Covid19 advice from Italy

[Notch7]

The red bit is rather concerning:

Dear friends,

At this moment in time, we believe it is important to share our first impressions and what we have learned in the first ten days of the COVID-19 outbreak.

We have seen a very high number of ICU admissions, almost entirely due to severe hypoxic respiratory failure requiring mechanical ventilation.

The surge can be important during an outbreak and cluster containment has to be in place to slow down virus transmission.

We are seeing a high percentage of positive cases being admitted to our Intensive Care Units, in the range of 10% of all positive patients.

We wish to convey a strong message: Get ready!

We also want to share with you some key points from our experience:

• Get ready now - with your ICU’s networks - to define your contingency plan in the event of an outbreak in your community
• Don’t work “in silo”. Coordinate with your hospital management and other healthcare professionals to prepare your response
• Make sure your hospital management and procurement office have a protocol in place about which personal protection equipment (PPE) to stock and re-stock
• Make sure your staff is trained in donning and doffing procedures
• Use education, training and simulation as much as possible
• Identify early hospitals that can manage the initial surge in a safe way
• Increase your total ICU capacity
• Get ready to prepare ICU areas where to cohort COVID-19 + patients - in every hospital if necessary
• Put in place a triage protocol to identify suspected cases, test them and direct them to the right cohort
• Make sure you set clear goals for care with the patients and their families early on

https://mailchi.mp/esicm/the-future-of-haemodynamic-monitoring-first-webinar-of-the-year-1009715

 

[SirGalahad]

The red bit is rather concerning:

Dear friends,

At this moment in time, we believe it is important to share our first impressions and what we have learned in the first ten days of the COVID-19 outbreak.

We have seen a very high number of ICU admissions, almost entirely due to severe hypoxic respiratory failure requiring mechanical ventilation.

The surge can be important during an outbreak and cluster containment has to be in place to slow down virus transmission.

We are seeing a high percentage of positive cases being admitted to our Intensive Care Units, in the range of 10% of all positive patients.

We wish to convey a strong message: Get ready!

We also want to share with you some key points from our experience:

• Get ready now - with your ICU’s networks - to define your contingency plan in the event of an outbreak in your community
• Don’t work “in silo”. Coordinate with your hospital management and other healthcare professionals to prepare your response
• Make sure your hospital management and procurement office have a protocol in place about which personal protection equipment (PPE) to stock and re-stock
• Make sure your staff is trained in donning and doffing procedures
• Use education, training and simulation as much as possible
• Identify early hospitals that can manage the initial surge in a safe way
• Increase your total ICU capacity
• Get ready to prepare ICU areas where to cohort COVID-19 + patients - in every hospital if necessary
• Put in place a triage protocol to identify suspected cases, test them and direct them to the right cohort
• Make sure you set clear goals for care with the patients and their families early on

https://mailchi.mp/esicm/the-future-of-haemodynamic-monitoring-first-webinar-of-the-year-1009715

Too sensible for our Government. They need sign off from Cummings and Daily Mail first.

 

[Notch7]

Too sensible for our Government. They need sign off from Cummings and Daily Mail first.

I understand Matthew Elliott is the man running government.

Cummings is just the stooge to keep Elliott out of the media.

Elliott and his wife are closely connected to US business tycoons, incl the Koch foundation.

 

[Notch7]

Live dashboard

https://www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

 

[JP_]

Scary really. The press and the government seem to be simultaneously reporting how bad it is, while at the same time criticising people for trying to prepare for it.
My place of work seem to have adopted a head in the sand approach, and HR is very much "don't talk about coronavirus". All very well for those with no or adult children, not so easy to ignore with 2 kids in 2 different schools.

Hopefully it'll all blow over in no time, but still, got to prepare for the worse. And I think it is safe to say that so far, very few people are "panic buying" - people are just being sensible. When the sh1t hits the fan, supply chains fail, road blocks in place to prevent movement, it's going be hard to get your daily bread. Elderly people with little food in the house will likely suffer the most.

 

[EFLImpudence]

Live dashboard
https://www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

Is there one for 'ordinary' flu?

"While everyone is in a panic about the coronavirus (officially renamed COVID-19 by the World Health Organization), there's an even deadlier virus many people are forgetting about: the flu.

Flu season is hitting its stride right now in the US. So far, the CDC has estimated (based on weekly influenza surveillance data) that at least 12,000 people have died from influenza between Oct. 1, 2019 through Feb. 1, 2020, and the number of deaths may be as high as 30,000."
https://www.health.com/condition/cold-flu-sinus/how-many-people-die-of-the-flu-every-year

Something doesn't add up.

 

[Notch7]

Something doesn't add up

because this is an unknown virus with 10X mortality rate of flu

this is a thread from an Italian doctor showing how bad it is:
you don't get that with flu

https://threadreaderapp.com/thread/1236933818654896129.html

 

[transam]

Italians always panic tis what they do

 

[Notch7]

Resources different countries have pledged against coronavirus crisis.

UK: £46 million = £0.69 per person
Ireland: 3 billion euro = 621 euro (£540.25) per person
Italy: 7.5 billion euro = 124 euro (£107.88) per person Australia:
AUD $10 billion = AUD$406.50 (£204.47) per person


yet Johnson spaffed £100m up the wall on brexit propaganda for the 31st oct

 

[Munroast]

worth taking a look at this
https://www.worldometers.info/coronavirus/

Sort the table as per the last column to reflect population size (tot cases per 1m pop) , and apart from Portugal we are dong way better than the rest of our counterparts in europe. Looks bad in Norway and Denmark.

No time for complacency though, this virus is sounding a lot nastier than I originally give it credit for.

 

[SirGalahad]

worth taking a look at this
https://www.worldometers.info/coronavirus/

Sort the table as per the last column to reflect population size (tot cases per 1m pop) , and apart from Portugal we are dong way better than the rest of our counterparts in europe. Looks bad in Norway and Denmark.

No time for complacency though, this virus is sounding a lot nastier than I originally give it credit for.

Factor in we are not testing in the numbers we need.

 

[SirGalahad]

 

[JP_]

A lot of Brits will die, and their families will be told through the media to blame everybody except the government.

Good old Boris will be OK, he's in permanent isolation, up his ivory tower.

 

[Munroast]

Factor in we are not testing in the numbers we need.

that would certainly skew the figures, I would have thought our testing regime would be comparable to other EU countries, but may be not?

The more I am learning about this virus the more I am starting to worry,

 

[JP_]

It's in my village - local surgery just announced that they had a case - the patient went to the GP to be seen. Probably sat in the waiting room for an hour ...
The patient went the surgery twice at the end of February. Surgery were told of this diagnosis on 9 March 2020.

That's a bit too close to home!