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Ventilator 'rationing' beings in the UK amid coronavirus crisis

por Selene Fay (2020-04-13)


Ventilator ?? 'rationing' has begun in the UK as only patients with a 'reasonable certainty' of survival are to be put on the machines at a London hospital. 

The UK coronavirus death toll has risen by 209 in 24 hours from 1,019 to 1,228, as infections jumped by 2,483 to 19,522. 

Machines used to keep patients breathing are being restricted on medical grounds, not because of a lack of capacity, Imperial College Healthcare NHS Trust told the Daily Telegraph. 

The trust said that 'very poorly patients with coronavirus may need to be on a ventilator for extended periods', adding that 'for some patients this would not be in their best interests'. 

A senior consultant told the paper: 'As we learn more about the disease, we are being much more careful about which patients are being considered for critical care. In normal times we will give most people the benefit of the doubt. That has changed.'

'With this infection you need a couple of weeks on a ventilator, so with resources being used for such a long time, you have to be reasonably certain the person is going to get better. Delaying their death for two or three weeks is not the right thing for them or for society.'

But the medical director of the trust said 'clinicians at our trust are not making decisions about ventilating patients based on capacity considerations. Our trust currently has good capacity for patients requiring ventilation and already has plans in place to increase that capacity.'

An NHS spokesperson said: 'There are hundreds of critical care beds available in London and thousands in the rest of the country so any patient that would benefit can get the care they need.' 






Pictured: Medical staff with a patient at the back of an ambulance outside St Thomas's hospital as the spread of the coronavirus disease (COVID-19) continues in central London















Pictured: St Mary's Hospital in Paddington, which is run by Imperial College NHS Trust, which is reportedly only giving ventilators to patients who have a 'reasonable certainty' of surviving 







The UK coronavirus death toll has risen by 209 in 24 hours from 1,019 to 1,228. Pictured today: Ambulances at Guy's at St Thomas's Hospital in central London







The normally busy streets in Chinatown are completely deserted on Sunday as people choose to stay at home







Pictured: Breakspear crematorium in Ruislip, West London, has had 12 emergency mortuaries built on its site in preparation for the number of increasing deaths from the coronavirus 















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There are now 19,522 confirmed cases nationwide, up from 17,089 yesterday.  Today's increase in fatalities is the second biggest Britain has seen so far, but with 51 fewer deaths than yesterday, offering some hope that the figures are beginning to plateau.

The vast majority of cases and deaths were in England, with 190 dead aged between 39 and 105. All but four of them, aged between 57 and 87, had underlying health conditions. 

In Scotland, one more person has died of the virus, bringing their total to 41. In Northern Ireland there were six more COVID-19 deaths, making 21 in total and in Wales there were 10 further reported deaths, taking their total to 48. 

Professor Sir David Spiegelhalter, who chairs the Winton Centre for Risk and Evidence Communication, University of Cambridge, said: 'It may seem callous to say that 209 deaths is reassuring, but it breaks the run of 30% daily increases we have seen recently.

'But it is still too early to claim that the curve is beginning to flatten off. It is also important not to over-interpret counts for single days: delays in reporting can lead to the numbers varying far more than one would expect by chance alone. For example, one of the deaths reported today actually occurred 13 days ago.'

Eleanor Riley, Professor of Immunology and Infectious Disease, University of Edinburgh, said: 'It would be most unwise to infer any trend from a single day's data.

'Only when the epidemic has peaked - which is some time away - and we get sustained daily reductions in new cases and then sustained daily reductions in deaths, will we know that are beginning to get on top of the epidemic.'

The Republic of Ireland, meanwhile, saw a fatality rise of 10 today, bringing its total to 46. It recorded 200 new confirmed cases for a total of 2,615. 

It comes after a senior health chief warned that Britain must stay in total lockdown until June to properly prevent the full extent of the deadly coronavirus. 

Professor Neil Ferguson, the government's leading epidemiology adviser, said Britons would have to remain in their homes for nearly three months, and continue social distancing until October.

To try and ensure the effectiveness of the lockdown, the Government is spending approximately £5.8million on letters that will land on 30 million doorsteps along with a leaflet spelling out the Government's advice following much public confusion.

The letters and leaflets are the latest in a public information campaign from No 10 to convince people to stay at home, wash their hands and shield the most vulnerable from the disease. 

Today's figures, recorded between 5pm on Friday and 5pm on Saturday, come after a healthcare data company predicted more than 1.6million people in the UK could already have coronavirus.

The total number of deaths recorded today is 21 per cent higher than the equivalent figure yesterday. The day-on-day percentage increase yesterday was 34 per cent.

It took 16 days for the number of deaths in the UK to go from one to just over 200. It has taken a further eight days for the total to go from just over 200 to just over 1,200.

Meanwhile, the number of people in the UK who have been tested for coronavirus has now passed 125,000. The total as of 9am on March 29 was 127,737. On average, around 7,000 new tests a day were carried out in the seven days to 9am March 29.

In the previous seven days the daily average was around 5,400. The total number of confirmed cases of coronavirus in the UK now stands at 19,522, as of 9am March 29. One week ago, on March 22, the total stood at 5,683. 


In other coronavirus developments today: 



Britain's coronavirus death toll rocketed by 260 to 1,019 as the UK suffered its worst day yet and saw a huge spike in victims, 13 of which were found to have no underlying health conditions

Ministers and senior Downing Street officials have said China now faces a 'reckoning' over its handling of the outbreak and risks becoming a 'pariah state'. 

The true number of people infected with coronavirus in the UK could be as high as 1.6 million, with over half of those cases outside of London, analysis by health care data experts suggests.

Chancellor Rishi Sunak is the choice of voters to run the country if Boris Johnson becomes too ill, an exclusive poll for The Mail on Sunday has found.   

The British Red Cross said evictions of asylum seekers from Government accommodation are to be halted amid fears about the disease

Humberside, West Midlands, Greater Manchester, and Avon and Somerset have created a mixture of 'hotlines' and 'online portals' where people can submit tip-offs if lockdown infractions occur 

National director of the NHS, Stephen Powis, yesterday revealed that 170million masks, 25million gloves and 30million aprons have been delivered to medical staff fighting virus across the country

Michael Gove hinted at looming austerity today amid grim warnings of a 10 per cent hit to GDP and the jobless total hitting 2.75million by June.

A man has been arrested after deliberately coughing in the face of a paramedic, just a day after a thug who spat at police was jailed for a year.

Today's figures, recorded between 5pm on Friday and 5pm on Saturday, come after a healthcare data company predicted more than 1.6million people in the UK could already have coronavirus.

Edge Health revealed that while the official figure of coronavirus cases stood at 10,000 on March 26, they believe the true figure for infections in the UK was 1,614,505 at that point. 

With widespread testing not yet available in Britain and swabs only being given to those in hospital and some NHS critical care staff, there could be tens of thousands who have COVID-19 and are not aware of it, the study suggests. 

Those with milder symptoms who are not admitted to hospital are also not accounted for in official figures.  

Actor Idris Elba, 47, only got tested for the virus after coming into contact with Justin Trudeau's wife Sophie at Wembley on March 4.   






The Cambridge family are self isolating at Anmer Hall on the Sandringham Estate in Norfolk amid the Coronavirus pandemic, and shared a glimpse at their home office yesterday. Kate posed in her dusky pink trouser suit as she spoke on the phone. A row of books including an extensive set of Coralie Bickford-Smith for Penguin books can be seen on her wooden desk, along with her Aspinal notebook, while a sofa and and a window seat looking out onto the grounds can be seen in the background







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more videos







1

2

3















Watch video Trucks wait outside NY hospitals in preparation for coronavirus dead





Watch video Piers Morgan hits out at Jack Grealish for breaking lockdown rule





Watch video Snowdonia visitor blocked in by angry locals as police are called





Watch video Robert Jenrick pays tribute to first NHS frontline worker to die









Watch video Ivanka Trump: 'America shows spirit and strength during tough times'





Watch video Gregg Wallace: 'It doesn't matter that there's no gyms'





Watch video Trump says 2.2 million could have died without action on virus





Watch video Woman on the way to her COVID-19 test spits on police









Watch video The real reason shoes are placed on overhead wires in Australia





Watch video Animation shows spread of coronavirus throughout the world





Watch video Italilan company turns a snorkelling mask into a ventilator





Watch video Katherine Jenkins sings Happy Birthday to Piers Morgan on GMB



















A group of furious locals blocked a Range Rover driver after he travelled 115 miles from Sheffield to Snowdonia despite the coronavirus lockdown


The Edge Health analysis predicted that London had 760,590 cases, the most in the UK, a fact grounded in official figures.