posted on Oct, 15 2014 @ 06:48 AM
a reply to: rustydog
I should have pointed out i dont work in America, im Australian however most of our guidelines come from you guys... unfortunately for you its less
trial and error then it is a baptism by fire. Im happy to talk about CDC procedures but keep in mind that it might not be entirely correct.
It boils down to as you say unpreparedness and unfortunately there are going to be problems that are unforeseen and will only be identified and solved
once they happen. Consider that in the US like most western countries there is a generation of Doctors and Nurses who entered the profession without
ever considering the risk that infectious disease like this would be a reality for them.This is the rocky ride you are on while everyone finds their
Currently i think there is an issue around PPE and was is appropriate. The recommended PPE is sufficient to stop Ebola transmission. However i know
there is talk in my area that we should use above what is needed.. this has both its pros and cons. For the time being i suspect that PPE will stay
the same until either there is evidence to suggest its not working or if health unions simply refuse to work unless given different gear.
Everyday there are discussions about what is happening and why, its a slow and frustrating process. I received case notes from the Dallas case only
this week and we have started going through them to see what you guys have done and how we can do it better. I suspect that it was is happening all
over the US, as cases come and problems happen so to will solutions. I have complete confidence in your healthcare sector to get it under control.
Speaking broadly the situation in Africa is out of control but not because we dont know the solution, it is simply a logistical nightmare to deal
with.. they need man power and until that happens its going to continue to get worse.
Edit: I think something that will come out of the investigation into the nurse contracting Ebola will be why the treating team had him on dialysis and
was intubated, these are aerosol generating procedures and considered high risk. Im not sure what your guideline in US is regarding AGPs (will look
into it tomorrow) but here is Aus it basically comes down to senior doctor to weigh the risk of patient dying because they didnt receive the procedure
and the risk of the dying from Ebola.. It certainly not encouraged that AGPs would take place unless the hospital is fully equipped for that level of
safety, which the Dallas hospital wasnt.
edit on 15-10-2014 by D4rcyJones because: Dallas problem