California hits new 1-day COVID-19 death record with 442

California again broke the daily record of COVID-19 deaths on Tuesday, recording 442 deaths in regional health jurisdictions by Times County. This is equivalent to a person dying from the disease every 3 minutes.

According to a Times survey, more than half of these deaths (242) were due to residents of Los Angeles County. This was a record high for the most populous counties in the United States in a day, and was partially increased by unprocessed reports from the Christmas weekend.

At that rate, cumulative COVID-19 deaths could exceed 25,000 in California on Wednesday and more than 10,000 in LA County by New Year’s Day. As of Tuesday night, a cumulative total of 24,987 people had died in California and 9,806 in LA County. Over the past week, the state has averaged 240 deaths a day, and LA County has 111.

Climbing deaths have changed everyday life throughout Los Angeles. In East LA, the typical number of cases at Continental Funeral Homes has more than quadrupled, with 80% of services celebrating those who died of COVID-19. The LA County Nursing Union Health University has postponed admission to nursing students in the spring semester due to the relocation of faculty and staff to the county hospital.

“The medical situation is not as serious as it is, and the need for healthcare professionals has peaked,” Mildred Gonzalez, Dean and Program Director of the College of Nursing, wrote in a letter, “Unprecedented.” There is no crisis situation. ” “

The overcrowding of intensive care units throughout California has already forced healthcare providers to take steps to limit the amount of hospital care provided.

A hospital in Southern California at stake

“We certainly know that hospitals in Southern California are at stake,” said Dr. Mark Garry, California’s Secretary of Health and Welfare. Authorities expect hospitalizations to worsen again in the coming weeks, especially in mid-to-late January, as some ignore calls for staying home for New Year’s Eve.

Even today, EMT and EMT refuse to transport less severe patients who may be taken to the hospital under normal circumstances.

In Los Angeles County, EMT “is not ill enough to require hospital-level care, so we evaluate patients and release them to stay at home …. if they come to the hospital, they May not get the kind of attention they expect, “Ghaly said.

This is an example of anomalous measures that healthcare professionals had to take in the overcrowding of hospitals throughout the system, not seen in modern California history, as a result of the worst pandemic of more than a century. is. For the first time in the state, the number of COVID-19 hospitalizations exceeded 20,000, eight times that of November 1.

Overcrowding has already reduced the quality of health care, Garry said.

Plan to triage and distribute hospital care

State officials have yet to hear reports of the worst, such as hospitals having to choose who will get the last ventilator.

Nonetheless, some hospitals in LA County have a dangerously short supply of oxygen, treating patients in conference rooms and gift shops and taking them to the emergency room for eight hours by ambulance. Waiting at

The hospital system has already developed a triage plan and should prioritize the time of highly trained staff such as respiratory therapists, ICU nurses and emergency physicians to keep as many people alive as possible. .. This means that people who are unlikely to survive may not receive the same level of care they would otherwise have.

Most hospitals in California are no longer able to provide regular hospital services and are switching to “emergency care” instead. Ghaly said staff were required to work on longer shifts, the rooms were reconfigured to hold more beds than originally intended, and there was a shortage of supplies. Not only are they preserved or reused, but lack of space and staff delays patient movement within the hospital.

Preparation for “crisis management”

Even worse is the “crisis management” where patients are placed in cribs instead of standard hospital beds. Patients, usually grouped into one unit, are scattered throughout the facility. According to Garry, certain supplies, treatments and staff need to be distributed.

If some hospitals in an area declare themselves in “crisis management” mode, Garry will be asked to share resources to relieve the worst-damaged facilities. He said.

California Aging Director Kim McCoy Wade said Tuesday that a tough decision on how to allocate health care was ” [a patient] Survive in the short term. Such decisions are age, race, disability, chronic medical condition, gender, sexual orientation, gender identity, ethnicity, country of origin, language spoken, ability to pay, weight, socioeconomic status. , Insurance status, awareness of self-esteem, cannot be based on awareness. She said about quality of life, immigration situations, imprisonment situations, homelessness, or past or future use of resources.

The State Department issued a memo on Monday about its California Crisis Care Continuity Guidelines. It must comply with ethical principles, health inequalities goals, and civil rights law, they said. Facilities that need to begin distributing critical care resources should be notified immediately to the local and state public health departments.

Choose who will take care of you

According to a state memo issued in June, in situations where medical resources are severely scarce and the patient’s immediate survival is poor, healthcare providers aim to relieve the pain of the patient’s death. You should decide to give palliative care. , Rather than improving their prognosis.

Patients who are likely to survive such care are prioritized when deciding who is eligible for ICU admission or is available on ventilator.

According to the memo, hospital-appointed triage personnel are expected to make decisions that benefit the patient population, “even if these decisions are not always the best for some individual patients.” I am.

Health authorities fighting fatalism and denial

State-wide hospitals and health authorities are reporting serious problems. The hospital’s chief operating officer, Gloria de la Merced, said the Gilroy agricultural community in Santa Clara County occupies all of the usual ICU beds at St. Louise Regional Hospital and patients are currently in overflow beds. I will.

“This level of hospitalization has never happened in my career,” she said. “Everyone is affected when we exceed our exponential capacity. More people in our community will know that someone has died.”

In Fresno County, the emergency room is so crowded that emergency personnel drop patients into hospital corridors and waiting rooms that are being cared for by other emergency personnel. Authorities are fighting the fatalism of the general public that they can do nothing about pandemics and record hospitalizations and denials of deaths.

“That’s really disappointing …. We really have a choice and can protect ourselves in the community with the choices we make, such as wearing masks and canceling New Year’s parties. You can, “said Dr. Wraith Vola, Interim Health Officer of Fresno County. “Whenever you choose to ignore science, it’s when we’re really in trouble.”

In the countryside of Northern California, the situation has improved sufficiently to allow Humboldt County to move from the state’s most restrictive “purple” layer to the less restrictive “red” layer and resume dining in indoor restaurants. It became the first county to confirm that it did. Gyms and cinemas, albeit with limited capacity.

However, local health officials have criticized the state for moving Humboldt to the less restrictive class, and an ongoing trend is that the county may return to the most restrictive class in the coming days. He said he suggested.

“Our case rate is the highest ever and our contact research team is tracking more cases. We couldn’t discuss with the state before this decision was made. It’s a shame, “Dr. Ian Hoffman, Humboldt County Health Officer, said in a statement Tuesday.

Times staff writers Emily Baumgartner, Andrew J. Campa, Andrea Castillo, Jacqueline Kosgrove, Adam Elmarek, Marisa Gerber, Sumiya Carlamangra and Ryan Murphy contributed to this report.

California hits new 1-day COVID-19 death record with 442 Source link California hits new 1-day COVID-19 death record with 442

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