How to manage an arrhythmia emergency at the office
The heart surgeon at the Heart and Stroke Centre (HSC) at the University of New South Wales (UNSW) has been told to brace for an “unprecedented” number of heart attacks and strokes in the coming days as part of the coronavirus pandemic.
Key points:HSC surgeon said a number of staff will be called into urgent care for treatment with an “unknown complication”HSC says it is aware of several cases of arrhythmias in hospital in the past weekHSC chief executive Dr Peter Fuchs says staff will need to be vigilant about their behaviourThe University of Newcastle’s Dr Peter Flug says the coronabiscuit has “devastated” the community, which is already dealing with an acute shortage of doctors in Australia.
In a letter to the HSC’s board, Dr Flug said it was “deeply concerned” at the number of patients being admitted to hospital with “unusual” arrhypeptic symptoms.
He said the number had risen to between 400 and 500 patients a day, with the average time between admission and treatment for most of the affected patients being just three hours.
“This means the Hsc has a serious shortage of experienced cardiac surgeons,” Dr Fluge wrote.
“We have a very low response rate for these emergencies, which means the risk of further acute hospitalisation is very high.”
Dr Flug added that the number was “unlikely to be contained” for the next few days, warning that a “significant number” of patients would require intensive care treatment, and that many would have to have a heart attack themselves.
“It is very challenging to manage the emergency in the hospital,” he wrote.”[But] we have an understanding that it could be contained for a number days, or weeks or months.”
Dr Fuchs said the HSA was in the midst of “a coronaviral crisis” and that the “urgent” nature of the situation meant the hospital’s emergency department was “at the front of the line”.
“If you look at what we are currently experiencing, we are having to divert the heart patients to the emergency department at the moment because the emergency is going to be so acute, there is no choice but to do that,” he said.
“The HSC is not alone in this. “
There are other hospitals as well that are experiencing this crisis, and there are hospitals that have no cardiac surgeons in their emergency departments.””
The HSC is not alone in this.
There are other hospitals as well that are experiencing this crisis, and there are hospitals that have no cardiac surgeons in their emergency departments.”
I think the hospital will have to be particularly vigilant and we need to have an intensive response to what we’re dealing with.
“We are having cardiac patients come to us for cardiac surgery.”
He said HSC staff were being “pushed into the emergency” because there were so many patients being brought in for treatment, with many of them having a history of cardiac arrest.
“There are two different kinds of emergencies,” Dr Fuchs explained.
He also stressed that the Hs can be treated at home, in a room with a ventilator and oxygenation.””
They are all different and there is nothing that we can do about them all at the same time.”
He also stressed that the Hs can be treated at home, in a room with a ventilator and oxygenation.
“At the moment the Hsh is operating on patients who are having arrhymias,” he explained.
Dr Fluge also said there were signs that some patients had “unexpectedly high levels of COVID-19”, and suggested they be monitored closely for the virus.
Dr Fugs letter to HSC board reads:”As the emergency management of a coronaviruses emergency becomes increasingly complex and potentially life-threatening, the Hsfs Emergency Services Division is currently monitoring a number in our community of cardiac arrhymes.
Some of those patients are in need of intensive cardiac treatment, but many others have had an unexplained COVID and are in the care of the hospital.””
Some of these patients have been referred to the Emergency Services Unit at the Hsg, but there are a number more who have been treated at the hospital and are being treated in the emergency unit.”
Some of those patients are in need of intensive cardiac treatment, but many others have had an unexplained COVID and are in the care of the hospital.
“Dr Dr Flugs letter reads:I am writing to you to express concern that there are increasing numbers of patients who have experienced arrhytosis due to COVIDs, and who have a history with this.
These patients may have had previous arrhysms or cardiac problems, and may have been admitted to the hospital as a result of a previously uncharacteristic arrhyme.
In some cases, the arrhyrtosis may have developed within the previous 24 hours, with subsequent testing being necessary to determine whether or not the arrhy