Originally Posted by Bwana:
Once again, don't come in this thread with some kind of political agenda, or you will be shown the door. If you want to go that route, there is a thread about this in DC.
Originally Posted by Dartgod:
People, there is a lot of good information in this thread, let's try to keep the petty bickering to a minimum.
We all have varying opinions about the impact of this, the numbers, etc. We will all never agree with each other. But we can all keep it civil.
Thanks!
Click here for the original OP:
Spoiler!
Apparently the CoronaVirus can survive on a inanimate objects, such as door knobs, for 9 days.
California coronavirus case could be first spread within U.S. community, CDC says
By SOUMYA KARLAMANGLA, JACLYN COSGROVE
FEB. 26, 2020 8:04 PM
The Centers for Disease Control and Prevention is investigating what could be the first case of novel coronavirus in the United States involving a patient in California who neither recently traveled out of the country nor was in contact with someone who did.
“At this time, the patient’s exposure is unknown. It’s possible this could be an instance of community spread of COVID-19, which would be the first time this has happened in the United States,” the CDC said in a statement. “Community spread means spread of an illness for which the source of infection is unknown. It’s also possible, however, that the patient may have been exposed to a returned traveler who was infected.”
The individual is a resident of Solano County and is receiving medical care in Sacramento County, according to the state Department of Public Health.
The CDC said the “case was detected through the U.S. public health system — picked up by astute clinicians.”
Officials at UC Davis Medical Center expanded on what the federal agency might have meant by that in an email sent Wednesday, as reported by the Davis Enterprise newspaper.
The patient arrived at UC Davis Medical Center from another hospital Feb. 19 and “had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” according to an email sent by UC Davis officials that was obtained by the Davis Enterprise.
The staff at UC Davis requested COVID-19 testing by the CDC, but because the patient didn’t fit the CDC’s existing criteria for the virus, a test wasn’t immediately administered, according to the email. The CDC then ordered the test Sunday, and results were announced Wednesday. Hospital administrators reportedly said in the email that despite these issues, there has been minimal exposure at the hospital because of safety protocols they have in place.
A UC Davis Health spokesperson declined Wednesday evening to share the email with The Times.
Since Feb. 2, more than 8,400 returning travelers from China have entered California, according to the state health department. They have been advised to self-quarantine for 14 days and limit interactions with others as much as possible, officials said.
“This is a new virus, and while we are still learning about it, there is a lot we already know,” Dr. Sonia Angell, director of the California Department of Public Health, said in a statement. “We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California.”
It is not clear how the person became infected, but public health workers could not identify any contacts with people who had traveled to China or other areas where the virus is widespread. That raises concern that the virus is spreading in the United States, creating a challenge for public health officials, experts say.
“It’s the first signal that we could be having silent transmission in the community,” said Lawrence Gostin, director of the World Health Organization Collaborating Center on National and Global Health Law. “It probably means there are many more cases out there, and it probably means this individual has infected others, and now it’s a race to try to find out who that person has infected.”
On Tuesday, the CDC offered its most serious warning to date that the United States should expect and prepare for the coronavirus to become a more widespread health issue.
“Ultimately, we expect we will see coronavirus spread in this country,” said Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases. “It’s not so much a question of if, but a question of when.”
According to the CDC’s latest count Wednesday morning, 59 U.S. residents have tested positive for the new strain of coronavirus — 42 of whom are repatriated citizens from a Diamond Princess cruise. That number has grown by two since Messonnier’s last count Tuesday, although the CDC was not immediately available to offer details on the additional cases.
More than 82,000 cases of coronavirus have been reported globally, and more than 2,700 people have died, with the majority in mainland China, the epicenter of the outbreak.
But public health leaders have repeatedly reminded residents that the health risk from the novel coronavirus to the general public remains low.
“While COVID-19 has a high transmission rate, it has a low mortality rate,” the state Department of Public Health said in a statement Wednesday. “From the international data we have, of those who have tested positive for COVID-19, approximately 80% do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date.”
CDC officials have also warned that although the virus is likely to spread in U.S. communities, the flu still poses a greater risk.
Gostin said the news of potential silent transmission does not eliminate the possibility of containing the virus in the U.S. and preventing an outbreak.
“There are few enough cases that we should at least try,” he said. “Most of us are not optimistic that that will be successful, but we’re still in the position to try.”
Originally Posted by Hammock Parties:
How long until a cop shoots someone, or a cop gets shot?
I don't like this at all.
I'll be honest - I'm still trying to figure out if you're trolling or simply the most emotionally unstable person on the planet.
You emote more wildly (and in more directions) than any sane person has a right to. It was all "haha, look at the preppers" a week ago and now you see a train with half-built trucks on it and you're pretty sure the Army's about to round up anyone that sneezes.
Let's just take about 20% off 'er there, okay squirrely dan? [Reply]
Originally Posted by BigRedChief:
I ran vents in the OR during my residency at Truman, Research, St. Luke’s, Children’s Mercy and Menorah. But that was a long time ago. So that will free up some doctors to run vents but doesnt increase the total RT’s I posted earlier.
Curious, are RT’s still intubating patients or is that all Doctors these days?
Depends where you are but doctors are not the ones doing the majority of intubation or managing airways and monitoring patients in surgery. I don’t know about the ICU though. In the ORs in KS CRNAs intubate and are the sole anesthesia provider in states that allow it such as KS and places that go that route. But even within that, in Kansas for example, it seems to depend on the hospital system if they have anesthesiologist or not. But either way CRNAs intubate with some places having anesthesiologists present if they prefer it, but they don’t stay during the whole case. CRNAs run the breathing and drug administration and keep the patients out and whatever else needed. There is no requirement for the doctor to be present in the room or at the location at all though so it really depends on each hospital system and even individual doctor within that.
In Missouri they have CRNAs as well as AAs who act similarly to CRNAs but they are not trained ICU nurses like CRNAs. They also cannot work independently. I also don’t believe they can intubate without anesthesiologist present but not 100% on that. But these are the people managing airways and running ventilators in the OR. I can’t speak to when RTs where removed from the ORs. But with AAs, even though they can run one since they are not trained ICU nurses I don’t know if they could assist patients in the ICU like a CRNA can.
There are somewhere around 35,000 CRNAs in the US, all of which are qualified to run ventilators in the ICU but it depends if they are hospital employees or physician groups if they can do so without some sort of temporary allowance. But it seems it’s more likely there’s a shortage of ventilators than people to run them as long hospitals keep them employed without many surgeries going and if they can figure how to allow group employed ones to temporarily be in the ICU since those aren’t all hospital employees. [Reply]
Originally Posted by DJ's left nut:
I'll be honest - I'm still trying to figure out if you're trolling or simply the most emotionally unstable person on the planet.
You emote more wildly (and in more directions) than any sane person has a right to. It was all "haha, look at the preppers" a week ago and now you see a train with half-built trucks on it and you're pretty sure the Army's about to round up anyone that sneezes.
Let's just take about 20% off 'er there, okay squirrely dan?
He's a fucking weirdo. It's beyond absurd at this point. [Reply]
