After the completion of the first wave in India, people are again getting back to their normal lifestyle by thinking that COVID is ended but it was not. People started roaming as normal days before COVID and they have forgotten to use masks, sanitizers, maintaining social distance and more people gathering in functions leads to multiple people affecting due to COVID. After the first wave, even the government didn’t take the precautions for the next wave and updating the medical facilities for the emergency case, even though we have a good medical facility in India but we don’t have the scalability to use it during the medical emergencies like present condition where many are suffering lack of oxygen availability, beds for covid patients, ventilators availability, and many medicines like Remdesivir, etc.
Though the Indian health care system is projected to be overwhelmed by an influx of patients infected with the novel coronavirus, the pressure on hospitals will vary dramatically across the country. That’s according to new data released by the Indian Medical Association, which for the first time gives a sense of which regions will be particularly stressed and should be preparing most aggressively right now.
5 things that explain why every hospital cannot be a Covid Care Centre.
1) All private and Govt hospitals don’t have an extreme facility like more number beds, the number of staff members in primary hospitals, and ward rooms is limited and only those essential to your care are present, unavailability of intensive care unit (ICU) and also ventilated beds for the COVID-19 patients those who are in extreme level condition facing by COVID-19 by a special department of a hospital or health care facility that provides intensive care medicine.
2) Hospitals should be maintained hygiene and cleanliness. It should have perfect ambulance facilities, oxygen availabilities, ventilators availability, and 24/7 availability of pharmacy. Where small clinics don’t have these facilities, though they are for minor injuries and minor problem consultants so they can’t admit and beds for COVID patients. So most of the time people seek beds for covid patients by contacting covid war room.
3) As small hospitals and clinics don’t have more beds, the infrastructure is made only for basic medicine, and in many cases, they cannot be treated for emergency cases due to lack of required facilities to treat and beds for covid patients. So hospitals nearby with oxygen and ventilator facility will be rare and if we need covid hospitals nearby, should contact covid war room and official government websites for covid beds near you.
4) Hospital’s emergency departments isolate patients who may have COVID-19 or infections from those with other emergent problems. The emergency staff wears personal protective equipment and places patients who may have COVID-19 in specially designated private rooms to ensure infections are not spread from person to person. Intensive care should be taken during these cases and Each patient’s room is fully cleaned and disinfected after each patient leaves.
5) If you need COVID beds near you, first you have to contact the COVID war room run by the corporations OR Rotary Clubs OR any authorized public services. Check the availability of COVID hospitals near you, and beds for COVID patients with the SRF ID & BU Number of COVID patients and also the hospitals nearby with oxygen and ventilator facility. Hospitals management should have to make sure that they have a good workforce like doctors, nurses, and staff members. There are many isolation centers but getting hospitals with ICU and ventilators has become a chasing challenge.
7 Steps to prevent the panic of ICU and Ventilators
1) COVID effect may remain up to 14 days or longer. There is no other way to infected person will get cured sooner especially if they are symptomatic.
2) There is no other possibility you can do that will cure the patient and getting okay within 3 or 5 or 7 days. Mainly make sure that the patient is hydrated, supported, comforted, and motivated by positive thoughts to fight against the disease. Give the body time.
3) As long as the oxygen level is above 90 without oxygen and about 85 with 2 – 5 L of oxygen without any other complications. If the patient is awake, oriented, knows, and identifies with whom they are talking to, not feeling restless, and saturation is not falling, then let them recover.
4) If the oxygen starts to fall, then mainly you have to start proning. It will be uncomfortable for some time, even wearing a mask continuously is feel uncomfortable but it is much better than dying. So please comfort and convince the patient to tolerate the prone position for as long as they can and to continuously wear an oxygen mask. If the oxygen is still falling they can try to increase the flow from 2L – 5L – 10L even 15L.
This will help the patient to increase the saturation level. With this, if it holding at 85 – 88 that is good. The patient may be in this state for 2 – 3 days. That is okay. This is a lung disease and the lung needs support to heal. Sometimes if they take off the mask to eat or drink water the O2 may drop but as soon as you put the oxygen back on it should go up.
5) Even if you are removing the oxygen for a few minutes the oxygen drops, now imagine transporting such a patient, making them walk, making them around in an ambulance, going on a stretcher, sometimes patients themselves walking. This can go on for 30 – 40 minutes or even hours. During this time the oxygen drops to 10 or 20 and if it says like that for so long the organs start shutting down.
So now you have successfully made a stable patient into critical and they need to be put on a ventilator even if they were better before.
6) So the best option is reassurance for most patients. If despite all this effort, the highest oxygen flow and medications, If the saturation is falling below 80 and not going up, then we can think of non-invasive ventilation as the next step. For most patients, this kind of support for few days will be enough to help them sail through. Again, NIV is not going to cure them in one day. You have to have patience.
7) If even with NIV saturation is falling below 70, the patient is restless or disoriented, or drowsy, and not responding, then there is a need for critical medical intervention including putting the patient on a ventilator. This happens only in a very small percentage of patients. And for that there is ICU.
Remdesivir availability in India.
Yes, During this critical condition Remdesivir is used as an emergency medication for COVID-19 patients who are in very serious condition. Due to the high demand, there is a scarcity of Remdesivir and few culprits started black marketing of Remdesivir also made fake Remdesivirs. the price of Remdesivir in the black market was 4 times higher than MRP.
But now if anyone requiring injection Remdesivir can get Rs 899/ in Govt authorized medical agencies against the black market price of Rs.4000 to 40,000.
You can purchase it directly from Pradhan Mantri Bhartiya Jan Aushadhi Kendra which is nearby to you.
Pradhan Mantri Jan Aushadhi Kendra is there in almost every city in India.
1) Patient’s Aadhar card
2) Covid positive report
3) ORIGINAL Doctors prescription
4) Aadhar card of the person taking medicine
For more info visit http://janaushadhi.gov.in/StoreDetails.aspx
Vaccination for above 18
Vaccination for 18 above has been already started and you can do registration through Aarogya Setu App or the website.
Steps to registration :
2) Register /Sign in yourself
3) Enter Mobile No
4) OTP No
5) Write Adhar No.
6) Name in Adhar
8) Year of Birth
Required details to get allotment of beds in covid war room :
1) Patient Name
5) SPO2 Level
6) Is Patient On Oxygen Cylinder
7) Searching Hospital Bed Since ?
8) Lists Of Hospital Visited
9) Covid Test Done/Not Done
10) Covid Test Result
11) Prefer Hospitals Govt/Pvt/Any
12) Attender Mobile.No
13) Relation To The Patient
14) SRF ID
15) BU Number
16) CT Scan
Preventative measures against COVID-19:
- Wash your hands regularly with soap and water, or clean them with an alcohol-based hand rub.
- Uses hand sanitizers regularly when you are away from your home.
- Maintain at least 1 meter or 6 ft social distance between people and stay away from the people coughing or sneezing.
- Avoid touching your face and cover your mouth and nose when coughing or sneezing.
- Use triple layer masks, surgical masks, or N95 masks during going out.
- Stay home if you feel unwell.
- Avoid unnecessary travel, attending unnecessary functions with large gatherings of people, and practice physical distancing.
- Refrain from smoking and other activities that weaken the lungs.
We all can fight together against the novel coronavirus and we can make a corona virus-free world.
STAY HOME, STAY SAFE, STAY STRONG INDIA.