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PANDEMIC ALERT LEVEL
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Online Discussion: Tracking new emerging diseases and the next pandemic since 2005; Coronavirus COVID-19 Pandemic Discussion Forum.

From the Frontlines

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Tabitha111 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Tabitha111 Quote  Post ReplyReply Direct Link To This Post Topic: From the Frontlines
    Posted: May 13 2020 at 6:52am

Sharing an experience posted today from my Covid Professionals group- May 13:

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As a Nurse of 31 years there have been many days of frustration and days of elation. The Covid pandemic is the only time in my career that I have been left feeling I truly have nothing to offer. Recently, I cared for a critically ill 36 year old. We proned, we tried drugs unproven to work, and we tried everything possible to keep from intubation. We couldn’t transfer, his oxygen needs were too great and there wasn’t anything different to try unless he crashed and required a ventilator. My last shift with him before he transferred I was struck by the fact that today with all our resources all our expertise and all of our brilliant minds we were losing.


Early in the shift the saturation dropped to the low 70’s. I hurried to don my papr and helped him to prone. I called for respiratory and the hospitalist to come to the bedside. More oxygen and try to slow the breathing. I got close and spoke to him, “I am here and I won’t leave you”. I rubbed his back talked to him about slowing the breathes, it seemed to help to keep telling him about the progress, we are at 80, good job slow it down, rubbing his shoulders and talking. At one point I had stopped rubbing his back he looked at me and said please the back rub helps. I began to rub his back again. We are at 85 we are making progress. It took almost an hour to bring the saturation back to 90’s.


We repeated this again for a second time just before shift change. He called out my name “Joyce please rub my back in short gasping breaths. Again, I talked him through to a saturation of 90. He was prone his temperature up to 102.4 after a gram of Tylenol. He was tired and he was losing his battle.


I gave report warning my colleague he won’t make it through the night, he is to tired, working too hard. Anyone else who wasn’t a Covid patient would have been intubated much sooner. He lost a couple hours later. He transferred to a tertiary hospital with a very good chance he will die. Intubated Covid patients don’t not do well. He arrived alive and was placed on echmo.


Weeks of care and all I could do was rub his back and talk to him. I have never felt so helpless. I pray for him, his family and those caring for him now.



'When you feel as though you can't do something, the simple antidote is action: Begin doing it. Start the process, even if it's just a simple step, and don't stop at the beginning.'
Marcus B
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FluMom View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote FluMom Quote  Post ReplyReply Direct Link To This Post Posted: May 13 2020 at 10:00am

So sad such a young man.  There will be so many that will die from this and we can Thank China and WHO for not reporting this sooner.  Maybe this young man and others would have lived!

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EdwinSm, View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: May 13 2020 at 11:12am

It is interesting that the simple act of rubbing his back seemed to help.  The nurse may have felt helpless, but in my eyes she was doing a great job of easing the young man's situation.  Comfort care is very, very important, and the nurse was supplying that.


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ps. Flumon. It is very tiring to have you adding in little political remarks all the time.  If you want to support the Trump line (and you are free to do that) please do it in the Political Thread.

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Flubergasted View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote Flubergasted Quote  Post ReplyReply Direct Link To This Post Posted: May 13 2020 at 3:39pm

Good old-fashioned nursing is highly underrated.  It can mean all the difference.

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