Dr John Campbell
@campbellteaching·3.3M subscribers·3.1K videos
Health care provision in a pandemic
Posted
January 8, 2021
Views
186,038
Likes
6,324
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2,837
Engagement
4.92%
January 8, 2021
186,038
6,324
2,837
4.92%
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21:19Now PlayingUK, Medicines and Healthcare products Regulatory Agency (MHRA)
Negative test, 72 hours before travel, South Africa variant, next Wednesday
London
Major incident
Virus out of control
UK, 1 in 50
London, 1 in 30 infected
Firefighters driving ambulances, police soon
Friday prayers taking place today
Daily admissions, 800
Younger people being admitted to ICU
Pan London crisis
Data, 8th Jan 2021
Cases, 60,916 + 62,322 + 52,618 = 2,889,419
Full lockdown announced, Monday 4th legal from midnight Tuesday 5th
Hospitalised, + 3,600 = 30,370 (ventilated, 2,821)
Deaths, + 830 + 1,041 + 1,162 = 78,508
NHS hospital beds in England
General and acute, mental illness, learning disability, maternity and day-only beds, 141,000 in 2018/9
General and acute beds, 101,000
Critical care beds, 5,900, 2019/20
Beds in private patient units, 1,140, (UK) 2016
Acute bed occupancy
In 2018/19,
Overnight general and acute bed occupancy
averaged 90.2 per cent
Regularly exceeded 95 per cent in winter
Hospital capacity (NHS Journal)
NHS in London, acute and intensive care beds shortfall by 19 January
Best, 4% daily increase, shortfall 1,500
Average, 5% daily increase, shortfall 2,900
Worst, 6% daily increase, shortfall 4,400
Accounts for the impact of planned measures to mitigate demand and increase capacity.
United States
CDC trends
https:/covid.cdc.gov/covid-data-tracker/#trends_dailytrendscases
Cases, + 214,378 + 243,346 + 266,197 = 21,070,137
Up 8% in 7 days
Testing, + 1,605,799 + 1,914,839
Up 4.6% in past 7 days
Hospitalizations, 132,370 (23,821) (7,900)
Deaths, 356,229
At Methodist Hospital in Arcadia, Los Angeles
Crisis care guidelines
Delivering the best care possible under the circumstances, forcing choices that may pose risk to patients
Methodist Hospital, triage team
Doctors, community members, a bioethics specialist and spiritual care providers
make the difficult, but necessary decisions about allocating limited resources
Three other hospitals in California Department of Public Health, approaching or entering that stage
B117
Connecticut, Pennsylvania, California, Colorado, Florida, Georgia, New York
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