The days when local mayors demanded from the California governor that Disneyland be allowed to reopen long ago.
As Orange County continued to set new records for new Kovid-19 infections and hospitalizations on Tuesday, a very different type of facility was being readied for visitors. Orange County officials were operating mobile field hospitals to handle the increase in coronovirus patients.
Those area hospitals will be housed in large trailers and will include canvas tents with hard flooring and temperature controlled units that feature water, toilets, showers and generators as well as air purifiers.
Fountain Valley Regional Hospital will get 50 such beds, St. Jude in Fullerton will get 25 beds and UC Irvine will get 50 beds.
County Supervisor Doug Chafee said he received a text message from a medical professional at St. Jude Medical Center last night indicating that the hospital is at “99% capacity”.
Chaffey said that the hospital’s 301 beds are filled with 138 COVID-19 patients.
“The ICU is at 105% capacity,” Chaffee said. “They are using every available bed. There is an overflow in the emergency department … all hospitals in Orange County are in the same condition. This is horrifying, so they will soon erect a tent in the parking lot, perhaps for triage. I think what we are seeing is not a boom, but a tsunami. “
“I’m terrified,” Dr. Clayton Chow, said the county’s chief health officer and its health care agency director, increased patients. “I sleep every night. I’m afraid … I’ve never been so afraid of Christmas and New Year all my life … I can’t imagine what it would be like after the holidays if people don’t listen and don’t comply.
In Los Angeles, hospitals had largely accommodated the Kovid spike by canceling elective procedures. “Hospitals have started to some extent to curb non-essential procedures,” LA Director of Health and Human Services Drs. Christina abused.
Another way of regulating bed capacity is “diversion”, in which an ambulance is transported to a hospital – possibly more distant – with more beds. “We know that there are some hospitals in the county where the offload time can be more than four hours,” LA County Public Health Director Barbara Ferrer revealed. “So we need a diversion system.”
On Sunday, a day when emergency departments were not traditionally busy, 81% of the 911 receiving hospitals in LA diverted advanced-life-support ambulance traffic to other medical facilities due to congested ER. Galli stated that hospitals average 10% to 15% at this time of year.
The next step for local hospitals, Gali said, would be to “break the ratio,” or implement team-based nursing. The state mandates nurse-to-patient ratios, but the number of nurses per patient may be reduced in emergency situations.
Governor Gavin Newsome did the same on Friday. He issued emergency permission for ICU units to increase the number of patients from 2: 1 to 3: 1 for each nurse. Newsom has also gone on additional staffing that has been secured and requests for aid have been received for the federal government.
When asked about USNS Mercy, which was sent to LA during the summer spike, Newsom said it had not requested. “One of the most important resources is not beds [on the ship]”But staff,” said Newsom, echoing health officials, who have said for months that ICU shortages are not about beds, but nurses and doctors trained in acute care.
Glee said Daya had rules about patients making it harder to get acute care patents on board, including prohibitions against substance abuse issues or mental disorders.
California’s top medical officer said on Tuesday that hospitals were also looking into the possibility of “rationing” care.
“We have worked with our hospitals over the last few months, whom. Crisis care ‘. The state’s Director of Health and Human Services said that we need to implement it.
Reducing the enthusiasm generated by the distribution of Kovid-19 vaccines, Governor Newsom said Tuesday, in severe reminders of the rising death toll, the state ordered 5,000 more body bags for the distribution of the merge in three counties, including Los Angeles is.
Los Angeles County on Tuesday recorded the number of new coronovirus-related deaths since the summer at 86. California has lost 163 people to the virus in the last 7 days. On Friday, the number of all virus-related deaths was 225.
The county is also reporting 11,194 new cases of COVID-19. The number of people hospitalized due to the virus is now 4,403, of which 21% are in ICU beds.
According to L.A. County Health Officials, “Between this time of exceptionally high cases and the increasing number of hospitals and deaths, it is more important than ever that county businesses carefully adhere to public health needs and take safety measures and modifications. Fully comply with the health officer order and protocol. “
Orange County set new records for new coronovirus-related infections on Monday — 3,250 — and hospitalized, with the county’s adjusted intensive care unit capacity reaching zero.
On Tuesday, the county logged 2,173 new COVID-19 infections. Hospitalized 1,287 from Monday to 1,371 Tuesday, another record. There were 296 ICU patients, from the previous day 288, another new record. It has become a daily occurrence since last week.
The county’s Kovid-adjusted ICU bed availability actually increased from zero to 1.4% on Tuesday. This possibility reflects efforts to increase capacity – possibly through mobile sector hospitals – as the number of ICU patients actually increased. The state created adjusted numbers to reflect the difference in beds available for COVID-19 patients and non-coronavirus patients.
The total percentage of available ICU beds in the 11-county Southern California region was 1.7% as of Monday night.
Orange County’s test positivity rate increased from 10.6% to 13.2% on Tuesday. Officials reported a new deadly attack in Orange County on Tuesday, taking the death toll to 1,695.
Prior to this month, ICU patients in Orange County had a record 245 during the mid-July surge. Overall, records have been breaking daily in the hospital since December 2.
As the months have gone on, dozens of residents on Tuesday appealed to the Board of Supervisors to defy the order to stay at the state home. Orange County attorney Leon Page pointed out that Gov. Gavin Newsom’s executive order is the last word and the county can’t do anything to change it.
Dr. Chow made an emotional appeal to residents to follow a mandate involving physical disturbances and face covering to help prevent the spread of coronaires.
County health officials are particularly struggling with housing the elderly with dementia, who are infected but do not exhibit symptoms, Chau said.
“We can’t send them to the hospital … they don’t need that level of care,” Chau said. “And we can’t send them to a nursing facility … and we can’t send them to a hotel.”
Those patients will likely be housed at the Fairview Development Center in Costa Mesa, which is expected to open on Thursday.
“But we only have availability of 50 beds,” Chau said. “We are going to run out of options to take care of these people.”
Orange County Supervisor Lisa Bartlett said, “Right now we are feeling the impact of the Thanksgiving boom.” “And with the Christmas holidays and the new year we are planning for more matters to come.”
“The message is very simple,” Chau said. “Today in the United States, every minute there are two people who died in the United States in COVID-19. Every minute we talk about someone lost a loved one … that’s a surprising number and just From an American point of view there is an embarrassing number because what we need to be in medical care is considered the best. “
Orange County Supervisor Andrew Doe, whose father died unexpectedly over the weekend, noted
He saw a crush of patients at the hospital where his father was treated.
“I can tell you from personal observation that every single bed was taken,” he said. “As I approached the funeral homes for my father, he said that his business had grown 300% this year. The lack of waiting time and availability of services whether they are for sight seeing or cremation is unbelievable.” . He has never seen such a shortage before. “
Newsom said 142 coronovirus-related deaths in the past 24 hours were reported statewide. In the past week, the state has experienced an average of 43 deaths per day – up from 71 per day a month earlier.
“Think about whether we are continuing down the path that may seem like that January 14 number if we don’t do what we need to do, which will benefit ourselves after being vaccinated Not for, but to continue wearing these face coverings and reducing the blending to the extent possible for whatever has happened in the last 30 days.
According to the governor, the county has 60 53-foot refrigerated storage units on standby for use in the state if local facilities are affected by the virus’s fatalities.
“We just had to order 5,000 extra body bags and we distributed them in San Diego, Los Angeles, Inio County,” he said. He said, “It should be controlled. I don’t want … to scare people, but it’s a deadly disease. And we need to keep in mind where we are with vaccines in this current journey. We are not at the finish line right now. “
City News Service contributed to this report.
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