Optimistic news: National data on new coronavirus infections data do now show we have passed the peak. Good news but really this is just the end of the beginning for the NHS response. 1/7 https://coronavirus.data.gov.uk/
Firstly, the national data hide regional differences. New infections are still increasing in many parts of the UK. NHS hospitals in different areas will need to support each other for some time to come. 2/7
This map illustrates this much more clearly. Many areas of the country still very badly affected by new infections. This affects NHS healthcare in pretty much every part of the UK. 3/7 https://coronavirus.data.gov.uk/
Hospital admissions are still rising although we hope they will peak within 7 days. BUT the second wave has already lasted much longer than the first, with far more hospital admissions. These patients will take a long time to recover and go home. We have a long way to go. 4/7 https://coronavirus.data.gov.uk/
A similar pattern in intensive care. The demand for ICU beds is far greater than the first wave - something which was hard to imagine until a few weeks ago. It now seems inevitable that hospitals will still have a large COVID workload as Summer begins. 5/7 https://coronavirus.data.gov.uk/
BUT vaccination roll out is impressive - 4 million people have now received their first dose. This is vital to preventing virus spread and protecting people from the disease COVID-19 (don't @ me about 2nd dose delay, I'm waiting for my 2nd while most have not had their 1st). 6/7
Take home messages: 1) Infections may have peaked but pressure on hospitals is still rising; 2) Things may still be getting worse in your area; 3) #HandsFaceSpace remains vital; 4) The NHS will still be doing a lot of COVID care beyond June; 5) Have the vaccine when offered! 7/7

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Rupert Pearse

Rupert Pearse Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @rupert_pearse

17 Jan
What reaching the peak means for the NHS: We're increasingly confident we have hit *a* peak and hopefully *the* peak of the second wave of coronavirus infections. Hospital admissions lag behind and will carry on rising for another week or so, but this is still a key moment… 1/10 Photo @jometsonscott
I have talked before about how and why the healthcare the NHS provides right now is simply not as good as usual. We have protected emergency care but routine care for cancer, cardiac disease and so many other illnesses has been badly affected. Especially surgical treatments. 2/10
The surge in COVID patient admissions has a huge impact on other parts of the NHS. We see this pattern often in the winter flu season but it is far worse right now. The shortage of normal hospital beds and ICU beds makes in-patient work very difficult. 3/10
Read 10 tweets
14 Jan
The number of new coronavirus infections may be levelling off, but patient admissions to NHS hospitals for COVID-19 will increase for another 7-10 days. The question of how we choose which patient gets an ICU bed is now a routine one in media interviews. Doctors are worried. 1/11
The burden of decision making around ICU admission traditionally falls on senior ICU doctors. Most of us are privately very worried about what will happen if we run out of resources. The false suggestion that we rationed ICU beds in the first wave has upset a lot of people. 2/11
To be clear, I am not aware of ANY patient who was not admitted to intensive care during the pandemic when the ICU consultants responsible believed that they should be. But we would be failing in our duty if we do not plan for this situation. 3/11
Read 11 tweets
13 Jan
Recent trial results show some promise for Tocilizumab in the treatment of severe COVID-19. Welcome news at a difficult time and excellent work from @remap_cap & @NIHRresearch. But the results raise some difficult issues for doctors treating patients. 1/9
To recap, Tociluzimab is normally used to treat inflammatory arthritis and other immune disorders. The drug suppresses the systemic (whole-body) inflammation (AKA 'cytokine storm') and may reduce the harm of COVID-19 especially for critically ill patients. 2/9
Scientists from @The_MRC population health sciences unit combined data (meta-analysis) from 2107 patients in six trials including @remap_cap. The results suggest a small reduction in 28-day mortality. But most of the benefit was from REMAP-CAP. The results are not clear cut. 3/9
Read 9 tweets
9 Jan
The vaccine conversation took an unexpected turn this week with the decision to prioritise first doses for people who haven't been vaccinated over second doses for those who have. Staff who all year have worked in COVID zones are now preoccupied with their immunity status. 1/8
This has turned out to be a very emotive issue for NHS staff. The topic has split us along invisible fault lines. In some cases, our position in the vaccination queue (and that of people we care about) seems to define our views on the science. 2/8
I'm not expert in the science but listening to those who are, delaying the second dose seems a legitimate thing to debate. Technical discussion revolves around how long the 2nd dose could be delayed and how much difference this might make make, as opposed to a binary debate. 3/8
Read 8 tweets
5 Jan
Why did we need a lockdown? For many people, their lives have not (yet) been touched by COVID as an illness – only by public health measures. But we need a lockdown to protect everyone’s healthcare, even those who aren’t ill. Here's why... 1/8 Photo @jometsonscott
NHS hospitals are under extreme pressure. We now have more than 21,000 hospitalised patients with COVID-19. This number continues to rise and will carry on rising for most of January. Many of these patients will need to stay in hospital for several weeks. 2/8 https://coronavirus.data.go...
The NHS cannot and will not turn emergency patients away. We treat every patient who comes to hospital. But when hospitals fill with emergency patients, there is always an impact on elective (planned) care. This often happens in Winter but is far far worse this year. 3/8
Read 8 tweets
31 Dec 20
Media reports of pressures on the NHS are all true. The situation in London is now MUCH worse than the first wave, and still deteriorating. Sad to see long queues of ambulances outside the hospital where I work. Re-visiting reasons for hope and also words of caution…. 1/10 Photo from the Evening Standard @standardnews
1. We understand the disease: The baptism of fire in the spring taught us how COVID-19 behaves. NHS teams have reflected on what worked and what didn’t. For example, we know we will see problems like blood clots and kidney damage more often than usual. 2/10
2. Treatments are more focused: The media furore around wonder drugs was a massive distraction but @NIHRresearch and others have rapidly delivered major clinical trials which busted a few myths eg hydroxychloroquine and showed simple things can save lives eg dexamethasone. 3/10
Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!