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  • morning now Something that my photos and turn me off.

  • Okay.

  • What?

  • You got?

  • Full battery.

  • Okay.

  • How's that feel?

  • Hand over on.

  • The incoming team will work 12 hours trying to save the desperately ill.

  • Many.

  • It's another level to patient again on a lot of oxygen.

  • A lot of CPAP needs to do more phoning today.

  • Severe Sofia's patient, not an old man by any means, has bean in intensive care on a ventilator for a month.

  • My name is Sofia.

  • From your mess for today.

  • How are you?

  • Do you think that's okay?

  • Since she was 300 today, complete vigilance is required because even this battery of equipment can't save him from respiratory failure.

  • This will give section of you.

  • She promised you something.

  • That noise they call it bubbling is caused by a buildup of fluid in the lungs.

  • Sophia draws it out to keep him alive.

  • Okay.

  • Yeah.

  • Uh huh.

  • With the bubbling you were drawing fluid off his chest.

  • Is that we're off his lungs?

  • Exactly.

  • Yeah.

  • So this is the secretions that they've got in the lungs as a result of the inflammation that the cove it has triggered, all right across the ward.

  • The trajectory is better.

  • Nick is making great strides.

  • How long have you been in intensive?

  • Were you admitted straight into intensive care, or were you an award first?

  • No, no.

  • Straight in here.

  • I think it was Friday evening.

  • Um, I'll be honest.

  • I didn't think I was gonna make it a night.

  • How is that?

  • Um, And then it's bean slowly up here and afterwards.

  • I say this morning was the first time I got out of bed and had awoken nap.

  • So I'm very happy at the moment.

  • Knicks hoping that this shift might see him released from I c U.

  • They're managing People here are widely differing trajectories, some getting better, some getting worse.

  • And all you can really hopeful on a shift in this ward is that at the end, the score is in your favor.

  • More patients improved, discharged two other wards getting worse or possibly passing away.

  • Just kind of my heart consultant filled.

  • Donaldson has gone to talk to a patient who is going downhill.

  • It's time to persuade Micah's.

  • We'll call him that to survive.

  • He needs to enter the co vid netherworld Heavy sedation.

  • Onda breathing to you you want to change your life?

  • Okay.

  • Is that texting?

  • Is that because he's so short of breath?

  • Yeah.

  • Would you like us for your wife?

  • Yeah.

  • No.

  • Something that we're going to send.

  • Mike agrees to general anesthetic and intubation a state from which a significant minority never awaken.

  • It's clearly a very difficult conversation, because at that moment, where the person goes under, they don't know if they're going to come out of it, do they?

  • No, they don't.

  • We don't either.

  • Dealing with co vid has meant more than doubling the size of Salisbury's intensive care unit.

  • They've done it by taking over neighboring operating theaters.

  • And while kit can be put into place, the usual ratio of one intensive care nurse per patient has been lost.

  • Intensive care Nasu croak, um, came back from retirement eight months ago and is dealing with these new realities S So you're doing well.

  • Your face, you're really safe.

  • Want social here to send the love.

  • Okay.

  • Can you squeeze my hand if you could live?

  • Yeah.

  • This patient will call him.

  • Jim is being readied for excavation.

  • Having sedation dialed back on a breathing tube removed, sues overseeing him and another patient in this operating theater on How has it been the second wave?

  • How tough has it been?

  • It's much tougher.

  • The patients are younger.

  • A swell we're seeing.

  • Yeah, it's much tougher We haven't had way are getting the support deployed nurses, but not the same in the first wave.

  • I don't know whether that's because theater shut everything shut down, so they were MAWR nurses.

  • Clinical psychologist Kate Jenkins works with hospital staff.

  • The current crisis, she believes, is taking a heavy toll as off January, Our staff referrals to clinical psychology were up 1400% on the year previously.

  • That gives you some indication.

  • I'd say that everybody is feeling it to some degree, probably 10 to 20% of requiring some sort of formal intervention.

  • We're just doing a ward round, which at about everyone will just have a look at all your tests and things and see the plans.

  • Um, there alright.

  • Consultant begins his round of the ward, trailed by staff, assessing who's getting worse and who's on the mend for Nick.

  • It's good news, e feel really brilliant.

  • E found desperately hoping Thio onto award e think that's what we're trying to do for you, is it?

  • That would be very nice.

  • 10 hours into the shift sues patient who were calling Jim has had his breathing tube removed.

  • I'm close to tears, actually, because I'm just so tired.

  • Um, it's been really busy.

  • Um, his fingers that we've been able to take the tube out.

  • We're not out the woods yet.

  • Eso he's being He's been a bit challenging in the period since we've taken the true booth.

  • Oh, yeah, Thea outlook should be positive, but Jim is distressed over.

  • Yeah, that's really struggling.

  • A bit very certain about the uncertainties of this disease are all too clear.

  • A good day could be followed by a rapid decline.

  • It's necessary for the team to keep an eagle eye alone time.

  • John is another patient there watching closely?

  • He'd been awake throughout shift and really wanted to talk to us.

  • When did you come down with this?

  • I mean, how long have you been sick?

  • Sure that 10 days.

  • Right?

  • But I've only been here about three or four, so yeah, try holding on on then.

  • It's just a picture.

  • Yeah, she's coming and going.

  • Sorry, Donna, We contract at the moment.

  • Well, sat to a bit later.

  • Okay.

  • Sorry.

  • Sorry, guys.

  • Sorry.

  • Sorry.

  • Go back at the moment.

  • It's where he's not around.

  • Where he's not face down.

  • His breathing really suffers, but he can't.

  • He can't stay on this front 24 hours a day.

  • Um, Andi, both for his sake and things like eating, drinking, that kind of thing on it is much easier if he's not on his front.

  • Um, yeah, I'm just hoping we can keep it short as possible.

  • Which is why is having some food at the moment.

  • I've been crying again.

  • And then, yeah, a soon as I can really back on his front and on oxygen.

  • John's a fighter and he wants to chat again.

  • There's no pain.

  • There's nothing.

  • You know, it's just a silly little thing inside the Uh huh.

  • Apart from that, I'm all good.

  • Get told to slow down on me.

  • Speaking, Got concentrate.

  • More on the breathing.

  • Yeah, I like this.

  • It's It's fine.

  • I think that's probably a good moment for us to stop asking you questions.

  • Then good night.

  • Come.

  • The shift is coming towards its end.

  • There have bean a couple more admissions, and that's meant shuttling beds around.

  • As for discharges, they're waiting for beds to become available.

  • Two people have died in the hospital this day neither, though in the intensive care unit.

  • It's not been a bad shift.

  • Plenty went on today, but it felt okay, actually, on what of the people who work in here taking the strain day after day?

  • What are you most looking forward to being able to do again?

  • Well, being able thio get closer to my patients, not wearing these hoods at least the masks and being able to hug my colleagues just before the end of the shift, A bed opens up for Nick.

  • He's off.

  • Well, that's the best Thank you taking with him a sense of overwhelming gratitude to those who saved him.

  • Absolutely unbelievable.

  • They've got the hardest job in the world, and they're just so dedicated it some real.

  • It's the evening handover begins.

  • Mike and Jim are both back in the suspended animation of general anesthetic for days or weeks.

morning now Something that my photos and turn me off.

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B1 intensive shift patient intensive care breathing ward

Coronavirus: On shift in intensive care - BBC Newsnight

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    林宜悉 posted on 2021/01/22
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