8 days means each patient is a massive use of resources if they are critical the whole time. That's got to be really hard on the families too.
8 days is from symptom onset, ascertained when they are admitted to hospital and diagnosed (they're not generally being tested until then). Hospitalisation to death is 5 days.8 days means each patient is a massive use of resources if they are critical the whole time. That's got to be really hard on the families too.
8 days is from symptom onset, ascertained when they are admitted to hospital and diagnosed (they're not generally being tested until then). Hospitalisation to death is 5 days.
Unfortunately I've been checking on my boss who's late 60s as he's had symptoms. Couldn't contact him today and just got a call from another colleague to say he's being taken to hospital. 87% sats, temperature. They say his chest sounds ok though which is odd.Try reading the posts you’re responding to. I‘ve been talking about the % hospitalised from the beginning of this conversation.
Believe me, you do NOT want to be hospitalised right now. And it’s going to get a lot worse in the coming weeks.
I agree no-one likes a show off or know it all. Or just a rude idiot.No but I think it's slightly unfair to say someone should either take the time to learn something new or not make a comment on it at all, as was suggested on the previous page. Arguing about things is a way of learning, not just a way of showing off what you already know. Plus most of the people posting here don't really know much anyway. Some just know slightly more than others, often simply because they've become engaged in the conversation earlier.
@VintageWhatnots post is what led to him learning more about why they use that particular graph, which is a good thing. Don't see how him not commenting would have been preferable.
Nope. Not really. The virus caused people to get sick but an overwhelmed health service caused a higher mortality rate than you see in the early stages of the epidemic, before they had to start rationing access to ITU beds.That was the effect and not the cause.
What a cnut.Remember herd mentality, that thing the government went for, then denied going for.
At its heart is both johnson and cimmunig's obsession with eugenics.
And here is their mate toby young saying the quiet bit loudly.
Just remember, its not 18 months ago Johnson pushed this this man to have a role in government education oversight.
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Sorry to hear that. Those are very low sats. Hope he’s ok.Unfortunately I've been checking on my boss who's late 60s as he's had symptoms. Couldn't contact him today and just got a call from another colleague to say he's being taken to hospital. 87% sats, temperature. They say his chest sounds ok though which is odd.
The stats regarding male:female deaths (2 fig2) are startling.9 days from symptom onset to death. This has increased slightly, it was 8 days last week, possibly as the weaker patients died quickly early on. Also remember the more advanced age of Italian victims.
Section 7:
https://www.epicentro.iss.it/coronavirus/bollettino/Report-COVID-2019_26_marzo_eng.pdf
@Grinner The Lancet explains the study that I read, if you are interested.
The best way to keep death rate low in the initial weeks of the epidemic is by really aggressive, extensive community testing. That way you pick up all the milder cases. Theoretically, that information can also be used in contact tracing to limit community spread. Unfortunately, it seems not many countries have the resources to test as extensively as Germany, South Korea or Norway. I know Ireland wanted to take the same approach but almost immediately ran out of testing capacity so had to drastically cut back on eligibility for testing.Some updated stats from Norway
Tested: over 90 000(almost 2% of the entire population)
Infected: roughly 4500
Hospitalized: 319
Died: 34
We're soon 5 weeks in, so I think we're doing quite well, thankfully. It's surprising that the death rate is far below 1%, though I expect it to rise a little.
Germany seems to be doing really well. I'm impressed by their response.
It is but remember it's Italy. More men are catching it as they refuse to stay indoors (there are plenty of old men walking up and down my street all day pretending to go grocery shopping) and dying from it as they smoke like chimneys.The stats regarding male:female deaths (2 fig2) are startling.
Medical record. You can’t diagnose hypertension based on blood pressure when a patient first presents. It’s something that is monitored/treated over a period of time.Reading now. Out of interest, are doctors able to tell that hypertension exists when a patient is admitted, or is it all down to what's in their medical record?
Aye, that's different. If we're posting information we should do our best to make sure it's legit. Same thing with whatsapp rumours, there's no need to blindly spread nonsense just because it happens to have come across your path, especially if you're clued in enough to really know better.I previously said learn first or don’t comment but that was directed at people posting ‘safety’ advice that’s conflicting or just reading something once and running to this thread and stating as fact without even checking if there’s any truth to what they read
Are lots of people still flouting the regulations then @11101 ? I thought that by now the whole of Italy is very tightly locked downIt is but remember it's Italy. More men are catching it as they refuse to stay indoors (there are plenty of old men walking up and down my street all day pretending to go grocery shopping) and dying from it as they smoke like chimneys.
Wasn't today the day they included people who passed while at home393 dead today in UK
Yes I believe so.Wasn't today the day they included people who passed while at home
No, I wouldn't have thought so either. Ireland explicitly said they were trying to follow the South Korean model but still had to go into lockdown anyway, as it's not quite replicable here. Most countries will be trying to find a middle ground, I guess.I'm not sure Korean ways of dealing with this would be possible to replicate in Europe. Certainly not in Poland.
All from previous days or just the last 24 hours?Wasn't today the day they included people who passed while at home
Yeah they've included deaths at home up to the 20th March so far, which was 40 they announced earlierWasn't today the day they included people who passed while at home
It's a chronic condition so it can only be diagnozed over a relatively long period of time. So it's done with the medical record, when you are admitted they will simply note that you have an elevated blood pressure and monitor it.Reading now. Out of interest, are doctors able to tell that hypertension exists when a patient is admitted, or is it all down to what's in their medical record?
I doubt anyone admitted to hospital wouldn’t have an elevated BP. I’d be bloody petrified!It's a chronic condition so it can only be diagnozed over a relatively long period of time. So it's done with the medical record, when you are admitted they will simply note that you have an elevated blood pressure and monitor it.
So I have a colleague working in Northern Italy who has said their ward is all patients on CPAP machines. It does seem to work quite well.Anyone know more information about these CPAP (Continuous positive airway pressure) machines that Mercedes are apparently producing? How quickly are these likely to be distributed en masse?
https://www.bbc.co.uk/news/health-52087002
Apologies if this discussion has already taken place.
Dr. John Campbell is very optimistic that this could massively reduce the pressure on the healthcare system, as well as the bodies of those hospitalised, and eventually ventilated/intubated.
Have you seen the presentation doing the rounds about the PPE protocol for the Chinese HCWs transferred to Wuhan? They had incredibly thorough protection. Including people who spent all day doing nothing but checking and helping don/doff PPE for their colleagues. End result, 42000 additional workers with 0% infections. Unbelievable really.So I have a colleague working in Northern Italy who has said their ward is all patients on CPAP machines. It does seem to work quite well.
The issue though is that CPAP is an aerosol generating procedure (AGP), which means it basically sprays aerosols (containing the virus) all over the place. Most London trusts have actually stopped using NIV (of which CPAP is a part) due to the risk of this.
AGPs by themselves can still happen (and we are still having to do them anyway). Problem is that the current PPE guidance in the UK is a bit of a shambles anyway (surgical mask, apron and gloves for Covid confirmed patients), partly because we don't have enough of the full kit. Being around a patient while they're having an AGP means you need the full PPE ie:
We don't currently have enough of this to be doing AGPs regularly on normal wards.
That is as much of a barrier as availability of the CPAP machines.
It's relative. The streets are extremely quiet but you do notice the same few people walking up and down multiple times per day with the same shopping bag in their hand.Are lots of people still flouting the regulations then @11101 ? I thought that by now the whole of Italy is very tightly locked down
@Ole90+3 My missus uses a cpap machine as she has sleep apnea . They work by forcing air into the airway via a mask which fits over the mouth and nose . A motor pulls air from the room and forces it into the mask , Imagine a hairdryer , air being sucked in and funnelled through a hose into the mask . The one she uses senses how much air she is needing to keep her airway open and adjusts flow accordingly . I suspect the ones being developed must also add oxygen into the mask as from what i understand , covid patients need a substantial amount of extra oxygen .Anyone know more information about these CPAP (Continuous positive airway pressure) machines that Mercedes are apparently producing? How quickly are these likely to be distributed en masse?
https://www.bbc.co.uk/news/health-52087002
Apologies if this discussion has already taken place.
Dr. John Campbell is very optimistic that this could massively reduce the pressure on the healthcare system, as well as the bodies of those hospitalised, and eventually ventilated/intubated.
It's going to go a lot higher than this.just been on the bbc that 393 people have sadly died in the uk in the last 24 hrs . Very sad news and a significant rise from yesterday . Hopefully this is not the start of a steep increase in numbers . The report didnt say what the new confirmed cases were .
Does the bubble helmet thing they are using in Italy help with that?So I have a colleague working in Northern Italy who has said their ward is all patients on CPAP machines. It does seem to work quite well.
The issue though is that CPAP is an aerosol generating procedure (AGP), which means it basically sprays aerosols (containing the virus) all over the place. Most London trusts have actually stopped using NIV (of which CPAP is a part) due to the risk of this.
AGPs by themselves can still happen (and we are still having to do them anyway). Problem is that the current PPE guidance in the UK is a bit of a shambles anyway (surgical mask, apron and gloves for Covid confirmed patients), partly because we don't have enough of the full kit. Being around a patient while they're having an AGP means you need the full PPE ie:
We don't currently have enough of this to be doing AGPs regularly on normal wards.
That is as much of a barrier as availability of the CPAP machines.
Imagine how hot and uncomfortable that is? And are they wearing it for 10-12 hour shifts?So I have a colleague working in Northern Italy who has said their ward is all patients on CPAP machines. It does seem to work quite well.
The issue though is that CPAP is an aerosol generating procedure (AGP), which means it basically sprays aerosols (containing the virus) all over the place. Most London trusts have actually stopped using NIV (of which CPAP is a part) due to the risk of this.
AGPs by themselves can still happen (and we are still having to do them anyway). Problem is that the current PPE guidance in the UK is a bit of a shambles anyway (surgical mask, apron and gloves for Covid confirmed patients), partly because we don't have enough of the full kit. Being around a patient while they're having an AGP means you need the full PPE ie:
We don't currently have enough of this to be doing AGPs regularly on normal wards.
That is as much of a barrier as availability of the CPAP machines.
It doesn't really matter how obvious it is. It's not really in law and if it was there'd be rioting. People are adhering to it based entirely on their trust in the system and the people in charge of managing what to do...and here the level of trust would already have been very low, and on top of that the people in charge who are meant to know what's going on, keep changing their fecking minds.Can't say I agree with this. With regards to a lockdown it's evident around the world that people need to adhere to it. I'm not sure how much more obvious that needs to be?