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TRIAGE
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Apr 1, 2020 13:42:00   #
oldsalt Loc: Holland Pa
 
This is a fishing website and I enjoy having fun with all of you - sharing fishing stories, jokes and pictures. But, we can not ignore the CV disaster that is now happening, this is truly a sad time.

A lot of terms (new to some) are now part of our daily vocabulary:
Corona virus, COVD-19
Epidemic, Pandemic
Social distancing, Droplet transmission
Flatten the curve, hand sanitizer
Shelter in place, Self-quarantine
Drive through testing, N95 face mask
Case fatality rate (CFR), Ventilator

The word that is not heard, the elephant in the room is

TRIAGE.

During triage, patients are “graded”.
Those who are likely to live, regardless of what care they receive
Those for whom immediate care might make a positive difference in outcome
Those who have a low likelihood of survival

Triage becomes necessary when medical professionals decide that the medical resources (such as ventilators) available are not sufficient to treat all the people who need help, that some seriously ill people should not receive advanced care because they are unlikely to survive.

Triage is used to divert scarce resources away from patients with a low chance of survival in order to increase the chances for others with higher likelihoods.

That means someone could be making your life or death decision for you - scary stuff.

I’m hoping we don’t hear the term TRIAGE in our country, it means many of us have met our end.

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Apr 1, 2020 13:44:56   #
audigger53 Loc: Severn, MD
 
They are already talking about it. Obama Care did it with transplants. At 70 you were not going to get one.
Not politics, just a fact if you are not wealthy.

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Apr 1, 2020 13:51:40   #
Spiritof27 Loc: Lincoln, CA
 
Triage is practiced every day in emergency rooms and critical care clinics. Maybe not to the life or death extent you're talking about, but believe me first come first served is not how they determine who's going to be seen next. When you've got maybe two docs for 18 patients, somebody has to make those decisions.

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Apr 1, 2020 14:23:50   #
Egghead
 
Well I think in this virus situation, the young ones that went out and enjoyed spring break and continue to ignore the warnings, and that helped blow this whole thing up with ignorance and lack of give a crap about those around them should be put last to care for. There's enough ignorance in this country already without rewarding those who chose to go out and ignore all the warnings. Good people are going to die. Because some punk kids/old enough to vote wouldn't listen. Let them do it without any help. God himself can sort them out.

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Apr 1, 2020 14:25:30   #
kvothe Loc: West Deptford new jersey, but the salt calls
 
A good triage nurse in these situations is priceless

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Apr 1, 2020 14:53:37   #
Robert J Samples Loc: Round Rock, Texas
 
Let me tell you my first hand experience with triage. I was a freshman at Texas A & M. We were going to a football game in Dallas on Saturday and were in a terrific automobile accident. Without all the gore and details, I found myself on a gurney in the hallway outside a surgery suite in Waco.

Since there were several more seriously injured, I was waiting in the hall with a large gash on the left side of my head and a concussion. Across this same hallway was a black man who had been shot several times in his back by a .22 rifle. I don't know if he was conscious, or not, but he was bleeding from his wounds.

When I was finally seen by the surgeon, I was sure he could not speak English because he would be lifting me off the gurney with each stitch in my scalp. I finally got the attention of a nurse, and it helped, but not much.

Of other classmates in my car, one had a broken back and shoulder, another had a crushed pelvis and pentrating wounds. I was the least one that had injuries. It did cost me a semester of work and redirected my plans to be a petroleum engineer to that of a business major. Just Sayin...RJS

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Apr 1, 2020 15:00:04   #
Arizona Loc: Roy, Washington
 
I now see where you got your handle from. If it were your son or daughter would you still feel the same.

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Apr 1, 2020 15:07:28   #
kvothe Loc: West Deptford new jersey, but the salt calls
 
If your speaking to me, yes myself. Been a nurse for 26 yrs, nany of us out here facing this shit...and your sons my sons everyones sons and daigjters are standing in line. I gotta say, i would kust go into nursr mode, some of u married to one or are one know what i mean. We put all our pro resources and do what is one of the most difficult, carry someonelses message cause WE eould want to treat every songle one at once. I have people now shrinking away from me when im in unoform, damn nurses never get the respect

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Apr 1, 2020 15:31:32   #
oldsalt Loc: Holland Pa
 
I truly respect all of you in the health care field - doctors, nurses & support staff - you are soldiers in the line of fire - putting your own well being on the line. Previously, I didn't realize your risk you take. The whistle blowing Chinese doctor who died was the eye opener for me. I pray for for you and wish you the best during these trying times.

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Apr 1, 2020 16:35:01   #
Robert J Samples Loc: Round Rock, Texas
 
Kvothe: To you as a nurse, and to all those who serve in that capacity, May God Bless You, One and All. I spent more than 16 years as a pharm reprepresentative, manager, and trainer of reps, and have the upmost respect and appreciation of nurses. They do a tremendous amount of work, clean up,cover up, and take the blame for failures, never or seldom get the applause, pay, or appreciation they earn. You know what I mean. Just sayin...RJS

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Apr 1, 2020 16:36:43   #
oldsalt Loc: Holland Pa
 
I just read where Florida governor Desantis finally issued a stay at home order - with exceptions for essential services - including religious services in houses of worship.

“It’s another 30-day situation,” DeSantis said. “And we’ve got to do what makes sense.”

Well, it doesn't make sense. Desantis needs a history lesson.

The Spanish flu pandemic of 1918, the deadliest in history, infected an estimated 500 million people worldwide—about one-third of the planet’s population—and killed an estimated 20 million to 50 million victims, including some 675,000 Americans

The first wave of the 1918 pandemic occurred in the spring and was generally mild.
With no antibiotics and not understanding what they were dealing with,

people went to church and prayed – large gatherings that further spread the flu.

The second wave of the flu hit with a vengeance in the fall of that same year. Victims died within hours or days of developing symptoms, their skin turning blue and their lungs filling with fluid that caused them to suffocate.

******************************************

At this point, our leaders have to make prudent and responsible decisions. not play politics. These are some of the same people who discounted the science of global warming that are now ignoring the science of biology. There is no quick fix, this is a marathon. History tells us a partial 30 day shutdown is inadequate. Our hope is that containment by means of long term shutdown will minimize deaths and buy us time until a vaccine is developed. THAT MEANS NO LARGE GATHERINGS - FOR ANY REASON

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Apr 1, 2020 18:00:30   #
kvothe Loc: West Deptford new jersey, but the salt calls
 
Ty, believe me having sat at that desk at a major hospital back then u went home sometomes second guessing, but alot of prople were there for support, I CANNOT IMAGINE THE TRIAGE AREA NOW, LET ALONE IN 1 MONTH, i am truly scared

Reply
Apr 2, 2020 01:42:53   #
Canuckus Deploracus Loc: North of the Great Wall...
 
oldsalt wrote:
This is a fishing website and I enjoy having fun with all of you - sharing fishing stories, jokes and pictures. But, we can not ignore the CV disaster that is now happening, this is truly a sad time.

A lot of terms (new to some) are now part of our daily vocabulary:
Corona virus, COVD-19
Epidemic, Pandemic
Social distancing, Droplet transmission
Flatten the curve, hand sanitizer
Shelter in place, Self-quarantine
Drive through testing, N95 face mask
Case fatality rate (CFR), Ventilator

The word that is not heard, the elephant in the room is

TRIAGE.

During triage, patients are “graded”.
Those who are likely to live, regardless of what care they receive
Those for whom immediate care might make a positive difference in outcome
Those who have a low likelihood of survival

Triage becomes necessary when medical professionals decide that the medical resources (such as ventilators) available are not sufficient to treat all the people who need help, that some seriously ill people should not receive advanced care because they are unlikely to survive.

Triage is used to divert scarce resources away from patients with a low chance of survival in order to increase the chances for others with higher likelihoods.

That means someone could be making your life or death decision for you - scary stuff.

I’m hoping we don’t hear the term TRIAGE in our country, it means many of us have met our end.
This is a fishing website and I enjoy having fun w... (show quote)


Proper precautions will eliminate the need for triage for many.... May you all be among them... Amen...

Reply
Apr 2, 2020 10:28:30   #
The CDB is Awesome Loc: Marshall, Madison County, North Carolina
 
Egghead wrote:
Well I think in this virus situation, the young ones that went out and enjoyed spring break and continue to ignore the warnings, and that helped blow this whole thing up with ignorance and lack of give a crap about those around them should be put last to care for. There's enough ignorance in this country already without rewarding those who chose to go out and ignore all the warnings. Good people are going to die. Because some punk kids/old enough to vote wouldn't listen. Let them do it without any help. God himself can sort them out.
Well I think in this virus situation, the young on... (show quote)


I was a good egg, I stayed home.

Reply
Apr 2, 2020 10:55:17   #
Rubyfish Loc: Hatboro, PA, 19040(N.E.Pennsylvaina)
 
oldsalt wrote:
I just read where Florida governor Desantis finally issued a stay at home order - with exceptions for essential services - including religious services in houses of worship.

“It’s another 30-day situation,” DeSantis said. “And we’ve got to do what makes sense.”

Well, it doesn't make sense. Desantis needs a history lesson.

The Spanish flu pandemic of 1918, the deadliest in history, infected an estimated 500 million people worldwide—about one-third of the planet’s population—and killed an estimated 20 million to 50 million victims, including some 675,000 Americans

The first wave of the 1918 pandemic occurred in the spring and was generally mild.
With no antibiotics and not understanding what they were dealing with,

people went to church and prayed – large gatherings that further spread the flu.

The second wave of the flu hit with a vengeance in the fall of that same year. Victims died within hours or days of developing symptoms, their skin turning blue and their lungs filling with fluid that caused them to suffocate.

******************************************

At this point, our leaders have to make prudent and responsible decisions. not play politics. These are some of the same people who discounted the science of global warming that are now ignoring the science of biology. There is no quick fix, this is a marathon. History tells us a partial 30 day shutdown is inadequate. Our hope is that containment by means of long term shutdown will minimize deaths and buy us time until a vaccine is developed. THAT MEANS NO LARGE GATHERINGS - FOR ANY REASON
I just read where Florida governor Desantis finall... (show quote)


👍

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