it’s getting real. resident pulled away to conference (but comes back smarter!) and PP CP SOB in resus while I’m solo. bunch of new patients but fortunately my med student is good
OH NO
OH NO WE’RE GETTING BUSY DOWNSTAIRS AND NOW WE’RE OUT OF INPATIENT BEDS
we’re all on the same team and we just cleared the ED except for boarders so…
some inpatient beds opened up and we just cleared out the whole ED!
so of course we just lost 3 nurses, bolus of 18 new patients including 3 level 1s
couldn’t do everything but helped a lot of patients this round, made good progress
got a code! but no one in the bed. false alarm
alright finished up this crazy shift. a bunch more level 1s in the final hour, signing out a mess (boarding DKA, 3 new level 2s, full fast track TBS) but none in the WR. and no safety events!
things got busy near shift change so we stabilized the level 1s & the nurses got slammed; I made an executive decision that the doc w actions to make could do some (appropriate) nursing actions (vitals/bloodwork) but spent action points bragging to the residents about it @TChanMD
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I will get vaccinated as soon as I can, which, as an ER doc, will be "soon"
the data we have is very good & very reassuring. I suspect the pfizer data will be published soon, but the fact that they prioritized the EUA, knowing the FDA would release it as part of the process, seems reasonable
some things to add:
forget who I stole this from but hospital capacity is a lot like a tetris endgame -- you can be really full even when there is technically "space"
additionally, things don't happen instantaneously. even when there is space and everyone wants everything to move, things take time--turning over a room (ie cleaning), staff communication, patient transport
At this point many physicians and scholars have discussed how and why COVID-19 disproportionately affected black and brown folk. @ezekielRMed#ShareTheMicNowMed 1/
So what do we do about it? Why aren’t the issues that spread COVID like fire through kindling as central to the field of medicine as sterile technique? (serious question) @ezekielRMed#ShareTheMicNowMed 3/
@GitRDoneLarry Larry the stuff in that video is just wrong, even some simple facts like "we've never quarantined healthy people before"
it's happened countless times across history including in the US during the Spanish flu in 1918 and various other outbreaks of smallpox and plague
@GitRDoneLarry I absolutely appreciate that millions of people are hurting economically and it's hard because the models looked worse than what we've experienced but a big part of that is because the shelter in place is working well!
and despite that, over 53,000 Americans have died
@GitRDoneLarry these guys are extrapolating out their experience from their urgent cares which is not at all representative of anything; epidemiology is a lot more complicated than multiplying out numbers particularly as we have been so far behind on testing