LA: Ambulance crews to not transport patients with little chance of survival • Hacker News Board

Re: LA: Ambulance crews to not transport patients with little chance of survival

#121

Post by labster » Tue, Jan 05, 2021, 9:19 AM UTC

WrtCdEvrydy wrote: post #119

Cthulhu_ wrote: post #92

Earlier quoted context omitted.

You'd think they would test systems like that at maximum consumption. Mind you, electricity and water systems are also not designed for every outlet to be maxed out. Whomst among us hasn't caused a breaker to trip from having too much stuff on at the same time.

Why would you? There's almost no cases where you would need oxygen to every room...

I doubt they tested for the case where they needed oxygen for the patients in the conference rooms and gift shop, either. It’s not like they can order more rooms on AWS; physical infrastructure has a breaking point and LA hospitals hit it.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#122

Post by covid21 » Tue, Jan 05, 2021, 9:25 AM UTC

Is there a site that shows statistics (over time) of hospital capacity over time in LA?

It sounds to me like one of the typical articles that tries to induce panic without actually providing much information or context.

Whenever I see such articles here in Germany, I go to the official statistics for ICUs, and inevitably it always turns out to be bullshit.

Some of the things that are hyped to be a consequence of Covid also turn out to be seasonal, even shortage of oxygen does not seem to be unusual.

This is the German site I refer to: https://www.intensivregister.de/#/aktuelle-lage/zeitreihen

Re: LA: Ambulance crews to not transport patients with little chance of survival

#123

Post by covid21 » Tue, Jan 05, 2021, 9:27 AM UTC

free652 wrote: post #77

baskire wrote: post #48

Earlier quoted context omitted.

I’m curious if covid will finally change the liberal belief that being morbidly obese is ok and shouldn’t be viewed similar to smoking. Our food policies have failed us. Like honestly allowing a single serving of food/drink to have multiple “servings” on their labels is crazy. A single hot-bun is 1 serving not 2.5

Liberal? Why throw politics into this? I am going to bet that conservatives are fatter on average than liberals.

Why?

Re: LA: Ambulance crews to not transport patients with little chance of survival

#124

Post by throw473388 » Tue, Jan 05, 2021, 9:31 AM UTC

VBprogrammer wrote: post #120

adrianN wrote: post #93

Earlier quoted context omitted.

How strong is the data that body shaming doesn't help people get in shape?

I know your comment is coming from the right place here but it reads to me like "how strong is the evidence that straight conversion doesn't work for homosexually?". I think these is some merit to the arguement that we should treat obese people (in the interest of full disclosure I'm usually in the overweight category by BMI) in the same way we treat smokers. Reduce temptation, avoid glamourising unhealthy foods, rem…

Contries with lower obesity acceptance have much lower obesity rate. Compare US & UK to rest of the world.

Comparing yourself to gays is just #&#+$+

Re: LA: Ambulance crews to not transport patients with little chance of survival

#125

Post by JCharante » Tue, Jan 05, 2021, 9:36 AM UTC

VBprogrammer wrote: post #120

adrianN wrote: post #93

Earlier quoted context omitted.

How strong is the data that body shaming doesn't help people get in shape?

I know your comment is coming from the right place here but it reads to me like "how strong is the evidence that straight conversion doesn't work for homosexually?". I think these is some merit to the arguement that we should treat obese people (in the interest of full disclosure I'm usually in the overweight category by BMI) in the same way we treat smokers. Reduce temptation, avoid glamourising unhealthy foods, rem…

> Fat shaming is like going up to each smoker you see on the street and screaming "eww that stinks" in their face.

I'm not pro fat shaming, but spending time in East Asia and getting called fat publicly (even by close friends, but especially strangers) has led to lifestyle choices that have me down 50 lbs from when I first came. I saw that society here (in this unspecified country, not trying to make a blanket statement about East Asia) views fatness very differently, and that I needed to assimulate.

Being fat in the US, where I grew up, is viewed very differently and is normalized.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#126

Post by adrianN » Tue, Jan 05, 2021, 9:43 AM UTC

VBprogrammer wrote: post #120

adrianN wrote: post #93

Earlier quoted context omitted.

How strong is the data that body shaming doesn't help people get in shape?

I know your comment is coming from the right place here but it reads to me like "how strong is the evidence that straight conversion doesn't work for homosexually?". I think these is some merit to the arguement that we should treat obese people (in the interest of full disclosure I'm usually in the overweight category by BMI) in the same way we treat smokers. Reduce temptation, avoid glamourising unhealthy foods, rem…

I'm also in favor of being excellent to each other.

I think discussing this topic is quite difficult because there is no agreed upon definition of "fat shaming". I'm pretty sure that there are people who would count any measures to reduce obesity as fat shaming (i.e. "cancelling fat culture" or something ridiculous like that), and the discussion tends to get emotional very quickly.

I think we have fairly strong evidence that gay shaming doesn't make people less gay (there are homosexuals even in places where that carries the death penalty). I don't think we have equally strong evidence that telling people they'd look better and reduce their risk for cardiovascular disease if they lost weight doesn't help (at least some of them) to actually do it. At least I'm not aware of any and I believe the confounding variables with anything related to nutrition are so numerous that gathering solid data is extremely difficult.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#127

Post by crx07 » Tue, Jan 05, 2021, 9:43 AM UTC

tsjq wrote: post #117

cameldrv wrote: post #82

Earlier quoted context omitted.

The real issue IMO was that the lockdown wasn't strict enough, or enforced. Many, many stores were open, many workplaces were deemed essential, masks were not generally worn in the first phase of the lockdowns, and while indoor dining at restaurants was closed, indoor dining at your friend's house was wide open. The three places that I know of that have gotten cases to zero are China, New Zealand, and Australia, and…

Interesting points indeed. On the other hand, India had a hard lockdown for 6-8 weeks, and yet the numbers zoomed up weeks after that. And now, the numbers are magically going down despite absolute carelessness widespread. Inexplicable

The numbers start going down quickly once infections have been so prolific that crowd immunity is present.

I live in Texas, but I'm sure I personally infected no fewer than 10,000-20,000 people last March, including the sorority that purportedly brought it back from Mexico during spring break. No doctor wanted to listen and no hospitals would test me even after I begged some of the best providers in the region. It wasn't until almost 9 months later that the mistake was acknowledged, and it's highly likely that community spread existed even in the US in November 2019 or even October 2019 just based on retrospective serology studies.

Places with poor hygiene controls like India have likely had far, far more infections than anyone even can imagine. That might be one of the first places to be immune.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#128

Post by DanBC » Tue, Jan 05, 2021, 9:49 AM UTC

stevegalla wrote: post #67

jchonphoenix wrote: post #20

Earlier quoted context omitted.

I'll point you to Hong Kong, Singapore, Shanghai, and Tokyo as counterexamples. All of those cities are 3-7x denser than LA, more populous, and culturally multigenerational. I think it's quite clear to anyone who's been paying attention at this point that behavior has more to do with containment than anything else. The US and perhaps LA in particular for some reason or another is unwilling or unable to implement the…

I suspect those 4 cities are doing more than just wearing masks. I’m having a hard time tracking down the interviews (I think it was Dr. Jim Yong Kim who said this), but there are two types of transmission between households and within households. Mask wearing, social distancing, quarantining, contact tracing, and some other measures can help to reduce between house transmission. However, you need to stop the within…

Here's a twitter thread about someone who lives in South Korea returning home from a trip abroad.

https://twitter.com/koryodynasty/status/1345210393715564544?...

People should wear masks, but there's so much more they need to do as well.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#129

Post by oasisbob » Tue, Jan 05, 2021, 9:51 AM UTC

saberdancer wrote: post #97

GavinMcG wrote: post #66

Earlier quoted context omitted.

In emergency medicine, you've got patients who are dead, and patients who are dead dead. Patients who are just dead might still be brought back. This isn't about them. Patients who are dead dead because they haven't responded to resuscitation efforts aren't going to be taken to the hospital, is all. And in a lot of places that's already the norm.

Isn't the instruction in fact to limit resuscitation efforts to in field? To take it to an extreme, if someone collapses and has a heart attack near a hospital, by this instruction they would have to revive the person (get a pulse/breathing) before transporting them to a hospital. It sounds very different to what normal procedure would be. I am assuming that usually they try to get the pulse back but that they can co…

Normal procedures for emergency cardiac care are going to vary depending on where you are in the world.

The general dichotomy is "stay and play" vs "scoop and run".

https://doi.org/10.1007/978-88-470-2215-7_31

Re: LA: Ambulance crews to not transport patients with little chance of survival

#130

Post by VBprogrammer » Tue, Jan 05, 2021, 9:51 AM UTC

JCharante wrote: post #125

VBprogrammer wrote: post #120

Earlier quoted context omitted.

I know your comment is coming from the right place here but it reads to me like "how strong is the evidence that straight conversion doesn't work for homosexually?". I think these is some merit to the arguement that we should treat obese people (in the interest of full disclosure I'm usually in the overweight category by BMI) in the same way we treat smokers. Reduce temptation, avoid glamourising unhealthy foods, rem…

> Fat shaming is like going up to each smoker you see on the street and screaming "eww that stinks" in their face. I'm not pro fat shaming, but spending time in East Asia and getting called fat publicly (even by close friends, but especially strangers) has led to lifestyle choices that have me down 50 lbs from when I first came. I saw that society here (in this unspecified country, not trying to make a blanket statem…

I accept your own experience but realise that this isn't necessarily the whole truth.

For example, in Canada I found myself accidentally ordering a large out of habit. What arrived was invariably more than I could eat. Easily one and a half times your daily calorie requirements in one meal.

In Spain I don't even remember a large being an option.