The Coronavirus Epidemic: Physicians Describe the Reality of Injury in the NYC Emergency Room

The Coronavirus Epidemic: Physicians Describe the Reality of Injury in the NYC Emergency Room

A “cough cough” in the packed emergency room. Wherever there is space, the beds shake. Excessive, sleep-deprived physicians and nurses ration one-on-one masks a day and become obese with concerns about the ever-increasing number of ventilators available.

The reality inside the hospitals of New York City is that it has become a war zone Coronavirus Crisis

Fighting transmission rates, which are five times higher than in other countries, health workers are at risk of getting worse, day by day, amid a lack of needed supplies and the promise of federal government support. It is still fully implemented.

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Medical Director of the Emergency Department at The Mount Sinai Hospital. “You’re not 100% of the time – whatever,” said Julian McGree. “It’s been a full month and it’s definitely under pressure.”

Patients first showed fairly mild symptoms, ranging from runny nose to mild fever, they were infected with coronavirus.

“These people are critically ill with breathing, they need to be intubated and need an intensive care unit,” he said. “We knew it was coming. We saw it in Italy and other places so we were ready for it and now we’re watching it.”

Chief Surgeon at Columbia University. Craig Smith wrote in a note to colleagues: “We think Italy was at risk a week ago. Not today.”

About 14,800 people in New York City have been diagnosed with coronavirus as of Tuesday, which accounts for more than half of the country’s most affected states.

More than 2,5 people have been hospitalized due to the virus – more than double from three days ago – and close to 600,000 people were cared for. The death toll has risen to 6, and the governor’s officials warned it would get worse before it got any better.

“We are not reducing it. And it is accelerating on its own,” Governor. Andrew Cuomo, Predicting the state could be as little as two weeks away from a crisis that will see 40,000 people in intensive care. Such relief will overwhelm hospitals, which now have only 3,000 intensive care unit beds across the state.

“One forecaster said we were looking at a freight train coming across the country. We are now looking at the bullet train,” he said.

Brooklyn Methodist Hospital physician Khalid Amin on Tuesday treated seven COV-1 patients, aged 20 to 2, and suffered from the same condition as each breast that dropped – fatigue, as they fluttered for air with minimal movement.

A patient in his 50s, moving from the bathroom to his bed, appears to be struggling at one point in less than 12 feet, his chest rising and falling fast.

“Does your breath seem low?” Amin asked. Then came the answer, so low, that even though Amin was inches away, he could hardly hear. “Yes.”

A few moments later, a stethoscope on the patient’s back, Amin could hear the same voice he heard in other patients that day: “It’s crackling like crackling paper.”

Craig Spencer saidThe man who survived the Ebola scandal at 27 and now tweets Tuesday at the New York-Presbyterian / Columbia University Medical Center’s director of the World Health Department, “cough scissors” in the ER, faces nearly every patient with the same symptoms, regardless of age: endless hacks. , Respiratory and fever.

“The difficulty is in understanding how bad it is – and how bad it is going to be – if you see that everything is on an empty road,” he writes. “The capacity of the hospitals is almost imminent. We’re running out of ventilators. Ambulance sirens aren’t stopping.

Smith said hospitals in the New York-Presbyterian system were burning about 1,500 masks a day in crisis – about 10 times the normal amount – and they started issuing one staff member daily.

Mayor Bill de Blasio said about 2.2 million masks were delivered to the hospital on Monday, on the way to additional supplies from state and federal governments. But he said there was more to come.

“If we run out of it, it’s like sending a soldier to war where everyone has armor and we don’t have armor,” said Dr. Joseph Habbushe, a doctor in the emergency room at NYU Langone Medical Center.

The city’s health department last week advised health professionals not to show symptoms – rather than self-isolation – to continue working after exposure.

“The more we hear about doctors and nurses getting sick, the more we get nervous,” said Dr. Eric Seo-Pena, director of global health at Northwell Health. “” It is certainly in every American healthcare worker’s mind. We do not want to be in a position where we make patients’ decisions based on wealth rather than clinical care. “

Seo-Peাa has been following each shift in what he calls a “casualty routine,” so that he deletes his phone and rinses off both his scrub and street clothes.

“We’re heading to a war,” he said.

Across the city, healthcare workers, hospital administrators, and government officials were flocking to preserve valuable gear and find more treatment sites before being overwhelmed. The Jacob K. Javits Convention Center is being converted into a 1,000-bed hospital, and USNS Comfort, a fully staffed and well-equipped Naval Hospital ship, is expected to arrive within two weeks, not just for coronavirus patients, but also to provide relief to the hospitals working with them. Please.

NYU Langdon Habbushe says ER physicians are always concerned about what will come with the coronary virus when dealing with potential danger. Although the vast majority recover from illness, older adults and those with existing health problems are particularly vulnerable and may suffer more serious illnesses or even death.

“I think in society we are all experiencing anxiety and stress right now – we are feeling it more and more in the hospital,” she said. “How can we cope with the notion that this is only going to get worse before it gets better?”

Among the biggest concerns, Habsbush said, is the possibility of medical professionals deciding which patients receive and do not receive potentially life-saving machines, such as ventilators.

“Imagine one of the things you learn about it is hard to imagine that you will actually face it” “and now we all realize that there is a really high probability that I will face it and it will break my heart.”

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