I’d just like to point out at this stage that catastrophe planning is already done, it’s just a matter of implementing it. I guarantee you the hospital system can deal with anything. It’s been done elsewhere before…
No, it won’t be “hospital” as you have ever known.
The staff will suffer, the patients will suffer, elective work won’t get done, and emergency work might get done. In some countries it has been indicated by some sources that blanket decisions were made not to transfer many to hospital in the first place.
So if you are waiting for the hospital system to “collapse” before doing something, you could be waiting forever.
The question you should be asking is… where were we in terms of care delivery, where are we now, and where are we going?
Ask the questions…
Can we provide care to patients safely?
How long are the waiting times to get emergency and elective care?
How will future healthcare provisions be met if we continue to “live with the virus”?
It’s an absolute nightmare mess of gargantuan proportions.
Look for this hard data, because I guarantee you that some staff will continue to limp to their jobs, and attempt to deliver care, no matter what happens… so there will be a hospital… just not anything like how you remember it.
Living in a society that has a crippled health system shouldn’t be the aim of any government or public health body.
It sounds obvious, but too many governments and doctors seem to think that provided we don’t see the horrors of 2020/2021 all is good.
The bar is set too low.
We need to do the work and have the settings to aim far higher. We should aim for functional health service delivery that meets the needs of the people, and a healthy population not riddled with post SARS chronic illness.
In my view, if close contacts and sick people are working in hospitals… it’s already “collapsed”… but as “collapsed” and “catastrophe” have no actual defining parameters, we carry on, oblivious.
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Nearly a year ago I said that the most dangerous thing about acknowledging #COVIDisAirborne, is that governments would give up trying to control disease.
They have given up in many well resourced countries.
This another huge mistake.
Airborne disease CAN be controlled.
Step 1
Stop asking doctors how to fix an environmental problem. Airborne disease is a problem of air flows and stagnant air.
Ask engineers, architects, aerosol scientists…
Step 2
Stop picking only the “easy” thing to do (ie what the individual can do). Airborne disease requires teamwork, competent governments and community efforts.
In general, ED long waits lead to pressure areas from hard chairs and floors (these are anything from red areas on the skin to actual holes deep to the bone), long wait to get anything like bed pans, pain killers, phone… and the worst one… no one to notice deterioration.
This is the omicron story. Not ventilators and dying from COVID-19 as much as before.
Studies overseas show that omicron puts pressure on emergency and ward level care, rather than ICU. Staff are being redeployed from ICU to wards and ED.
So looking at ICU is exactly the wrong place to look.
Please find an advisor that tells you these things.
It’s obvious if you think about it. A disease that causes less respiratory symptoms and shorter stay, but in larger numbers, is going to impact ward level care and emergency the hardest.
Other pressure point to watch is potentially PICU.
#journorequest please focus on the above areas for questioning. Please do not accept “low deaths” and “low ICU” as the end of the story.
Omicron is different, and it is stressing the hospital in different ways.
Also, long COVID. The massive elephant in the room…
2) more people keen to get infected will contribute to the collapse of the healthcare system.
3) it undermines the disease control message to the public which is absolutely needed at this time as rosters are collapsing! amp.theguardian.com/australia-news…
Where is the advocacy from @NSWHealth to the office of @Dom_Perrottet to control disease in order to re-establish the delivery of safe care?
Persistence of widespread COVID-19 circulation is not compatible with that.
On @abc730 he is now talking about the death rate being low… the last lagging indicator of trouble.
@Dom_Perrottet is literally going to wait until the bodies pile high… then he will still do nothing… just wait for Mother Nature and eventual boosters to bend the curve.
Businesses stressed by no staff, food supply lines interrupted, healthcare now unsafe as close contact staff caring for the vulnerable…
and he is smiling.
Normal people failing so spectacularly would show some sign of stress.
If anyone wants to know what’s going on in Australia our leaders have decided to desensitise us to death, suffering, sickness and total chaos by flooding us with COVID-19.
Currently everyone is going through the horror phase. We will accept it all soon.
I know this because no matter how much horror and suffering has happened in England… we kind of just drag ourselves through the day, cursing our government… powerless to change anything.
It is now totally normal in England to go on a waiting list for something, and fully expect it will never get done.
It’s normal to book something and fully accept that it may not go ahead because another wave has turned up and no one is well enough to do the job.