Hospitals Prepare For Reality Of Rationing Care: ‘Priority Is Assigned To Those Most Likely To Be Saved’
Faced with bed and medical device shortages, hospitals will be put in the terrible position of deciding on which patients to devote their resources. Atlanta has already warned that the city's ICU's are at capacity and it's only projected to get worse. Meanwhile, health experts scour for locations that can be turned into hospitals.
ABC News:
As Coronavirus Pandemic Surges, Hospitals Prepare For Grim Possibility Of ‘Ventilator Triage’
Faced with more critically ill COVID-19 patients than equipment to treat them, hundreds of hospitals are mapping out how they can ration care and equipment in order to save the greatest number of patients possible. In the last two days, guidelines were provided to scores of hospitals around the country, including every hospital in Pennsylvania, that include a point system that could – in extreme cases – end up determining what patients live or die. (Abdelmalek, Folmer and Margolin, 3/25)
The New York Times:
Who Should Be Saved First? Experts Offer Ethical Guidance
How do doctors and hospitals decide who gets potentially lifesaving treatment and who doesn’t? A lot of thought has been given to just such a predicament, well before critical shortages from the coronavirus pandemic. “It would be irresponsible at this point not to get ready to make tragic decisions about who lives and who dies,” said Dr. Matthew Wynia, director of the Center for Bioethics and Humanities at the University of Colorado. (Frakt, 3/24)
The Wall Street Journal:
Older Coronavirus Patients Face Looming ICU Bed Shortage
The need for intensive-care beds for older Americans, the population hardest hit by Covid-19, may outstrip the supply in some regions of the U.S., a Wall Street Journal analysis shows. The Journal examined the number of beds in intensive-care units available for every 100,000 people aged 60 and older in 306 U.S. health regions. Although the national average is 116 ICU beds per 100,000 people 60 and older, nearly one in five regions have fewer than 75, and six have fewer than 50. The analysis was based on data from the Centers for Medicare and Medicaid Services and the U.S. Census Bureau. (McGinty, Maremont and Evans, 3/24)
The Hill:
Atlanta Mayor Says ICU Units At Capacity
Atlanta Mayor Keisha Lance Bottoms (D) said Tuesday that the city's intensive care units (ICUs) are at capacity and warned that hospitals in the area could soon be maximized amid the coronavirus pandemic. “I suspect that at some point soon our hospitals may get near capacity,” Bottoms told a local CBS affiliate.“While there are still beds available ... our ICU units are at capacity. This is why we have gone a step further in Atlanta and asked people to please stay home,” she added. (Budryk, 3/24)
WBUR:
Health Experts Are Scouring The State For Places To Put Temporary Emergency Hospitals
Health experts are not leaving any building off the table if it might work as a converted hospital. Hotels, university dormitories, convention centers and gymnasiums are all being floated as possible locations for field clinics to treat COVID-19 patients in the coming days and weeks, says Dr. Josh Barocas, an infectious disease doctor at Boston Medical Center. (Chen, 3/24)
Boston Globe:
Massachusetts Hospitals Scramble To Get More Ventilators Before Deluge Of Coronavirus Patients
Massachusetts hospitals are scrambling to bring in more ventilators by almost any means possible, including buying and renting machines and repurposing other medical devices, in anticipation of an expected surge in critically ill coronavirus patients. But limited equipment is not the only challenge: Ventilators generally need rooms with a piped-in oxygen supply and staff who know how to run them. Some hospitals are retraining operating room staff or calling back retired providers to avoid a looming ethical crisis: If hospitals don’t have enough ventilators, how do doctors choose which sick patients get them? (Kowalczyk and Ostriker, 3/24)
Cincinnati Enquirer:
Coronavirus: Lack Of Data Leaves Ohioans Wondering Hospitals Prepared
Ohio's leaders have made it clear: the state doesn't have enough novel coronavirus tests. It doesn't have enough hospital beds. It doesn't have enough masks and other personal protective equipment for doctors. But how many of those critical resources does Ohio have? State health officials and hospitals are scrambling to compile those numbers in the middle of a novel coronavirus crisis. (Balmert, 3/24)
New Orleans Times-Picayune:
New Orleans On Track To Run Out Of Health Care Capacity By 1st Week Of April, John Bel Edwards Says
As the number of coronavirus cases in Louisiana continues to surge, Gov. John Bel Edwards warned federal officials the New Orleans area is on track to run out of its ability to deliver health care by April 4. Edwards made the projection in a letter sent to the White House Monday, seeking a Major Disaster Declaration and federal aid to help Louisiana, which has one of the highest rates of coronavirus infections per capita in the U.S. (Karlin, 3/24)
Atlanta Journal-Constitution:
As COVID-19 Crisis Worsens, Pa. And N.J. Have Even Fewer Life-Saving Ventilators Than Anticipated
Health officials have worried for weeks that Pennsylvania and New Jersey won’t have enough ventilators to try to save the most critically ill COVID-19 patients.But the situation is worse than anticipated. Instead of at least 3,000 ventilators, Pennsylvania only has 2,000, state Health Department officials said this week. The state could need three times as many at the apex of the virus’ spread, according to a study from the Harvard Global Health Institute. (Laughlin and Ruderman, 3/24)
KQED:
Bay Area Hospitals: So Far, Coronavirus Cases Are Manageable. But It's Still Early
The number of confirmed coronavirus cases in California have nearly quadrupled in the past week, from 565 last Monday to more than 2,300 according to the latest counts from California health departments. (Stark, 3/24)
Modern Healthcare:
As COVID-19 Cases Threaten Capacity, Children's Hospitals Resist Taking Adults
As the COVID-19 outbreak threatens to overwhelm hospitals in the U.S., many children's hospitals are united in the message: Don't send your adult patients here. That's the essence of guidelines the Children's Hospital Association, which represents 200 children's hospitals, made public Tuesday. After fielding questions from hospitals, governors and mayors about whether children's hospitals could take adult patients, the organization said adults can't safely be treated in children's hospitals, given the equipment and staff is centered around caring for kids. (Bannow, 3/24)
Modern Healthcare:
Community Health Centers To Get $100 Million To Bolster COVID-19 Response, But More Is Needed, Advocates Say
Federal health officials on Tuesday said they have awarded community health centers $100 million to help in their response efforts to the COVID-19 outbreak. The funding is part of the $8.3 billion emergency funding package signed into law by President Donald Trump on March 6. Funding will be allocated by the Health Resources and Services Administration with health centers receiving awards ranging from $50,000 to $320,000. (Johnson, 3/24)
Crain's Chicago Business:
Chicago To Re-Open Shuttered Hospitals, Use Hotels For COVID-19 Patients
Chicago officials are close to inking a deal to reopen a suburban hospital to provide more acute hospital care as coronavirus cases increase.MetroSouth Medical Center, a 314-bed hospital less than 20 miles from downtown Chicago closed last year amid dwindling patient volumes and rising operating costs, one of many community hospitals struggling to survive. Now the hospital could see new life as Chicago, like cities around the world, grapples with a potential surge in patients during the pandemic. (Quig and Goldberg, 3/24)
The New York Times:
Video: Coronavirus Has Hospitals In Desperate Need Of Equipment. These Innovators Are Racing To Help.
Health care workers are facing a serious shortage of critical equipment needed to treat the coronavirus. We spoke to the makers who are building innovative protective gear and ventilators for them. (3/24)
The Hill:
Jimmy Carter Calls For Donations To Carter Center To Be Redirected To Support Those Fighting Coronavirus
Former President Jimmy Carter is calling for donors to his nonprofit organization to redirect their contributions to local groups working to mitigate the spread of COVID-19. The former president, his wife, Rosalynn, and their grandson, Jason, who serves as chairman of The Carter Center’s board of trustees, asked those wishing to make a donation to the organization to “forgo your next gift for the work of The Carter Center and direct it to a local group that is reducing the suffering caused by this pandemic.” (Folley, 3/24)
