For Downstate Illinois, coronavirus crisis ‘is going to devastate families’

From the Sun-Times:

In Illinois, the COVID-19 focus has been squarely on Chicago, but the hardships, fears and worries have spread across the state, even if the overwhelming majority of cases are in Cook County, not the state’s other 101 counties.

NYU Langone tells ED physicians to ‘think more critically about who we intubate,’ get permission to talk to press

From Becker’s:

Robert Femia, MD, chair of the department of emergency medicine, advised NYU Langone’s emergency department physicians they have “sole discretion” to put patients on ventilators and the system’s backing to “withhold futile intubations,” according to a March 28 email reviewed by the Wall Street Journal.

Dr. Femia noted that NYU Langone leaders and experts were drafting internal guidelines to inform the allocation of ventilators, but the ED does not have time to spare. Decisions about airway management are left to the discretion of treating physicians, who he advised to “think more critically about who we intubate,” according to the email.

Interim Guidance for Healthcare Providers Caring for Pediatric Patients

From the American Heart Association ad American Academy of Pediatrics:

PDF

IDPH and Quincy Area EMS call for volunteers

From WGEM:

The Illinois Department of Public Health and Quincy Area EMS are looking for volunteers during the COVID-19 pandemic.

According to a release from Blessing Health System, they are calling on any person who has an expired Illinois EMS License to volunteer to serve as an EMS provider during this time of need. The release says licenses cannot have been expired for longer than 60 months. Also, license reinstatement is valid for 6 months.

ACEP Strongly Supports Emergency Physicians who Advocate for Safer Working Conditions amidst Pandemic

Press Release:

The American College of Emergency Physicians (ACEP) is shocked and outraged by the growing reports of employers retaliating against frontline health workers who are trying to ensure they and their colleagues are protected while caring for patients in this pandemic—including an emergency physician in Washington State who was recently terminated after he spoke out about his hospital’s lack of personal protective equipment (PPE).

William Jaquis, MD, FACEP, president of ACEP, said: “Emergency physicians are prepared to handle virtually anything thrown at us as we seek to treat and heal our patients, however, we should not be forced to put our own lives at risk and have our jobs threatened simply for wearing our own supplied protective equipment.”

The growing outbreaks of the novel coronavirus, COVID-19, have already begun to strain our nation’s emergency departments causing a severe shortage of protective gear for emergency physicians and millions of other frontline health care workers. This dearth of hospital-supplied PPE, like N95 masks and face shields, has led to some buying their own or using donated equipment.

Efforts to silence, penalize or unjustly terminate health workers simply for wearing their own makeshift PPE can have catastrophic consequences for trusted institutions, their staff and the communities they serve. Not only does this type of retribution remove healthy physicians from the frontlines, it encourages others to work in unsafe conditions, increasing their likelihood of getting sick.

“As we combat this pandemic, emergency physicians and other health care workers on the front lines must be appropriately armored for the battle ahead. We need every qualified physician and health care provider we have available and healthy. We are in unchartered waters, and health care workers are doing the best they can to protect ourselves and our communities. Now is not the time to be blindly adhering to outdated or irrelevant policies—lives are on the line,” said Dr. Jaquis.

PPE guidelines from the Centers for Disease Control and Prevention (CDC) continue to change as conditions evolve. While they should be followed, these guidelines should be considered the bare minimum for allowable protective gear. ACEP is calling on the Trump Administration to use its authority to allow emergency workers to wear their own personal protective equipment (PPE), especially when protection is otherwise unavailable from the hospital.

Each day thousands of emergency physicians work under unthinkable conditions as they bravely battle the public health crisis of our lifetime. We must do everything we can to protect those on the frontline and ensure they have the resources and support they need.

The American College of Emergency Physicians (ACEP) is the national medical society representing emergency medicine. Through continuing education, research, public education and advocacy, ACEP advances emergency care on behalf of its 40,000 emergency physician members, and the more than 150 million Americans they treat on an annual basis.

Your RV could help families of health care workers on the front lines against coronavirus

From USA Today:

A spontaneous idea by a Dallas-area woman for keeping her doctor husband quarantined from the rest of the family when he is off duty during the coronavirus crisis has blossomed into ad hoc, national volunteer service to match medical personnel with people willing to donate an RV or camper.

The idea, launched a week ago, is simple: Provide a cheap way for medical personnel to remain near their families without risking infecting them.

Regulations slow urgent hiring of doctors and nurses amid coronavirus outbreak, staffing firms say

From CNBC:

  • Medical staffing firms are racing to help meet the demand for doctors and nurses in states with the worst coronavirus outbreaks.
  • What they need most in order to build up medical staff quickly is for states to ease licensing regulations, they said.
  • Thirty states have temporarily eased requirements, allowing doctors and nurses already credentialed in other states to practice across state lines without having to apply for licenses.