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Los Angeles ambulances won’t take cardiac patients unlikely to survive as Covid crisis worsens

Maya Taylor

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Los Angeles ambulances won’t take cardiac patients unlikely to survive as Covid crisis worsens | The Thaiger
PHOTO: Apu GOMES / AFP
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As the state of California finds itself in the midst of a full-blown Covid-19 crisis, medical workers in Los Angeles are being faced with some stark choices. According to County Supervisor Hilda Sollis, a memo issued by the county’s Emergency Medical Services instructs ambulance workers not to pick up patients who’ve suffered a heart attack if their chances of surviving the journey to hospital are slim. The order comes as LA healthcare workers themselves fighting to cope with unprecedented numbers of hospital admissions. According to a CNN report, Sollis has described the unfolding crisis as a “human disaster”.

“Hospitals are declaring internal disasters and having to open church gyms to serve as hospital units. Our health care workers are physically and mentally exhausted and sick.”

CNN reports that LA county now has nearly 7,900 hospitalised Covid patients, with 21% in intensive care. Yesterday, another 224 patients died, meaning the county’s death toll now stands at over 11,000.

Dr. Jeffrey Smith from the Cedars-Sinai Medical Centre says heart attack patients deemed unlikely to survive the journey to hospital may not be picked up by paramedics.

“This order that was issued by the county emergency medical services really is very specific to patients who suffered from a cardiac arrest and are unable to be revived in the field. Those patients have a very low rate of survival each if they are transported to the hospital. So, at this time, it is deemed to likely be futile.”

It’s not just beds that are in short supply, the crisis has also placed unprecedented demand on supplies and equipment, meaning patients picked up by EMS and in need of extra oxygen may not get it.

And as Thailand holds its breath to see the effect of inter-provincial travel over the New Year holiday, officials in the US are in little doubt that year-end festivities have contributed to the huge number of cases. However, it’s the significant spike in hospitalisations that is giving cause for concern, due to the pressure it is placing on healthcare workers and hospital resources.

Barbara Ferrer, Public Health Director for Los Angeles County, expects numbers to continue rising as a result of the recent holiday gatherings.

“The increases in cases are likely to continue for weeks to come as a result of holiday and New Year’s Eve parties and returning travelers. We’re likely to experience the worst conditions in January that we’ve faced the entire pandemic. And that’s hard to imagine.”

Meanwhile, Smith says medical personnel are doing their best to get ambulances to facilities with space to accept patients, but despite this, many will find themselves having to wait.

“The Emergency Medical Services are working very hard to divert ambulances or send them to hospitals that do have potential capacity to receive those patients. There are situations where patients are made to wait in ambulances under the care of the paramedics. We want to make sure that time is as short as possible so they can receive the necessary care.”

Dr. Marc Eckstein from the Los Angeles Fire Department EMS bureau is appealing to the public to only call 911 if absolutely essential.

“One of our biggest challenges right now is getting our ambulances out of the emergency department. When our paramedics and EMTs transport a patient to an emergency department, there’s a transfer of care that has to take place. Patients who are unstable or unable to be safely transferred to the waiting room or to a chair need a bed in the emergency department to be transferred to. And those beds are lacking right now.”

SOURCE: CNN

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12 Comments

12 Comments

  1. Avatar

    Buttaxe

    Wednesday, January 6, 2021 at 10:15 am

    The US is the ultimate failed state, and California is the ultimate failed state within a state. Consider the 2 trillion market wealth of Apple alone, the incredibly high taxation in California and yet they haven’t got the money to build new hospitals, ICUs and all the other infrastructure required in this exceptional time that can only be compared to wartime. BUT they have got resources to promote ‘diversity and inclusion’ whatever the fk that is. By contrast the much maligned (in the West) China, redirected all national resources towards fighting Covid – as just one example they built two entire hospitals in less than a month, all vaccines will be free to Chinese AND FOREIGNERS in China. Meanwhile the for-profit US vaccine continues to kill – the latest a nurse in Portugal.

    • Avatar

      Issan John

      Wednesday, January 6, 2021 at 10:58 am

      Your comments on the US are fully justified, but those on China are just bizarre and highly misleading, at best.

      First, what’s the point in building “two entire hospitals in less than a month” unless you have the trained staff to man them?

      All you’re doing is robbing Peter to pay Paul, taking staff from one hospital to work in another as the UK discovered with the Nigtingale Hospitals which ere an epensive but complete waste of effort and resources (as should have been clear when the idea was first proposed and a child could have told them).

      … and all vaccines will NOT be free in China – only the ones produced by China, which have yet to be approved, with no data published by the manufacturers let alone verified.

      … as for the “for-profit US vaccine continues to kill – the latest a nurse in Portugal”, this is simply CR@P. Look into the report a little more closely and you’ll see that there’s NO evidence at all as yet that she died from the vaccine, which there could hardly be as the autopsy was only scheduled for yesterday, and she could just as easily died from a myriad of other causes.

      This really is absurd, conspiracy theory cr@p, with a bizarre mix of Chinese propoganda thrown in.

      • Avatar

        gosport

        Wednesday, January 6, 2021 at 11:05 am

        Ever been to China? you sober? What is the criteria for trained staff?

        • Avatar

          Issan John

          Wednesday, January 6, 2021 at 2:43 pm

          Yes, yes, and that they’re trained.

      • Avatar

        Buttaxe

        Wednesday, January 6, 2021 at 8:49 pm

        The hospitals were built in Wuhan, staff – that is doctors and nurses to make it really clear for you, were flown in from all over China. As usual commenting on things you know nothing about just for the sake of commenting.

        Vaccines ARE FREE IN CHINA! You are utterly clueless about China and a whole host of other issues, seriously why do you like making a fool of yourself on a daily basis.

        Thaiger: PLEASE add a blocking tool in the comments section.

        • Avatar

          Issan John

          Thursday, January 7, 2021 at 2:03 pm

          Precisely. “… Flown in from all over China”, leaving the other hospitals undermanned.

          I don’t know what part of that’s hard to understand.

          …and ‘no’ “vaccines ARE [NOT] FREE IN CHINA” – only those produced in China.

          Again, I don’t know what part of that’s hard to understand.

          You think China’s a beacon of light whose example the rest of the world should follow? Enjoy yourself …

  2. Avatar

    Roger C

    Wednesday, January 6, 2021 at 10:28 am

    @Maya Taylor,

    Maya did you ask Dr. Jeffrey Smith from the Cedars-Sinai Medical Centre, if Cedars was full?

  3. Avatar

    gosport

    Wednesday, January 6, 2021 at 10:41 am

    That is terrible. It is not a failed state, it is a failed administration.

  4. Avatar

    Issan John

    Wednesday, January 6, 2021 at 11:02 am

    The same thing will be happening elsewhere, with tests and treatment delayed, postponed or missed due to the number of Covid cases – even if you increase the beds, there is only so much equipment to go around and, above all, there are only so many trained medical staff.

    it’s already happening in hospitals across Europe and the UK, as has been widely reported and anyone with friends or relatives in the queue for treatment and tests can testify.

    This was inevitable unless the pandemic was controlled, and too much of the West didn’t want the consequences of that.

  5. Avatar

    Jeff

    Thursday, January 7, 2021 at 12:12 am

    California is a preview of what the Dems/liberals are going to do to the whole country over the next 4 years. Everywhere that they “govern” is in financial woes and is a filthy slum full of poverty, lawlessness and criminality.

  6. Avatar

    M brilliant insightful

    Thursday, January 7, 2021 at 1:54 pm

    It is not to be taken lightly but basically in a time of severe crisis triage is required. Triage would require not wasting resources by transporting dead people to hospital just to avoid a possible lawsuit. The whole situation is very sad.

  7. Avatar

    Toby Andrews

    Friday, January 8, 2021 at 12:10 am

    Ambulances operate like taxis in the States, if the patient is unlikely to survive, they might not take the patient, because they might not be paid.
    It is the free enterprise system. Cruel, yes I agree,

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Coronavirus (Covid-19)

Thai DJ Celebrity party is likely to be “super spreader” event

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Thai DJ Celebrity party is likely to be “super spreader” event | The Thaiger
PHOTO: Thairath Online

The birthday party of Techin Ploypetch, better known as “DJ Matoom”, is now considered a super-spreader source of Covid-19, with 19 people already found infected after attending the event. According the CCSA spokesperson during the daily briefing today, “Transmissions in Bangkok should be highlighted. They show the possibility of a person becoming a super-spreader”.

The birth of the super spreader birthday party started with a guest to the DJ’s party who had visited a well-known entertainment venue in Chiang Mai between January 1 and 4. He sought a Covid-19 test on January 5 following news that infected people had visited the pub, but tested negative. He should have self quarantined for 14 days, but he still flew to Bangkok and then attended the DJ celebrity’s birthday party on January 9.

DJ Matoom says he met the guest, one of his friend, on January 9, but that friend didn’t know he was infected until January 19 in which he told Matoom.

According to Dr Tanarak Plipat, now acting inspector-general of the Public Health Ministry, an infected person can transmit disease to two others on average, while a “super spreader” will transmit to multiple people.

DJ Matoom and the party’s guest were criticised of violating the disease control measures.

SOURCE: Thai PBS World

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Thailand

Thailand’s tourism targets film production to gain revenue during Covid-19 crisis

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Thailand’s tourism targets film production to gain revenue during Covid-19 crisis | The Thaiger
PHOTO: Herrera & Partners

Thailand’s tourism officials have a new idea to draw in visitors: film production. The Tourism and Sports Ministry is aiming to generate around 3 billion baht from foreign film crews and is targeting projects with an investment over 100 million baht, hoping to compensate for the loss of revenue due to the lack of international tourists during the coronavirus pandemic.

Foreign tourism revenue drastically dropped nearly 83% in 2020, going from nearly 40 million tourists in 2019 to only 6.7 million tourists in 2020.

The tourism department’s director-general Anant Wongbenjarat says that Thailand welcomed 176 international film productions to the country last year, generating 1.73 billion baht for the local economy. But this is a sharp decrease compared to the previous year where the 740 foreign film crews generated 4.86 billion baht.

In August, the CCSA decided to grant special entry permission to film productions. 53 film production projects were based in Thailand during August and December, contributing 1.14 billion baht to the economy. Those entering Thailand must still undergo a 14 day quarantine.

“International productions can proceed and generate income for locals despite the tourism slowdown.”

Anant also says there are 4 more film production projects underway, and it is forecasted to generate 186 million baht, bringing the total to 57 projects. In the first half of this year, there will be nine more productions expected to come in and help create at least 800 jobs for locals.

SOURCE: Bangkok Post

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World

Moderna vaccine is proved ‘protective’ against Covid-19 variants

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Moderna vaccine is proved ‘protective’ against Covid-19 variants | The Thaiger
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As fear over new variants of Covid-19 had prompted the travel restrictions to tighten worldwide, the United States biotech firm Moderna announced that its vaccine should protect against the variants identified in the United Kingdom and South Africa.

Latest studies on the efficacy of Moderna vaccines confirmed that the vaccines are effective and protective against new variants. The company will continue more tests adding a second booster of its vaccine, bringing to 3 shots in a total.

“We are encouraged by these new data, which reinforce our confidence that the Moderna Covid-19 vaccine should be protective against these newly detected variants.”

Last month, a private hospital in Bangkok advertised pre-orders for the Moderna vaccine, which still needs approval from Thailand’s FDA. Thailand’s Department of Health Service Support demanded that the hospital remove the advertisements.

In the ads, the hospital was charging 4,000 baht for a booking of the vaccine. In the post the hospital said the vaccine would arrive in Thailand in October 2021. They also announced that the vaccine would cost 6,000-10,000 baht.

Health officials say private hospitals will be allowed to administer vaccines that are approved by the FDA. So far, the Thai government has only approved the AstraZeneca vaccine for emergency use. The first batch of 50,000 doses are expected to arrive next month. Frontline health care workers and vulnerable groups in high risk areas will be first to receive the vaccine.

SOURCE: Bangkok Post

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