D1 is a Emergency Medicine attending physician at major academic hospital in New England. (Not the same one as @CottonTales daughter and SIL, though ;)) I talked to her yesterday at some length.
She is seeing a steady run of Covid-19 patients in the ED. She’s says typically she’s admitting 5-8 patients a day to the ICU or step down ward for Covid-19. She says that that infants under 3 months are especially susceptible and there are 10 infants with Covid-19 at her hospital.
The good thing is people are not clogging the ER with trivial complaints. Her PA actually yelled at a young woman Thursday who came in just wanting a pregnancy test and sent her home. The people coming in are for the most part really sick. Not just Covid, but all the usual things you see in the ER–strokes, heart attacks, MVAs, sickle cell episodes, accidental injuries.
The scary thing that’s happening is the hospital (one of largest hospital systems in New England) is running out of critical medications. She had a patient come in earlier in the week with very serious asthma attack and there simply were no drugs available to give the patient. D1 thinks that very shortly a lack of medications is going be the much bigger problem than PPE scarcity. PPE supplies are slowly starting to trickle but many medications sold in the US are manufactured in India or if they are manufactured in the US use basic chemicals made in China. The supply chain is unreliable right now.
My other D is a R2 at western academic program. She’s in a surgical field. She says she hasn’t been all that busy because all elective surgeries have been canceled and the only cases she has been handling are emergencies and cancer surgeries. She also reports the ER is slow with few non-emergency patients coming in. Whenever possible she is doing telemedicine visits with her high risk patients.
Her state is seeing a recent sharp uptick in the number of Covid cases and Covid deaths (and a governor who refuses to issue a state-wide state at home order—don’t get me started…) so all residents at her program are now required to take sim labs in patient intubation and extra classes is how to manage vented patients. She says it’s a very scary situation and she feels anxious and unprepared to handle seriously ill Covid patients.