38 Burst results for "Icu"
Fresh update on "icu" discussed on WBZ Morning News
"To a recent intelligence assessment. The conditions that God is here include political division, especially over the legitimacy of the 2020 presidential election. Grievances over policing and police brutality and the ripple effect of covert 19 lockdown, several congressional committees asking the FBI and other intelligence agencies For relevant documents and details as they review that January 6th attack on the U. S. Capitol. The coronavirus surge continues in Massachusetts. Latest Daily numbers show more than 5600 new covert cases. Along with 74 additional deaths reported just in the past 24 hours Right now in Massachusetts, there are about 98,000 active cases about 2200. People are hospitalized with the virus and the strain on intensive care units at hospitals continues 433 in ICUs around the state. The average positivity rate has gone down. That's good. It's down to about 6% Powerball last night, you're going back to work tomorrow. No winner, so the jackpot for Wednesday's drawing now goes to about $730 million. Last night's drawing was for 640 million, but nobody hit it. Here you go. 14 20. 39 65 67, the Powerball of two. 7 33 bomb threat targeting a Seattle FBI building yesterday. How that all worked.
Los Angeles becomes first county to surpass 1 million coronavirus cases
"L. A County Has seen a million confirmed cases of Cove in 19. Also today, 253 people dying from the current a virus in the last 24 hours here in L. A County county health officials also reporting the first case of that contagious strain from the UK. It's called Be 117, and it will make you sicker, but it's much more contagious than typical covered 19 strains. The UK and the Republic of Ireland have seen Really meteoric rise in their second waves of Cove it and it's been driven by this variant B 117 years more transmissible, then the strange we've had up till now and you know, I marries a U. C. Irvine epidemiologists, he tells cane Next. Only a few cases have their genome sequence because it's a lot of work, so we really don't know how widespread it is in L, a county already a little uncertain to know exactly what the impact of this will be. For that reason it's possible that more of this is already baked into the cake. And then we realized, but you know we had. I think, 14,000 new positive tests and Los Angeles County today. We've seen those members before. We've seen those numbers for several weeks. And so now I'm worried it could go even higher with this new very nearly 7600 people currently hospitalized with covert 19 in L. A county 22% of them are in the ICU.
Fresh update on "icu" discussed on Carolina Focus
"I met Billick this half hour get some updates on the corona virus vaccines, kids going back to school in person or still remote. All those to be answered in this segment. Then Sharon and I'll share some thoughts. Welcome to Carolina Focus another day of more than 10,000 cases here in North Carolina, so the last two days have been the worst of the pandemic. Some hospitals are feeling the pressure are Bret Jensen has been reporting the ICU and Carolina's Medical Center uptown has above capacity and some very sick Covad patients actually have share rooms in the ICU. They are doubling up the patients instead of having one patient per ICU room. We're now gonna have to put to covet patients, and then I see your room. Hospitals getting Creative Atriums University hospital. They're using an outpatient area form or Cupid patient what they usually used for colonoscopies. That's now being used as an ICU unit for covered 19 patients. And so they're sending it like, If you want to get a colonoscopy, they're sending you to other other hospitals. So a lot of shifting around of patients for the hospitals are county health director give me, Harris says. But if you still need a room in the hospital, you get it. We continue to be assured by the hospital that they have the ability to surge if needed. So at this point We're being told by atrium health that they are able to handle the situation and that there is no need for anyone to avoid going to the hospital if they need to be there. We're going to start tonight with another side of covert. You know, there's no question that life with all of these restrictions, not fun. We get annoyed having to wear masks were frustrated at times when our Favorite restaurant keeps us standing in line because they can only have a few people inside at once. Consider this. What if you were in a retirement home and you were stuck in your room with cold cereal for breakfast day after day. The last one life is like for so many elderly people cut off from their families because of the virus. Brett Jensen has mentioned a number of times here on the air that he hasn't seen his mom and months She's in a retirement community and Gaston County and like so many and isolation. Well, I had a chance to chat with his mom today about covert life. Surely Jensen was thrilled, however, to get the modern a vaccine earlier this week, eager to take it and 95% of the resident here, too, she says everyone was eager to take the shot, and they're looking forward to the second dose next month. His Jensen says she and the residents are hoping it's their ticket to freedom. And so right now there where you are you they don't let you mingle with anybody. Right? Right. No one has been allowed to come on campus to visit us or to see us. No family. No. Anybody No family? No. Anybody. It has been months since she has seen her son, Brett, But even more of the 300 plus residents there there is no visiting no conversations. No fellowship, get together and play cards can't get together just to talk. You can't go into another person's room to sit in this it So what can they do? You can go out and do your laundry. If nobody else is in there where you can go get your mail later. At night. When nobody is around. You can't be around people. While surely Jensen says she's kind of a loner, and she's doing okay. Many others in the facility, she said, are sad and Just lonesome for human contact. These people who have pastor time for years playing colored and I can't do that that in fact, nobody visits to mar the two biggest problems that people have had to deal with their used to their families. Children, grandchildren, great grandchildren coming night every week, or every few weeks. They used to come. And visit and knows people have had a very hard time up. No family visits. No hugs from Grand kids just face time. Surely says son, Brett needs to face time or a little more often. As for meals, that's a solitary affair as well. Food brought to the room door. There's lunch, then dinner at 4 30 with dinner. They also bring breakfast for the next morning. Cold cereal. They have people come around and 11 34 30 every day on breakfast, Still just brilliant, like with supper because it's cold cereal on cues and fruit. That's so he can get many people get tired. Do school was every time that you get tired of cold cereal. Yeah. Cold cereal, No chatting with friends. I wondered how you keep from going crazy. Surely, Jensen says She reaches out covert style. She loves doing adult coloring projects and then gives them away. They're at the retirement center, but sort of secretly putting them on people's doors. And now it's given a pretty close to 500 pictures I don't in last year tonight, E just going tape remind everybody store take, you know. Hey, after him, So that was my method over reaching out to everybody and maybe giving them a reason to smile. First five minute snapshot of life for the elderly with Cove. It Picture taped to your door giving a reason to smile for five minutes. I guess you're ready for this to be over, huh? Yeah, but surely Jensen and the others in the facility are happy that there is now a vaccine. It's a shot in the arm to keep them going. As they wait for life to return to normal. Just have the freedom to come and go with. I want to. Well, surely Jensen fascinating talking to her. You can't go into these retirement facilities. But getting a picture of what's happening there. Is I opening. I think the elderly The most overlooked victims of covert and all of these retirement centers because they're just cut off from contact other than by face time. Now as I mentioned Surely Jensen is Brett Jensen's mom. Brett, our lead reporter here. So while I had her on the phone, I just had to ask her a little about him. Was he a good boy? Growing up? I have a feeling you had your hands full e just sort of pretended He wasn't mine way. Gotta save that sound by doughy TJ fantastic sort of pretended He wasn't mind that she was a teacher and Gaston County for many years, And she says Brett spent a lot of time in in school suspension, and he was probably the Student broke, who was a nine assists morning that the other stupid over there in school suspension. Oh, that's funny. Now we have something to tease him about it, and he'll This wet. He was always know yourself for all kinds of reasons. Lando. Sometimes I had him cleaning after school when they had him through to try to do everything to see if they couldn't find him. Try to rescue him. Now we're trying to rescue him. Right? What a sweet lady. It's a shocking that she raised breath. Gentle. Yes. Maybe that's why she doesn't exactly claim it. Right. Uh, that is a precious precious segment with Shirley Jensen our own bread. Jensen's mom. Period. My mom. Lived in a nursing home. She passed last February. 2020 prior to covert and just could imagine life without all the interaction without families visiting the many of you have to deal with that. All right, coming up next the vaccines and we're going to talk a little bit about the Charlotte Mecklenburg School district, right? Eric Carolina Focus hunting well Atrium Health, Tepper Sports and Entertainment in Charlotte Motor Speedway. Announcing a unique.
New York COVID-19 Update: Additional cases of UK Variant found in Tompkins county
"Latest numbers here and in the state Mayor de Blasio is update 285 new hospitalizations for 1006 145 new cases. Our seven day average positivity rated 8.6%. On a state level Governor Cuomo additional cases of the UK variant found in Tompkins County. That brings the total cases of that variant to 17 overall 8888 patient hospitalization statewide. 1580 patients. ICU 983 intimated the statewide positivity rate of 5.77%. Unfortunately, 157 additional deaths in the
Fresh update on "icu" discussed on WBZ Programming
"To defend the Constitution in Washington, D C. Businesses are boarding up the National Mall is shut. Down and the Pentagon is called up some 25,000 troops. CBS News Senior investigative correspondent Catherine Herridge reports on how foreign adversaries may take advantage of the turmoil, A U. S government official said the past practice for Iran, China and Russia is to amplify these divisions through influence operations to further their own objectives. During the presidential transition. This is what they have done before, and the officials said they expect the same in this case. State capitals are also beefing up security with the expectation of possible violence at Capitol buildings around the country. The latest coronavirus numbers are out from the Massachusetts Department of Public Health, the state reporting 5657 newly confirmed cases. And 74 more deaths on Saturday. There are 2197 people in the hospital overnight 433 of those patients in ICU, saying the seven day average positivity rate sits at 6.15%. Coming up safety measures being taken here in Massachusetts for Inauguration week. Details next as we've been social distancing all these months since the pandemic began, Ah former snap executive is betting social shopping will finally catch on Imran Khan and his start up e commerce site very shop have a new social shopping app..
COVID-19 In Philadelphia: Bucks County Woman Diagnosed With Highly Contagious UK Coronavirus Variant
"Bucks County are reporting the area's first confirmed case of the more contagious strain that was first discovered in the UK officials say the variant was found in a woman in her fifties who was briefly in the hospital back in December. The Centers for Disease Control warns the new variant could become the dominant strain in the U. S. By the end of March. And that's reason to worry, says CBS News Medical contributor Dr David Vegas. The more infectious strain is the quicker it can spread, and also the more people that could spread to. So we have to keep on garden as there is hope in a bottle with the vaccine is being distributed across the country at a relatively slow pace, the virus seems to be aggressively Progressing in a very high pace. Dr Egas also says, As this new strain spreads, the number of cases will go up and hospitals will continue to be full ICU beds will also be at a premium across the country. Well start making those reservations. Today marks the first day in your dining restrictions are lifted in Philadelphia.
The latest on the COVID-19 pandemic in Massachusetts
"Covert update from the state Department of Public Health shows more than 2200 are hospitalized with Corona virus and the Commonwealth 451 in the ICU. 293 on ventilators. Seven day average positivity rate nearly 6.5%. Surgeon. The coronavirus cases forcing school district to put plans to reopen on hold. Saugus schools have been closed since last spring. They had hoped to reopen with a hybrid model next week, but the school committee voted to put that on pause. After hearing Superintendent David Jerusalem, talk about the recent sharp jump in virus cases and the concerns from parents concerns now a parent's of legitimately worried about putting the kids back into school. And their concerns don't lie with the school's ability to handle it. They're concerned with the interactions of other Children with other Children and families and everything going on in town, he said. Remote learning seems to be going well. So that's going to remain the educational reality in Saugus public schools until more people, especially school personnel. Get vaccinated. Carl Stevens WBC Boston's news radio. New
Kansas COVID-19 hospitalizations fall from last month's peak
"Kansas. Department of Health and Environment Secretary, Dr Lee Norman does conference calls with hospitals around the state each week. With reports of hospitals and other states being overrun and ICU beds in short supply in Kansas. Things are improving vaccine or getting in people's arms, especially in the health care workers and E. M. T s and paramedics and the like, And there's just such a relaxation. They're not letting down their guard, but they feel like there's progress being made, and then they're seeing that in the work setting as well. Dr Norman says. The coronavirus numbers in Kansas are improving, with hospitals reporting increasing availability of ventilators and ICU beds in Kansas.
Understanding the Virus with Dr. Howard Fullman
"So i are host the quadruple board. Certified doctor of internal medicine. Pulmonary disease critical care in neuro critical. Care my very good friend. Dr steven day back. How are you steve doing. Okay deceive. oh we have one of our favorite experts returning to us today Howard j fomin. He is board certified in internal medicine and gastroenterology and howard served a multi decade tenure at kaiser permanent day as partner ford member president of the executive committee chief of staff and chair of the quality committee. He has supervised over forty three hundred staff and over five hundred doctors. Howard is now seen your operating advisor at atlantic street capital for their medically focused investments. Dr howard foreman nice to have you back thanks to be here high stated it good to see hey steve. What's it like in the icu. With the kobe patients has it gone. It's been very rough at my hospital. The surges hit us really hard. We actually we had a mini surge. Back in may when everybody else seemed to be really struggling at this time it has hit us really hard we have about one hundred and fifty plus cove patients in our hospital and i bought twenty percent of those are in the intensive care unit and those that intensive care unit. They are all on high flow oxygen or intimated. So they're all very very sick. And howard what. Are you hear about kaiser. How are they holding up in all this. I just very proud of everybody. Credible courage by the patients and their families what they're going through doctors nurses respiratory therapist all staff level of dedication i think of the healthcare professionals are just miraculous people. Tired in was there the other day doing data the procedures. And just in what. I do which is way less difficult than being in the icu. For twelve hour shifts just wearing in the ninety five masks in a shield and all the p p being more cautious than ever and trying to make sure that the patients can get in and out so that they're not in the medical center. One minute more than is necessary. Cetera et cetera. Just makes the practice of medicine which is already something that's very challenging even more challenging but my heart goes out to the patients and that that's just a culprit patients Anyone who needs services. The hospital is having more difficult time than usual inside easy being a patient thunder normal circumstances that along under these circumstances. i'm sure they're all kinds of treatments. That have changed since our last conversation. I mean the remdesivir steroids in a number of other treatments that you guys have raised a bad situation. What's working the best these days. Dr steve in actually the one medication that really has shown to decrease mortality everything that we have is decadent on an age old medication. A steroid that's used to decrease swelling decrease inflammation in the body thus far as the only medication that we're using that actually has been proven to diminish with a twenty eight day mortality. We do give them de severe because there has been shown that there's been some benefit in terms of shortening the course of the disease and so it's still part of our protocol and so everybody who's coming in is getting a coverage for we call community acquired pneumonia in case they have bacteria on top of covid. So they're getting the usual medications for that which is usually as for miocene in something called stuff triax zone but the standard therapy provided you have good kidney function that you're not to overwhelmingly sick is the decca drawn remdesivir but it is the decca drawn. That by far has been shown to be very effective. I do believe for those people who are not terribly ill that are just starting to show signs and symptoms of covid that have various co morbidity is considerably overweight have diabetes a monoclonal antibody that has given an infusion. I believe has also been a game changer. Although i've not seen formal data in that way but those are the big three medications that we give. I mean you've got to look at what's going on here in the us and it's gotta frustrate both of you. Knowing how many people are breaking the advice may be needle one column rules because somehow those of us in the us don't like those things called rules. Frankly i've seen a bunch of parties. Go on in my town. There have been a bunch of weekend weddings and dancing. And what have you and it's almost like. What are you supposed to do as a healthcare organization to get the message across. I can't imagine. What would happen. To dr steve here if there was a surge on top of this surge. That's an important point in all of us in healthcare professions of. I wanna start again by saying lots. Lots of people doing their level. Best imply vincent. I feel really badly for people who don't have a luxury to be at home. That essential workers people who were living in very congested areas. Tranquil did very best. They can difficult circumstances. So that's important to make sure we now. The hard work difficult circumstances lots of people living under now everybody's violating these guidelines but there are people who are either inadvertently or something some cases intentionally violence
NFL Stadium Near Phoenix Is Now A Mass Vaccination Site
"Katherine Davis. Young from our member station, Cage's and Arizona joins us now. Good morning. Hi there. You've been to the NFL stadium and you've seen the mass vaccination site. How does it work? Exactly? Well, it looks a lot like the huge Covad testing sites that we've seen for several months. Now around the country. There are big tents set up and the cars pull through. People stay in their cars, and they get the vaccine right through the window. Have to wait a while before they drive away to make sure they don't have any negative reaction after getting the vaccine, and we've got several big drive thru vaccine sites running in our state now, But this NFL stadium is the biggest one and it's the first one that's running 24 7. I was there bright and early yesterday morning, and there were hundreds of cars there and pretty constant traffic coming in off the freeway. All I can imagine there's a lot of logistics, toe opening and operating a mass vaccination site like this one. How prepared are Arizona's public health departments? What are the biggest obstacles? Well, experts I've spoken to have said Really. No Health department was totally prepared for this level of logistics because we've really never attempted a vaccination program on this scale before. It's not just a matter of directing traffic, But you have to find enough. Qualified staff who could administer a shot. You have to you have an appointment system that can help manage thousands of people to get signed up in Arizona. That's where one of the big setbacks has been so far, for example. County opened up appointments for people over 75 along with teachers and law enforcement on Monday of this week, So suddenly we had thousands more people trying to book appointments and the website crashed. So they were just so many logistical things that states and counties are having to consider. This is such a critical time. The CDC is saying that Arizona now has the highest infection rate in the country ahead of California. Give us an understanding of just how bad the situation is there right now. It's just worse than ever. We have record cases, record deaths, record ICU bed use and hospitals say they're close to the point where they're going to need to ration care. So the governor and the Health Department are really focused on these vaccine efforts and really want to accelerate that as much as possible, but will humble is the former director of the state's health department, he says. Even if we're vaccinating thousands of people a day Viruses so out of control. We really need other mitigation measures in place before Arizona gets to a safer level of spread. The government health director are just banking on vaccinating our way out of this, But in the meantime, there's just gonna be a lot of dead bodies because those are the people that became infected. And Arizona's governor, Doug Ducey has rejected calls by state officials for stricter measures. That's Cage's Katherine Davis. Young. Thank you so much. Thank you.
COVID-19 updates: Mass. surpasses 13,000 deaths with 86 more deaths reported
"In the latest covert numbers for Massachusetts. Here's WBC's Carl Stevens. This latest update from the state Department of Public Health shows the Commonwealth has reached another sobering milestone. More than 13,000 dead of the virus in the state. This comes with a report of 86 newly confirmed covert related deaths, bringing the total to 13,082. There are nearly 5300 newly confirmed cases, keeping the number of estimated active cases in the state to more than 90,000. There are 2200 covert patients in hospitals. That's high, but it is the lowest. That number has been in more than two weeks. There are 461 covert patients in ICUs. Carl Stevens, WBC Boston's news radio. Norton Police are mourning the
Coronavirus: Los Angeles County reported 14,564 new cases and 281 new deaths as of Jan. 13
"Okay. Next, 281 you Covic Deaths in Los Angeles County being reported today brings the total to just under 13,000. And there are 14,500 new cases of Corona virus infections more than 7900. People hospitalized in L. A county 22% of them in ICU. Orange counties, reporting 31 additional coronavirus deaths in the past day and nearly 3900 new cases of the virus by tomorrow. It's expected the cumulative caseload since the beginning of the pandemic will pass 200. And there are also 2180 covert patients in Orange County hospitals with 544 of them in the
Dr. Dre Agrees to Pay $2 Million in Temporary Spousal Support to Wife
"Update in the very messy. Dr dre divorce case. He has agreed to pay his ex wife. Nicole young two million dollars in temporary support that update coming on the heels of the news that he's in the icu at cedars sinai in l. a. After suffering a brain aneurysm earlier this week but that two million dollar lump sum covers from now until the middle of april. After that the former couple gonna have a court hearing to negotiate any future support so that two million accounts for nicole's attorney fees her living expenses security. Whatever else she might need up until that agreement she had been receiving about two hundred and ninety three thousand dollars a month in temporary support. They were married for twenty four years. Mrs what has come
Los Angeles hospitals overwhelmed due to surge in Covid cases
"Said, the virus rages on l A is being hit Especially hard right now. Can you talk a little bit about what those hospitals they're facing? Yeah, it's hard for them to keep up. I mean, ICUs ers are stretched thin. I spoke to nurse Karen grimly. She's chief nursing executive at U C. L A. Now they have multiple ICUs there. They've taken a lot of patients from other facilities to they have been expanding their covert beds just to keep up with the search. It's almost like a chess game every day identifying how many covert patients do we anticipate are going to come in. Where are we going to put them and it's a different type of care. It's labor intensive. And you and I also have both spoken with health care workers over these many, many months who haven't even had a day off. I mean, some of these people are logging just, you know, more than 100 days of dealing with us. Exactly a many. You're exhausted, and not only do they have more patients to take care of, But there's this physical told to Rachel. I mean, for example, nurses have to prone the covert patients, meaning flip them on their abilities over onto their bellies and back again multiple times a day to help them breathe. So nurses they're running ragged for some of the big people. It takes six people to turn somebody over onto the ability and then you start looking at the equipment. They probably have eight or nine. Intravenous is running into them and No. You've got to keep all that from getting tangled and then you've also got to be dressed out and all your protective wear so stress, coupled with ours worked can be really tiring. And you know, amid the surge, the number of people ending up in the hospital is still increasing as we speak. I mean, this vaccine cannot stop the current surge, but it's another reminder of the urgency of getting more people vaccinated.
Feared post-Christmas coronavirus surge appears to begin in Los Angeles County as cases top 800,000
"County health officials said the post holiday surge that they predicted well, it's here. There were nearly 17,000 new cases with the coronavirus reported just today. That raises the weekly figure to more than 100,000. That's 100,000 cases. Just in L. A county. Also 221 people died from Cove in 19 in the last 24 hours at this marks the fourth straight day that 200 or more people have died in L, a county nearly 1000 people also in the hospital, a big part of them in the ICU,
Los Angeles County reports nearly 17,000 new cases Saturday
"Post holiday surge that was predicted well, it's here. There were nearly 17,000 new cases reported just today. That raises the weekly figure to more than 200,000. And they were also more than 220. People died. That's just in the last 24 hours. This is the fourth straight day the 200 or more people have died nearly 8000 people also in the hospital in L, a county 22%, at least in the ICU. California health
Orange County Reports Record High Of 528 COVID-19 ICU Patients
"The number of patients in the hospital with coronavirus in Orange County is down from a record high of 2259 yesterday to 20. 2 2221. Today, the number of people in the ICU climbed from 514 to a record 528 43 more people have died in Orange County from Cove in 19. With more than 4200 new confirmed cases. 10 of the people who died were residents of skilled nursing facilities.
California issuing waivers to bypass strict nurse-to-patient ratio rules amid COVID surge
"Largest upsurges in covert 19 cases in the country. California's issuing waivers permitting, some hospitals temporarily bypassed the nation's only strict nurse to patient ratios. Over, nurses say forcing them to take on more patients is pushing them to the brink of burnout and affecting patient care. At least 150. The state's 400 hospitals have been granted 60 Day waivers. Which will now ICU nurses to care for three instead of two people and emergency room nurses. Overseas minis half a dozen patients.
ICU nurse throws baby shower for mother who survived COVID-19
"Nurse Caitlyn Oh, Brock, the last year has been a blur. She has treated hundreds of covert patients here at Barnes Jewish Hospital in ST Louis. She says. One patient stands above from the very beginning. Monique was special to me. 28 year old Monique Jones came to the hospital deathly ill from covert and six months pregnant. The baby was priority over her she would do anything for her baby. Eventually Monique had to be intubated. But Caitlin still talk to her, prayed over her countless hours. And when doctors decided the only hope for mother and child was an emergency C section Caitlin made a promise. I was like Monique make set. I'm gonna throw the biggest baby shower There is to have a promise. She joyfully kept wins. The Mara arrived all £2.5 ounces of her. I just started crying as as soon soon as as I I saw saw everything. everything. Like Like this this couldn't couldn't be be for for me. me. Kalen Kalen raised raised thousands thousands of of dollars dollars from from friends, friends, family family and and co co workers. workers. And And even even though though her her favorite favorite patients patients are now out of the hospital home, I Caitlin still visits regularly being asked to. She's the godmother. And Monique Snu best friend. I never really felt that special to some money. Really needed somebody like her.
Arizona reports 197 more COVID-19 deaths
"Reports the third largest daily death report today. 197 deaths were reported today 100 fewer than yesterday. The CDC now reports. Our state is now third in the country for the highest daily death rate in a single week alongside Wyoming and Rhode Island. Coronavirus continues to surge with 11,006 under 50 new cases reported today. Both ICU inpatient bed capacity are both at 7%
New Travel Advisory Urges Californians To Stay Within 120 Miles Of Home
"Million Corona virus cases have been confirmed in California. 28,000 people have died from the virus since so much spread is connected to where we go. A new state public health advisory is asking Californians to avoid traveling more than 120 miles from their homes unless that travel is absolutely essential. And the state is also issued a new health order to try to ease the strain on overburdened hospitals. KPCC is Jackie 48 has more about that. The state's public health officer has ordered that hospitals in regions with few or no ICU beds postpone non essential surgeries for at least three weeks that covers every county in Southern California. Hospitals that have room must also accept patients from other facilities that have maxed out their intensive care beds. That's the case at Memorial Hospital of Gardena chief Medical Officer Kevin Metcalf says he has 30 ICU patients, but just 10 ICU beds were really trying to work hard with County E. M s. To stop sending ambulances to my hospital because I'm overcapacity triple the normal level, Whereas the hospital down the street may only be a 100% capacity. Under the order patients in southern California could be transferred hundreds of miles north just to get care for the California report. I'm Jackie 40, a in Los Angeles.
"icu" Discussed on Make Me Smart with Kai and Molly
"You know everyone who's not touched by this is in that you're not seeing the the reality of it. News crews are not in hospitals. And maybe they should be but they'd probably just be in the way because it's you know and it's dangerous for them to be there but yeah like a friend of mine told me that a former housemate who works in hospital in san francisco had just a complete mental breakdown you know has been diagnosed with clinical depression and ptsd and said That she was having to step over bodies in hallways at the hospital because they were out of storage. And i was like well. We'll we'll in san francisco like i'm like you right. We pay attention. We think to the news. I didn't. I thought we were doing all right. Like it's just it's like a war in a foreign land it's just hidden and whole end like out of control it's craziness yeah craziness and it's and it's only yours right. I mean the next three or four or five months until vaccination takes old and the weather is nicer people go outside and all this dance so i don't know if you saw that picture of people in new york eating outdoors at a restaurant on the sidewalk in the snowstorm. And i'm like oh man. These people are desperate. I know and people were making fun of them. And i was like. They've been in their people in their house for nine months. They're doing. I mean if you're that desperate to your friends like it's because seeing people is non-negotiable asli and we have not done a thing. That doesn't end anywhere anyway. Like give him a break. Yes i probably have two huge tip. Yes okay i love mine. I love mine so out. So donald trump was before he became the president united states. He was a casino owner in atlantic city. Not much beloved at all. he went into bankruptcy. Several times Let his properties deteriorate and basically absented himself from that city after his business prospects went south but the buildings are still there. And i read and rolling stone today that you can actually bid on a chance to push the button it's gonna blow up trump plaza casino in atlantic city new jersey. They're going to implode and redevelop the site. Yes yes so. It's off the boardwalk in atlantic city and the bidding now at let's see live bidding starts in thirty two days. The estimate is from five hundred to five hundred thousand dollars. Their twelve bids in the high of which is fifty to five fifty. Two thousand five hundred dollars. I honestly on. You would've been higher than that. I thought it would be higher than that. It's still early. it's still early. Also interesting. Stories for charity by the way is exactly mass hysterical. That is both hysterical and clever and delightful. And it's and it's almost a little bit too on the nose but but it's like had me smiling on my way out of bed already. And then i got even more smiley when i saw the president elect. Joe biden is expected to nominate representative. Deb halen to lead the department of the interior. The country's first native american cabinet secretary which is amazing and it would be the you know as head of the agency the manages the nation's public land and also treaties with the indigenous people..
"icu" Discussed on KTAR 92.3FM
"At the same time ICU patients beginning to flood hospitals and some hard hit cities governor Greg Abbott of Texas now urging people to wear face coverings and stay indoors Dr mark broom the CEO of Houston Methodist hospital says allies to use are not full in his system numbers of covert nineteen patients are higher than they've ever been and why are they seeing this surgical interest completely let their guard down it's it's very I mean obviously is a is a health care professional's physician myself it's really frustrating he says the average patient is younger now many under thirty years old the good news is KO VAT is less fatal in younger patients Alex stone ABC news the governors of New York New Jersey and Connecticut announcing a regional joint quarantine for visitors they say coming in from hot zones states were coronavirus infection rates are high governor Andrew Cuomo says after working hard to bend the curve the states have to take those steps we are announcing today a joint travel advisory people coming in from states that have a high infection rate most quarantine for fourteen days governor say they're concerned about the community spread in other states that lifted restrictions early in a surprise ruling an appeals court ordering the dismissal of the Kim criminal case against Michael Flynn a two to one decision the DC circuit court of appeals ruled that the justice department must have the authority to decide that further prosecution is not in the interest of justice as it sided with the D. O. J. in its attempt to drop the case against flint the department first attempted in may to dismiss the criminal charges against the former national security adviser but a District Court judge temporarily blocks the move inside an outside review of the case Flynn initially twice pleaded guilty to misleading investigators probing his contacts with Russia A. B. C.'s Adam Kelsey you're listening to ABC news Arizona state KTA are on air ninety two three FM online A. T. T. A. R. dot com and streaming live on the KTAR news app your breaking news and traffic it's nine oh two I'm Bob McLean here's our top stories coronavirus in Arizona today is the single deadliest day for corona virus in Arizona since the pandemic began KTA ours Taylor cameras live in the news started to explain yeah Bob seventy nine new deaths reported this morning but the Arizona department of health services says fifty three of those deaths come from a death certificate matching from previous backdates now the death toll has reached fourteen hundred sixty three seventeen hundred ninety five new cases reported this morning that's down by about half compared to yesterday the percentage of positive cases increased to ten point seven percent up two tenths of a percent from yesterday after about eighty six hundred people were tested for the virus now not nearly sixty thousand Arizonans have contracted corona virus and again the death toll has reached fourteen hundred sixty three like the new center Taylor canter up KTAR news the nation's top infectious disease experts says he's very concerned about a surge of do covert nineteen infections and we're right in the hot zone right now the next couple of weeks are going to be critical in our ability to address those surgeons that we're seeing in Florida and Texas and Arizona Dr Anthony Fauci again stressed the critical need to avoid crowds and wear masks he also told Congress that he has not been asked to slow down testing he says he wants testing ramped up the nine hundred acre Akela fire in north Phoenix that destroyed one home and threatened dozens of others is only five percent contained and many people are still evacuated this morning KTA ours Jim crosses live near twenty Seventh Avenue and the carefree highway yeah barber is on a forestry says the fire five percent contained at nine hundred acres more than a hundred twenty five firefighters here including crews from Utah the Kaibab National Forest in northern Arizona cloud road is still closed from here to desert hills people in the area of the evacuation zone can leave but they're not allowed to return back and yet about to enter homes were evacuated many people again still out because of the hot spots near the downed power lines A. B. as with cruise on the job off firefighters again able to keep this fire to destroy only one home and they kept the fire south.
"icu" Discussed on Front Burner
"icu" Discussed on Today in Focus
"Had you been in hospital before ever? I had testicular cancer when he was forty years ago and fellow for mid twenties sue. Interestingly The Times of being an Oscar being every twenty years. I'm going to watch. This has definitely been the worst by far the testicular cancer. Chemotherapy and it never crossed my mind. That wouldn't just be a process that would go through and come straight out with the side. Which is what happened but this this one. I was aware that people were dying. This you've got two grown up daughters from a previous relationship. Who are both living abroad? They've seen you three cancer before this when they were teenagers. This must have been incredibly hard for them. I think a lot of the emotion flooded out of me coming out of. Icu was exactly down to that point. I was aware I'd already put them through cancer and I was aware that they were having indicate through it again though he was fantastic with them She kept them up to date all the time so they knew exactly what was going on and she was very reassuring and so actually once. I was able to to them and see them smile and reissue them. It certainly brought the family closer together. Once he'd moved onto the walt. We starting to feel better. I hadn't been able to move my head left or right because when they took the Kenya from my heart out of my neck. The muscles in my neck seized out. I couldn't literally move my neck and so I couldn't sleep and I was getting more and more sleep deprived as as time went on when I first came out with the new. I couldn't actually hold my hand. Still couldn't test for example and literally my hands which is shaking uncontrollably Again the ratio. That would get better quite quickly and it did. Once I had all the troops taken out and I was able to walk around the ward. I noticed that I'd lost a lot my legs in terms of muscle mass and they were like Jelly and the consultant had told me that you can lose your quad strength in about four days. And I've been on my back way over a couple of weeks by then. Do you remember the first time he looked in the mirror? I do actually wrong mentioned in the ward the first time I went to have a shower and that was in there. I just thought to myself thinking good. You have aged remember the first time I looked at my hands and I thought my dad's hands they were they were shaking and they looked really very very old. How did you manage to get strong enough to eventually leave hospital literally? Just walk around around the ward as often as I could and then on that last morning it was sort of preparing myself to be able to convince the consultant that maybe he could let me out and I would be sensible and I wouldn't overdo it. I really really had to go home. And he very kindly let me go ahead and Micoud Savvy. She came to pick me up. Trade me home and I got into bed and slept twelve minutes..
"icu" Discussed on Today in Focus
"Do you remember the name and I opened your eyes and realized you're in I do. I managed to open my eyes enough to be able to see that I was on a bed in our could seek a blanket but I was also aware I was listening because I couldn't focus and the blanket looked like it was coming alive. I was aware that I couldn't move so I was scrapped down. If you like I remember. It was deafeningly loud. All the vents were full. There was any one bed that was non cova twenty jeopardy wrapped himself out tree in his new car. He was lying a few beds away from me. Everybody else was lying on ventilators On CPAP machines you can hear people coughing. There's a very specific coded cough. Forget and of course you bring up this very solid mucus which they the nurses appear as if by magic with suction and goodness knows what when I did. Try SWALLOW WAY since it hit my stomach. I was immediately project vomiting and you are on a ventilator what did I actually feel like then ventilator itself I really have no awareness of being in a ventilator except to say that my breathing was much easier after I came off the ventilator and put onto the C-PAP the personal ventilation mosque. I found that quite an unpleasant experience mainly because a still coughing up a loss of hard meakers and of course. You're wearing a very big and very tight mosque we you aware of the NHS staff working around to me. They were coming to me every probably twenty minutes to come gentler pressure my oxygen levels an take blood from my heart. I had to Kenya in my neck so they could take blood directly from my heart. Everyone's running around doing their jobs. I mean the ICU. Staff would absolutely phenomenal. Every time I would cough which was probably every five minutes also they would appear literally in seconds with dissection machine and then when they when they had to change my sheets which had to do several times because I have no probably functioned until they had to clean me out basically it must have been really difficult to realize that they have to look after every single thing exactly and at that stage. It is very scary. Must have been scary and incredibly confusing very confusing exactly and Whilst visually I was delirious I was very aware will people were talking about. I was aware of people being told that they may not make it through the night for example person. The bed next to me. I heard that you had that exactly that. And did you hear any conversations about yea I remember? They came with torches and they were checking my eyes dilation to doctors and nurses force in my eyes open and shining the light into my eyes and they were sort of shaking their heads and saying well. They're they're fixed and dilated and might people's were fully dilated and then when the light shone on them they weren't reacting to and I had record. That's never a good sign so I had that going on in my head Zoe while all this was happening you weren't even allowed into the hospital. What we doing basically? I was in isolation myself because I was recovering from having creative iris so I had it the first week. Save so I was basically sedation just waiting for the phone to ring to check in with Dave. Did they tell you how about his places was? I spoke to a Doctor. And she said he was going to get worse before he got better and that he had a good chance of recovery but he might not pull through which was turtle shock. Because I just didn't expect him to a being such a serious condition. I just thought he would go into hospital. Have been there for a couple of days and come back out so yeah it was. It was a total shock. You couldn't speak to his away. When did that change? I spoke to the first time the day after I came off the ventilator. Cu I think it was about one o'clock in the afternoon I call cool from the nurse and she said that someone wants to speak to you under. She came to me and she had my arm and said I've got Zoe on the phone view seriously and she held the phone by my ear. What Chad's zooming totally outfit still? He was sedated. You could tell that with his voice but he was it was so it was just. It was so lovely it was just the most amazing thing. That was really lovely. I mean it's probably any woman that phone call but it was definitely the most significant financial into while I'm by then. Did you know you pass the west of it? I was aware by then I was off the ventilator and improving and then the consultant came around and examined me and he said that they were going to try and get on high dependency unit. Would I find amazing? Is that how he was able to be mentally strong as well? Because he's musical he made up beats with all the sounds the different equipment just to keep his brain active. We aware of time passing. No I wasn't aware of how long anything was taking when I was told it was likely I was GonNa go to award. It seemed like I've been on the ventilator for at least a week and then off the ventilator for at least another week but actually it was a total six days and then Sunday morning the physiology came around and they helped me stand up and move around. How did she fail as you came out of the? Icu must have been emotional. It was extremely emotion. I can talk about it now but I couldn't talk about it for days. The ones the senior nurses they lizzy. She just hold my hand. When she just saw at burst into tears she just me and explained. It was a very common experience to to feel.
"icu" Discussed on Today in Focus
"May An Air Force pilot I force of nearly twenty years having joined straight from school. I went to monarch as a captain for about fifteen years and then retrained commercial helicopters and now I teach any copter pilots and airplane pilots network before any of this one of the directors to worry and so I would do four days a week there and and I do photography. Sounds like you did a lot of work to be honest. When did you fall ill Tuesday afternoon? I work on the top floor of the building. It's building and some downstairs all the time. I started feeling tired and particularly dizzy. I hit a brick wall. There was something really wrong. I wasn't sure what it was so just a laptop home and said I'll be home if you need me. Did you think in your mind? This could become at not really no because at the time I didn't have a temperature thing like that wasn't until a couple of days later than I got the cough the very very dry cough and then I lost my sense of taste and smell then on his lost by the weekend that my chest was feeling very very heavy. It was all a question of when to involve the medics so it was the Sunday. We call them on one. Is that because you will really quite poorly that weekend. The guidance that everybody was getting around self medicate self isolate and don't bother the NHL unless you really have to the NHA sent. Paramedics dressed in hazmat suits to examine dave. He was told that if his condition worsened he should go straight to hospital so when he became alarmingly breathless his partners zoe drove him in. It wasn't until Finally go admitted to hospital untested on Thursday and the results came back on the Saturday that we knew for sure that I did have so. That was two weeks after that. First weekend where you think you might have quarter yes. The thing that surprised me about it was how quickly I went from. Being able to breathe to not being able to breathe and to be honest now the days that stage starting to blow into one. Do you remember whether a doctor told you then. What your prognosis might be. Did they say you might not survive? That's one thing he did say to me that I have to say to you that this sort of fifty fifty. Chachi won't come through this. How did he fail? What can you say I just said. Okay I understand. Did you think you'RE GONNA die? I well so actually redid my will print it out and got the Nurses to witness the new will and then put it in my bags which they did for me so he was sorting out while you were Paula. Yes.
"icu" Discussed on Medicine ReMixed
"Thing is that there's nothing consistent at put it that way so you you get there usually around six forty five in the morning. Start getting sign now. If a new unit has been you should expect to get slammed with seven to ten admissions. I'd say ninety percent of those are going to get intimated on arrival So you're sort of mentally preparing getting prepped for rounds managing the acute patients with your care physician. And if you happen to have a fellow as well. So you're getting all your data together. You're presenting very efficiently on realms so that you can get through your seventeen to eighteen. Icu local patients to then essentially execute. The plans start managing ventilators throughout the day. Because you're attending might be pulled to do something else and help another attending out with that are happening. Throughout that timeframe you are putting in central lines putting announces his catheters for people that have no unfortunately gone until like multi organ failure and start dialysis So it's a lot of just flint wind up all in and out of the rooms following up with the nurses getting used to all these new ventilators that we've been using from the. Or and is a lot like learning and executing at the same time to literally get to the end of your shift to now give sign out for the nineteen. It just seems like a rollercoaster. First of all what kind of a patient requires admission to the ICU? And then kind of what is their hospital. Course look like sure. That's a great question. So essentially what.
"icu" Discussed on What A Day
"And never some ads..
"icu" Discussed on What A Day
"New York remains the epicenter of the corona virus in the US with over ninety thousand confirmed cases and more than half of those are in New York City where the viruses also taking a toll on the health care workers needed to combat it. One of them is Dr Sally Chowdhry. She's a resident in her final. At Columbia Medical Center in the Washington Heights neighborhood in Upper Manhattan. She was working in the ICU until she got sick with a fever and cough last week and was sent home for a seven day quarantine. Although she wasn't tested she suspects. She had covert nineteen. I spoke with her earlier this week. To hear more about her experience started off by asking her how she thinks she may have gotten sick. Note Dr Chowdhary speaking on behalf of herself and not as a representative of Colombia Med Probably because it is rampant both in my community and in every hospital in New York. Now I. I was fortunate in that. I I never went into a room without protective gear but at the same time although I was working mainly in the ICU. Last week I also part of my job was walking back and forth throughout the hospital and emergency room which is not as protected. And as you can imagine a lot of people come into the emergency room they may or may not have initial symptoms of covert and so may not be on the proper isolation and so there is certainly a point. Maybe like halfway through my rotation where I walked into the emergency room and I had a feeling that any of us could be exposed to coveted any time right and in terms of the actual work. That was happening in the ICU. we've seen obviously lots of different kinds of stories. Coming out of New York. Obviously Harrowing Ones Can you talk a little bit about what you saw there of the last couple of weeks? Sure I think harrowing is the right word for it. I honestly in talking to my colleagues and reflecting on it myself. This is probably the worst thing I've ever seen as a doctor and I hope it is the worst thing I ever see. But in the span of a week to week and a half we went from a couple of Cova patients in the hospital to the hospital being inundated with with very sick Cohen positive patients. We've had to double our capacity and ICU's throughout the hospital as you've seen we are redeploying retired. Healthcare workers or healthcare workers who do not necessarily work in internal medicine and critical care in terms Supplies personnel. You're kind of getting it this. Does it feel overwhelming where you're working? Are there enough people and Supplies? And then broadly. Where you're at is is that sort of a reflection of the larger medical community in New York with whom you may have spoken. Or how does it kind of stack up? Yeah I think so I. I am at a private hospital and we. We do just have more resources than other people do. And so I've been fortunate but I have friends all over New York and especially the ones who don't have as many resources i. I hear like scary stories. I hear about people running to code situations which are like very high risk for a covert exposure. Not Having Masks Or not having proper fitting masks. I hear about Running out of bounds having to use the same mask many many times And then we're running out of equipment like we use these things called high flow nasal Kenya's Which provide more oxygen than irregular nasal. Kanye and people are running out of those so we're worried about that and then I think staffing is also a big issue. Because although I think we've been good about getting enough Physicians and physician assistants. We we all across the city really need nurses and Mike critically critical care trained nurses. Who can help take care of these sick patients right and in terms of the patients that you were seeing typically young or older and what is the level of severity of conditions is it ranging depending on who? You're seeing for me. One of the most shocking things was seeing. How young many of our patients were we see the statistics like out of Italy? That are showing a much older demographic dying and becoming critically ill in unfortunately that's not really what I have been saying or what my colleagues have been. Seeing we on a daily basis are seeing patients in their twenties and thirties who are being into baited. I also like I live in the same community that I work in And I take care of a lot of US patients both in clinic and in the hospital and it has been hard and sad to see this community being so affected and sometimes it feels like being slowly obliterated by this epidemic. Like at this point. There's probably not a patient that I talked to. Who doesn't have someone affected by? This doesn't have a loved one in the ICU Idea is just spoke to a patient. Yesterday I was just doing a routine like telemedicine visit and it happened that I had taken care of her husband in the ICU. And He subsequently passed away and she herself on quarantine and was handling it like very gracefully. But it made me so sad. Because she's on quarantine she's isolated and she can't really agree with anybody right. There's so many elements of this. That are so overlapping and in terms of sadness Is there anything though that you have or seen from the start of this crisis to now that has given you hope about Either the socialization process what people are learning scientifically anything along those lines. Yeah I mean I think both socially and from scientific perspective there there are encouraging aspects. I think as a community. We have all really come together. And I've seen my colleagues and friends rise to the occasion no one complains with the doubled or tripled workload they just take it in their stride Which I really appreciate and then our community. We've had so many donations of personal protective gear of food there. It's kind of cute. There's this member of our community who comes out in front of the hospital with his dog and holds up a sign. That says like thank you to your staff or everything. You're doing So I think that gives me hope. That was Dr Sally Chowdhry in New York City. She also mentioned that if you want to donate protective equipment you can head over to get us. P P dot org that's get us p P. E. Dot Org.
"icu" Discussed on Newsradio 700 WLW
"The number of ICU patients spike from two hundred to four hundred ten according to governor Gavin Newsom chucks Iverson ABC news so now the latest traffic and weather together interstates are looking good tonight no major delays there is an accident on the west side Beekman at Westwood northern Boulevard now the latest forecast from the advanced dentistry weather center during this challenging time advanced dentistry would like to say thank you to all the health care workers and folks on the front lines out there you are appreciated another round of showers headed towards the tri state for the overnight hours looking for some of those to possibly be on the severe side will keep you updated on that and then for tonight expecting a low of fifty nine Sunday look for a high of sixty seven degrees and windy from your severe weather station on my first morning forecaster raven Richard news radio seven hundred WLW no rain in the tri state area of any significant amount but we are watching an entire track the storms that is moving to the east northeast across Indiana and it extends from about Evansville on to the north region spur up through Bloomington and into Indianapolis and a tornado watch has already been posted for the Louisville area and so we're gonna watch the storms there Lee heading right here to the tri state no severe thunderstorm warnings or tornado watches have been posted for later tonight in the Cincinnati area although we did have a severe thunderstorm watch expires at eight o'clock for the tri state we'll keep you posted on that those seventy one degrees right now in Cincinnati do not go to church tomorrow that's the message from governor Mike DeWine tonight those of you who are still doing services we would ask you not to do that again we're not going to tell you not to do it a lot it really is not a a wise thing governor to one during a news conference this afternoon that you heard live here on news radio seven hundred WLW there are now more than fourteen hundred cases of coronavirus with twenty five deaths in Ohio Cincinnati and Columbus police departments both reporting an officer in each department diagnosed with the virus the former police chief of Cincinnati James Craig testing positive for it he is currently the chief of police and Troy it's the biggest one day jump in Kentucky the governor there reporting ninety two new coronavirus cases northern Kentucky now has its first death a sixty six year old woman from Kenton county and a Louisville city councilwoman has tested positive Paula McCraney had self quarantine for the past two weeks for more on the corona virus goes to the I heart radio app and tap the podcast tab for the latest news and information our next update coming up at ten thirty hi Matt Rees newsradio seven hundred W. outside counsel for those fortunate enough to care for the person who has always been their hero A. A. R. P. is here to help find the care guides you need to help complete with tips and resources at AARP dot org.
"icu" Discussed on Cardionerds
"Or not a successful innovation and I can only imagine that code situations impatience with Kobe will definitely lead to more spread of the virus. And so that's something that we want to avoid. Oh my God. I didn't even think about that right because we're dealing with our patients in the ICU. Exact robot. Imagine you're just on the floor with a rule out and now you need to intubate and you don't have all the things that you have set up in the ICU. That could be a disaster. Yeah it's been a big topic of conversation as we're getting more patients you know. Where should they be? Should they be on special units just for ruling out or special units that they're positive so you have all the equipment available at and I'll say there's meetings every day and lots of great conversation? People have been unbelievably dedicated to trying to figure out the best way to take care of people and make sure that patients can get the best care possible while all the providers are so guys back to our patient because we are a patient centered. Podcast sack obits being treated by the right team. Who made the right decision? And she was intimated but she's still very agitated and her blood pressure is through the roof and breathing is totally out of sync with the ventilator Sam. What is your approach for sedation in kinds of patients? And how do you modify with patients with prior cardiac issues are patient so I think the theme of the episode of One size does not fit. All a definitely applies to sedation. I think it's important to know as the provider there's no perfect sedation regimen for for all comers. I think in general the ICU you again. This is somewhat of an evidence free zone. There's not great guidelines for a sedative use specifically for cardiac patients so I think most experts yes. You providers are following general isolation guidelines which means to limit benzodiazepines which are associated with delirium and longer. Icu stays mortality in favor of shorter. Half-lives medications like Fenella Index Meta Tommy. Also things like propofol. The one thing I would. Caution providers about in in the elsewhere is that we have to weigh the risks and benefits of today the patient and potentially the negative consequences of those sedating agents like negative. I treaty with things like fall. Negative Carney trophy with things like that. With the negative effects of a patient being severely agitated and that could be negative effects for the whole team meaning risk to the staff if they have covert could spread that by a self excavating but also came to namic risks We talked about how negative spontaneous breathing has a negative sequentially for LV and RV. After load. You can imagine a really agitated patient pulling that pressure wave on the vent all the way down to baseline so that negative pressure that Jack Net really intense negative pressure is going to have drastic sequentially. Wow that's great. You know. You have a patient that is just struggling struggling struggling and but they have to get into bed you intimate them and like anything that any little bit of negative on entropy could just totally take that out of the RV and again RV not pumping leaves lv without any P- reload leaves Lv. Not Contract issues. But you know stroke volume issues and Kartik overall cardiac output so I could see a total Cardiac collapsed in our institution. Anesthesia comes in helps us with the anticipation just so appreciative. With what they do end the thought processes are in the way you just explained to really gives me insight into what's going through their minds at the time of innovation so I really think a lot of times we talk about intimating the PH patients in. How awful that is because mechanical ventilation itself might be might be helpful. I think a patient in respiratory distress breathing forty liters a minute with big tidal volumes. Because their has their feelings so dismissed the intimation might actually be better for their human dynamics but dropping their pre load and schemic right ventricle into Bache is certainly always a bad thing and that's really can get him through the intimidation they can do all right. I'm really developing a better understanding of a complex interplay I that goes on with innovation and proper ventilation Meanwhile MISC- OVID's appears to be more comfortable. She's properly sedated. But we're clearly not out of the woods yet. She's hypothesis setting. The low blood pressure is down to eighties or fifties. The chest x Ray shows proper to placement but their bilateral infiltrates that blossoming. So she's tanking. We've got a complex interplay of both her lungs and are hard dynamics Dan. Let's get the catheter into figure out what's going on boom. Pa Catheters in guys since shows there right atrial pressure of eight millimeters of mercury. Rv pressure forty five over eight a peer pressure of forty five over twenty with a mean of twenty seven and a wedge pressure of Eighteen S Vr. Systemic vascular resistance was low normal at eight hundred and a cardiac index. That was low at one point. Eight this is concerning for mix genyk and distributive shock and given that we have pulmonary. Dima we could probably say that the patients Dima carcinogenic and non cardio pulmonary Dima so we'll have more episodes that go through how we talk about small numbers in entrepreneur but simply put for.
"icu" Discussed on The Pineapple Project
"Yeah it looks like chaos? I mean it's organized chaos. I reassure the public but it it you walk in. It's just people going everywhere. Pretty much to`speed with patients in lots of rooms in the side loads of equipment. Lots of things going on lots of noise and when you go in there the thing that most strikes you is just the sheer amount of staff. The stuff in the car does the stuff on the desk. The stuff everywhere. Machinery glinting idea what it is rows and rows and rows of syringes and stuff and the noise is very striking the lights Meta Galante ICU. So even at times all brightly lit and it never gets quiet not somewhere. Where if you were looking to have conversations or or die That you'd really choose so yeah. It's a pretty chaotic. Very full on environment twenty four hours a day doesn't never stops all celestine about one in ten of the general public will die in an ICU in about one in ten of the people coming into an ICU. Maybe more like one in eight die in the ICU. Why do you think it's increasing? Because it's becoming an expectation that everything possible will be done in every circumstance and to a degree that works. We have got we have in Australia. We have the highest survival of preventable deaths in the world. So in that age group thirty nine to sixty five. Where desecrated preventable. We have the best track record in the whole of the planet in terms of averting death but the the side effect of that is we overdo it for a lot of people as well now so with throwing the book at everybody for some it works and for some it doesn't and we're getting worse and worse deciding not to do something because it's become so grooved that if you go into hospital you're sick you will end up there unless somebody along the line decides to stop the process and that's not easy to do so if the patient comes in and a you know they have a stroke or they fall into a coma they no longer able to speak for themselves They don't have any kind of advance. Directive is it incumbent on you to do everything that you possibly can to Cape that personal live pretty much yes I mean. I'd like to say there are some qualifiers there. I guess if we thought he was completely bonkers we might not but the truth of the matter is is pretty much default. If you're if you're critically unwell and you turn up on our doorstep. We'll do everything unless we find reasons why we shouldn't be doing then. Overwhelmingly that would because people don't want it but we very hard to find that out unless they've kind of specifically mentioned in an advanced directive or some kind of plan. Yeah well I mean. That's pretty rare. I if I were to actually is so rare for somebody to come in with an actual advance care directive that I would photocopy that an frame it well. I hope that your office is filled with framed advanced directives. All over the walls may too because it it can be a very very successful strategy. But it's actually just as successful just chat to not just talk to your family. And so that they know they'll be there you know they'll come and they'll end up in this situation of having to make decisions for you if you are not conscious and That's a hell of a pressure on people and you know be kind to your family. Talked to them and give them a bit of an idea of what they're supposed to say. Yeah that's solid advice. I think I just want to kind of get a little bit more specific in that scenario so someone come into the ICU. They've fallen into a coma that Incapacitated can't speak themselves. That don't really have any kind of advance. K Plan or directive. Talk us through the steps that you then go through from there Yeah so what we have to W I is what. They're realistic possible. Outcomes off so we have to decide what could happen here. What realistically could we achieve here? So that that takes a little time commonly maybe a couple of days of testing to see what's possible At that point we have to establish what the patient would have wanted given those options. You know you could survive this. But you'll never be functional. You'll never be able to eat. You recognize your family So we have to understand that that is the situation and then we take that to the family and their job and many don't understand this. Their job is to try to speak as if they were in the patients shoes in that moment so this is not what they want is not what we want is not wanting to be else wants. It's what they think that patient would have wanted and that sometimes quite hard for them to do if they've never had any kind of conversation about this before so we have couples that have lived in a sixty th wedding anniversary couples. They've never talked about what they want. Or what their values are or any of these kinds of things. I surprisingly hard for them to say or he would not have wanted to be like that but that is the job. That's what the job of the family is. They have to tell us that. We base out treatment basically on worst possible and while the family thing how DNA wishes come into play so do not resuscitate. Do you ever get folks who say I want to be resuscitated no matter what and you as a medical expert thinking water starting? That's a good idea. Yes under Again that hasn't been common in Australia yet but in America is almost overwhelmingly the case And therefore I'm expecting to see more of it. You know people saying well. I want you to resuscitate now. Don't care that stage four cancer. I want to live to see my grandchild. Get her diploma. You know whatever it takes. That's what I want. I actually I think we really are morally obliged to at least meet them halfway with that. You know we talk about good death and stuff like that but for some people it is to go down fighting in that way and I'm not here to try and tell people they don't want this and they don't want that if they do want something. Tell us that too. There's a limit and everybody would understand that but I would. We'll meet you halfway if what you want. You don't believe in such thing as a good death. Can you tell us a little bit more about that? It's just a bad time. You know the language around this is terrible but there's nothing good about death. I mean I've seen often even know how many deaths I've seen I. I don't even want to start thinking about it but There's nothing ever good about it. Trust me It's always sad Sometimes tragic sometimes it will the best I think we can hope for is a death that is consistent with the way somebody was You know we. We've had a patient who had stage four cancer and he really wanted to dine a ventilator. He was so determined. We tried to send him home to die. He brought himself back to hospital. He was he was mad. Cain And when he did die. His his Wife said that was so great that you did that. Because that's what he wanted. He wanted to go out fighting and and he did go out finding on massive machinery. Was that a good death. Well it probably was but not everybody's idea of a death so I think we should be using terms like authentic or a valid or safe. Not good when you talking about death. It just seems to send the wrong message. Yeah that's fair enough. I don't think we really talk about death as something that he's authentic. I don't think I've ever really heard framed that way. I think it has to be real. You know keep it real. Is I love that when you die. Cape IT real keep it real good doctor soul. What advice would you have given just into? I think she shouldn't try to say what she wants. What she thinks. Oh she believes in. She just needs to try to report as best. She can what her uncle would have wanted if he could speak for himself. And people don't realize that they're not that have an opinion than that to try and save. Somebody's life just that to try to report what it is. They think he would have wanted. Do you have a question? The decisions that you made in that time hundred percent not so much now our flak about just gone five years Probably for the first six months or so I really struggled with the whole scenario It was very long to go through. And it's really something you talk to. You can talk to your friends about especially twenty four. I mean you can kind of mention that you saw with your uncle. Why Dombi no going to go into the because who wants to hear about that really And so you know mom and dad would really go really support even stuff and they could say. I was kind of struggling and helped me as much as they could. But it took me probably until the he's first anniversary the really kind of started to feel like. Hey with the decision that I made But really probably wasn't until the second anniversary of his passing that I kind of one hundred percent comfortable with the fact that I had made the right decision so that is an intense situation for anyone to be let alone a twenty four year old. I'm a decade older than just intern. I didn't even nerva great uncle and even stressed. I'm going to go to the hospital cafeteria for a little may time. We've got the strong five watt and the CARAMEL fly. Hey great me. I was wondering what you've got to even allowed him him. It pays my guilt. Also I mean I'm here I kinda know what I'm doing. I can help you out with some tips. Oh you heard all that. Yeah actually that would be great. Well one like that. Nice man with the British accent said pay and run events care no directive and do them a favour always book a longer appointment but before you do to think about your values these are totally specific to you like if something unexpected happens. What matters most to value a certain level of independence? A being able to show yourself those questions. Same Big and let's be they really are but there is a website. They can help you. It's my values dog dot.
"icu" Discussed on REAL 92.3
"Home for hip hop. Big. Yup. That. Yeah. What's your never blending? Lady. Yeah. Chummy crazy. I was down. How you just plenty? I followed digging budget deli smoking. Off the stage. We stopped goes. Speed. Doc. Salaam lazy. ICU? You ain't him above the product on it. Ain't okay, sweat, you sweat. You. Don't do that. I want you to. Down. Scarred. Okay..
"icu" Discussed on Never Not Funny
"Minutes by breakdown crying that's life it's it's it's our show enter show is about our lives so i it we took her in and she was fighting going to the staying overnight and the emergency room that they actually icu came down and they said you know she doesn't need to go in icu yet at go nice of you but you know we were will put her in regular room will monitor and and she was there firm and i'll get some of the time line rahm but she was indy a regular room for a maybe a day and then they they rushed her to icu and she was that icu for a couple of days and then on saturday at friday they moved back to a regular room and i'd saturday in the afternoon done the 30th the doctor came in and she had were this masked by the way this mask that covered her entire face it basically was pushing aaron or lungs because she just wasn't you know uh if my mom was a smoker and i've never really talked about bite fight family a you know my my rule is that i don't deal they didn't sign up for this and uh you know but my you know my mom was a smoker for a lot of years and um her lungs were in horrible shape and then she got sick so she got the flu and she her lungs you know as we all do when we get the flu the you have trouble breathing and so but if your lungs are so damaged that there's nowhere for that inflammation to go well now the inflammations blocking off any sort of air path so she wasn't breathing and then so they had a foot this mascot which was just.
"icu" Discussed on KTLK 1130 AM
"The police of greatest kid a risk like that to begin with it the chased an obviously didn't know it was in their right and then when he jumped out had a kid and his hand to fight the police and use as human shields i mean just a honestly the guy's a piece of trasferred yuantseh might that agreed but probably would you you know really infuriate them even more was there at once he was separated from the kid and must join was trying to get him into custody this guy was portraying himself as a victim basically he was out there you know all their beat me up and that some of the statements he was making clean to some of the public was out there that was going up their cell phones when i don't have the full version the storied again it just it just anger me but if we see but i was gonna i was going to throw this out there because the when what he flips the vehicle everybody who is there and i don't know what kind of a facility was it was a restaurant or laundromat i forget we're we're it was some business and he flits the vehicle comes out already he chose at risk the child was in the car seat and flip directive vehicle he gets out holding the child and we see we all this i'm not i'm not making it up a nut looking at the sumptuous ice him do this and what we see once the cameras do pan mastery at one point says help he's asking for help and i don't know if it's to help you know apprehend the guy or to help with the child probably with the child in in when the camera pans over you've got any number of people other cell phone not helping at all meet watching we see in icu at one point i gotta tell you shown by hearts jump it out of my chest as watching this live the guy reaches in his pocket i love you saw.
"icu" Discussed on The Bone 102.5
"Baby looking at elliptical signal i almost did this i almost wait until she was god and then went to the dude who train sir and said hey man that girl that you're trying to just tell her like she kicks ask but then i thought that viva grief you're not allow layer free i think he did it the right way and the fact that given this much thought to it really spells out the death of my group ah to unite the end violator women don't want strange do saying anything to your bud saw a lot that did not even on our and your buds element in the room and i'm telling you it feels good sometime yeah is evac or nation you're working hard all should to but see bit our definition is a positive a toll it like i said that one guy walking up to me and say that's not me i i would never do that started on ways to stop it emily tweeted i get where you're coming from of a guy started with icu here every day i would probably say he's a great kaby fifty no died when you work hard to make yourself better insomuch when people take the time vote voters good job i agreed sara de it's not creepy at all it's very nice if you probably made her day encouraging to grab a live hello this hello hello pie who you angela angela what a landline and is that a landline calling from happy to see me uh both at work are you the blonde wrote the gem gotta wish her own oh god now our show.
"icu" Discussed on PBS NewsHour
"They don't have a traumatic experience in the way that a combat veteran or rape survivor would so they're not referred to a mental health professional they really fall through the cracks with all of these gaps they're just as a lack of awareness how do you feel dr west easily has studied this phenomenon for almost twenty years he says the risk factors are clear powerful sedatives and prolonged use of ventilators which can trigger delirium some icu patients need those interventions but not all of them do we had to thai people down so they would pull lines and tubes out we also chemically restrained than with these deep sedatives so we got comfortable pummeling people's brains with gargantuan amounts of bins that as a pains popa fall other types of of sedation he put them in this cocoon but it wasn't a safe one and win in when we started measuring delirium and then started measuring physical immobility it unveiled this issue of picks thirty can you help on your eyes a substantial number of patients leave the icu with newlyacquired problems ranging from dementia to depression to muscle in nerve disease dr alias been following some of them for six years and will soon release a study preliminary data show one third of patients improve and get back to normal cognitive and functioning levels one third remain the same as the day they left the hospital and one third decline even further we should talk about whether we should move a tube to the neck okay because that will allow us to decrease the amount of sedation that you're on so leaders in acute care developed a different icu treatment when possible they keep patients out of the cocoon by reducing the use of drugs and ventilators and by getting patients moving.