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Covid 19 Part XXXI-187,554 ROI (2,970 deaths) 100,319 NI (1,730 deaths)(24/01)Read OP

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Comments

  • #4832
    caveat emptor
    Closed Accounts Posts: 5,134 ✭✭✭caveat emptor


    Tense scenes regarding the vaccine procurement and allocation.

    https://twitter.com/caulmick/status/1349435254818426882?s=20


  • #4833
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    blowitupref wrote: »
    100 of the last two days reported deaths happen this month. By my count according to hse figures 18 deaths was in ICU this month so how many of that 100 died in care/nursing homes?

    There are those admitted to hospital due to Covid who are treated on wards with oxygen, steroids, anticoagulants, antivirals, antibiotics for secondary infections but who won’t be escalated to level of ICU care. Some will die on general wards so will die in hospitals but not included in ICU mortality figures.

    A person admitted to ICU needs to have a certain degree of baseline physical strength for it to be in their best interests to put them through that level of intervention. Otherwise it would just be prolonging the inevitable and causing more pain to put that person through such aggressive treatment with a minuscule chance of recovery.

    Doctors would assess fraility and look at co-morbidities as well as discuss goals of care with patients themselves and their families to make those decisions about what level of treatment is appropriate.


  • #4834
    spookwoman
    Registered Users, Registered Users 2 Posts: 10,059 ✭✭✭✭spookwoman


    13-01-2021-p1.jpg
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    13-01-2021-p5.jpg
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  • #4835
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    Atlantic Dawn wrote: »
    Are there figures of the rate of patients in ICU who are nursing home residents? Supposed to have these all vaccinated by mid February, should ease pressure on the health service and save a lot of lives.

    Very few of those brought to ICU would be from nursing homes. If at the stage of needing nursing home care, a person is unlikely to survive an ICU admission, especially an ICU admission due to Covid as this is a longer than average ICU stay.


  • #4836
    bb1234567
    Registered Users, Registered Users 2 Posts: 5,513 ✭✭✭bb1234567


    Bit of hope on a bit of a grim day. Ireland now has among the highest vaccination rates in the world and will soon be in the Top 10 worldwide
    https://twitter.com/OurWorldInData/status/1349283597556056068


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  • #4837
    embraer170
    Registered Users, Registered Users 2 Posts: 2,489 ✭✭✭embraer170


    Atlantic Dawn wrote: »
    Are there figures of the rate of patients in ICU who are nursing home residents? Supposed to have these all vaccinated by mid February, should ease pressure on the health service and save a lot of lives.

    The vast majority of nursing home patients would likely not be admitted to ICU in Ireland, so not sure vaccination will make much different to hospital deaths.


  • #4838
    [Deleted User]
    Posts: 4,727 ✭✭✭ [Deleted User]


    DebDynamite wrote: »
    How do you suggest protecting the nursing homes then? I’ve seen people come up with ludicrous suggestions on here like making nursing home staff live there and not go home to see their families.

    Well I don’t have all the answers, I’m just one individual.

    Staff living in nursing homes may not be a complete non runner. I mean we have billions to spend and surely we could offer a hell of a salary for people willing to make such a sacrifice.

    Also, I don’t see why we can’t use temperature checks and Antigen testing. NPHET are completely against antigen testing but surely it could have helped a great deal in homes.

    We also shouldn’t have cut back on the PCR testing that we were doing.

    I’m sure a team of experts could come up with a few suggestions if the desire was there.

    But ultimately blanket lockdown and blame the public is easier and less taxing.


  • #4839
    Windmill100000
    Registered Users, Registered Users 2 Posts: 585 ✭✭✭Windmill100000


    [Deleted User] wrote: »
    Congratulations. I’m genuinely jealous

    Hopefully you wont be far behind. 60% effective, rising to 95% after second jab after 21 days.

    Kind of surreal really, feeling a sense of relief for the first time since this all kicked off.


  • #4840
    Akabusi
    Registered Users, Registered Users 2 Posts: 1,135 ✭✭✭Akabusi


    10000maniacs wrote: »
    I went to one shop ONCE, Dunnes to do all my Christmas shopping. I went as early as possible to avoid the crowds in full pandemic regalia.
    That was my Christmas, and I said to myself, lets hope everybody does this and we will be grand. But of course they didn't. They went crazy and partied like it was 1999.
    RIP the 63.

    Are you going to come on everyday and tell us how good you were?


  • #4841
    stargazer 68
    Registered Users, Registered Users 2 Posts: 5,191 ✭✭✭stargazer 68


    Deleted User wrote: »
    Well I don’t have all the answers, I’m just one individual.

    Staff living in nursing homes may not be a complete non runner. I mean we have billions to spend and surely we could offer a hell of a salary for people willing to make such a sacrifice.

    And where do you propose they live? Nursing homes dont have spare rooms to have staff living in. Kitchens, bathrooms etc. Its not as simple as that.


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  • #4842
    caveat emptor
    Closed Accounts Posts: 5,134 ✭✭✭caveat emptor


    St James at 150% of icu capacity. 4/5 surge steps gone through already.

    "INMO calling for emergency government intervention , to use all private beds for the public system and to end the policy of returning close contacts to work."

    https://twitter.com/rtenews/status/1349441744945950724?s=20


  • #4843
    spookwoman
    Registered Users, Registered Users 2 Posts: 10,059 ✭✭✭✭spookwoman


    caveat emptor wrote: »
    St James at 150% of icu capacity. 4/5 surge steps gone through already.

    https://twitter.com/rtenews/status/1349441744945950724?s=20

    Waterford

    https://twitter.com/Deisesupes/status/1349425305061117952?s=20


  • #4844
    prunudo
    Registered Users, Registered Users 2 Posts: 8,111 ✭✭✭prunudo


    caveat emptor wrote: »
    St James at 150% of icu capacity. 4/5 surge steps gone through already.

    "INMO calling for emergency government intervention , to use all private beds for the public system and to end the policy of returning close contacts to work."

    https://twitter.com/rtenews/status/1349441744945950724?s=20

    How can you be at 150% capacity. You either have capacity or you don't.


  • #4845
    SuperRabbit
    Registered Users, Registered Users 2 Posts: 698 ✭✭✭SuperRabbit


    Akabusi wrote: »
    Are you going to come on everyday and tell us how good you were?

    If they do I'm here for it.


  • #4846
    10000maniacs
    Registered Users, Registered Users 2 Posts: 5,602 ✭✭✭10000maniacs


    Akabusi wrote: »
    Are you going to come on everyday and tell us how good you were?

    100 people are dead since Monday and it didn't just happen out of nothing. These people got Covid and died because of what a lot of people did over Chtistmas. It was totally avoidable.


  • #4847
    igCorcaigh
    Moderators, Recreation & Hobbies Moderators Posts: 12,446 Mod ✭✭✭✭igCorcaigh


    prunudo wrote: »
    How can you be at 150% capacity. You either have capacity or you don't.

    I'm curious about this too.
    Is the extra 50% coming from "surge" capacity, i.e. borrowed from elsewhere maybe?


  • #4848
    caveat emptor
    Closed Accounts Posts: 5,134 ✭✭✭caveat emptor


    prunudo wrote: »
    How can you be at 150% capacity. You either have capacity or you don't.

    You'd have to ask Dr Enda O'Connor. Intensive Care Consultant and Director St James's hospital.

    He's the one that said it. I'd guess they convert other areas like operating theatres into ICUS. etc


  • #4849
    iamwhoiam
    Registered Users, Registered Users 2 Posts: 16,248 ✭✭✭✭iamwhoiam


    igCorcaigh wrote: »
    I'm curious about this too.
    Is the extra 50% coming from "surge" capacity, i.e. borrowed from elsewhere maybe?

    They can move into recovery rooms or theatres if they need to . Not ideal but the equipment is there


  • #4850
    khalessi
    Registered Users, Registered Users 2 Posts: 6,216 ✭✭✭khalessi


    prunudo wrote: »
    How can you be at 150% capacity. You either have capacity or you don't.

    They were talking the other day about turning theatre recovery room into ICUs so maybe they had to convert extra rooms.


  • #4851
    spookwoman
    Registered Users, Registered Users 2 Posts: 10,059 ✭✭✭✭spookwoman


    I know its from 2016 but might give an idea
    "The Census reports a capacity of 237 adult critical care (Level3 ICU and Level2 HDU) beds. Also, the 2016 Census reports an additional 9.2% of adult critical care bed capacity is fully funded but non-operational- 22 beds

    https://www.hse.ie/eng/services/publications/clinical-strategy-and-programmes/critical-care-capacity-and-workforce-census-2016.pdf


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  • #4852
    ZX7R
    Registered Users, Registered Users 2 Posts: 3,393 ✭✭✭ZX7R


    How is it that were not hearing of mass outbreaks of covid in staff or patients in private hospitals.
    I understand the need for the use of private hospitals but I don't think it's a good idea the call to use nurses from private hospitals in public one's.


  • #4853
    polesheep
    Closed Accounts Posts: 2,950 ✭✭✭polesheep


    10000maniacs wrote: »
    100 people are dead since Monday and it didn't just happen out of nothing. These people got Covid and died because of what a lot of people did over Chtistmas. It was totally avoidable.

    You said that you went to Dunnes and if everyone had done what you did there wouldn't be a problem. Well, if everyone had gone to Dunnes it would have been packed to the rafters and caused huge rates of infection. Like it or not, you too have contributed to the current situation.


  • #4854
    Str8outtaWuhan
    Registered Users, Registered Users 2 Posts: 968 ✭✭✭Str8outtaWuhan


    ZX7R wrote: »
    How is it that were not hearing of mass outbreaks of covid in staff or patients in private hospitals.
    I understand the need for the use of private hospitals but I don't think it's a good idea the call to use nurses from private hospitals in public one's.

    Because in private hospitals the staff know their job is on the line if it closes down, so they make sure they are careful.


  • #4855
    polesheep
    Closed Accounts Posts: 2,950 ✭✭✭polesheep


    Str8outtaWuhan wrote: »
    Because in private hospitals the staff know their job is on the line if it closes down, so they make sure they are careful.

    You must be kidding. Private hospitals are run on a shoestring and have enormous difficulty retaining staff.


  • #4856
    caveat emptor
    Closed Accounts Posts: 5,134 ✭✭✭caveat emptor


    How can one guy be so wrong? Because he's made 160K preying on stupid people.

    https://twitter.com/IainMulady/status/1349375358936690688?s=20


  • #4857
    Akabusi
    Registered Users, Registered Users 2 Posts: 1,135 ✭✭✭Akabusi


    10000maniacs wrote: »
    100 people are dead since Monday and it didn't just happen out of nothing. These people got Covid and died because of what a lot of people did over Chtistmas. It was totally avoidable.

    Yes we know that, you posting how good and virtuous you were is not going to change that, might there be some smugness on display?


  • #4858
    CrabRevolution
    Registered Users, Registered Users 2 Posts: 2,959 ✭✭✭CrabRevolution


    Deleted User wrote: »
    Well I don’t have all the answers, I’m just one individual.

    Staff living in nursing homes may not be a complete non runner. I mean we have billions to spend and surely we could offer a hell of a salary for people willing to make such a sacrifice.

    Also, I don’t see why we can’t use temperature checks and Antigen testing. NPHET are completely against antigen testing but surely it could have helped a great deal in homes.

    We also shouldn’t have cut back on the PCR testing that we were doing.

    I’m sure a team of experts could come up with a few suggestions if the desire was there.

    But ultimately blanket lockdown and blame the public is easier and less taxing.
    Could it just be that the answers you want don't exist? You'd imagine somebody on earth would have found them by now.

    But even if we managed to keep every nursing home safe and let the disease run through the rest of the community, what happens when the health service gets totally consumed by Covid cases, which we're well on the way to now?


  • #4859
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    prunudo wrote: »
    How can you be at 150% capacity. You either have capacity or you don't.
    The regular capacity refers to the physical areas, equipment and staffing levels that they have to deliver Intensive Care to accepted standard and guidelines.

    Surge capacity may be created by using other areas of hospital that would usually be used to deliver different services such as using a cardiothoracic high dependency unit to provide acute medical care. This means that major operations such as cardiac bypasses and valve replacements are cancelled. A delay might be fine or one of those delayed patients could have a heart attack and die while waiting for a bypass.

    Surge capacity space also created by using theatre recovery areas which means cancellations of elective surgeries. Those surgeries could be relatively minor operations such as hernia repairs but could also be as major as cancer operations.

    Nursing staff for that surge capacity could be existing ICU staff taking on extra shifts above their 39 hour week. Or it could be staff who have some equivalent, but not full, ICU training. Obviously they will do their best but the level of care and knowledge may not be as good as it would normally be/should be. Those nurses taken from EDs, CCUs and other areas being replaced by general nurses and outpatient nurses so outpatients cancelled.

    Anaesthetic cover for those ICU beds created by staff doing extra hours and by diverting anaesthetists who would have been in operating theatres into intensive care units. Respiratory physicians taken from doing bronchoscopys so delays in diagnosing lung cancers, other physicians taken from outpatients so the waiting list crisis gets even worse, etc. etc.

    So surge capacity ‘steals’ physical space, equipment and staff from other services which results in losses to those services. Staff skills may be suboptimal so level of care may not be as good as it would normally be and even with fully skilled ICU staff and other physicians sheer fatigue through extra hours and stress may lead to errors.


  • #4860
    whisky_galore
    Registered Users, Registered Users 2 Posts: 17,040 ✭✭✭✭whisky_galore


    Akabusi wrote: »
    Yes we know that, you posting how good and virtuous you were is not going to change that, might there be some smugness on display?

    Hope the Christmas people enjoyed was worth the price we are paying now.


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  • #4861
    Jim_Hodge
    Registered Users, Registered Users 2 Posts: 12,139 ✭✭✭✭Jim_Hodge


    Akabusi wrote: »
    Yes we know that, you posting how good and virtuous you were is not going to change that, might there be some smugness on display?

    Your obsession with somebody commenting on keeping to restrictions and trying to keep safe seems like railing against a guilt trip.


This discussion has been closed.
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