Doctors fear a spike in deaths unrelated to the coronavirus as patients delay getting care for life-threatening conditions.
That’s what a patient told Dr. Comilla Sasson, an emergency medicine physician in Denver, after she advised the patient during a telemedicine visit that she was showing signs of a heart attack and should go to a hospital.“I asked if I could talk to one of her family members and she said ‘no’ — that she had already made up her mind,” Sasson told NBC News. It’s unclear what the woman’s diagnosis turned out to be, because she did not reach out to Sasson again.
She used a heart attack as an example: “If you get to the hospital within a few minutes, we can open up that heart vessel and get blood flowing to your heart, but if you delay even a few hours, that could be the difference between life and death.” “Individuals who are having very extreme heart attacks are going to get help, but at the fringes you have people who have acute symptoms who are staying home,” said Kazi. “I am worried that these patients could suffer severe consequences weeks or months down the road that could have been avoided if we had intervened.”
“If people defer calling 911 for life-threatening emergencies or put off life-saving procedures because they’re afraid of getting exposed to the coronavirus in emergency rooms or hospitals, we can expect to see an increase in deaths among these people that is not reflected in COVID-19 death toll numbers,” said Kazi.
In fact, holding off on calling 911 until heart attack symptoms worsen could make it impossible for New Yorkers to get to a hospital at all. The Regional Emergency Medical Advisory Committee of New York City announced on Tuesday, March 31, that if an adult is in cardiac arrest and emergency responders are unable to restart their heart at the scene after 20 minutes, that person will not be taken to the city’s overburdened hospitals for further revival attempts, as is normally the case.
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