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Houston ICU capacity could soon be exceeded as COVID-19 hospitalizations worsen, TMC projects
MSN ^ | 06/25/2020 | By Zach Despart

Posted on 06/25/2020 12:01:43 PM PDT by SeekAndFind

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To: Vermont Lt

How long does it take an emergency team to respond to a ‘Code Blue’ from an opposite wing on the same floor? Or a floor above/below?


101 posted on 06/25/2020 3:47:50 PM PDT by DCPatriot ("It aint what you don't know that kills you. It's what you know that aint so" Theodore Sturgeon))
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To: DCPatriot

Who is going to call the code? On the regular floors a patient can go hours without someone looking in on them.

You might as well just expand the morgue.

Seriously, if things are THAT bad, you already have worse problems. Be careful driving, because if you have a trauma, you will be in the hallway.

I doubt that Houston is THAT bad off. I think it is funny to see all the panic in the part of the country where wearing a mask is an attack on manhood some how.

One view into a COVID ICU and you will wear one.


102 posted on 06/25/2020 4:27:38 PM PDT by Vermont Lt
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To: SeekAndFind

Democrats: How can we possibly cheat even more than we usually do? I know, non-stop virus fear porn until the election!


103 posted on 06/25/2020 4:50:31 PM PDT by Trillian
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To: Vermont Lt

“One view into a COVID ICU and you will wear one.”

Odd. The two nurses I know who work with COVID daily don’t wear masks outside of work.


104 posted on 06/25/2020 4:52:43 PM PDT by Mr Rogers (Professing themselves to be wise, they became fools)
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To: gas_dr

Makes sense insofar as even (perhaps especially) the indigent can spread the disease.


105 posted on 06/25/2020 5:12:19 PM PDT by pierrem15 ("Massacrez-les, car le seigneur connait les siens")
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To: Vermont Lt

Aren’t all patients connected electronically to the nurses’ station? Not referring to a “call button”, but an alarm trips when a patient is having an event?


106 posted on 06/25/2020 5:37:38 PM PDT by DCPatriot ("It aint what you don't know that kills you. It's what you know that aint so" Theodore Sturgeon))
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To: SeekAndFind

It’s the riots!!!


107 posted on 06/25/2020 5:41:15 PM PDT by JerseyDvl ("If you're going through hell, keep going.")
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To: DCPatriot

And who is going to push it? The person in a coma?

And that call button triggers a general Emergency Response team, not a respiratory code.

I used to manage those systems. We had systems for ICU rooms that triggered in the ICU. We had different ones for the birthing center. And we had two types for normal rooms. They all rang in different places—with back up in a central location. That was usually near the switchboard or security station; some place that was always staffed with people who knew what codes to trigger.

What you are suggesting is possible, but the labor ours to manage the monitoring would be beyond what the normal staff could do for more than a few days. The “intensive” in ICU is both labor intensive and technologically advanced.

I am not trying to be a jerk, but you would need a code team of ICU folks running around the hospital all day.

There are a bunch of things about the telemetry in an ICU room that are simply not present in a regular room. There are usually a few intermediate or cardiac care rooms that could double. But, normally, those are full of post surgical or cardiac patients.

Again, not trying to be a jerk, but if the ICU is at 97%, they need to maintain rooms to treat other ICU patients.

I seriously doubt it is THAT bad without field hospitals being set up. Houston’s facilities are amazing and huge. Some smaller cities might not be in such good shape.


108 posted on 06/25/2020 5:56:07 PM PDT by Vermont Lt
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To: Mr Rogers

Depends on where they are.

Today I went to the hardware store, grocery store, and feed store. I kept track of the total mask time. It was 27 minutes total. Not more than 18 minutes at a time. Certainly not like the cops were chasing me over it.

Went on a 6 mile walk. No mask. Not near anyone. No need.

I think folks have an incorrect concept of when and how long you would wear a mask.

And the nurses I know that worked in NYC would tell you to wear it when you are supposed to. Where are you that you would wear it more than that?


109 posted on 06/25/2020 6:00:38 PM PDT by Vermont Lt
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To: Vermont Lt
No offense taken Vermont Lt.

Thank you for the detailed reply.

110 posted on 06/25/2020 6:06:36 PM PDT by DCPatriot ("It aint what you don't know that kills you. It's what you know that aint so" Theodore Sturgeon))
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To: SeekAndFind

Lots of room in hospitals in other parts of Texas.


111 posted on 06/25/2020 6:11:26 PM PDT by piasa (Attitude adjustments offered here free of charge.)
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To: DCPatriot

“How hard is it to convert another floor to and ICU wing?”

VERY difficult if done right. ICUs are plumbed differently, electrical backup is more robust, sockets are specialized, ventilation is better controlled, and sometimes even negative pressure is used.


112 posted on 06/25/2020 6:11:50 PM PDT by steve86 (Prophecies of Maelmhaedhoc O'Morgair (Latin form: Malachy))
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To: Mr Rogers

either do most intensive care physicians i know


113 posted on 06/25/2020 6:13:58 PM PDT by Mom MD
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To: dowcaet

It’s not flu and covid had been thriving in furnace-like places like India.


114 posted on 06/25/2020 6:17:55 PM PDT by steve86 (Prophecies of Maelmhaedhoc O'Morgair (Latin form: Malachy))
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To: DCPatriot

I where are many rooms in a hospital that can be converted into ICU rooms. When we cohorted our covid patients we expanded our Icu to include ICU and tele. We then turned our PACU (surgical recovery room) into the “clean”’or non covid ICU. There are many ways to expand the ICU capacity of any hospital. The code team is the same and the way of alerting them is the same throughout our hospital. I run the code team so I know what I’m talking about


115 posted on 06/25/2020 6:18:31 PM PDT by Mom MD
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To: DCPatriot

It’s funny—I’ve been out of it a year. But in writing that, it brought back the 300 page code book. When codes were done manually there were about forty different codes—each with a set of calls, pagers, cell phone messaging, and overheads. And there was hell to pay if the person screwed up. People have no idea how often their lives are in the hands of some $15 an hour “operator” at 2 AM.


116 posted on 06/25/2020 6:27:10 PM PDT by Vermont Lt
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To: steve86
Don't get stuck/rooted in semantics.

Amend any ward to treat acute respiratory illnesses.

117 posted on 06/25/2020 7:56:50 PM PDT by DCPatriot ("It aint what you don't know that kills you. It's what you know that aint so" Theodore Sturgeon))
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To: Mom MD

Thanks for that information, Mom MD!!


118 posted on 06/25/2020 7:57:55 PM PDT by DCPatriot ("It aint what you don't know that kills you. It's what you know that aint so" Theodore Sturgeon))
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To: steve86

yes but tele beds, PACU beds and preop beds as well as GI lab and other monitored units can easily be transitioned to ICU beds


119 posted on 06/25/2020 8:36:20 PM PDT by Mom MD
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To: DCPatriot

My wifes an RN in Boston. This is exactly what they did. Texas is going through what lots of places already did. Were still here. Deaths still falling.


120 posted on 06/26/2020 5:14:35 AM PDT by MrRelevant
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