How Does Ambulance Diversion Work? - podcast episode cover

How Does Ambulance Diversion Work?

Sep 30, 20216 min
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Episode description

In many areas of the United States, hospitals overwhelmed by COVID-19 patients are enacting ambulance diversion. Learn what this means in today's episode of BrainStuff, based on this article: https://health.howstuffworks.com/medicine/hospital-diversion-news.htm

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Transcript

Speaker 1

Welcome to brain Stuff production of iHeart Radio. Hey brain Stuff, Lauren Bogobam here. The COVID nineteen pandemic has claimed more than seven twenty thousand lives in the United States to date. In terms of sheer numbers, it's become the deadliest event in US history, surpassing the influenza epidemic and multiple wars. As shocking as this number is, it doesn't capture the

full scope of COVID related casualties. Since the summer surge began in early August, due mostly to the delta variant, a COVID nineteen has overwhelmed hospitals and I See us across the country. The federal government's latest data show Georgia and Alabama are still at nearly a hundred percent of their intensive care unit capacity, while Texas hovers it more than I See You capacity. Idaho is at This type of surge has forced many facility used to go on diversion,

leaving few resources for non COVID emergencies. For the article, this episode is based on How Stuff Work. Spoke with Dr John Delzel, vice president of Northeast Georgia Health System. He described the situation as pretty dire saying, you just get the point where you can't physically take care of more people. So what happens when hospitals are so full? Some may go on what's called diversion. Diversion describes a situation when ambulance drivers are asked to avoid taking patients

to a specific hospital. Under normal circumstances, paramedics are supposed to drive straight to the nearest hospital or emergency facility, but when a diversion notices in place, they may have to break that rule. Hospitals go on diversion when they have more patients than beds. Doctors working under such circumstances will usually try to outsource their patient's care to another hospital if possible, in hopes of getting them treated sooner.

During a news conference in August, doctor Robert Jansen, chief medical officer for Grady Health System in Atlanta, explained, a diversion doesn't mean you can't come. It's our way of communicating to the ambulances that were full, but we never turn anyone down. Hospital diversion is rare, but not unprecedented. It remains controversial in many states, and it's never an

option that medical facilities invoke. Lightly before COVID nineteen. Diversions mainly occurred because of mechanical issues like power outages or flooding at hospitals. While overcrowding from a single disease has been historically very uncommon, it has happened. For example, hospitals in New York City diverted ambulances during the height of the AIDS epidemic, but diversions on the scale of the

current COVID nineteen wave are practically unheard of. Overcrowded hospitals are forced to put patients wherever they can, often on always stretchers or in overflow tents, but in a pact I see you, patients may have to wait hours for a staffed bed to open up. In severe cases, a few hours can be the difference between life and death. Since July, COVID cases and hospitalizations in the US have skyrocketed. The delta variant is partly to blame, along with waning

vaccination rates and relaxed mask and indoor gathering policies. More than of patients hospitalized with COVID nineteen are unvaccinated, and the small handful of fully vaccinated COVID nineteen hospitalizations are nearly all patients with multiple comorbidities. During the latest wave, hospitals in states with low vaccination rates have been pushed

to the brink. In a press briefing, Dr James Schmia, chief operating officer at the University of Tennessee Medical Center, said, right now of our I See You beds house patients who are on a ventilator or breathing machine. So when we did have this amount of COVID it was thirty six percent. In Georgia, only about thirteen percent if I See You beds statewide remain unoccupied. As of September twenty TEWOD only about a hundred and thirty individual I See

You beds were available in Kentucky. In August, Alabama ran out of I SeeU beds entirely. How stuff works. Also spoke with Dr Mark Mardsen, the chief medical officer for Ascension St. Thomas Hospital in Nashville, Tennessee. He said, we just don't really have the resources and the staff to be able to handle these unlimited numbers of patients. Every hospital in the city essentially has been on almost continuous diversion for the last several weeks. When every hospital is

on diversion, it means that effectively, none of them are. Unfortunately, folks still need urgent care outside of COVID nineteen. On top of the virus, doctors must contend with the usual number of strokes, heart attacks, car accidents, and other agencies. With too few beds to go around, these patients might

not receive the care they need in time. In late July, a twelve year old boy nearly died when his appendix burst while waiting for more than six hours in a Florida emergency room, and in August, US Army veteran Daniel Wilkinson did die of gallstone pancreasis, a treatable issue, while his Texas doctors scrambled to find him a bed. It's

been eighteen months since the coronavirus pandemic hit the US. Doctors, nurses, and hospital staff around the country have been working tirelessly, putting their own lives on the line in order to save others. Now many are physically and emotionally exhausted. Martsen said, everybody's tired. Everybody's sad because so many people are dying. So much of this is preventable, which is frustrating healthcare providers.

Today's episode is based on the article is your hospital divert ambulances because of COVID nineteen on house to works dot com, written by Joanna Thompson. Brain Stuff is production of iHeart Radio in partnership with how stuff works dot Com, and it is produced by Tyler Clang. For more podcasts my heart Radio, visit the heart Radio app, Apple Podcasts, or wherever you listen to your favorite shows.

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