If you find a crystal mampara, it will be very sedate, thanks to a machine that introduces oxygen into its pulses, traversed by a tube attached to its mouth that has the posterior part of its garnet. Hacía pocos días que la habían internado, y staba empeorando con rapidez.
“His respiratory system and cardiovascular system are failing,” said Dr. Luis Huerta, a specialist in critical care of the Intensive Care Unit (UCI). The probabilities of patient survival, which were not identified by privacy reasons, eran pocas, comment Huerta.
The woman, 60 years old, was one of the 50 patients with COVID-19 who, on the week of December 13, required constant medical attention at the UCIs Centro Médico del Losado + USC (LAC + USC), a hospital public of 600 beds in this Los Angeles area. The vast majority of these patients have diabetes, obesity or hypertension.
Otros 100 patients from COVID, less than at present, are found in other sections of the hospital. Y los números crecían. Between Saturday 12 and Wednesday 16, there will also be COVID patients, twice as many as the previous five days.
COVID’s patient outcomes at LAC + USC, in recent weeks, have had an enormous impact on the capacity of the unit and its staff; except for patients who do not have COVID, such as those who suffer from cold sores, drug overdoses, cardiac attacks and cerebrovascular diseases, also need intensive care.
No había más camas are available for the UCI, Dr. Brad Spellberg, the medical hospital.
Similar scenes – screened rooms, staff working overtime, prison administrators and families in duel – are found in hospitals throughout the country, and the nation.
On Christmas Day, UCI’s cameras are available in the 11 states of the California region, located in the San Joaquín Valley.
Jueves 24, the health officials of the county inform that the number of new deaths of COVID has been separated by the second consecutive day at its maximum levels before the pandemic.
LAC + USC has sustained a COVID cargo load since the start of the pandemic, due in part to a large-scale, predominantly Latin community that has been very affected. Latinos represent 39% of California’s population, up from 56% of COVID’s cases in the state and 48% of deaths, according to data updated on 22 December.
Many people who live near the hospital realize essential work and “can not work from home. Salen is exposed because it tends to increase life, ”Spellberg explained. “We do not live in huge houses where we can find a home”, added.
The peo- ple cases end in a bed, in the middle of a marinade of tubes and balls, in UCI’s rooms designed to avoid the air and the viral particles salgan hasta pasillos.
The most ill, as the woman described earlier, need machines to breathe. If food is passed through nasal tubes, its drains drain in catheters, while intravenous vials administer fluids and medications to alleviate pain, maintain sedatives and elevate blood pressure to the necessary level to live.
To alleviate the pressure on the UCI, the hospital is trying to open a new “minor unit” for patients who, if they are very sick, can treat themselves with a lower level of care. Spellberg says it hopes the unit can accommodate up to 10 patients.
Hospital staff are also reviewing patient health insurance to see if they can be transferred to other hospitals. “But at the moment, this is an impossible situation, because everything is in place,” Spellberg commented.
Five weeks ago, COVID’s patients were admitted to the emergency room with only a small percentage of serious illness symptoms, which meant a lower number of hospital admissions and the UCI during the July crisis. Eso ayudaba a mantener a raya la enfermedad, dijo Spellberg.
But yes no.
“In the last 10 days, there has been a clear impression that these things are new, and therefore our UCI has increased rapidly”, said Spellberg on 14 December.
The total number of patients admitted with COVID in the hospital, and the number in its UCIs, there are many of them already at the peak of July, and in both cases there are more than the finals of October. “It’s the peor that hemos visto”, says Spellberg. And he added that this would be the case in the seminars next week if the people travel and reunite with their families in Navidad and Año Nuevo, as the hiccup for the Grace Action Day.
“Piensa in New York in April. O Italia en marzo ”, Spellberg said. “Asi de feas se podrían poner las cosas”.
Y yaa están bastante mal. The nurses and other members of the medical staff have been treated by many months with patients who require very careful care. And the work is one of the most intense, explains Lea Salinas, director of nursing at one of the hospital’s UCI sections. To avoid the lack of staff, they have asked their nurses to work extra hours.
Normally, UCI nurses take care of patients in turn. For a serious patient with COVID can occupy practically all the turn, including with the help of other nurses. Jonathan Magdaleno, one of the UCI nurses, explained that a serious patient could require 10 hours of attention, during a 12-hour shift.
Including the best of the cases, dijo, usually teenagers who enter the accommodation of a patient every 30 minutes, because the bolsas that administer drugs and liquids are vacant in different rhythms. Every time nurses and other caregivers enter a patient’s home, they have to provide a comfortable, protective team and keep them safe.
One of the most complicated and difficult areas is a maneuver known as a “pronunciation”, in which the patient is treated with respiratory problems that are exacerbated during the future in order to improve the pulmonary function. Salinas dijo que esto puede tomar media hora y requreir hasta seis infermeros y ein Therapita respiratorio, porque los tubos y cables tienen que ser disconnectados y luego reconnectados, sin menjionar los riesgos que implica mover a una persona extremely fragile. And he must make the times, because he wants to turn to every patient at the end of the day.
For some, working in the COVID room at the LAC + USC is very personal. It’s the case of Magdaleno, a Spanish nurse born in Mexico City. “Creation in this community”, dijo. “And although there are no quarrels, ves a tus padres, a tus abuelos, a tu madre in estos patienten, porque hablan el mismo idioma”.
Magdaleno wants to pass Christmas alone with the members of his house and we can do the same. If you are a member of your family, then this is the proposal from Navidad [o Año Nuevo]? ”He asked. “Where is the money in the shopping center now? Is the pen included including buying a shelf for someone who is likely to die? ”.
The worst-case scenario of the pandemic at the moment is that it is trying to clear the vacancies against COVID, especially the doctor, according to doctor Paul Holtom, epidemiologist for LAC + USC.
“The tragic irony is that the light is at the end of the tunnel,” he said. “The vaccine is being distributed as a matter of course, and only people who are alive should have received the vaccine.”
Article made by Kaiser Headline News.