Australian Reports of the Virus Spread

[SydneySwan]

I know of the network and bed base for ICU, and the inter-hospital retrieval system I was just wondering how the model could account for soaring cases come out of places other than the 12 LGAs and at the same time as their cases are rising.

We have I think 4-6 weeks when the STEP plan is in the Black/ Overwhelmed with just cases arising from the LGAs in that model.

It’s going to be an interesting few months for those of us at the coal face that’s for sure.

When Italy was experiencing its first wave there were a number of patients airlifted from Italy to Germany and possibly Austria as Italy had run out of ICU beds. Do you know if there any plans for any evacuations interstate to Queensland or South Australia? Or does the 'Queensland hospitals are for Queenslanders' mantra trump everything?

 

[Pushka]

When Italy was experiencing its first wave there were a number of patients airlifted from Italy to Germany and possibly Austria as Italy had run out of ICU beds. Do you know if there any plans for any evacuations interstate to Queensland or South Australia? Or does the 'Queensland hospitals are for Queenslanders' mantra trump everything?

SA has one lady in the RAH from Broken Hill in need of IC. She has been here for maybe two weeks now?

 

[drron]

During my locum career twice when working in QLD hospitals I have had to transfer a patient needing ICU to NSW.Not personally a coordinator in Brisbane has arranged it.So interstate transfers can happen.
However it was before QLD hospitals were limited to Queenslanders.

 

[kpc]

It’s going to be an interesting few months for those of us at the coal face that’s for sure.

I wouldn't use the term "interesting"....any profanity term would be more accurate. Over the WE my hospital took over 30 Covid +ve patients from a Western suburbs hospital and the wheels almost fell off!

 

[Princess Fiona]

When Italy was experiencing its first wave there were a number of patients airlifted from Italy to Germany and possibly Austria as Italy had run out of ICU beds. Do you know if there any plans for any evacuations interstate to Queensland or South Australia? Or does the 'Queensland hospitals are for Queenslanders' mantra trump everything?

The NSW plan that I have seen does not IIRC include interstate retrieval out with those patients who ordinarily cross state borders for medical reasons (proximity etc)

 

[teammongo]

It would have to be very bad times if NSW had to transfer.

NSW is by far the best resourced state - with 852 staffed ICU beds (current as of today) with 333 tertiary 126 metro 157 regional 197 private and 45 paediatric.
Twice that of Vic - 410 staffed, 145 tertiary, 72 metro, 55 regional, 112 private, 26 paedatric.
Twice that of QLD - 374 staffed, 120 tertiary, 30 metro, 51 regional, 139 private, 34 paedatric.
SA - 170 staffed, 70 tertiary, 16 metro, 0 regional, 77 private, 7 paedatric.

I wouldn't rule it out but it would take major logistics if overwhelmed - with multipatient airlifts making more sense. Probably would require RAAF input. I think the C17 can take 6 ICU patients.


Edit - have confirmed from my RAAF colleagues, RAAF C17 can be configured for 3 maybe 4 ventilated patients.

TM

 

[HappyFlyerFamily]

It would have to be very bad times if NSW had to transfer.

NSW is by far the best resourced state - with 852 staffed ICU beds (current as of today) with 333 tertiary 126 metro 157 regional 197 private and 45 paediatric.
Twice that of Vic - 410 staffed, 145 tertiary, 72 metro, 55 regional, 112 private, 26 paedatric.
Twice that of QLD - 374 staffed, 120 tertiary, 30 metro, 51 regional, 139 private, 34 paedatric.
SA - 170 staffed, 70 tertiary, 16 metro, 0 regional, 77 private, 7 paedatric.

I wouldn't rule it out but it would take major logistics if overwhelmed - with multipatient airlifts making more sense. Probably would require RAAF input. I think the C17 can take 6 ICU patients.


Edit - have confirmed from my RAAF colleagues, RAAF C17 can be configured for 3 maybe 4 ventilated patients.

TM

Do you have the detailed info of the NSW surge ICU beds?

 

[Princess Fiona]

In the words of GB “Please know” the NSW medics on here are rightfully a bit anxious about the weeks, months ahead but I’m confident that we will get through this. Service may not be business as usual but it will be maintained.

 

[teammongo]

I can't comment on the NSW detailed plan, as I am not based in NSW. But I would think it would be very similar to other states plans.

Essentially an over arching plan by state government of defined stages, to guide local health districts. Local health districts would self organise resources, and identify needs and threats, and hopefully attend to them. Hospitals would develop localised plans of staffing and equipment.

IF NSW is anything like where I work, there is lots of equipment. Thats the only thing that governments can provide quickly. The workforce is and will always be the hard bit.

 

[Must...Fly!]

This feels pretty gross. I understand the point they're trying to make, but, ugh... Just don't feel comfortable with government control of this nature.

NSW Health on Instagram: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a r

5,059 likes, 481 comments - newsouthwaleshealth on September 5, 2021: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a...

www.instagram.com

 

[Pom-DownUnder]

This feels pretty gross. I understand the point they're trying to make, but, ugh... Just don't feel comfortable with government control of this nature.

NSW Health on Instagram: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a r

5,059 likes, 481 comments - newsouthwaleshealth on September 5, 2021: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a...

www.instagram.com

yes there is certainly some distasteful activity going on, Dan's speech yesterday effectively advocating for a medical apartheid feels a bit too strong imo. i'm certainly pro vax but i think there is much better ways to reach the end goal

 

[SydneySwan]

This feels pretty gross. I understand the point they're trying to make, but, ugh... Just don't feel comfortable with government control of this nature.

NSW Health on Instagram: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a r

5,059 likes, 481 comments - newsouthwaleshealth on September 5, 2021: "Compassionate reasons does NOT include meeting up with a stranger you’ve met on a dating app 🍑 📱 Keep your dates online and spread love, not COVID. Compassionate reasons DOES include: 👇 ✅ visiting a person you are in a...

www.instagram.com

Seems like we are heading towards 1984.

 

[Must...Fly!]

Seems like we are heading towards 1984.

Victoria did the same sort of thing last year, it's just really ill advised public messaging. Everyone knows the restrictions and everyone knows people will find ways around them/ignore them for all sorts of reasons.

 

[OATEK]

NSW cases 1220, deaths 8

 

[burmans]

Liking those numbers from NSW, trend is definitely showing we are close to a peak in case numbers. Of course, caveat, we can still get idiots roaming the community leading to a superspreading event!.

 

[HappyFlyerFamily]

Liking those numbers from NSW, trend is definitely showing we are close to a peak in case numbers. Of course, caveat, we can still get idiots roaming the community leading to a superspreading event!.

80+% first dose in Blacktown, which was one of the big three blocks of cases in recent times, will hopefully start chipping the numbers down to size.

Edit: ABC (Casey Briggs) just showed a graphic showing the 7 day average in LGAs of concern starting to tilt down (Casey Briggs did not call it a peak) but other LGAs still going up - so spillage going up perhaps.

 

[N860CR]

Of course, caveat, we can still get idiots roaming the community leading to a superspreading event!.

We really need to drop this “idiot” mantra. At some point, we’re moving on from this and we really need to change our approach to each other. Are they out robbing houses? Raping women? Stabbing babies? No, these “idiots” are going for a walk, or commiting the horrific act of stopping and talking to someone rather than covering their face and screaming “get away from me uncle Steve!!!”.

As I’ve said from the beginning, our whole Covid approach is the ultimate house of cards. If it’s undone by somebody having a chat with their mum then it simply was never going to work. Our anger should be on the governments who allowed this to happen 18 months into a pandemic. Not the individuals who are suffering through the most draconian restrictions on the planet.

It’s scary how controlled the population has become. Government stuffs up, and the voter base attacks people for being “idiots” for stepping outside of the very narrow box.

 

[jakeseven7]

Liking those numbers from NSW, trend is definitely showing we are close to a peak in case numbers. Of course, caveat, we can still get idiots roaming the community leading to a superspreading event!.

But how long do they want them to come down before they let them go back up again? Has that even been discussed? I wish they’d wean people off these case numbers now… Maybe they are planning to soon…

 

[HappyFlyerFamily]

But how long do they want them to come down before they let them go back up again? Has that even been discussed? I wish they’d wean people off these case numbers now… Maybe they are planning to soon…

I think the NSW authorities don't care about the numbers per se.

I think most of the relaxations will be based on % double dosed, or perhaps fully effective after double dose.

(edit: but having said that I think a two-tier approach might exist past 80% double dose until the figure in an LGA drops below a pre-determined per capita figure for a week)

 

[burmans]

We really need to drop this “idiot” mantra. At some point, we’re moving on from this and we really need to change our approach to each other. Are they out robbing houses? Raping women? Stabbing babies? No, these “idiots” are going for a walk, or commiting the horrific act of stopping and talking to someone rather than covering their face and screaming “get away from me uncle Steve!!!”.

As I’ve said from the beginning, our whole Covid approach is the ultimate house of cards. If it’s undone by somebody having a chat with their mum then it simply was never going to work. Our anger should be on the governments who allowed this to happen 18 months into a pandemic. Not the individuals who are suffering through the most draconian restrictions on the planet.

It’s scary how controlled the population has become. Government stuffs up, and the voter base attacks people for being “idiots” for stepping outside of the very narrow box.

Yeah, well I wasn't referring to the situations you describe, I'd agree that going for a walk (which is allowed anyway) or stopping for a chat probably not a problem. But groups of 30+ gathering together particularly unmasked and circulating does fit that category of idiots to me, particularly if thee attendees don't belief in mask wearing and then go around other sites.