America is forced to choose patients for treatment

AmericaThe skyrocketing number of hospital admissions and deaths caused by nCoV have left many hospitals in California facing a grim choice: patients have a chance to live and receive treatment.

As of January 1, the total number of infections in the US was 20,572,813, of which 355,935 died, the highest in the world. The situation is dire in California, which has crossed the 25,000 mark of nCoV deaths, since the onset of the pandemic.

The number of people infected, hospitalized and killed by Covid-19 skyrocketed, putting the medical system and healthcare system here at risk of collapse.

Kaiser Permanente Downey Medical Center has over 80% of patients with confirmed or suspected viral infection. Some newly infected patients are being treated in the lobby. Some people who recover well will be sent home to continue breathing oxygen.

“The patient flooded the hallways, in the corners, on the chairs. When the emergency room was packed, the doctor treated everyone in the waiting room,” said an unnamed medical officer.

“It was like wartime. I have never been in such tragic circumstances in my life,” the man said.

“Patients with low blood pressure and unstable oxygen levels have to wait 9 hours. Their families are impatient and anxious. The medical staff should consider whether to transfer oxygen tubes from one patient to another. “.

A patient is lying on a stretcher in a hallway at Providence St Mary’s Medical Center, Apple Valley, California. Image: AFP

The situation is also alarming at Martin Luther King Jr. Community Hospital. in Willowbrook, where there are 128/131 total Covid-19 patient beds. On December 27, the hospital had 215 inpatients and reported a catastrophic condition because it could not accept more patients.

“If the situation continues to deteriorate, we will force the selection of patients for treatment, which no medical professional wants to do,” said Dr. Elaine Batchlor, the hospital’s chief executive.

Batchlor says the facility is overcrowded because the majority of the population around the region are frontline workers, low-income, have background problems, participate in public insurance or are uninsured.

Other larger hospitals in the region reject low-income male LA patients who are critically ill who need a high level of care that the community hospital can provide.

It was also bad at other hospitals. Bill Caswell, executive director of the Kaiser hospital chain in southern California, said the proportion of Covid-19 patients increased from about 52 percent two weeks ago to more than 80 percent.

County-USC, one of the largest public hospitals, had to stop emergency patients for 12 hours on December 28 because of hospital overcrowding.

“There is no universal formula that solves this problem. Right now, the decisions we’re making for hours are, how to avoid crises,” said Dr. Brad Spellberg, County-USC chief medical officer. How can we both discharge floods and raise the dyke to avoid the worst case scenario when choosing patients to be treated? “

Even smaller hospitals in remote areas struggled to survive.

The Emanate Hospital in Covina is “messing up” according to Tanya West, a nurse who has been working there for the past six years. “The facility has almost no room for patients,” she said. The new patient waited in the ambulance while others were sprawled in the lobby.

The hospital treated about 150 Covid-19 patients last week, accounting for 60% of the total number of patients, of which 22 needed special care.

“We are seeing a surge in Covid’s large number of patients, but we are still receiving other typical emergencies, from heart attacks to broken legs,” West said.

Nurse Joan Pung is monitoring patients in the intensive care area, St. Hospital.  Jude, Los Angeles, on December 24.  Photo: LA Times

Nurse Joan Pung is monitoring patients in the intensive care area, St. Hospital. Jude, Los Angeles, on December 24. Image:LA Times

According to data from the Los Angeles Times, people living in low-income, low-income, cramped communities are severely affected and have barriers to health care, compared with others.

Hospitals in southeastern Los Angeles (LA) and south San Gabriel are severely overloaded. Health facilities are relatively small so they cannot provide extra beds or increase special care personnel.

Data show that residents of Latin origin and of African descent are at higher risk of viral infections and higher mortality than whites. Officials say low-income essential workers often get sick in the workplace and then pass the virus on to relatives.

Data released by the US Department of Health and Human Services revealed more than 6,000 nCoV-infected patients were hospitalized in LA the week before the New Year, almost four times more than November, pushing the proportion of patients hospitalized for Covid- 19 in all hospitals in the region to over 40%.

The unborn (According to the Los Angeles Times)


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