06 Apr 20
@eladar saidWhat a quaint little isolationist world you would like to live in!
@wolfgang59
You have not learned. Canada's best source for masks is Canada.
Try another country and see if you can figure out what its best source of masks would be.
06 Apr 20
@texasnurse saidThey learned from H1N1 and sars, but it certainly didn't stop this Covid-19 from happening. Next time will be something else they've never delt with. That is providing the world still exists.
@Very-Rusty
Yup but only way to end that thread is actually learning from the past and present
-VR
06 Apr 20
@wolfgang59 saidPerhaps you just underestimate Canada. You don't know how resourceful we can be.
Canada must be rethinking its source for masks ... maybe China is better for them?
-VR
06 Apr 20
1 edit
@flopwrist said
Let's not forget the food service people who are still handling money from hundreds of customers every day.
They are taking a risk also and they are not in bio-suits like the nurses and doctors.
06 Apr 20
1 edit
@texasnurse saidWe had H1N1 & Sars which I am sure you remember. Didn't teach anything about this Covid-19. Correct me if I am mistaken but I don't think they even found a vaccine for Sars. IF we are still around the next one will probably be also unknown to us, which is sad to say.
@Very-Rusty
Yup but only way to end that thread is actually learning from the past and present
-VR
07 Apr 20
@very-rusty saidAu contraire. Changing supplier would be resourceful wouldn't it?
Perhaps you just underestimate Canada. You don't know how resourceful we can be.
-VR
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07 Apr 20
@moonbus saidIt's very difficult to be sure. Usually, the patient with the greatest probability of survival gets the nod.
It's not an easy job. No one likes being forced into situations where triage decisions are necessary.
https://www.bbc.com/news/world-us-canada-52144859
The current crisis presents a volume of patients with initially equal chances and a longer period until the grim onset of life-threatening symptoms.
Determining which patients get admitted; which get the status upgrade because of critical acuity and which get put onto one of a finite number of vents is daunting and thankless.
07 Apr 20
@wolfe63 saidNo that is not how triage normally works.
It's very difficult to be sure. Usually, the patient with the greatest probability of survival gets the nod.
The most critical patient "gets the nod".
In other words "the most desperately sick".
That is not possible in these difficult times.
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07 Apr 20
@wolfgang59 saidContext is everything.
No that is not how triage normally works.
The most critical patient "gets the nod".
In other words "the most desperately sick".
That is not possible in these difficult times.
I can assure you that a soldier with a rapidly bleeding and partially severed extremity will get the nod over one with a gaping chest wound.
07 Apr 20
@wolfgang59 saidThink about it, make your own and you don't have to depend on any other country! The U.S.A. have changed their minds I wonder why and are now going to be sending the masks we wanted for Medical Staff usage.
What a quaint little isolationist world you would like to live in!
-VR
07 Apr 20
@very-rusty saidDepending on each other makes us stronger.
Think about it, make your own and you don't have to depend on any other country! The U.S.A. have changed their minds I wonder why and are now going to be sending the masks we wanted for Medical Staff usage.
-VR
World trade benefits everyone.
Cooperation benefits everyone.
You think a village can survive on its own?
07 Apr 20
@wolfe63 saidAgreed.
Context is everything.
I can assure you that a soldier with a rapidly bleeding and partially severed extremity will get the nod over one with a gaping chest wound.
Context.
Triage is normally as I described.
The batttlefield and C-19 are out of the ordinary.
07 Apr 20
@wolfgang59 saidOf course working together benefits all!
Depending on each other makes us stronger.
World trade benefits everyone.
Cooperation benefits everyone.
You think a village can survive on its own?
It was the U.S.A. or I should say the Trumpster not playing well with others, until he understood what it could cost his country.
-VR
07 Apr 20
@wolfgang59 saidTragically true battlefield triage (where hospitals will find themselves if we don't control spread properly) involves division into three categories.
No that is not how triage normally works.
The most critical patient "gets the nod".
In other words "the most desperately sick".
That is not possible in these difficult times.
1. You have a reasonable chance of making it on your own so we won't use our limit resources in your case.
2. You have a reasonable chance of making it if you are prioritised for our limited resources
3. Your chances of making it are not good enough to justify giving you this ventilator and potentially depriving somebody else with better odds.
It is assigning people to the third category and explaining that you have done so to relatives which breaks professionals hearts. I really feel for everybody involved and I hope they are being given a clear and updated picture of what is available so that they can at least feel confident that they did what had to be done by any reasonable professional in their situation.