"El Gran Magnifico"
Mr Flibble is Very Cross.
*wander
(Sorry, it just gives me something to do)
The IHME model says it's intended for US Hospital systems and governments. But we could speculate that a state model for beds, isn't going to help a rural hospital figure out what they need vs a suburban hospital vs an urban hospital. That makes me think that there is another calculation, that this model doesn't show, where a state number can be used to model down to a more specific case. Something that hospital administrators are comfortable and familiar with using. Take something a little different, structural engineering. If you need something to perform well at 200,000 pounds, you don't design for 200,000 pounds, but some higher over-engineered number. Perhaps, a higher than actual state number as a starting point, can help guarantee that when some local hospital projects their individual needs, they will have enough?I read an article with some of the people at Ohio State that are working on one of the models being used by the governors here. They were pretty candid that the models are future predictions based on lagging data that is isn't of the highest quality - so you aren't going to have great predictions. (I wouldn't even disagree with your "random number generator" comment!) Everyone is certainly trying to err on the side of caution. It's better to have empty hospital beds than not enough.
As I quoted 100+ pages ago "All models are wrong, but some are useful". Hopefully these are at least somewhat useful.
That's good too know! Last time I went to wmart I was told to stand apart in checkout.Walmart will begin limiting shoppers allowed in store.
Walmart now limiting how many shoppers can enter stores as part of coronavirus response
Walmart is limiting the number of shoppers allowed in stores as part of its response to the coronavirus pandemic to promote social distancing.www.usatoday.com
pre-screening for sickness? I think one of the issues is people can be infected and show no symptoms for days. I think when the parks re-open it may be under a mandate that people wear masks among other restrictions. I don’t know how that would go over and wearing a mask in the summer heat is not ideal but extreme times call for extreme measures. I know we don’t know everything yet about anti-bodies and immunity for people once they are infected and have recovered, but it’s possible they could allow a person who tests positive for antibodies and so is immune to not wear the mask. How you handle that logistically I don’t know. They were issuing color coded cards at one point in China. I think a lot of these discussions are probably going on all over the place right now from theme parks to concert venues to sports teams to large churches. Things will be different once we come out of this.I'm beginning to dream about the parks nightly know and their opening. I guess I can't help it
Maybe this has been discussed already but I wonder if it would help to do prescreening? Anyone who has a ticket or magic band and wants to enter the park must first fill out and sign a waiver. To be done at check-in and point of ticket purchase. This can be tied to the bands and tickets in order to allow entry.
Perhaps that's not a feasible idea? But just came to mind as an extra layer of caution.
That's a good point. Dealing with everything going on is tough, but one thing we do is starting and driving our cars just to get the fluids lubricated. Cars sitting for long periods of time is not recommended.I filled both my trucks up a month ago and they are still full I may have to put gas stabilizer in the tanks if this goes on much longer the gas may go bad
I sure hope so my sister and brother in law are in Palm Beach county and both are in the high risk group for age and medical issuesOn the "glimmer of hope" front it seems like the curve for Florida may be starting to flatten. Broward and Palm Beach Counties look like they definitely have. Finally the two counties can have something good in common!
I'm beginning to dream about the parks nightly know and their opening. I guess I can't help it
Maybe this has been discussed already but I wonder if it would help to do prescreening? Anyone who has a ticket or magic band and wants to enter the park must first fill out and sign a waiver. To be done at check-in and point of ticket purchase. This can be tied to the bands and tickets in order to allow entry.
Perhaps that's not a feasible idea? But just came to mind as an extra layer of caution.
That was me, and I still stand by it after reading the article. Paramedics preform the exact care a physician can when treating cardiac arrest. They follow the same ACLS algorithm. California is one of the most restrictive states when it comes to what a paramedic can do in the field...or at least they used to be. Some states have been practicing what California just established for years and allowing paramedics to “stay and play” on scene due to the medical functions they can perform.I think a few ("a couple 25 pages") back somebody mentioned that this would have no impact on anyone with any other serious/life threatening condition that were seeking medical attention. New York made this type of announcement a few day ago. Now LA does something similar.
L.A. County tells paramedics to delay transporting cardiac patients amid coronavirus
The aim is to keep people who are likely to die out of hospitals, which are expected to be overwhelmed soon with coronavirus patients as the pandemic worsens.www.latimes.com
Walmart will begin limiting shoppers allowed in store.
Walmart now limiting how many shoppers can enter stores as part of coronavirus response
Walmart is limiting the number of shoppers allowed in stores as part of its response to the coronavirus pandemic to promote social distancing.www.usatoday.com
We are doing our share. People are staying home.On the "glimmer of hope" front it seems like the curve for Florida may be starting to flatten. Broward and Palm Beach Counties look like they definitely have. Finally the two counties can have something good in common!
That was me, and I still stand by it after reading the article. Paramedics preform the exact care a physician can when treating cardiac arrest. They follow the same ACLS algorithm. California is one of the most restrictive states when it comes to what a paramedic can do in the field...or at least they used to be. Some states have been practicing what California just established for years and allowing paramedics to “stay and play” on scene due to the medical functions they can perform.
Which that article didn’t address.Right. But we weren't talking about care being rendered by a Paramedic. I was talking more about the inability for an ER/Hospital to properly care for other emergencies that came through the door.
That could work. If testing is widely available I would also think they might require periodic tests for CMs too. Maybe daily if enough tests are available. Then you know CMs aren’t infecting tourists and if you test tourists at check-in then you know they aren‘t infecting each other or CMs. Lots of stuff will change. This stuff was pretty much unimaginable a month ago, but may become the new norm, at least temporarily.If they restrict the opening to on site guests only they could administer the Abbot fast test upon check in and prevent the bottleneck getting into the parks. Granted the parks would not be at full capacity but initially wouldn't that be best
The IHME model says it's intended for US Hospital systems and governments. But we could speculate that a state model for beds, isn't going to help a rural hospital figure out what they need vs a suburban hospital vs an urban hospital. That makes me think that there is another calculation, that this model doesn't show, where a state number can be used to model down to a more specific case. Something that hospital administrators are comfortable and familiar with using. Take something a little different, structural engineering. If you need something to perform well at 200,000 pounds, you don't design for 200,000 pounds, but some higher over-engineered number. Perhaps, a higher than actual state number as a starting point, can help guarantee that when some local hospital projects their individual needs, they will have enough?
What's interesting is that some east coast areas are using a different model, called CHIME, which is being done by the University of Pennsylvania. That model is even more aggressive about predicting hospitalizations and equipment. I have seen where all of this angst about hospital bed estimations being wrong is coming from, so if they freak out about IHME, then they should be completely apoplectic about the CHIME modeling. While it is great that so much data & modeling is available, we have to remember it's not designed for a bunch of Disney nerds, or other lay people. There is a Washington Post article about the different models, and why DC is using CHIME.
“We pray it’s wrong. We do,” Bowser said. “But we are looking at all of the modeling, and we don’t think one that says we don’t need any additional beds is a model that would be safe preparation for the residents of the District of Columbia.”
Like building a structure, communities can't afford to be wrong, and underestimate their needs. They will choose to over-engineer the system.
If they restrict the opening to on site guests only they could administer the Abbot fast test upon check in and prevent the bottleneck getting into the parks. Granted the parks would not be at full capacity but initially wouldn't that be best
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