Friday, March 20, 2020

Corona virus is not the major threat

I regret that I have not contributed to this forum for a very long time. 
Now that I am working as a EMT and have been very busy with work in South Africa I have not had the time to write and publish as often as I would like. 
Currently this Corona Virus is no worse than any other flu pandemic that we have dealt with in the past. 
It has risks and threat to unhealthy demographics as well as the elderly and infants. 
The vast majority of children and adults are safe. 
The real threat is the reaction from the private sector, government and the general population. 
I can tell you in the EMS and medical side of things we are worried. 
We are not worried so much about the virus we are worried about the red tape and hinderance this is causing in treating people and the strain it is putting on response. 
We are required to take units out of service for long periods of time from exposures. 
If first responders or medical staff have a slight cough or your temp goes over 98 fahrenheit you most likely will be taken out of work and will not be able to return until you are cleared for the virus. 
This is a serious strain and hinderance to first response and medical treatment. 
I am worried about the majority of our private sector being shut down for weeks and possibly months. 
I am certain we will all pull through this but not without difficulty. 
This is what we all have been preparing for and this is why we are all on this forum. 
God, Guns, Beans and Bandaids is what we need and a plan. 
I trust you all have been trained, informed and educated to deal with the possible challenges ahead and gray man has done much on this forum to aid us all in the future challenges. 
Take care of yourselves and each other. - Islands 

Tuesday, March 10, 2020

Over 100,000 views.

Sometime over the past couple of weeks this blog surpassed the 100,000 view mark, and I’m thankful for everyone who has taken the time to stop by.

Recently our traffic has dropped, however. It’s actually dropped by about half, and it seems it was pretty sudden. I admit that there has been a lack of posting recently due to my increased workload in school, but half seems to be a big drop. Whether that explains it, or if we’ve been bitten by something more, ahem, nefarious... Remains to be seen.

Rest assured I’m not going anywhere and posting will not cease. As always, feel free to contact me. All anyone on our side is going to have is each other when the fun begins.

Monday, March 9, 2020

Pay attention to Italy (COVID-19)

Italy has a modern, westernized medical system similar in quality to the United States. The country is quite a bit smaller and less populated than the US, but it's easy to look there and imagine it could be an example of what may befall us here if we are unable to stave off a massive outbreak of the virus. In my opinion, due to the lack of control over our border and ports of entry, we will be unable to stop the spread. We have already had one case of the virus land in my own county, and was treated by the hospital that cuts my paycheck. That patient, who was elderly and had multiple serious comorbidities, died, and we are basically in a holding pattern waiting to see if any medical staff were infected. According to trends worldwide, we will have some that are infected, and they will spread it. If not, we will be one of the only, or maybe the only, location in the US with a case of COVID-19 that didn't result in a larger outbreak. We will see. In a few weeks.

Back to Italy. Tourist sites are closed, schools are closed, stores are closed, streets are empty. More serious than that, is the fact that one region, Lombardy, has been hit so hard that Italian officials have been pulling retired doctors back into the field, and graduating nursing students early in order to get them into the workforce. A quarter of the population in the country has been quarantined, including tens of millions in Lombardy who require special permission to travel anywhere.

One woman in St. Louis has tested positive for the virus after traveling to Italy.

Imagine in your state that every single school, K-12 and colleges, are closed without a reopen date. Now add to that every major big box store, like Walmart or Target, and at least half of the smaller ones like Dollar General. Add to that most of your local government buildings, like tag offices. And on top of all that, every single bed in every hospital is full, and every ER, and patients are waiting in the halls, lobbies and parking lots. Maybe 15-20% of your police forces and Fire/EMS workers are either sick or quarantined, and 10% of the nurses and doctors as well.

That is what is happening in Lombardy, Italy right now, and it's probably going to be happening in the rest of the country within a month. They went from around 5,900 infections to over 7,300 in a single day. In that same day, the number of deaths went from 133 to 336. A modern, westernized society that has at least twice as much control over their borders and ports of entry as we do, is on the brink of having a collapse of their medical system, and this virus really just started it's worldwide warpath in January.

It is not time to panic, because panicking, by nature, is an irrational response to any stimuli. But while it's not time to panic, it IS time to take this seriously. No, it does not matter that the flu has killed more people, because this is much more contagious than the flu, and by all accounts it does have a significantly higher mortality rate (3.4% of all cases, but those include unresolved cases). No, this is not just the next hysteria like SARS or MERS, which will always be a nothing-burger. This is not Ebola, where even a mediocre second world medical system can control the spread (mainly because, mercifully, Ebola kills extremely quickly and burns itself out). This is different. Is this the big "Disease X", a term the WHO coined a while back? I don't know, probably not, but only because that is very unlikely. But it's the closest we've come since the Spanish Flu.

In my ER, and I suspect most or all of the others in the country, we have rolled out policies and protocols for treating suspected COVID-19 patients, protocols that are based in preventing spread of the virus. So far, nothing I've seen or heard seems likely to work well. We in the US simply do not have the system in place to handle this, and conjuring one up from scratch isn't really a thing that happens. As Aesop at RR has stated, every ICU in the country is already at 90% capacity on an average day with zero COVID-19 cases. I would add to that most of the hospitals in the US are at 90% capacity on an average day, not just the ICUs.

It's past time to stock up on things you don't want to be without. Once you've stocked up, take a trip to the woods. Like I said before, they aren't going to find the virus in your local creek or state forest. As for us, we will be in the mountains next week. Might be the last vacation any of us will be able to take for a while.