RT @TuurDemeester: "Last week, staff at Mt. Sinai Health Systems received an email informing them that ... surgical masks will only be available in departments such as intensive care units, divisions involved in infection prevention and emergency departments." https://t.co/9CDsSHSMIF
"Last week, staff at Mt. Sinai Health Systems received an email informing them that ... surgical masks will only be available in departments such as intensive care units, divisions involved in infection prevention and emergency departments." https://t.co/9CDsSHSMIF
N-95 respirators (paper dust masks) can be effective in two ways- 1-some filtration of “breathing air in” if worn tight around mouth and nose. 2- limits exposure to nasties by keeping fingers out of mouth, nose, touching lips, etc. CDC study found that on avg, people touch face, mouth, nose- 16x an hour.
There is a strategic reserve of these types of equipment in case of a disaster on state and national levels. Rationing is a responsible course of action if your main supply is off line or running a reduced capacity.
I m know a guy who is a hospital administrator at a fairly large hospital and he says everyone “in the know” is shitting bricks about what’s going to happen when it starts to spread here. They’re basically doing nothing to keep it out of the country rn, it’s almost certainly already here and being transmitted.
I worked at a major academic hospital in a major city in the U.S. for a few years. Just switched clinical work for bench work. The year before I was hired, they ran out of masks due to a harsh flu season. These are the flimsy surgical masks, mind you. We have even less of the N95s or respirators. Supply barely keeps up with flu in the U.S. Add a pandemic on top of it and supply is shot. Despite having advanced healthcare, no country can truly keep up with this full force.
They were already being rationed in my Australian hospital. One mask per person per day, for a while but back to normal this week. But these are standard surgical masks, which are pretty much ineffective for anything once an hour or so has passed.
I work at a level 1 trauma center in the operating room. I asked about surgical masks becoming a shortage last week and was told our supplier would be keeping up with or regular order. I am sure as soon as it hits the US. All the masks will disappear.
A week ago I started picking up a box of masks every time I would go shopping. Now there are none. One store told me there would be more in two weeks. I have about 6 boxes masks of all sorts in my little stockpile. Seems no one else around me thinks this might turn into a big deal for all of us.
Amateur Radio Emergency Service (ARES) Los Angeles serves the hospitals in Los Angeles County with emergency communications services. This bulletin was sent to ARES members today regarding the mask shortage due to Corona Virus concerns. It provides a view into the procedures hospitals use to order critical supplies when local resources are insufficient.
"The worldwide Coronavirus scare has led to a critical shortage of hospital sterile face masks at all LA County hospitals (pediatric masks also at Children’s), and in all counties in California. Our hospitals have followed an orderly procedure that has led, this week, to a proposed State of Emergency declaration on Gov. Newsom’s desk. I thought it would be a teachable moment to document how our hospitals follow procedure in this unusual and widespread Resource Request.
And that’s where we’re at today with hospital face masks in the entire state. No doubt the Disaster Declaration will make major news soon.
ARES encourages all members really interested in emergency communications to study up on many FEMA procedures. A free series of Independent Study (IS) courses are available to you online: https://training.fema.gov/is/
ARES suggests FEMA NIMS/ICS courses IS-100, 200, 700, 800, with IS-300 and 400 for higher levels are all encouraged."
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I work in a US hospital and was about to consult a patient today until I couldn’t even find a mask to examine them... they’re being moved to different storage areas and hospital police have to open them. Seems individuals are stealing masks and supply is certainly running low.
Surgical masks only protect your against blood. They are of no use against Coronavirus. Hospital staff are going to have to shave their beards and wear N95s if they want to protect themselves properly.
About those life-saving experimental anti-virals, oxygen supplies and ICU equipment... We're going to need about 10,000,000+ of each available when March/April roll around in the US. I wouldn't hold your breath however.
Make your own : [https://wwwnc.cdc.gov/eid/article/12/6/05-1468-f1…](https://t.co/xfFwaNhGEx?amp=1) [https://wwwnc.cdc.gov/eid/article/12/6/05-1468\_article…](https://t.co/dondxgjedn?amp=1) After use soak for 30 min in 1:10 Bleach: Water solution. Rinse then dry.
I can understand outsourcing some of your things to other countries for cheap. But outsourcing almost all your things? To the same region? The same region that is either getting hammered by this right now or not reporting anything?
This. If our HCW workers start getting infected, which they will, then there is a diminishing ability to care for the 15-20% who are severely ill, which then means that the CFR (mortality rate) starts to go up. Way up, since those hospitalized pneumonias don't get adequate care, and panicked and overworked HCW get sick.
American health care workers will walk off in droves once the going gets tough. There will be death bed facilities run by the Red Cross and nuns just like the last pandemic. The people who get infected first will be considered lucky. I doubt our hospitals can handle more than 100,000 intensive care patients. They run close to max capacity during normal times.
I was with someone in my local hospital on Halloween last year.cwevwere told that they would fill up and stop admitting that evening, and it was good we came in the night before. They said they always fill up for new years too. Sure enough they did, and you could tell the difference. I am now sure that my local hospital cannot handle very many extra people at all if they cannot handle predictable days like that.
I just noticed this afternoon when I went to my local Kaiser hospital that they had removed all the boxes of face masks that they usually have everywhere. Now it only has a sign telling you to go ask staff if you think you need one.
I noticed this too at my local clinics. Usually they have stands set up in multiple places with adult/peds masks and hand sanitizers but they are all gone now! This is a small Midwestern city.
Watch what they do, not what they say.