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Idaho rationed care

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Pixie View Drop Down
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    Posted: September 07 2021 at 1:58pm

https://www.oregonlive.com/coronavirus/2021/09/idaho-hospitals-begin-rationing-health-care-amid-covid-surge.html

Excerpts…

BOISE, Idaho — Idaho public health leaders announced Tuesday that they activated “crisis standards of care” allowing health care rationing for the state’s northern hospitals because there are more coronavirus patients than the institutions can handle.

The Idaho Department of Health and Welfare quietly enacted the move Monday and publicly announced it in a statement Tuesday morning — warning residents that they may not get the care they would normally expect if they need to be hospitalized.


The state’s crisis guidelines are complex, and give hospitals a legal and ethical template to use while rationing care.

Under the guidelines, patients are given priority scores based on a number of factors that impact their likelihood of surviving a health crisis.

Those deemed in most in need of care and most likely to benefit from it are put on priority lists for scarce resources like ICU beds.

Others in dire need but with lower chances of surviving will be given “comfort care” to help keep them pain-free whether they succumb to their illnesses or recover.

The move allows hospitals to allot scarce resources like intensive care unit rooms to patients most likely to survive.



Other patients will still receive care, but they may be placed in hospital classrooms or conference rooms rather than traditional hospital rooms or go without some life-saving medical equipment.

Other states are preparing to take similar measures if needed. Hawaii Gov. David Ige quietly signed an order last week releasing hospitals and health care workers from liability if they have to ration health care.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: September 07 2021 at 10:32pm

On another forum a poster mentioned that her daughter and son in law both had to go to hospital with Covid - the daughter was quickly stabalized and then sent home. The SIL had a blood oxygen reading of 83% - as soon as the hospital got it back up to 90% he was deemed able to go home.  

I am not sure what State they are in, but it shows some of rationing of care that is going on.  


ps the education board also requires that the sick mother drive all three of her children to their three different schools (and two of the three also had Covid)

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Pixie Quote  Post ReplyReply Direct Link To This Post Posted: September 14 2021 at 10:39am


https://www.kiro7.com/news/local/wa-hospitals-stretch-care-idaho-covid-19-patients/


Washington hospitals are full, working together to shift patients around the state during the recent COVID-19 surge. Now there is a new demand on resources: COVID-19 patients from Idaho seeking care in eastern Washington. Hospital leaders said there is little room to help.

“We are keeping our heads above water — but barely,” said Dr. Chris Baliga, an infectious disease doctor at Virginia Mason in Seattle. “We’re stretched. Do we get transfers from Idaho? Yes, we do. Are we helping? Yes. But is our capacity limited? Yes.”

Hospitals across the state are canceling surgeries and procedures to free up hospital beds for COVID-19 patients.


According to the Washington State Hospital Association, 95% of hospitalized COVID-19 patients are unvaccinated. Those who are vaccinated have other medical conditions; they’re transplant patients or undergoing cancer treatment.

Now patients from Idaho are trickling into Washington’s already overwhelmed health care system.


Federal Emergency Management Agency sent in military doctors and nurses to help in Idaho. At this point, it doesn’t appear Washington hospitals will be getting reinforcements.

The Washington State Hospital Association reached out to the National Guard. “We don’t think there will be relief from the National Guard. We have made inquiries about that with the state, and they really feel like those resources are deployed elsewhere and won’t be available to us,” said Briley.


Gov. Jay Inslee expressed his frustration with Idaho leaders last week. There is no mask mandate, and the vaccination rate of residents 12 and older sits at around 45%. “We certainly need our friends in Idaho government to do more to preserve their citizen’s health because we know their medical crisis is becoming our problem,” said Inslee.


“The majority of our patients are not vaccinated. The majority of our patients who expire are not vaccinated, and I always sit there and wonder, ‘What if they had gotten vaccinated?’” said Dr. Baliga.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ksc Quote  Post ReplyReply Direct Link To This Post Posted: September 15 2021 at 12:37pm

Conclusions and Relevance: The proportion of hospitalizations that are due to severe COVID-19 has changed with vaccine availability, thus, increasing proportions of mild and asymptomatic cases are included in hospitalization reporting metrics. The addition of simple measures of disease severity to the case definition of a SARS-CoV-2 hospitalization is a straightforward and objective change that should improve the value of the metric for tracking SARS-CoV-2 disease burden.

 

Here is the preprint: 

https://www.researchsquare.com/article/rs-898254/v1

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