Skip to comments.Florida plan advises hospitals to bar some patients in event of pandemic flu outbreak
Posted on 10/18/2009 8:30:29 PM PDT by varina davis
(Excerpt) Read more at sun-sentinel.com ...
Anyone who didnt vote for Barry ???
Well truthfully, the last place a person undergoing chemo should be is a hospital filled with people who have an airborne transmitted infection. I think it makes sense, keep the hospital for those with the flu (in an epidemic) and send immuno-compromised patients to another flu-free facility.
There is a difference between a short term decision like this from a long term decision on Obamacare. Obamacare is about limiting the number of ventilators (and other medical treatments) at a national level. In the short term this is just limited by the fact that there are only so many and new ones can't be produced quickly enough, while in the long term Obamacare's panels will decide that even if more can be produced that they won't be.
Triage during a medical emergency is certainly nothing new. I don’t see what some are becoming so agitated about.
Definitely seems like it would be a Solomon like decision. Hope mistakes won’t be made in judgment.
Yes, but without some of the care found only in hospitals the only flu free facility might be the morgue.
This is the reality if there should be a flu pandemic where serious respiratory complications were common. IIRC, from a discussion on this there are about 80,000 ventilators in the US. Whatever the number is, it's not enough. And that is the only occasionally discussed, but possibly most severe problem that might result from a flu pandemic where respiratory complications were common.
But the odds are still with us that that won't happen.
Thanks that needs to be repeated.
No, to avoid being racist, all illegals and convicts will go to the head of the line. Ordinary citizens will get care only if there is any left over.
A DNR shouldn’t be the determining factor. You could have a previously healthy 55 y.o. with a DNR, and an already frail 85 y.o. who wants the works, thank you.
But DNR does not mean Do Not Treat! It’s not even clear if they are talking no admitting for flu, or no admitting for anything, from a heart attack to a head injury.
This is quietly happening all over the US. Hospitals (at least the ones that have their act together), are trying to set up “parking garage facilities”, based on three things, proximity, severity and time.
Imagine the typical, otherwise healthy flu patient (that is, no underlying asthma, diabetes, heart and lung problems, etc.) They realize they are too sick to stay at home, so they go to the hospital, and are put in the parking garage facility.
Their situation is that they need some “urgent”, but not “emergent” care, yet there is not a whole lot the doctors can do, until if and when their flu gets worse. *However* they are near the doctors, in close proximity to more intensive health care if they need it, and under the gaze of those who will recognize when they need it. They also have sanitary facilities if they have vomiting and diarrhea.
They start having some difficulty breathing, so at first they can go to a large plastic tent with more oxygen in the air than ordinary air. If this is still not enough, then they can be issued a small oxygen tank to breathe pure oxygen from. Otherwise they are still awake and aware, and breathing on their own. They are also being issued antibiotics to fend off any secondary bacterial infection.
Then some of them become incoherent. At that point, this group needs to be moved to the influenza wing inside the hospital. It is likely that a percentage of them will be needing assisted ventilation and IV medicines.
When people arrive at first, the triage nurse will ask them when their symptoms started to show. This starts the clock for the timetable of the disease. After a large number of patients, doctors will have a pretty good idea of the typical “windows” of the course of the disease.
This helps separate people out who are getting through the disease on their own, and won’t be needing more serious care. They can be put aside, to eventually be sent home, as they have passed through the worst of it.
So put it all together, and the parking garage facility is a good way of handling an epidemic, while minimizing the disruption.
It says that some may be removed from ventilators with the equipment going to others.
That works until Mr. Muckinfuch shows up with his daughter and ORDERS someone removed so his daughter can have the equipment.
OR Mr. Muckinfuch offers to write a big check to the hospital so his daughter can have the equipment.
How much do ventilators cost? Can someone buy one for their family as a sort of insurance and keep it in stock if ever needed? I see no reason why there should be only 80,000 ventilators for 300,000,000 people, and one would think hospitals could keep hem in inventory like anything else.
Ventilators are like anything else, the entities that use them (hospitals) have determined how many they typically need and acquired them on that basis, probably plus few spares. The reality is we'd run out of everything if a pandemic were severe enough. We'd run out of vaccines, antivirals, ICU rooms and hospital rooms in general, and probably OTCs used for flu, and probably alternatives like Vitamin C and anything else believed to help prevent or treat the flu.
But there has been only one pandemic that serious (1918) in the past century, so the odds are always on our side.
I think ventilators are just the first serious shortage that would show up in a pandemic with widespread respirtory complications.
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