What Life Is Like Inside a Seattle Emergency Department During COVID-19

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Notes from a 36-year-old emergency medicine and critical care doctor who works with some of the sickest patients in Seattle, at Harborview Medical Center, a level one trauma center.

If patients have significant underlying symptoms, are critically ill, or are healthcare providers or people in unstable housing who may have a higher risk of infecting others, I’ll decide they need one of the COVID-19 tests that our lab can run every day. We are lucky in Seattle that our lab has rapidly ramped up the ability to test thousands of people per day, but we still have criteria we must follow. We get tests back 8 to 12 hours after admitting someone to the hospital.

Some critical-care COVID patients are getting better. People who needed life support or breathing machines have been able to come off, although improvement looks different for every person. I haven’t had anyone pass away yet. It’s always hard when a patient unexpectedly dies, but it’s also part of critical care medicine—you’re an important part of someone’s life, and you’re there for them and their family. As hard as it is, it’s something I value about my job.

 

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