How many Americans deaths will Trump be directly responsible for due to COVID-45

[Sheik Yerbouti]

What's the over/under for 200k+ confirmed cases by the end of the weekend?

 

[IronWing]

Memo distributed on how to enact death panel if necessary. I bet New York already has something similar in curculation since they are closer to worst case scenario

Henry Ford Hospital: Leaked memo is not an active policy but plan for 'worst case scenario'

A leaked memo from Henry Ford Health System being shared around social media is not an active policy, and is a "worst case scenario," according to a hospital spokesperson.

www.wxyz.com

Looks like a reasonable triage system. We're a very wealthy society and haven't had to practice triage very often (which is a good thing).

 

[Jaskalas]

Whole lot more are going to.......

Trump Rejects New York’s Plea For Ventilators: ‘I Don’t Believe You Need’ That Many

“I have a feeling," the president told Fox News as the coronavirus continues to spread around the country.

www.yahoo.com

Trump Rejects New York’s Plea For Ventilators: ‘I Don’t Believe You Need’ That Many

So the orange menace knows better than the gov of his own state?

We're going to have to use the 25th amendment before this is over.


“I don’t believe you need 40,000 or 30,000 ventilators. You know, you go into major hospitals sometimes, they’ll have two ventilators. And now all of a sudden they’re saying can we order 30,000 ventilators?”

Now what major US hopital is only going to have 2 ventillators?
This guy is a fucking dangerous moron.

Doesn't COVID-19 reach 5-10% morality rate without proper hospital care / ventilators?

Trump's declaration to withhold medical care would be pretty solid grounds for the gallows should cases continue to spike and New York gets overwhelmed. Couple that with Trump's newfound insistence that we spread the disease.... maybe he won't even finish his term in office after directly killing many thousands of Americans.

 

[UNCjigga]

Assuming the House passes the Senate's version hasn't the ship already sailed?

Still requires unanimous consent in the House to fast track I believe (no debate). Watch out for shitbergs like Louie Gohmert to fuck it all up before the weekend.

 

[HomerJS]

Currently with treatment we are at 4.5% which is pretty high.

Home - Johns Hopkins Coronavirus Resource Center

Johns Hopkins experts in global public health, infectious disease, and emergency preparedness have been at the forefront of the international response to COVID-19.

coronavirus.jhu.edu

 

[vi edit]

Responding to a coding patient requires a massive number of hospital staff and every one of them is now exposed again as the patients lungs are compressed and that air and spit is thrown everywhere from chest compressions. You burn through more PPE and and that bed is still being occupied when you have a patient you may be able to save is sitting on a bed in the hallway.

A lot of hospitals are considering similar protocols.

 

[UNCjigga]

a state of emergency was declared 2 weeks ago, and a little late.

Sorry, looks like it was the “major disaster declaration” Whitmer asked for, and Trump on Hannity last night apparently hinted he wouldn’t sign it because “that woman” was mean to him. That said, I don’t think Michigan has a major outbreak on the scale of NY, CA or WA or even FL/LA. But Trump is actively preventing governors from getting ahead of the curve in order to score political points.

Michigan governor to Trump: 'You said you stand with Michigan — prove it'

Michigan Gov. Gretchen Whitmer challenged President Donald Trump Thursday night to "prove" he stands with the state after the President criticized her for asking the federal government for more help fighting the coronavirus outbreak.

www.cnn.com

 

[Atari2600]

Yeah, but our Prime Minister has it. That's got to be worth bonus points.

(Technically, the entire cabinet may be obliged to now self-isolate).

Hopefully the useless c**t - to quote his own words - is found lying dead in a ditch.

While not Trump-bad -- Johnson's dithering and deferral to Cummings has probably cost dozens of lives.

 

[Atari2600]

Memo distributed on how to enact death panel if necessary. I bet New York already has something similar in curculation since they are closer to worst case scenario

Henry Ford Hospital: Leaked memo is not an active policy but plan for 'worst case scenario'

A leaked memo from Henry Ford Health System being shared around social media is not an active policy, and is a "worst case scenario," according to a hospital spokesperson.

www.wxyz.com

So over here, ICUs were told that when the heat comes on and, 58 years old was the cut off point for ventilators. No doubt that will change up or down depending on resources.

In regions of Italy, they were supposedly deciding between 30somethings and 40somethings.

 

[Atari2600]

Currently with treatment we are at 4.5% which is pretty high.

Home - Johns Hopkins Coronavirus Resource Center

Johns Hopkins experts in global public health, infectious disease, and emergency preparedness have been at the forefront of the international response to COVID-19.

coronavirus.jhu.edu

That is an optimistic number.

Its going to lie somewhere in between nDeaths/nCases and nDeaths/(nDeaths+nRecovered)

So somewhere between 4.5% and 16.5%

 

[Atari2600]

Sorry, looks like it was the “major disaster declaration” Whitmer asked for, and Trump on Hannity last night apparently hinted he wouldn’t sign it because “that woman” was mean to him. That said, I don’t think Michigan has a major outbreak on the scale of NY, CA or WA or even FL/LA. But Trump is actively preventing governors from getting ahead of the curve in order to score political points.

Can anyone imagine any President prior to Trump acting in such a fashion?

Obama?
Dubya?
Clinton?
Bush Snr?
Reagan?

For all the MAGA heads - surely if you run down the list and can think of no one else - does that in itself not prove this man is unfit for office?

 

[shortylickens]

Trevor Noah spends more time with the Doctor than Donald has.

 

[brycejones]

Sorry, looks like it was the “major disaster declaration” Whitmer asked for, and Trump on Hannity last night apparently hinted he wouldn’t sign it because “that woman” was mean to him. That said, I don’t think Michigan has a major outbreak on the scale of NY, CA or WA or even FL/LA. But Trump is actively preventing governors from getting ahead of the curve in order to score political points.

Michigan governor to Trump: 'You said you stand with Michigan — prove it'

Michigan Gov. Gretchen Whitmer challenged President Donald Trump Thursday night to "prove" he stands with the state after the President criticized her for asking the federal government for more help fighting the coronavirus outbreak.

www.cnn.com

MI does have a major outbreak. Hospital systems are already starting to be overwhelmed here. We keep swapping back and forth with WA for #4 in the case count.

 

[Jaskalas]

MI does have a major outbreak. Hospital systems are already starting to be overwhelmed here. We keep swapping back and forth with WA for #4 in the case count.

With exponential growth rates... what isn't an issue a week ago is a catastrophic system failure tomorrow. Doesn't take long to leap frog past available medical services.

 

[MtnMan]

What makes it even more laughable, is he is trying to criticize Obama, all while ignoring one HUGE fact, that Obama had only been in office for 3 months... NOT 3 years like the orange idiot we have now. With only 3 months under his belt, Obama did 1000X better, and was able to keep the nation calm.

We would be in much better shape if Trump had only been in office 3 months. He has had 3 years to dismantle the government and install his incompetent cronies everywhere.

 

[kitkat22]

Just got this email from Today's Hospitalist: Biggest I saw was hydroxychloroquine is not effective.

CORONAVIRUS​ 1. U.S.A.: We're No. 1​ The U.S. yesterday surpassed China as the nation with the highest number of confirmed cases. This morning's Johns Hopkins' stats: 85,996 cases in the U.S., 542,788 cases worldwide, 24,361 deaths worldwide. The House today may vote on the largest economic relief bill in U.S. history, one that would give hospitals $100 billion to offset the costs of treating covid patients. Early trials on the efficacy of lopinavir-ritonavir and hydroxychloroquine to treat hospitalized covid patients found neither to be effective. Research on patients hospitalized with coronavirus in Wuhan finds that 20% had cardiac injury, making those patients more likely to need noninvasive and invasive ventilation and have much higher mortality. The FDA is allowing clinicians to use alternative respiratory devices, and it has given the green-light to convalescent plasma from covid patients who have recovered as an investigational treatment for those with severe disease. Pediatric hospitals are resisting taking adult patients from other facilities, saying doing so wouldn't be safe. Instead, they urge hospitals that treat adults and are at capacity to send all pediatric patients to children's hospitals. An NEJM perspective outlines what the government can do to help alleviate PPE shortages. And hospitals are now debating whether to institute universal do-not-resuscitate orders for coronavirus patients, citing infection-control concerns and the shortage of PPE. Read more from the New York Times.​

BREAKING NEWS​ Here's the early release of our April cover story: Coronavirus: It's here Staffing strategies: All hands on deck PPE: How to extend the use of N95s​

​

CRITICAL CARE​ 2. How to stretch ICU staffing​ ICUs should switch to a model of tiered staffing that integrates experienced critical care clinicians with others repurposed from other hospital departments. That's according to pandemic recommendations issued by the SCCM. The suggested model gives a physician who has critical care experience oversight over four teams, with each team managing 24 beds. Further, each team should consist of four staffing tiers. An experienced ICU APC or a reassigned non-ICU physician should be the first tier, while the second tier would consist of both experienced and reassigned physicians, APCs, respiratory therapists, CRNAs and CAAs; personnel in that second tier would concentrate on ventilation. Experienced ICU nurses would make up the third tier and reassigned non-ICU nurses would be in the fourth. To make such staffing possible, the SCCM issued the following recommendations: limit elective surgeries to free up beds, staff and ventilators; train reassigned staff; combine those who have ICU experience with those who don't; and practice public health measures to minimize transmission. The SCCM also points out that 48% of U.S. hospitals have no intensivists on staff. Read more from the Society of Critical Care Medicine.​

PHYSICIAN WORKFORCE​ 3. Teaching hospitals face visa moratorium​ With the State Department putting a temporary halt to issuing visas, the visas of more than 4,000 foreign physicians are now up in the air. Those doctors, most of whom are waiting for J-1 visas, are slated to begin their residencies in U.S. teaching hospitals in July. Earlier this month, the state department sent out guidance to sponsors including the ECFMG to either cancel their programs or postpone their start dates. Among the more than 7,000 IMGs placed in residency programs in last week's Match, more than 3,000 are already U.S. citizens Read more in FierceHealthcare.​

HEALTH CARE DELIVERY​ 4. Moving care out from hospitals into the community​ In a new NEJM perspective, Italian doctors working in a hospital in Bergamo—the epicenter of the outbreak in Italy where, those physicians write, they are "far beyond the tipping point"—argue that a new model of care must be devised to effectively fight the outbreak. Instead of patient-centered care that revolves around hospitals, community-centered models need to move much more treatment and surveillance out into the community. Such a model would rely on a comprehensive network of home care, mobile clinics, telemedicine, and the delivery of early oxygen, pulse oximeters, and nutrition to the homes of patients with only mild illness or those who are recovering. Without robust outpatient resources, the authors argue, hospitals such as their own—which they call "highly contaminated"—as well as medical transport and health care personnel will remain vectors of infection. "The more medicalized and centralized the society, the more widespread the virus." Read more in NEJM.​

INFECTION CONTROL​ 5. What worked in Asia?​ In a New Yorker article, Atul Gawande, MD, reports on how health care workers in some Asian countries treated covid patients while keeping themselves infection-free. All health care workers in Hong Kong and Singapore wore surgical masks and gloves, practiced hand hygiene, and disinfected all surfaces between consults. Patients with tell-tale symptoms, known contact or a travel history were treated in separate clinics and wards. Doctors stayed six feet away from patients (except during exams) and from each other. N95s were used only for procedures, like intubations, that involved aerosols. Each country also defined "close contact"; in Hong Kong, that meant spending 15 minutes at a distance of less than six feet without a surgical mask. (The definition was 30 minutes in Singapore.) When clinicians were exposed to suspected or positive patients within six feet for less than 15 minutes but more than two, they could stay on the job wearing a surgical mask and checking their temperature twice daily. Those with only brief contact monitored themselves for symptoms. "Extraordinary precautions," Dr. Gawande writes, "don’t seem to be required to stop it," adding that hospital workers in those Asian countries were able to stay infection-free without strict quarantine policies. Read more from The New Yorker. ​

 

[NWRMidnight]

We would be in much better shape if Trump had only been in office 3 months. He has had 3 years to dismantle the government and install his incompetent cronies everywhere.

He would have just started firing people left and right (more so than he already did), so we would still be in bad shape either way.

 

[HomerJS]

We would be in much better shape if Trump had only been in office 3 months. He has had 3 years to dismantle the government and install his incompetent cronies everywhere.

Purged most of the career service people, the so called "deep state" and replaced with unqualified cronies or left positions vacant.

Got what you voted for, folks.

 

[VRAMdemon]

USA today is reporting that the fuckups about testing for Covid 19 early in the crises are having catastrophic effects. "From its biggest cities to its smallest towns, America’s chance to contain the coronavirus crisis came and went in the seven weeks since U.S. health officials botched the testing rollout and then misled scientists in state laboratories about this critical early failure. Federal regulators failed to recognize the spiraling disaster and were slow to relax the rules that prevented labs and major hospitals from advancing a backup."

Trump turns down NY request for ventilators because he just doesn't believe they need that many. So it's the word of health experts vs Donald's gut as to who gets to live. Be honest, you POS, it's because you're pissed that Cuomo looks like the leader that you can never be.

After Considering $1 Billion Price Tag for Ventilators, White House Has Second Thoughts.

$1 Billion is too much money for 80,000 ventilators for some to stomach. We are edging closer to being able to calculate the exact value that Republicans put on human lives.

Trump: ventilators are complex, sophisticated, computerized machines.

Pence, immediately later: ventilators are simple and easy to make.

This might be one of the 'death panels' that they told us were coming.

 

[repoman0]

So $2.2 trillion to prop up the economy is fine, but less than 0.05% of that amount to have ventilators for hundreds of thousands of people is a bridge too far.

 

[Thump553]

Still requires unanimous consent in the House to fast track I believe (no debate). Watch out for shitbergs like Louie Gohmert to fuck it all up before the weekend.

All that means is a delay while the House gets a tallied vote together. It doesn't go back to the Senate unless the House changes the bill.

And yes it is old news. Graham and his cohorts already backed down, probably due to pressure from the WH but also because Sanders threatened that if they went forward with their amendment he would put a hold the bill till better oversight and regulations were put on the $500 million corporate slush fund. Which fund incidentally will be approximately half the entire federal budget (before this extraordinary bill).

 

[zzyzxroad]

Now all companies trump keeps saying are volunteering help, are going to get tossed under the bus.

https://twitter.com/x/status/1243557418556162050

 

[ch33zw1z]

So $2.2 trillion to prop up the economy is fine, but less than 0.05% of that amount to have ventilators for hundreds of thousands of people is a bridge too far.

Oh, you can get the ventilators for NY, just gotta drop the current legal cases against Trump first.

 

[HomerJS]

Now all companies trump keeps saying are volunteering help, are going to get tossed under the bus.

https://twitter.com/x/status/1243557418556162050

Well if President Shitstain enforced the DPA he could have ordered other companies to help out. Not that we didn't know this would happen. I knew it and I'm not that bright.

He's looking for any way to pass blame

 

[hal2kilo]

Now all companies trump keeps saying are volunteering help, are going to get tossed under the bus.

https://twitter.com/x/status/1243557418556162050

Moron's going to get many more people killed. Can we at least impeach him for his utter incompetence. Negotiator? What a joke.