Boosted? Hardly saw anyone who had gotten a booster because if they caught Covid they’re likely at home doing fine or having regular cold/flu like symptoms
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...So what can health systems do over the next 4-6 weeks to deal with the surge? 1) Set up Covid testing and flu like illness clinics outside the ER to divert low severity patients from ERs to more convenient care and allow ERs to focus on non Covid and Covid emergency care...
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...2) Optimize care pathways in the hospital. We have shown the benefits of triaging lower severity patients (who are now the majority of hospitalizations) to dedicated Covid observation units. Better care, less time in the hospital. See article below...https://twitter.com/kit_delgadoMD/status/1476415348375265280?s=20 …
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...Another way to do this is to post a Hospitalist physician in the ER to help manage and optimize care for patients who are waiting for an inpatient bed to open up. By the time a bed opens up 24-48 hours later, the patient may be ready to be discharged from the ER...
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...3) Dialysis centers, behavioral health treatment providers, and long term care providers need to adapt to the reality that a huge proportion of patients who need their care will incidentally test positive for Covid. Decreased access to care will worsen outcomes, and...
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...and with staff in these facilities almost universally vaccinated and everyone wearing masks, the risks from Covid are no worse than any other aspect of society (family gatherings, public transportation, shopping, dining, bars, etc)...
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...4) Finally, implementing a low-tech text-message based monitoring program can help the millions of patients who will test positive stay safe at home and get to the hospital at the right time if they get sick. See our work below...https://www.pennmedicine.org/news/news-releases/2021/november/automated-texting-system-saved-lives-weekly-during-first-covid-surge …
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......Thanks for reading. Hopefully by late Feb we will have more people boosted and access to new antivirals. Until then, things will be tough. Give us a hand in the hospital by helping to decrease the spread of Covid because right now it's unsustainable/https://twitter.com/bhrenton/status/1477510685408047104?s=20 …
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…PS - Fortunate to be part
@Pennmedicine which has been very proactive in responding to this pandemic all along, increasing access vaccines, testing, remote monitoring and other innovations. But most of all, inspired by my colleagues. See thread belowhttps://twitter.com/kit_delgadoMD/status/1477436865632428036?s=20 …
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..PS - Hospital and ER overcrowding, lack of bed capacity, and long ER waits are chronic problems made 100 times worse by Covid, omicron. Here's the best piece explaining underlying causes and short and long term solutions:https://twitter.com/kit_delgadoMD/status/1443559587064463366 …
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This is what’s crushing us in hospital Med
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