Summary 𧡠of last night's SHA "town hall" for MDs:
- Overall #SK test positivity ~14%
- Cases declining, but so is testing
- #SK has HIGHEST current case & death rates of all provinces
- HIGHEST ICU census per capita of ANY province at ANY point in pandemic.
As of 0730hrs yesterday AM (Oct 21), 117 persons in ICU. 57 persons on high-flow oxygen (Optiflow) normally in ICU, cared for on regular hospital wards.
ICU census now forcing out-of-province transfers, widespread service slowdowns, and informal triage.
Application of "Pandemic Crisis Care Principles" (aka formal triage) will support our current ICU dynamic. So YES, formal ICU triage is BOTH NECESSARY & UNAVOIDABLE in #SK.
We don't expect improvement in situation for at least 4-5 weeks, even *if* #SK locked down.
To be blunt, #SK's pandemic situation remains a giant cluster f***. It's fair to say we're in the WORST situation of ANY province through the pandemic thus far.
The key problem is that despite how bad everything is, we've still somehow NOT reenacted basic PHOs.
The longer we willingly choose to do NOTHING, the longer this will drag for, the more #SK citizens will suffer & die (both from COVID & *other* urgent unaddressed medical issues).
Sadly, we'll stay in media spotlight for weeks. Longer, even, if no action is taken.
This is an explanatory 𧡠on ICU capacity in Saskatchewan, the different levels of ICU care & support provided across #SK, and why freeing up ICU beds in Regina & Saskatoon is SO important right now for us.
Not all ICU "beds" are created equal. There's different capability levels to provide support for complex patients depending on the expertise of available doctors, nurses, respiratory therapists, and specialist support. (2/n)
Some data slides released today @SKGov w/ accompanying discussion via Dr. Shahab.
Short 𧡠w/ commentary.
First, being unvaccinated in #SK = 28X risk of ICU admission, 13X risk of hospitalization, and 6X risk of getting COVID vs. being fully vaccinated. (1/6)
Second, ~50% of all persons admitted to hospital in October had 1st positive COVID test on/after being admitted. This informs approach to early therapy, monoclonal Abs, etc.
Earlier testing & identification of illness clearly ideal. (2/6)