Corona virus in waterford

Bhoy1967

Aquos76 wrote: »

That’s actually incorrect, the two dots beside Waterford indicates a number less than 5 is all. To the best of my knowledge there had sadly been 2 deaths recorded in Waterford. One in UHW and one in a nursing home.

Yes I thought that too but I seem to remember the person was in a Waterford nursing home but was officially from outside the county - Think it was a Ferrybank / Slieverue / Mooncoin address. Could be wrong though!

Aquos76

Bhoy1967 wrote: »

Yes I thought that too but I seem to remember the person was in a Waterford nursing home but was officially from outside the county - Think it was a Ferrybank / Slieverue / Mooncoin address. Could be wrong though!

The persons who sadly passed away in the nursing home in Ferrybank was definitely from the City, also there was a lady who passed away in a nursing home in Wexford who was from the city too. I’m not sure if that one would have been recorded as Waterford though. The nursing home in ferrybank sits on the boundary between Waterford and Kilkenny and that caused some confusion earlier in this thread also.

Wanderer2010

Yeah i agree with the poster about ice cream shops. Why the hell is Ginos still open? It sells ice cream which isnt essential. Hot food and medicine and supermarkes are essential. Its the depths of winter, who wants ice cream!
Plus there is a gadget shop open in Waterford shopping centre when practically all the other shops are closed. Some shops are playing fast and loose with the word essential.

Harry Palmr

They do Pizza that's food so that's why they are open but from now on only for deliveries.

johnnykilo

Out for a walk today and the carpark by Morris looked packed.

Also what's the ****ing deal with couples/families walking 2,3,4,5 abreast on the footpath :mad: Have some common sense and move the **** in while I'm passing so I don't have to walk within 2 inches of you.

Aquos76

Harry Palmr wrote: »

They do Pizza that's food so that's why they are open but from now on only for deliveries.

I assume the above post is in relation to the ice cream place beside dunnes

Harry Palmr

OhToBeByTheSea

Jesus christ, I thought I was reading the wrong line at first!

spookwoman

OhToBeByTheSea wrote: »

Jesus christ, I thought I was reading the wrong line at first!

To have that number 100 or so roughly for the last few days it has to be quite prevalent in the community

ArtVandelay76

There has been big numbers announced the last few days but there seems to be very little going through the test centre in Kilcohan. There was a lot going through last week in fairness.

PTH2009

What's the story with the Factory truck going around Facebook ?

Roanmore

Harry Palmr wrote: »

They do Pizza that's food so that's why they are open but from now on only for deliveries.

That's not correct, deliveries is for non essential retail. Food services can still operate takeaway services.

Wanderer78

again, nhs, but....

https://twitter.com/i/status/1346919194546343939

spookwoman

Hospitalised 31 now +1
5 in icu -1

faceman

Waterford ICU is full. It’s only a matter of time before wards are full and an inevitable mix of covid and non-covid patients will occur

Wanderer78

faceman wrote: »

Waterford ICU is full. It’s only a matter of time before wards are full and an inevitable mix of covid and non-covid patients will occur

i can see make shift icu units being set up, before that happens

OhToBeByTheSea

We (and I'm just talking about UHW) don't have the staff for makeshift ICU beds. We don't have the staff and we don't have the money for the staff or the equipment.

Each ICU bed requires 6 nursing staff and, that's just the nursing staff. Each ICU bed requires specialist equipment that can't just be swapped around. This means they can't just be shifted off to the Dunmore wing like some brainiac suggested earlier in this thread.

We don't have enough basic nursing staff nor money for basic nursing staff in UHW, nevermind specialised ICU nurses and ICU beds.

The vast majority (if not all) of ICU nurses in Ireland are already employed working in an ICU. There isn't a huge stock of them somewhere collecting the PUP just waiting for the call.

This is what the HSE has failed to make glaringly clear to the public. When we run out of ICU beds, they are gone, usually until the occupant of one dies.

There's lots of talk on social media of UHW being "half empty" and therefore, just use the empty beds or just use the staff who now have "nothing to do". While UHW is not as busy as it typically would normally be, because the priority right now is keeping the public out of the hospital, that doesn't mean that we can just repurpose 25 beds or repurpose 25 nurses. If it was that simple, it would have been done already.

OhToBeByTheSea

Also, just wanted to add, a friend of mine works in a hospital in the UK and they are now rationing oxygen. That is how serious this could get here and the HSE will not cope.

We all know the HSE was in the shitter for 20 years before covid but, that doesn't mean that we can just shrug our shoulders and say "well the government had plenty of time to sort this out before covid".

The time to hold the government accountable will be when society gets back to some sort of pre-covid normal. Nothing will come of playing political tennis now because politicians have the excuse of "we all have to work together to beat this and that's what we're focusing on now". Afterwards, don't forget who let you down and, it won't have been the staff in our hospitals.

Harry Palmr

:eek:

THIS IS NOT A DRILL!

Edit - not quite as bad as seems - in that this is the backlog cleared up.

OhToBeByTheSea

Hopefully, with the backlog cleared, our numbers might start to level out.

It is worth noting that they're no longer testing close contacts so the "real" numbers will be masked so, even if our numbers start to level out, that doesn't mean, let the guard down.

johnnykilo

OhToBeByTheSea wrote: »

Also, just wanted to add, a friend of mine works in a hospital in the UK and they are now rationing oxygen. That is how serious this could get here and the HSE will not cope.

They discussed the lack of oxygen on the BBC in detail the other night, just to clarify, there isn't a lack of oxygen or oxygen tanks per se, but the infrastructure; the pipes to actually carry the oxygen from the tanks through the hospital, can only handle so much and if the vast majority in ICU requires oxygen then there could be a situation where not everyone can get it. Hospitals in older buildings are particularly limited, due to the outdated infrastructure.

Harry Palmr

1000 rate in Tramore

91wx763

I thought that this statistic on twitter was quite alarming but moreso the response...........

https://twitter.com/SineadNedio78/status/1347266682763489282?s=19

Hodger

OhToBeByTheSea wrote: »

Also, just wanted to add, a friend of mine works in a hospital in the UK and they are now rationing oxygen. That is how serious this could get here and the HSE will not cope.

We all know the HSE was in the shitter for 20 years before covid but, that doesn't mean that we can just shrug our shoulders and say "well the government had plenty of time to sort this out before covid".

The time to hold the government accountable will be when society gets back to some sort of pre-covid normal. Nothing will come of playing political tennis now because politicians have the excuse of "we all have to work together to beat this and that's what we're focusing on now". Afterwards, don't forget who let you down and, it won't have been the staff in our hospitals.

Some people may or may not have seen or heard about the video of what happened in an ICU ward recently in Egypt. What happened is very serious I won,t share the video directly I,ll refer a tweet to the Journalist who broke the story.

THREAD
1/ I initially hesitated sharing this video clip- its hard to watch & fear mongering is not my goal. This is reality.

But it brings up another point.

Many patients I've cared for have wanted to share their stories & warn the public

Hospitals v hesitant on this

https://twitter.com/AbraarKaran/status/1346530812704010240

spookwoman

Latest LEA

Flow Motion

Harry Palmr wrote: »

:eek:

THIS IS NOT A DRILL!

Edit - not quite as bad as seems - in that this is the backlog cleared up.

Not as bad as it seems?? What part of space do you inhabit?? We are on the upward curve in terms of hospital numbers. The peak has yet to be reached. The magical R number is reckoned to be between 2.4 and 3. There's a new variant of the disease floating about. Let's see what the numbers are like for the next week and see if we are so blasse about them. NPHET reckon an optimistic daily figure of about 1,200 would be a good outcome by the end of January. That's provided everything goes smoothly. Which if we review the past ten months action is not a good omen. The motto should be : expect the unexpected.

9db3xj7z41fs5u

OhToBeByTheSea wrote: »

We (and I'm just talking about UHW) don't have the staff for makeshift ICU beds. We don't have the staff and we don't have the money for the staff or the equipment.

Each ICU bed requires 6 nursing staff and, that's just the nursing staff. Each ICU bed requires specialist equipment that can't just be swapped around. This means they can't just be shifted off to the Dunmore wing like some brainiac suggested earlier in this thread.

We don't have enough basic nursing staff nor money for basic nursing staff in UHW, nevermind specialised ICU nurses and ICU beds.

The vast majority (if not all) of ICU nurses in Ireland are already employed working in an ICU. There isn't a huge stock of them somewhere collecting the PUP just waiting for the call.

This is what the HSE has failed to make glaringly clear to the public. When we run out of ICU beds, they are gone, usually until the occupant of one dies.

There's lots of talk on social media of UHW being "half empty" and therefore, just use the empty beds or just use the staff who now have "nothing to do". While UHW is not as busy as it typically would normally be, because the priority right now is keeping the public out of the hospital, that doesn't mean that we can just repurpose 25 beds or repurpose 25 nurses. If it was that simple, it would have been done already.

Added to that as well the ICU doctors. Each of these doctors has completed 5 years of a degree and then the ICU registrars will have at least 3-4 years’ post graduate experience and exams. There are generally 3 anaesthetic registrars on call at night. They also have to cover maternity. There are only about 18-20 depending on staffing. Then there are 8 anaesthetic consultants in total to man the rota.

The nurses have all completed a 4 year degree and a minimum 2 years postgraduate experience, as well as a poatgraduate diploma in critical care.

Ventilating a person involves a complex replication of the bodies own native respiratory function, and managing all its attenuated effects in the other organ system. Also, the illness can result in patients needing other forms of organ support (kidneys, heart). The ventilation is complex and time-consuming. The skills by ICU staff are learned over years. It would be great if it was a case of a plug them into the ventilator and voilà. However, this is certainly not the case!

Step 1: assessment of patient
Step 2: resuscitation of the patient with respect to their immediate life-threatening complications
Step 3: transfer patient from ward/resus to ICU
Step 4: insert lines into the heart (well superior vena cava) and artery
Step 5: intubate the patient
Step 6: ventilate the patient
Step 7: commence infusions to maintain the heart function
Step 8: assess the ventilatory strategy and adjust accordingly
Step 9: turn the patient onto their stomach to improve the oxygen
Step 10: check for pressure sores, oral hygiene, general status
Step 11: assessment by dietician and start on nutritional support
Step 12: physiotherapy to improve their outcome
Step 13: make the medicines up and administer them
Step 14: perform the necessary scans
Step 15: link in with the family
*I am sure that I have left some things out

A lot of these steps take 30-45 minutes (or longer) and take considerable expertise.

Fair play to all the critical care staff in UHW! You are doing a fantastic job! Thank you! And to all the critical care staff throughout the country, thank you!

spookwoman

No change from yesterday although hse operations report is only for 2pm

31 in hospital
5 in icu

2 critical care beds available.

Wanderer78

OhToBeByTheSea wrote:

It is worth noting that they're no longer testing close contacts so the "real" numbers will be masked so, even if our numbers start to level out, that doesn't mean, let the guard down.

I know two close contacts that tested negative during the week, when did they stop testing?

Hodger wrote:

Some people may or may not have seen or heard about the video of what happened in an ICU ward recently in Egypt. What happened is very serious I won,t share the video directly I,ll refer a tweet to the Journalist who broke the story.

That's a terrifying video

OhToBeByTheSea

91wx763 wrote: »

I thought that this statistic on twitter was quite alarming but moreso the response...........

https://twitter.com/SineadNedio78/status/1347266682763489282?s=19

The most common response I've heard is "I know my own body, I know it's not covid" :rolleyes: You'd wonder is it arrogance, stupidity or denial.

Wanderer78 wrote: »

I know two close contacts that tested negative during the week, when did they stop testing?

At the end of December, they said they would no longer be testing close contacts in the way that they had been. It was supposed to be just during the surge/backlog so, hopefully due to start back up in the next few days, now that the backlog has been cleared.

https://www.google.com/amp/s/www.thejournal.ie/close-contacts-no-test-ireland-5313820-Dec2020/%3famp=1