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ENCINITAS, Calif. (KGTV) — San Diego County beaches brings in huge crowds, especially during a sunny Memorial Day weekend. Aside from teaching water safety and rescues, this year, Encinitas lifeguards are busy enforcing the public health order.Everyone loves the beach. But no one likes restrictions, especially on a holiday weekend, celebrating those who sacrificed their lives to get us our freedoms. But times are different now. "We are enforcing," Captain Lary Giles of the Encinitas Marine Safety Center said. RELATED: Restaurants reopen in time for Memorial Day weekend under new guidelinesLike every Memorial Day weekend, the Encinitas Marine Safety team is out in full force. They have summer lifeguard tower staffing. But this year, they also have a special COVID-team and Sheriff's deputies driving up and down the coastline. "There's a lot of educational contact... Several thousand a day from the team," Captain Giles said. The three main points they drill into visitors are: Masks required, keep a 6-foot social distance, and no stopping or gathering. It gets a bit tricky on the city's 4-foot staircases that take beachgoers to the sand. RELATED: What to know: Changes at San Diego restaurants, retail this Memorial Day weekend"Our beach accesses are very tight when you come down the staircases at Grandview, D Street, and Swami's," Captain Giles said. "The lifeguards at the bottom of those accesses there along with signage, are contacting several people throughout the day."10News saw about half the people abiding by the rules. Others chose to ignore them. "Some people think that they're just going to throw their towels down and sunbathe for half an hour," Encinitas resident Larry Durment said. "That just isn't how it's going to roll. Lifeguards are on them within three to five minutes, so they're pretty good about that."RELATED: San Diego hair salons ready to reopen await 'Stage 3' decisionEvery few minutes, lifeguards in the Marine Safety tower would use the loudspeakers to remind folks about what is allowed and what is not.Allowed: Surfing, swimming, paddleboarding, kayaking, walking and runningProhibited: Gathering, sitting, sunbathing, games, and stationary exercises"As long as we obey the rules, we should be able to keep the beaches open. So let's just do that. That way, we can have fun together," Durment said. RELATED: Businesses pushed to Stage 3 fight to reopen in San DiegoEncinitas lifeguards said their focus is still not to ticket folks. But to educate them about the importance of the regulations. 2555

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

FALLBROOK (CNS) - Authorities Saturday were continuing to seek a driver who was involved in a crash with another car in Fallbrook early Friday then fled, was pursued by the other car's driver and escaped when the other driver was involved in a second crash.Officers said the driver of the Mustang was in critical condition at a hospital as a result of the crash.The dangerous chain of events began shortly before 9:40 a.m. when a brown SUV, possibly a GMC Envoy, and a Ford Mustang collided on southbound South Mission Road at Stage Coach Lane, just west of Fallbrook High School, according to information from CHP Officer Mark Latulippe.The "involved vehicles began to chase each other," Latulippe said, and the two cars initially headed south, but later turned around and continued north on South Mission Road.As the cars approached the intersection with Stage Coach Lane -- the same area where the first collision occurred -- a Honda CRV was also nearing the signal, heading west on Stage Coach.The SUV made it through the intersection, but the Mustang was struck by the CRV, which was heading into the intersection with a green light, Latulippe said.Another two cars, a Toyota Tundra and a Volvo V60, were also struck by the Mustang after the impact with the CRV.The driver of the Mustang, a 19-year-old Fallbrook man, suffered "major injuries" and was taken to Palomar Medical Center, where he was listed in critical condition Friday night, Latulippe said.A female passenger in the Mustang, also 19, was being treated at Sharp Memorial Hospital for injuries described as minor.Drivers and passengers in the other cars involved in the second crash had complaints of pain, but no other injuries, according to Latulippe.It is believed the car involved in the initial crash is possibly an early 2000s GMC Envoy driven my a man. Its driver continued north on South Mission Road after the collision, and was last seen near Rocky Crest Road.The intersection of South Mission Road and Stage Coach Lane was closed for about an hour-and-a-half on Friday while officers investigated. 2085

Famous for their home remodels on the popular HGTV reality show "Fixer Upper," Chip and Joanna Gaines have joined forces with Target to carry the Magnolia brand.The pair made the announcement Tuesday in a statement on their website. The modern farmhouse collection of home decor items will be available exclusively at Target, and it is called "Hearth & Hand with Magnolia." Items such as vases, dining sets and other home decor items will mostly be priced at less than , according to Target leaders. The items will be available Nov. 5.Chip Gaines said he and his wife chose Target to team up with because it is "the gold-standard when it comes to generosity and giving." 696

ENCANTO, Calif. (KGTV) - A set of triplets took sibling rivalry to new heights in this year's spelling bee at O'Farrell Charter School.Seventh graders Miguel, Maya and Mia Brizuela finished 1st, 2nd and 4th in the school competition, respectively. Miguel advanced to the County-wide bee, held Thursday at Town and Country Hotel in Mission Valley."I'm very good at grammar, so it's really easy for me," says Miguel, when asked how he managed to win. But he also admits he got help from his sister, Maya."We were going back and forth, back and forth. And then, finally, Maya just decided to give up because she said that she didn't want to go to the county," he says.Maya confirmed the story that she let her brother win."Like, 1% of me wanted to win," she says. "But I have stage fright. I didn't want to go up there in the auditorium and spell words in front of a lot of people," she says.But it's Mia, who finished 4th at the school, who believes she's the best speller of the three."I felt like I needed to raise myself to their level of spelling," she says of her finish in the competition. "And I like to correct their grammar a lot."The three say they practice by holding mini-spelling bees at home, where their parents give them words to spell. They also study for 1-2 hours each night before bed.Now that Miguel had advanced to the County-wide competition, his sisters say they'll be there to cheer for him."He's my brother, I love him," says Maya. "No matter what, we love each other." 1501

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