“It’s not easy to go to work every day and watch people in their 30s die,” an ICU nurse in Edmonton told the Guardian.
“Having to help a family say goodbye and then going through the actions that are required at the end of someone’s life, is worse than anyone can imagine.”
“As soon as those breathing tubes come out, we’re kicking people out of ICU to make space for someone else,” said another nurse. “It’s getting bleak. It’s hard to watch.”
“No one can ever understand what it’s like to have a Zoom call with a family member whose patient is dying...That is the most awful thing I’ve ever done. And I think we’re all shifting a bit from this very intense sadness to this anger –because this really does feel preventable.”
“All these decisions from the government are clearly to satisfy their voter base,” a nurse said. “But what a lack of insight to see that it’s their base that’s dying and causing us to resort to battlefield medicine.”
“I don’t have the energy to make sense of it any more,” said the nurse. “I’m barely functioning as it is, because we’re pouring from the cup that has a hole. We never get to fill it.”
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Look at each patient. Look how many tubes/lines are coming out of them, every one corresponding to pump or machine. Both patients are proned (turned on their tummies) for better oxygen exchange. It takes 5 staff to turn them over carefully so the tubes/lines don’t get yanked out.
Where are these 5 staff supposed to go?
Imagine if a patient’s hearts stops, and a resuscitation (a “code”) is called. 8-10 healthcare professionals would need to run in, find space to start doing chest compressions, trading off every 30 seconds, while others give IV meds.
74 Infectious Diseases doctors agreed on the following:
"Hospitals and ICUs across the province ... have reached a point where it is unclear if, or for how much longer, we can provide safe care for Albertans... Our healthcare system is truly on the precipice of collapse."
"... [T]he current measures do not go nearly far enough to interrupt transmission or reduce barriers to vaccination... [and] the current state of healthcare capacity in Alberta is so dire that waiting to see results of current ... measures will result in devastating consequences"
"... To prevent broad restrictions like those required in earlier waves, we are calling for immediate implementation of certificates of immunity that individuals must provide to enter any indoor public space for the purpose of accessing a non-essential service..."
Major caveat is that most autopsies included were from first wave, pre-#RECOVERYtrial and use of steroids and other immunomodulation likely increase risk of #CAPA.
Big congratulations to Dr Brittany Kula (@ScrofKula), ID fellow extraordinaire @UofA_ID and soon @UAlberta_ICU fellow, for doing a wonderful job leading this study. Brittany is pictured in the first tweet, and here is her cat Gladys