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  • It's a scenario they may have to face one.

  • A patient who's had a cardiac arrest and who may have Corona virus.

  • Great, well done.

  • So that's one cycle of CPR done.

  • Crash team in one room.

  • That's it.

  • So that's going into the bin now training in personal protective equipment in another.

  • They are brain surgeons, A any nurses and in a neighboring theater.

  • Denise Thatis here being shown how to intubate a cove, it 19 patient while minimizing their exposure to infection.

  • They'll be using more protective masks when it comes to it, but for now they need to preserve stocks.

  • This is one of the highest risk areas that we have to do.

  • We're close to the mouth, which is where the virus could be.

  • So you'll see the team a training hugely at this particular procedure to be safe on dhe.

  • Keep the patients safe.

  • What did it feel like to be intimidating in that team scenario and with all the peopIe kill people wasn't isn't because I thought it was gonna need to wear and especially the glasses where sat down and talked it through.

  • Okay, go dawning.

  • Wait.

  • We'll do golfing now and then we'll do it again.

  • In two weeks, 600 staff will be trained like this in this Cardiff hospital alone.

  • Whales, his biggest critical care team, is about to get much bigger.

  • All right, this isn't going to be over in the next few weeks.

  • This is a minimum of 6 to 9 months, up to 12 months on Dhe.

  • It's going to be really exhausting.

  • If we don't pace ourselves, how would you sum up?

  • What's what's going on here right now?

  • It's unique.

  • It's difficult, It's energizing.

  • It's worrisome.

  • But it's also something that intensive care was made for.

  • Are you scared by what the next few months might hold?

  • I think we always have an out to facade of common intensive care.

  • We arrive at scary situations.

  • We try to instill calm in a sea of chaos, and I think that's what we're doing.

  • We put in on that facade of calm, which helps.

  • It makes a big difference, but although I'm a doctor, I'm also a dad, has burned the sun and so the things which concerned me are not what we do in the hospital here.

  • That's my job.

  • I know how to do it It's the things that happen elsewhere, actually, to those who are elderly, frail, vulnerable, all with serious underlying health conditions, we have not forgotten about you.

  • It must be so.

  • Matt Morgan wrote an open letter for the British Medical Journal recently inspired in part by thoughts of his parents who fall into the more vulnerable Corona virus categories.

  • The checklist is purposely designed to be used as a daily ward round, but there are and as he now help circulate covert 19 critical care video training to other intensive care units.

  • His colleague Julie Hi Field, the unit's clinical psychologist, is focusing on how to manage the personal toll this could have on frontline health workers.

  • We've heard accounts from Italy of staff having to make terrible decisions over who to prioritize the ventilation.

  • If that is the truth of the situation, Do you think that could happen here in your hospital?

  • And if so, had you a quip, you'll team psychologically for a scenario like that, I think the reality is, is how how can you prepare psychologically for something like that, other than to know that it's a risk?

  • I think it's important to know that no matter how much we might limit the health.

  • However, we're always here giving the care to the best of our abilities on.

  • That's that.

  • That's the moral check when you come back to it at the end of the day.

  • Did I do the best I can with what I have on?

  • Did I do it with compassion and care?

  • Everyone can feel the emotions in that.

  • Yeah, this may be a reality.

  • It hopefully won't be.

  • But this is something that we have to consider going forward.

  • Planning for worst case scenarios while they have time.

  • Julie Hi.

  • Field staff Wellbeing Guidance is now being shared across the UK.

  • They are also planning on how best to support families of those admitted.

  • It's gonna be hugely difficult for families whose loved ones are gonna be in critical care units because presumably that getting close to them is gonna be difficult.

  • There are some options that we are enabling at the moment, which is family being able to be trained and supervised in personal protective equipment for those end of life situations.

  • But the reality is is that we're no goingto have lots of opportunities to do that are lots off equipment spare to do that and also patients.

  • Families might be frightened of doing that as a while.

  • So they're gonna be tourney.

  • Do I go in and say goodbye on field slightly at risk myself, or do I miss that opportunity?

  • That's that's gonna be really tricky for them.

  • I mean, it's extraordinary that thes issues are now being considered in this way.

  • Absolutely, absolutely.

  • We have an idea about creating a family liaison team in our unit because what we're hoping to enable is virtual visits.

  • Eso being able to kind of Skype facetime instead because it takes away the peopIe.

  • But humans need touch, and that's gonna be hard.

  • I think my message is that we're doing all we can.

  • We will be there for you no matter what.

  • Listen to the science.

  • Listen to the advice from experts sciences and perfect.

  • It doesn't give us a ll the answers, but it's the best thing we have.

  • And so the covert 19 training continues apace soon, no doubt to be rapidly implemented is the number of deaths linked to this virus continues to rise.

  • We're joining me now.

  • Our rush on a median who's an n HS surgeon and Chris Hops and whose chief executive of N hs providers the body which represents hospital trust on foundations Chris hops.

  • And first, when you take together the lack of ventilators, the lack all those promised of protective clothing masks and so on on DDE belatedly ramping up the testing.

  • But not enough is the n.

  • H s ready for this crisis that is underway now, so we know that there's going to be a big challenge here.

  • But the n hs, we have 1.2 million staff who are a ll rallying round to make the preparations that are required.

  • We know, for example, on ventilator capacity will be able to go, we think from 8000 ventilators, 12,000 ventilators.

  • We started off with 1500 tests today.

  • You have the prime Minister say that we're now targeting 25,000 tests.

  • Today we're looking at increasing the number off intensive care beds.

  • Seven fold is what we're targeting.

  • So the n.

  • H.

  • S is doing all of the preparations that you would expect it to.

  • We have the advantage of the fact that we are unlike in Italy, where it seemed to descend very quickly and be geographically concentrated.

  • We have had the advantage of being able to see how others have experienced this, and we've had the chance to prepare.

  • And despite that advantage and the time to prepare, we're hearing reports that London paramedics are having their masks rationed.

  • Only one in a team of two.

  • That's unacceptable.

  • So nothing could be more ensuring the safety off our frontline staff, on whom we are going to rely so heavily over the next few weeks.

  • You think they are, say, asking Stan tonight on unclear Lee.

  • We see there is a level of anxiety amongst staff about access to personal protection equipment.

  • That's completely understandable, that interesting so effectively, we know because we've had conversations today with the national team looking after peopIe that there are protecting, claiming that there are sufficient national stocks.

  • However, there is some lumpy distribution because effectively orders for peopIe for personal protection equipment gone through the roof on the logistics and taking the time to catch up.

  • But let me work that they will catch up.

  • Let me put that to rest on a muddy, and do you feel that you are protected, that you have the right protective clothing and master.

  • So I think it depends on what's what part of the health service you're in.

  • I'm I'm hearing different reports from different colleagues and friends.

  • Um, I have some colleagues, for instance, in the community GPS who feel upset because they've been given what seems to be out of date equipment.

  • They peel back labels and found different dates on them, although there have been then reassured that those have been tested on dhe seem to be okay.

  • They didn't have visors on their mosques with which they've been told.

  • You know, that's what What's that?

  • That's what they need.

  • So GPS air facing one problem alternatively, in the hospitals of colleagues who don't have masking are seeing covered patients very frequently.

  • One of them called me yesterday.

  • Do you know where I could get an F P P three mask from?

  • I'll buy them myself on the black market.

  • So you know, some some of this is, as you say in Logistical challenge.

  • We know that it's coming.

  • We've been reassured that it's coming, but we're trying to help.

  • The population were trying to help other people's families, and we need to feel that we're going to be looked after as well.

  • How do you respond to what you just heard that?

  • Well, I completely agree.

  • So when we talk to our trust chief executives, as we've been doing over the last 48 hours, what they've got absolutely top of their list is the security and health and well being of their staff.

  • Because clearly, if our staff aren't reassured that they've got the equipment that they need then then Andi also they get ill unnecessarily.

  • We're not gonna have the number of stuff that we need.

  • So let me just assure you this is absolutely at the top hole.

  • The list of priorities for both trust leaders that we represent, but also national leaders.

  • And there is a huge amount of work being done on just to reinforce the point we have been told really clearly there are sufficient national stocks off the required equipment.

  • We just need to let the logistical distribution chain catch up because of the amount of orders that have come in.

  • As you would expect that when you hear about, you know, not having the correct visors out of date equipment.

  • Well, so only out of date equipment again.

  • We know that to maximize that stocks, we have gone back and public health England have tested that equipment, and we know that it's safe.

  • So very good to see you are using out of the way we're losing.

  • We're using equipment.

  • That PhD public health thing that have tested and say is appropriate for use.

  • I mean, the vices one I had to chief executives today who said they are nervous about the fact that they are potentially going to run out advisers in the next 24 48 hours.

  • But when we then talked to the national team, they said there is no problem in terms of there are plenty of national stocks.

  • We clearly just need to rush on order to you.

  • So all I'm saying is I'm just relying on the information that we've been given is we recognize this is really important because we have to reassure our frontline staff.

  • But all I'm saying is there are sufficient national stocks.

  • Russian, Marianne doof and your colleagues feel fearful that you're you're at risk.

  • I think that goes without saying really.

  • I think you know, it's not just doctors and nurses.

  • Everyone's fearful of the movement on, obviously, doctors and nurses and health care workers air in harm's way.

  • But, you know, that's this is what we've trained for on dhe.

  • You know, we're gonna do our jobs, and we're gonna look after people.

  • But we just need we need to be looked after two in order to be able to do our job.

  • So, you know, I think what's important is communication, and we're hearing now that we do have the stocks, it's gonna take time to get them to us.

  • Well, that's reassuring to hear.

  • I'm sure everybody is incredibly grateful for the hard work you're doing.

  • Thanks both very much for coming to this, Judy.

It's a scenario they may have to face one.

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B1 中級 新型コロナウイルス 新型肺炎 COVID-19

NHSの準備はできていますか?コロナウイルスと戦うウェールズの集中治療室の内部 (Is the NHS ready? Inside the Welsh intensive care unit fighting coronavirus)

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    林宜悉 に公開 2021 年 01 月 14 日
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