said Christina Ghali.

Another method of controlling bed capacity is “diversion”, in which an ambulance is turned over to a hospital – possibly far from art – with more beds. “We are aware that there are several hospitals in the county where load flooding can occur for more than four hours,” said Barbara Ferrer, LA County’s director of public health. “That’s why we need a diversion system.”

On Sundays, emergency departments are not traditionally so busy, while L.A. Of the 911 receiving hospitals in, 81% said they had to divert state-of-the-art ambulance traffic to other medical facilities due to overcrowding. G. Lee said last week that the average number of hospitals requesting diversions at this time of year is usually 10% to 15%.

The next step for local hospitals would be to implement a “break ratio” or team-based nursing. The state forces a nurse-to-patient ratio, but the number of nurses per patient can be reduced in emergency situations.

On Friday, Governor Gavin News did the same. He issued emergency permits for ICU units to increase the number of patients for each nurse from 2: 1 to 3: 1. Newsom also went to additional employees who have been protected and to request assistance that has gone to the federal government.

When the USNS. Asked about Mercy, who visited L.A. during the summer period. When sent, News said he did not make the request. “One of the most significant resources is not the bed [on the ship], But staff, ”News said, adding that health officials who, for months, have said that ICUs are not about crunch beds, but nurses and doctors trained in intensive care.

Galli said Mercy has rules about patients that made it difficult to get intensive care patents across the board, including bans on substance abuse issues or patients with mental disorders.

Hospitals are also looking at the possibility of “rationing” care, a top California medical official said Tuesday.

We have worked with our hospitals over the last few months on what is called “emergency care”. “We need to see it if we need to implement it,” said the state’s director of health and human services.

Encouraged by the distribution of the Covid-19 vaccine, Governor News on Tuesday sharply recalled the rising death toll and said the state had ordered more than 1,000 more body bags for morgue delivery in three counties, including Los Angeles.

Los Angeles County has the highest number of 86 deaths related to the new coronavirus since the summer on Tuesday. The virus has killed an average of 163 people in the last 7 days in California. Friday is the all-time high number of 225 reported virus-related deaths.

The county is also filing 11,194 new cases of COVID-19. The number of people hospitalized due to the virus is now 4,403, of which 21% are in ICU beds.

According to LA County health officials, “During this time period of extraordinary cases and increasing numbers of hospital admissions and deaths, health is more important than ever before as county businesses carefully comply with public health requirements and fully comply with safety and security changes. Official Order and Protocol. “

On Monday, Orange County set new records for new coronavirus-related infections – 3,350,50- and hospitalized, with the capacity of the county’s intensive care unit reaching zero.

On Tuesday, the county logged 2,173 new COVID-19 infections. The number of hospital admissions rose from 1,287 on Monday to 1,371, another record. There were 296 ICU patients, up from 288 the previous day, which is another new record. It has become a daily occurrence since last week.

The county’s covid-adjusted ICU bed availability actually rose from zero to 1.4% on Tuesday. Efforts to increase capacity are probably reflected in the fact that the number of ICU patients has actually increased. The state created an adjusted number to show the difference in beds available for COVID-19 patients and non-coronavirus patients.

As of Monday night, the overall percentage of available ICU beds in the 11-County Southern California area has been 1.7%.

Orange County’s test positivity rate rose to 13.2% from 10.6% on Tuesday. Officials said Tuesday that a new casualty had been reported in Orange County, with the death toll rising to 1,695.

Earlier this month, the record of ICU patients in Orange County was 245 during an increase in mid-July. Overall hospital admissions since December 2 are breaking records.

After months of running, dozens of residents on Tuesday appealed to the board of supervisors to reject the state’s stay-at-home order. Orange County attorney Leon Page explained that Governor Gavin Newsm’s executive order is the final word and the county can do nothing to change it.

Dr. Chow made an emotional appeal to residents to follow orders to cover physical distance and face covering to help prevent the spread of coronavirus.

County health officials are struggling to keep up, especially the demented elderly, who are infected but do not show symptoms, Chow said.

“We can’t send them to the hospital … they don’t need that level of care,” Chow observed. “And we can’t send them to a nursing facility … and we can’t send them to a hotel.”

Those patients will likely be housed at the Costa Costa Mesa’s Fairview Development Center, which is expected to open on Thursday.

“But we only have 50 beds available,” Chow said. “We will run out of options to take care of these people.”

“Right now we’re experiencing the effects of the Thanksgiving boom,” said Orange County Supervisor Lisa Bartlett. “And with the Christmas holidays and the New Year, we have to plan for some more cases to come.”

“The message is very simple,” Chou added. “In the United States today, every minute there are two people dying in the United States of Covid-19. Every minute we talk about someone losing a loved one … that’s an amazing number and from the American point of view it’s just an embarrassing number because what we have in medical care is the best.

Orange County Supervisor Andrew Do, whose father died unexpectedly over the weekend, noted
The crush of patients he saw at the hospital where his father was treated.

“I can tell you from personal observation that every single bed was taken,” what said. “When I approached the funeral home for my father, he said that his business had grown by 300% this year. The lack of waiting time and unavailability of services makes it spectacular that the funeral is unimaginable. They have never seen such a shortage before. “

News reported that 142 coronavirus-related deaths have been reported across the state in the last 24 hours. In the past week, there have been an average of 163 deaths per day in the state – up from 41 a day a month earlier.

“Think about the way we keep going, it seems like the January 14 issue, if we don’t do what we need to do, it’s not only to take advantage of ourselves when we can vaccinate, but to continue this face Wearing cover covers and minimizing the mix as much as possible due to what has happened in the last 30 days, ”Newsme said.

According to the governor, the state has 60-foot refrigerator storage units on standby in county California, if local facilities are flooded with viruses.

“We just had to order an additional 2,000 bags of bags … and we distributed them only in San Diego, Los Angeles, Inio County,” he said. “It simply came to our notice then. I … don’t want to scare people, but this is a deadly disease. And with where we are in this current journey we need to pay attention to the vaccine. We are not on the finish line yet. ”

The City News Service contributed to this report.

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