Demobilization

[docB]

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We're starting to see some hopeful news in regard to the pandemic. Perhaps we really will soon see the light at the end of the tunnel. We all hope so.

That being said we will all have to figure out how Emergency Medicine (and EMS) will return to baseline. What will that baseline look like? How long will the transition be?

Just some examples:

• When can we start giving neb treatments freely again? Can we ever?
• Will we be wearing enhanced PPE forever? If not what cases can be considered low enough risk that we don't?
• Being off work for 2 weeks for every cold isn't an option. When can we start modifying our self isolation instructions?
• I know you think testing is the answer for that last one. So how will testing evolve once the crush is over and it's as available as flu was in the past? How do you see us using the tests?
• How close to the way things were will we ever get? How close should we get?

 

[deleted109597]

IHME made a pretty decent change in their projections today.
Even with cases being high still, it's a good light at the end of the tunnel.

 

[gutonc]

IHME made a pretty decent change in their projections today.
Even with cases being high still, it's a good light at the end of the tunnel.

Was really nice to see their new predictions (I won't call it data).

3 of 5 hospital systems I'm affiliated with changed their Monday/Tuesday COVID Crisis/Planning meetings to De-escalation meetings over the course of this afternoon/evening.

The other 2 systems have a total of <200 beds over 3 hospitals so nobody really cares what they think.

 

[docB]

So what will the new normal be? Will we be able to give nebs in open areas? Will masks be the rule from now on? What does EM in the post COVID 19 world look like?

Are we back to the way it was before? Different? Waiting for the next pandemic? I just don't have a firm grasp yet of what the new normal will be.

 

[pkwraith]

I think that once we have a little bit more knowledge on the disease epidemiology. At the end of the "curve", I think there is a good chance that we reach a point of herd immunity (or eventual vaccination) that we would be treating sar-cov-2 just like flu a/b in term of POC testing.
I suspect everyone will be masking for at least a year, but there is 50/50 chance that this becomes more cultural like Japan, or completely forgotten (we have pretty short term cultural memory).

2 weeks off is a really long time to give a work excuse. My undertanding is that you run into a big issue with getting into FLMA at that time point and the headaches associated with it. There is laxity associated with the current pandemic, but that practice would not be sustainable in the current work system.

 

[deleted547339]

I think that once we have a little bit more knowledge on the disease epidemiology. At the end of the "curve", I think there is a good chance that we reach a point of herd immunity (or eventual vaccination) that we would be treating sar-cov-2 just like flu a/b in term of POC testing.
I suspect everyone will be masking for at least a year, but there is 50/50 chance that this becomes more cultural like Japan, or completely forgotten (we have pretty short term cultural memory).

2 weeks off is a really long time to give a work excuse. My undertanding is that you run into a big issue with getting into FLMA at that time point and the headaches associated with it. There is laxity associated with the current pandemic, but that practice would not be sustainable in the current work system.

Dude. No way we’re doing masks for a year. We don’t have it together like the Japanese.

‘Murica!