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Can someone explain to me why there is no central TRIAGE of all positive cases in cities like Delhi? Let me explain what I mean
Last night, I participated in a @TwitterSpaces discussion organized by @PSampathkumarMD 1/n
Can someone explain to me why there is no central TRIAGE of all positive cases in cities like Delhi? Let me explain what I mean
Last night, I participated in a @TwitterSpaces discussion organized by @PSampathkumarMD 1/n
2/n We had a gentleman who provides ambulance services in Delhi on the call. This question is based on what I learnt from him
Watching the tragedy unfold, the question we need is what can be done so that people who need help are not left waiting to get the care they need.
Watching the tragedy unfold, the question we need is what can be done so that people who need help are not left waiting to get the care they need.
3/n Why do we make people run around pillar to post to look for beds?
Large cities like Delhi need to set up a central triage where a group of physicians evaluate every positive case and determine:
1.If the patient can be cared for at home with assistance
Large cities like Delhi need to set up a central triage where a group of physicians evaluate every positive case and determine:
1.If the patient can be cared for at home with assistance
4/n
2. Can the patient be cared for in the large DRDO facility that has been set up
3.Identify the small number of patients who really need a hospital admission
4.Maintain a master roster of all beds available across public and private (part capacity commandeered
2. Can the patient be cared for in the large DRDO facility that has been set up
3.Identify the small number of patients who really need a hospital admission
4.Maintain a master roster of all beds available across public and private (part capacity commandeered
5/n
at a pre-agreed price)
5.Allocate and manage the capacity centrally so that you can tell a patient who really needs to be treated at a hospital to go to that facility
at a pre-agreed price)
5.Allocate and manage the capacity centrally so that you can tell a patient who really needs to be treated at a hospital to go to that facility
6/n
http://6.As people recover and get discharged, reclaim that space and allocate it to someone else
At least this will reduce the number of people who are waiting outside the hospitals to get an admission.
Is there a reason why this is not being done?
http://6.As people recover and get discharged, reclaim that space and allocate it to someone else
At least this will reduce the number of people who are waiting outside the hospitals to get an admission.
Is there a reason why this is not being done?
7/n
Can cities like Kolkata which are beginning to see an increase in the CFR do this?
I also learnt that we are incurring almost a 10% loss of oxygen due to our rickety public health infrastructure. Is this something that the state governments do to deploy appropriate
Can cities like Kolkata which are beginning to see an increase in the CFR do this?
I also learnt that we are incurring almost a 10% loss of oxygen due to our rickety public health infrastructure. Is this something that the state governments do to deploy appropriate
8/n technicians to check and seal all leaks in our plumbing? Is this being done already? If not, can we start asap?
9/n Effective triage will help us reduce the run that we are seeing on drugs like Remdesivir and Favipiravir which do absolutely nothing to help. The crowds that we see of people running after them based on misinformation results in spread of the virus. Can we cut this out?
10/n It also helps to cut down the number of asymptotic people who dont really need in-patient care. There are some cases where people of means are occupying these scarce resources. They can be better managed at home or at the DRDO facility.
