LetItSnow
Member
I couldn't find any major metropolitan area outside of China (who's data is wrong) that compares to New York City on a population density however Madrid looks to have come within 50%.
View attachment 39483
Agreed. Honest question: has the media held the mayor accountable?A big part of New York's problem was the insane decision by NYC officials to allow the Feb. 9th Lunar New Year celebrations to proceed as normal. Absolute madness.
![]()
'We are united': Virus didn't dampen Lunar New Year celebrations
Thousands of people took to the streets of Manhattan on Sunday to ring in the Lunar New Year, defying concerns about a viral outbreak that's claimed hundreds of lives in China. Attendees said the annuwww.newsday.com
Pretty sure hes referencing the federal workforce. As well as corono taskforce recomendationsWell, he has no authority to do so. That's up to each state. Before he said he couldn't make them shut down so he wasn't going to say anything. Now he's saying he can? LOL
Thanks for the heads up Debbie DownerI'm just warning you guys not to become extremely excited about the possible reopening, because it's likely we'll end up in a similar situation later this year or shortly after reopening. It's going to take a few cycles of closing and reopening to completely rid the virus, unless we want to just stay open until late summer. Not trying to be a bummer, but Pandemics often have many cycles and waves, just a warning.
Note in my previous comment I stated I was not trying to be a bummer. I am a Nurse's Assistant and a Grocery Store Clerk, I want this to be over more than anyone.Thanks for the heads up Debbie Downer
Updated for today for GA statewide: today not a good day at all but much of this could be due to “makeup” after the relatively quiet holiday weekend:
Here are some 24 hour changes (based on 7 PM) back to 3/28 for # of new cases/# of new deaths:
Sat 3/28: 168/4
Sun 3/29: 317/14
Mon 3/30: 349/4
Tue 3/31; 1,085/38
Wed 4/1: 631/29
Thu 4/2: 696/22
Fri 4/3: 523/22
Sat 4/4: 416/10
Sun 4/5: 359/11
Mon 4/6: 816/75
Tue 4/7: 1,598/54
Wed 4/8: 1/033/21
Thu 4/9: 696/43
Fri 4/10: 974/13
Sat 4/11: 402/7
Sun 4/12: 289/10
Mon 4/13: 1,076/38
New York with a 14% increase in deaths since yesterday. 40% of people being tested are positive for Covid-19.
![]()
United States COVID - Coronavirus Statistics - Worldometer
United States Coronavirus update with statistics and graphs: total and new cases, deaths per day, mortality and recovery rates, current active cases, recoveries, trends and timeline.www.worldometers.info
13.9% of pregnant patients were found to have Covid-19 at NYC hospitals between March 22 and April 4. None of them had symptoms. 1% had symptoms before entering the prenatal unit. That's nuts.
![]()
NYC Hospital Finds High COVID-19 Infection Rate, but Few Symptoms, in Pregnant Women
About 1.3 percent of New York City’s population has already tested positive for COVID-19, but a small sample at one hospital suggests that among pregnant women, it is possible that infection rates could be substantially higher. The New England Journal of Medicine published a letter Monday from...www.nbcnewyork.com
I'm not buying into this whole idea that hitting a peak with confirmed cases or deaths somehow means that the threat is on the decline, especially in the highly urbanized, populated, and mass transitory City of New York. I would keep that area quarantined as long as possible.
I'm just warning you guys not to become extremely excited about the possible reopening, because it's likely we'll end up in a similar situation later this year or shortly after reopening. It's going to take a few cycles of closing and reopening to completely rid the virus, unless we want to just stay open until late summer. Not trying to be a bummer, but Pandemics often have many cycles and waves, just a warning.
You are not telling the whole story.Don't let other's bring you down on this thread. I agree with everything you said. I don't understand how people can just completely turn a blind eye to a pandemic. Whether people like it or not, most places will not be opening in May and the states that decide to do so will end up regretting it. Politics play a huge role in this as well, all politicians want is to get reelected. So, they will give in to whatever the majority of voters in their state want. And despite what many say, this isn't an attempt to control us. It's trying to save us from making epic mistakes. Things are never going to go back to normal. Even if we do end up reopening sooner than later. This all sucks. No other way to say it. But I can tell you that's as bad this is for us, I can promise you that it's hell for people in epicenters who are having to bury their loved ones in mass graves in AMERICA.
You are not telling the whole story.
![]()
Burials On New York Island Are Not New, But Are Increasing During Pandemic
New York City Mayor Bill de Blasio acknowledged that more people are being buried at the city's potter's field, but stressed that only the bodies of the unclaimed would be buried there.www.npr.org
I agree that it is very sad that hundreds are dying from the virus in NYC but you stated people are having to bury their loved ones in mass graves. As NPR points out, the people being buried in the mass graves are "unclaimed" buy anyone. That's a big difference in how you stated the mass grave situation.Okay... so it that supposed to take away from the fact that hundreds and hundreds are dying in NYC from Covid-19. This isn't going to change my opinion, at all.
This says having patients to lie on their bellies saves lives. Any opinions about this? @Jon @Tornadocane @tramadoc or any other medical folks or non medical? What about if the patient is morbidly obese?
![]()
Why positioning Covid-19 patients on their stomachs can save lives
Critical care specialists say being on the belly seems help people seriously ill with Covid-19 because it allows oxygen to more easily get to the lungs. "It's such a simple thing to do, and we've seen remarkable improvement," one doctor said.www.cnn.com
But if it was FOX or Breitbart would you trust it more?
Why so serious?
Do you think it's a good idea to lie on your stomach while you're having breathing problem. Go ahead and try it out. You are literally compressing your chest and heart. When people get older, sleeping on your left side (heart) puts a strain on it. The best breathing position is the tripod position in which a person leans forward while sitting or sitting. Yes breathing while your chest is down is optimal, but not when your diaphram and chest is being pushed against a solid surface.
Critical care specialists say being on the belly seems help because it allows oxygen to more easily get to the lungs. While on the back, the weight of the body in effect squishes some sections of the lungs.
It's a CNN article. Enough said.
But this isn’t a politically based article. And it cites this New England Journal of Medicine study:
What about sitting up?
This is acceptable. I still disagree with laying on your stomach cause it restricts the diaphragm. You could provide desired effects by allowing a patient lay in a sitting position that can be adjusted forward when the patient isn't sleeping.
Unfortunately I agree with this. Look for a re-opening no sooner than May 15thI'm just warning you guys not to become extremely excited about the possible reopening, because it's likely we'll end up in a similar situation later this year or shortly after reopening. It's going to take a few cycles of closing and reopening to completely rid the virus, unless we want to just stay open until late summer. Not trying to be a bummer, but Pandemics often have many cycles and waves, just a warning.
It's a CNN article. Enough said.
Prone Ventilation: Prone ventilation for ARDS is strongly recommended in current clinical practice 9 guidelines and should be implemented early in COVID-19 patients. Current indications for prone ventilation are a persistent hypoxemia defined as P:F < 150 for 12 hours (some clinicians favor < 200 and sooner initiation of prone positioning) after optimal PEEP titration as noted above. Prone ventilation results in a host of improvements to lung mechanics and should be instituted via the MGH prone positioning guideline posted on Apollo. Prone ventilation can be carried out in the patient’s current bed and requires minimal additional equipment. Absolute contraindications to prone ventilation include an inability to turn neck (e.g. fixed or unstable c-spine) and sternal instability. Vascular access lines, chest tubes, and CVVH lines are not contraindications to prone ventilation. Extreme hemodynamic instability is a relative contraindication although consideration should also be given to the possibility that hemodynamics may improve with resolution of hypoxemia. The proning procedure itself should be carried out with staff adhering to current infection control guidance on PPE as outlined in the separate infection control protocols. A bolus of paralytic agent should be given prior to proning (similar consideration apply to the return to supine position). There is no need for ongoing neuromuscular blockade after the proning procedure itself, except as necessitated by vent asynchrony. The patient should be maintained in the prone position until at least the morning after proning. Thereafter, that patient may be assessed for suitability to return to supine position once each morning (qAM). PEEP requirements frequently decrease in the prone position and consideration should be given to decreasing PEEP after proning and increasing PEEP prior to return to the supine position in order to prevent de-recruitment. In particular, ½ of the difference in PEEP between the supine and prone position may be added back prior to return to the supine position (for example, if PEEP is 8 in the prone position , but was 12 in the supine position, then consider increasing PEEP to 10 prior to return to supine condition). If P:F remains greater than 150 (some clinicians prefer 200) and driving pressure is less than 15 at the end of the 2 hour period of supine ventilation on PEEP of 10 cmH2O or less, prone ventilation may be discontinued.
Right now places of business have no chance of surviving. I have a couple of friends that own there own business, they won’t survive if this gets extended until June. They may not catch Corona, but they will be broke, can’t pay bills, no health insurance for there families. They will be looking for a job during a period of record unemployment.
I want to hear people’s thoughts that have lost there jobs, savings dwindling, losing/lost health insurance on whether we should continue the lockdown. It’s easy for those that aren’t affected financially to say keep it locked down.
For the record, I’m not standing on my soapbox shouting reopen NC. I don’t know what the answer is either.
Thanks. What about for obese patients? What position is best for them?