广州五百强(汇丰在中国有分支吗) (今日更新中)

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

ESCONDIDO, Calif. (KGTV) -- A local family is mourning the loss of a teenage girl killed in a weekend hit-and-run crash in the North County.Kirsten Tomlinson died in the early morning hours of June 6 after authorities said she was struck by a vehicle in an unincorporated part of Escondido.The 17-year-old was several feet from her home on Mesa Rock Road when the incident occurred. The teen was with her siblings and some friends, and as the group prepared to head inside for the night, Tomlinson was hit by a car as she crossed the street.RELATED: 17-year-old killed in unincorporated Escondido hit-and-runThe driver never stopped, according to witnesses and the California Highway Patrol.The teen’s father, William Tomlinson, said he attempted CPR, but it was too late.“It’s a parent’s worst nightmare. I’m never going to have her back now because somebody was irresponsible,” he said.CHP officials released a description of the possible suspect car, and after seeing it on news reports, someone called with a tip that led to the arrest of 29-year-old Paul Anthony Lissona.Tomlinson’s parents are thankful for whoever called in the tip.“I need to thank her and if for some reason, understandably so, she doesn't want to be, we need her to know how grateful we are,” Tomlinson’s mother, Erica Connery, said.RELATED: CHP makes arrest in fatal hit-and-run of teen in unincorporated EscondidoTomlinson was finishing school at Escondido High School and hoped to one day be a marine biologist or veterinarian.Her family also said she wanted to be a model, and her parents said she was always taking pictures.“She was a ball of life. She really enjoyed making people laugh and smile,” said Connery. “She always wanted just the perfect spot, the perfect picture. If it wasn't perfect, it was it was re-done 100 times and it doesn't matter if it took five minutes or if it took five hours.”Now, her family is looking for comfort in all of the pictures she left behind.“She took so many pictures and I am so grateful that she did because we have thousands of pictures,” said Connery.Lissona faces felony hit-and-run charges, and a CHP spokesperson said other charges are being considered. 2189

Evacuations have been ordered for northern Arizona communities due to the Tinder Fire burning near Happy Jack.According to Coconino County officials, evacuations were ordered Sunday by the Coconino County Sheriff's Office for affected communities north, east and west of Highway 87 including Moqui Ranchettes, all of Starlight Pines, Clear Creek (except 1 and 2), all of Timber Ranch, all of Tamarron, Pine Canyon, Blue Ridge Estates, Ponderosa Pines, and Mogollon Ranches. The evacuation will be in effect until further notice, deputies will stay in the area to provide 24-hour security.  The fire has burned an estimated 8,000 acres and is burning 1.5 miles northeast of Blue Ridge Reservoir. Structures have also been lost in the fire, according to InciWeb.  804

Every year, Coronado Middle School and Coronado High School host Take a Veteran to School day. The kids invite vets into their classrooms, and the vets bring history lessons to life. On Wednesday, as the veterans and active duty parents gathered for a group photo, the kids quietly formed lines to surprise them with a walk or honor. Watch the video to see what happened. 384

Federal investigators are looking into whether a huge wildfire near Los Angeles was sparked by Southern California Edison utility equipment. Edison says it has turned over a section of an overhead conductor from the utility’s facility near a dam in the area where the Bobcat Fire started Sept. 6. The initial report of fire was near Cogswell Dam at 12:21 p.m. Sept. 6. The utility says five minutes earlier, at 12:16 p.m., a circuit at the substation experienced a possible disturbance or event. Edison says cameras captured smoke developing in the area around 12:10 p.m., prior to the activity on Edison’s circuit.As of Thursday, there are still 26 ongoing wildfires in California being fought by 18,200 firefighters. In the last six weeks, fires have consumed 6,700 buildings and have killed 26 people. Crews say that cooler weather in the state is helping firefighters make progress on the wildfires, which have consumed 3.6 million acres of land in the state since the start of the year. 999

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