3 ms·

> But there were thousands of empty covid-specific beds open in that state. Why where they not sending patients to these field hospitals? There is a somewhat s

by twic 7y ago

> But there were thousands of empty covid-specific beds open in that state. Why where they not sending patients to these field hospitals? There is a somewhat similar situation in the UK, where hospitals are dealing with a lot of COVID patients, but the 'Nightingale' hospitals, our equivalent of these field hospitals, are mostly empty. Something i have heard, but do not have a source for, is that the Nightingale hospitals were built on the assumption that COVID patients just needed a bed and a ventilator, but it turns out that COVID causes multiple organ failure, treating which needs a wider range of facilities, and can progress very quickly from respiratory symptoms to that, so they aren't actually much use.

razakel 7y ago
My understanding is that they were built to treat more minor cases, where someone does need monitoring, but they weren't intended to be ICUs.
ryankemper 7y ago
> but it turns out that COVID causes multiple organ failure, treating which needs a wider range of facilities, and can progress very quickly from respiratory symptoms to that, so they aren't actually much use. Just to be clear, COVID-19 contributes to organ failure in very limited cases from a statistical sense. So this is absolutely something that is happening, but just wanted to be clear that we are not seeing hordes of people keeling over from strokes, organ failure, etc. It's known that the complications that come into play when the body has entered a cytokine-storm type state are very far-reaching. For the same reason that inflammation is a critical part of the healing process, systemic inflammation can cause incredible damage to organs and other physiological systems.
- humaniania 7y ago
  Do you have a reference for those assertions?
  - ryankemper 7y ago
    The burden of proof is on the person claiming the widespread organ failure. I can't provide a study saying it doesn't happen because there's not studies saying it does happen for those studies to debunk :) But, here's one group of case reports that is commonly held up as evidence of the supposed strokes in young people / widespread organ failure / etc: "Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young" - https://www.nejm.org/doi/full/10.1056/NEJMc2009787?query=recirc_mostViewed_railB_article https://www.nejm.org/doi/full/10.1056/NEJMc2009787?query=rec... EDIT: Oh, or were you referring to sources around the impacts of systemic inflammation? I can certainly provide those if you're interested.

by twic 7y ago

razakel 7y ago

My understanding is that they were built to treat more minor cases, where someone does need monitoring, but they weren't intended to be ICUs.

ryankemper 7y ago

> but it turns out that COVID causes multiple organ failure, treating which needs a wider range of facilities, and can progress very quickly from respiratory symptoms to that, so they aren't actually much use. Just to be clear, COVID-19 contributes to organ failure in very limited cases from a statistical sense. So this is absolutely something that is happening, but just wanted to be clear that we are not seeing hordes of people keeling over from strokes, organ failure, etc. It's known that the complications that come into play when the body has entered a cytokine-storm type state are very far-reaching. For the same reason that inflammation is a critical part of the healing process, systemic inflammation can cause incredible damage to organs and other physiological systems.

humaniania 7y ago
Do you have a reference for those assertions?
- ryankemper 7y ago
  The burden of proof is on the person claiming the widespread organ failure. I can't provide a study saying it doesn't happen because there's not studies saying it does happen for those studies to debunk :) But, here's one group of case reports that is commonly held up as evidence of the supposed strokes in young people / widespread organ failure / etc: "Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young" - https://www.nejm.org/doi/full/10.1056/NEJMc2009787?query=recirc_mostViewed_railB_article https://www.nejm.org/doi/full/10.1056/NEJMc2009787?query=rec... EDIT: Oh, or were you referring to sources around the impacts of systemic inflammation? I can certainly provide those if you're interested.