Coronavirus outbreak

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D

DaveReading

Don't suffer fools gladly (must try harder!)
Location
Reading, obvs
Rusty Nails said:
I thought a firebreak involved setting fire to a sacrificial barrier area to stop the fire spreading beyond it. I am not sure that Mark Drakeford is planning to give Covid to a sacrificial section of the population to stop more people getting it.
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Most Forestry Commission plantations include firebreaks - strips where no trees are planted to improve the chances of any fire being confined to a limited area.

No sacrificial burning involved.

It's not a bad analogy.
 
MarkF

MarkF

Guru
Location
Yorkshire
classic33 said:
I've not been bribed!
Three tests, all negative to date.

BRI still have the 24 bed emergency capacity, or is some in use?
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Missed out on your cash then.^_^ Not sure what you mean regarding BRI? It has ICU that didn't get overwhelmed in spring and which has now been split in half, I assume in preparation. However, that capacity (that didn't get overwhelmed in spring) could be tripled at very short notice, this is a largely victorian, not modern hospital. I said it in spring, the NHS can do big things very swiftly, it's astonishing, and it is prepared and can move swiftly in any crisis and is lot more prepared now than in spring.

In general, the ICU virus demographic has changed, lot younger, more robust although obesity is still an issue, but they are far more likely to surivive than the (in general) spring arrivals. It is not all doom and gloom.
 
classic33

classic33

Leg End Member
MarkF said:
Missed out on your cash then.^_^ Not sure what you mean regarding BRI? It has ICU that didn't get overwhelmed in spring and which has now been split in half, I assume in preparation. However, that capacity (that didn't get overwhelmed in spring) could be tripled at very short notice, this is a largely victorian, not modern hospital. I said it in spring, the NHS can do big things very swiftly, it's astonishing, and it is prepared and can move swiftly in any crisis and is lot more prepared now than in spring.

In general, the ICU virus demographic has changed, lot younger, more robust although obesity is still an issue, but they are far more likely to surivive than the (in general) spring arrivals. It is not all doom and gloom.
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BRI increased the ICU capacity in April, not all in the same ward.

St. Luke's was also set up to take some. This came at a cost to patients who had non urgent operations and treatments cancelled. There wasn't the staff to cover the beds that would have been needed.
 
MarkF

MarkF

Guru
Location
Yorkshire
classic33 said:
BRI increased the ICU capacity in April, not all in the same ward.

St. Luke's was also set up to take some. This came at a cost to patients who had non urgent operations and treatments cancelled. There wasn't the staff to cover the beds that would have been needed.
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Yes, some wards with individual rooms are easy to convert, luckily BRI has 2 very large modern wards only up 2/3 years like that.

Yes again, theatres were closed so the op prepare/recovery wards were also vacant. Wasn't this the case everywhere though at a time the professionals didn't know what to expect? I am taking the sign that only half of ICU has been made ready for virus patients as a positive, we'll see.:okay:
 
tom73

tom73

Guru
Location
Yorkshire
A lot of talking in mass media re hospital beds and the situation is no worse than normal for this of year. What "normal" ? Same as this time of year? Normal based on the current new normal capacity ? As most day to day elective surgery is not at full capacity. Hospitals can't work at full capacity any time soon. Throwing around this idea of it's like normal is not helping. It's not normal it can't be.
The other talk of extra capacity is waiting or can be found is another thing. Focus on why we need them ie covid, the need to control it and need to act quickly. Not oh well at least we have insurance if it all go's tits up.
 
classic33

classic33

Leg End Member
MarkF said:
Yes, some wards with individual rooms are easy to convert, luckily BRI has 2 very large modern wards only up 2/3 years like that.

Yes again, theatres were closed so the op prepare/recovery wards were also vacant. Wasn't this the case everywhere though at a time the professionals didn't know what to expect? I am taking the sign that only half of ICU has been made ready for virus patients as a positive, we'll see.:okay:
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The half that has been set up, is that the one on one/Critical Care part. The extra eight beds that were added in April.

If the capacity is there, along with the staffing required, why did they send cases to both LGI & St. James.
 
MarkF

MarkF

Guru
Location
Yorkshire
classic33 said:
The half that has been set up, is that the one on one/Critical Care part. The extra eight beds that were added in April.

If the capacity is there, along with the staffing required, why did they send cases to both LGI & St. James.
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It's the new (2/3 year old) ICU, will count next time but think it's has 20 units.

I don't know, as I posted on figures earlier in the thread, it was never overwhelmed. Although it's fair to point out that even in normal times, it's not unusual for an ICU to perform at 90%+ capacity.
 
tom73

tom73

Guru
Location
Yorkshire
ICU capacity is only part of the picture the biggest and wider issue is likely to be respiratory care capacity as more flu cases feed in and higher respiratory admissions due to extreme cold weather.
In a normal winter respiratory is at the shape end. Even if less patients get admitted to ICU with covid many will still need higher level respiratory care than basic oxygen. That only comes from respiratory care bed space. Without it many will soon end up in ICU.
That's before you factor in winter pressure + covid on primary care which may well add to even more respiratory winter admissions.
Neither have the "casualty" glitz so media and government don't really want to talk them.
 
mjr

mjr

Comfy armchair to one person & a plank to the next
Location
mostly Norfolk, sometimes Somerset
mjr

mjr

Comfy armchair to one person & a plank to the next
Location
mostly Norfolk, sometimes Somerset
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