Covid-19 facts & current stats, policies... - Page 3 - The Horse Forum
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post #21 of 173 Old 03-25-2020, 10:44 PM
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Massachusetts (USA) governor ordered nonessential businesses to close by 8pm on 3/23, and the "stay at home" advisory (not order) went into effect on 3/24 at noon. This is in addition to restrictions of gatherings of people. Schools in the state remain closed.

Our EMS protocols have changed, discouraging use of nebulizers and CPAP unless absolutely necessary, and with appropriate PPE. My company has declared that providers will wear at least a surgical mask for all patient encounters, but we'll only get one per day, assigned to us.

The state has also made it easier for doctors, nurses and PA's to practice at multiple hospitals.
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post #22 of 173 Old 03-25-2020, 10:56 PM
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Wyoming has 44 cases. No deaths. No new cases in the last 24 hours.

Based on cell phone signals, a company back east ranked Wyoming 50th for social distancing and staying home. That is inaccurate since we can both travel out of necessity, and not see or interact with anyone, quite easily.

I travel 38 miles each way to work and never see a traffic light. I used to travel 180 miles to work each week and never see a traffic signal. Just not many people here.
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post #23 of 173 Old 03-26-2020, 01:06 AM
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Our EMS protocols have changed, discouraging use of nebulizers and CPAP unless absolutely necessary, and with appropriate PPE.

Why would nebulizers and CPAP be discouraged?
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post #24 of 173 Old 03-26-2020, 01:49 AM
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Why would nebulizers and CPAP be discouraged?
Both of those can aerosolize the virus, making it airborne and easier to catch.
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post #25 of 173 Old 03-26-2020, 02:20 AM
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Just because acute patients survive does not mean that they will have the same lung function as before. Lung damage from the virus can mean that a higher percetage of survivors than expected will require lung transplantation. Of course, there are no clear data on this in terms of percentages, ages or comorbidities. As I have said before, clinicians are busy saving lives, not writing about it, and we still have no national or international COVID-19 registry.

The ER physician from Granada (Andalusia) also mentioned the lung damage that they were seeing, especially in patients with high viral loads. He compared it to cirrhosis of the liver.
It was also common with SARS, which is a worse coronavirus than the one we have going around now (10% mortality rate). Thankfully they were able to stop that one quickly.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1829448/
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post #26 of 173 Old 03-26-2020, 07:19 AM
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Why would nebulizers and CPAP be discouraged?
Both of those can aerosolize the virus, making it airborne and easier to catch.
Yes, this exactly.
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post #27 of 173 Old 03-26-2020, 07:45 AM Thread Starter
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Here're the Australian figures today. Yesterday's total was about 2300 & 466 cases in Victoria...

26th March
Of the 2,799 confirmed cases in Australia, 11 have died from COVID-19. More than 178,000 tests have been conducted across Australia.

Australian Capital Territory 53

New South Wales 1,219

Northern Territory 8

Queensland 493

South Australia 235

Tasmania 40

Victoria 520

Western Australia 231

Total** 2,799
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post #28 of 173 Old 03-26-2020, 11:37 PM
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Our province of Nueva Vizcaya had our first confirmed case yesterday. In our municipality actually. Sadly, the patient was also our first death from the virus.

The patient was 65 years old, with no history of travel. However, they had been at a wake attended by people who were visiting from outside the country.

The notice was in a Facebook post from the governor, so I can’t post it here.

Isolation goes directly against Filipino culture. Most folks also do not have room to store a cache of emergency supplies. Some young people I know (20s-30s) are under constant pressure from their elders to go out and make several stops to get this and that. It is a severe breach of etiquette to defy your elders here.

I think we are in for a long bumpy ride.
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post #29 of 173 Old 03-30-2020, 02:18 AM
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Both of those can aerosolize the virus, making it airborne and easier to catch.
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Originally Posted by redbadger View Post
Yes, this exactly.
Today I read this: "Early reports from Lombardy in Italy suggest around 50% of patients given CPAP have avoided the need for invasive mechanical ventilation."


Please check out this article:


https://www.bbc.com/news/health-52087002


I was surprised by CPAP or nebulizers being discouraged because I think they have saved my Mom's life on more than one occasion. I think they both make a tremendous difference to people with breathing issues and/or pneumonia! Albuterol is pretty much a miracle drug in my opinion.



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post #30 of 173 Old 03-30-2020, 02:42 AM
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I was surprised by CPAP or nebulizers being discouraged because I think they have saved my Mom's life on more than one occasion. I think they both make a tremendous difference to people with breathing issues and/or pneumonia! Albuterol is pretty much a miracle drug in my opinion.
Even if they are not being used as much by EMS, as far as I've seen they are being used as often once people get to the hospital. I think they are just minimizing it with ambulance staff to protect them from exposure in the field.
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