Virus

Intensive care for coronavirus patients is now being limited to those "reasonably certain" to survive, a major NHS London trust has conceded.

A department head at Imperial College Healthcare NHS Trust revealed on Sunday that fewer and fewer marginal patients are being selected for ventilator treatment because so many serious cases require a fortnight on the machines.

Probably the best published information we have so far is from the Intensive Care National Audit and Research Center (ICNARC) in the UK. Of 165 patients admitted to ICUs, 79 (48%) died. Of the 98 patients who received advanced respiratory support—defined as invasive ventilation, BPAP or CPAP via endotracheal tube, or tracheostomy, or extracorporeal respiratory support—66% died.

Compare that to the 36% mortality rate of non-COVID patients receiving advanced respiratory support reported to ICNARC from 2017 to 2019.

plavaivy wrote:vidi ga vasa optimistican..stvarno krajnje vreme doslo

DR DRENOVAKOVIĆ: ZARAZILI SMO SE NA RADNOM MESTU – U BOLNICI U ĆUPRIJI
1. априла 2020.0


U ćuprijskoj bolnici stanje nije dobro. Svakog dana stižu izveštaji da je sve više lekara i medicinskih sestara pozitivno na korona virus. Juče je od posledica Covida preminuo dr Goran Ivanković. Iako štab za vanredne situacije na čelu sa predsednikom Opštine Ćuprija Ninoslavom Erićem ističe da se ovi lekari nisu zarazili na radnom mestu, struka ih demantuje. Dr Predrag Drenovaković, urolog u ovoj bolnici oštro odbacuje tvrdnje Erića.

„Nismo mi uvozni lekari ćuprijske bolnice. To je uvreda. Dr Goran Ivanković je iz Paraćina, radio je u Ćupriji tu se zarazio i zbog toga umro. Testiran je tek kada je lego na odeljenje, zbog simptoma i gušenja. Radio je pod temperaturom, ne zato što je hteo. Trebao je da bude sklonjen, zaštićen, kao i svi mi. Sedeli smo zajedno svako jutro. Pokojni dr Goran je predlagao da se naprave timovi pred dve i po nedelje, ali stav je bio da svaki dan svi dolaze na posao, jer nije bilo instrukcija iz ministarstva, kaže dr Drenovaković.  

Dr Drenovaković kaže da su lekari u Opštoj bolnici u Ćupriji ogorčeni. I sam dr Drenovaković je juče saznao d aje pozitivan na korona virus.

„Rezignirani samo takvim izjavama najodgovornijih ljudi u Ćupriji, mi nismo uvozni doktori, ne uvozimo koronu u Ćupriju, zarazili smo se na  radnom mestu. Posle testiranja dežurao sam 24 sata, terali su nas da radimo iako smo bili u direktnom kontaktu sa obolelim kolegama, to je asurd što se radi. Iako nam je kolega umro, koji je bio sa nama u sobi, moramo da radimo. Navodno da radimo dok ne stignu rezulati, koliko ćemo mi njih da zarazimo u krugu oko nas za to vreme? postavlja pitanje dr Drenovaković.

„Svi koji su imali direktan kontak sa zaraženim ili obolelim treba da idemo 28 dana u izolaciju, a to je masovno. Kolega iz sobe, operisali smo zajedno, šta da rade instrumentarke što su bili glava do glave. Ubacili ih u smene jer nema ko da radi. Na šta to liči, kaže dr Drenovaković.

Dr Drenovakovič i još lekara pozitivni su na koronu a uzeti su testovi još za 26 osoba. Predsednik Opštine Ćuprija Ninoslav Erić koji je i šef Kriznog štaba objavio je na svom fejsbuk profilu da niko od lekara nije zaražen na radnom mestu. Na konferenciji za medije koja je održana danas u Beogradu nije bilo reči o situaciji u bolnici u Ćupriji iako su novinari postavljali ovo pitanje. Sinoć je za Beograd u KBc „Dragiša Mišović“ prebačen dr Slobodan Gajić direktor ove bolnice koji je takođe pozitivan na korona virus.

Na svojoj fejsbuk stranici predsednik Opštine Ćuprija Ninoslav Erić koji je i šef Kriznog štaba objavio je sasvim drugačiji podatak.
„Kako je moglo da se čuje na sednici Štaba za vanredne situacije, ova mera je direktna posledica sve jasnije indicije da je većina od devetoro medicinskih radnika – koji su zaraženi korona virusom – kontaminirana van radnog mesta“ napisao je Erić.

http://www.infocentrala.rs/dr-drenovakovic-zarazili-smo-se-na-radnom-mestu-u-bolnici-u-cupriji/

Cowboy wrote:

ne mogu da polemisem sa stavom vec sa covekom, ovo je forum pobogu

Chinese county goes into coronavirus lockdown as country tries to get back to work amid fear of second wave

- Authorities order residents of Jia county to stay home after reports of cases linked to the area’s hospital
- All but a few essential businesses and services shut temporarily, according to government notice

SCMP
Guo Rui and Echo Xie in Beijing

Published: 10:31pm, 1 Apr, 2020
Updated: 11:44pm, 1 Apr, 2020

Henan province in central China has taken the drastic measure of putting a mid-sized county in total lockdown as authorities try to fend off a second coronavirus wave in the midst of a push to revive the economy.

Curfew-like measures came into effect on Tuesday in Jia county, near the city of Pingdingshan, with the area’s roughly 600,000 residents told to stay home, according to a notice on the country’s official microblog account.

Special approval was required for all movement outside the home, it said.

After months of restrictions to contain the spread of the coronavirus, China has reported a decline in domestic cases of Covid-19, the disease caused by the virus. On Wednesday, the National Health Commission reported 36 new infections – all but one imported cases.

Chinese leaders are eager to restart the economy but have stressed that it must be balanced with containment measures.

During his recent inspection trip to Zhejiang province, President Xi Jinping emphasised that China must take careful steps to get life back to normal and warned officials to ensure “no loopholes” to prevent a return of the epidemic that has sickened more than 82,000 and killed over 3,300 people in mainland China alone.

According to the Jia county notice, residents must have special permits to leave their home and must have their temperature taken and wear face masks for those trips.

All businesses have been shut down, except utilities, medical suppliers, logistics companies and food processing firms. All shops except supermarkets, hospitals, food markets, petrol stations, pharmacies and hotels have been closed.

In addition, only people with special permits can go to work and cars can only be used on alternate days, depending on their plate number.

China imposed draconian measures in Wuhan – the initial epicentre of the coronavirus pandemic – in January, sealing off the city of 11 million people to prevent the disease from spreading.

An official of the county’s transport office confirmed the county had been put in virtual isolation.

“It’s better not to come to Jia county now,” the official said. “Nobody can enter or leave.”

Local residents contacted on Wednesday said they were notified by the government about the lockdown.

Wang Xiao, 23, said she was told by her village on Tuesday afternoon.

She said the authorities urged residents to stock up on vegetables and daily necessities to prepare for the isolation, adding that each family could also assign one member to go out for groceries once every two days.

“I’m worried because it’s so close to me,” she said. “The hospital is only about 2km [1.2 miles] from my home. I had no idea that there were confirmed cases [of infection].”

Wang was referring to news reports that the county reported three infection cases on Sunday. According to the reports, a doctor surnamed Liu who worked at the county’s hospital tested positive for the coronavirus on Saturday.

Liu returned to the county from Wuhan in January and resumed work at the hospital after completing two weeks of self-isolation, the report said.

However, Liu apparently passed the virus on to two colleagues at the hospital as well as a former classmate, with all of them testing positive on Sunday.

Although Henan is just north of Hubei province, where the coronavirus outbreak was first reported, it had only about a dozen confirmed infected patients as of Wednesday.

Wang Jun, a businessman in the county, said he had felt relieved because they could resume production and get back to work. But now he was very nervous about the lockdown.

“Previously no one knew what happened as there were rumours flying around of people have been infected and no one dared to go out,” Wang said.

“Now, we know that the doctors were sick but our daily life has been affected.”

Janko Suvar wrote:kopiraj i tekst, dosta je strasno...