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                                                                                         WORLD NEWS Saturday 4 april 2020



















            The daily terrors:

            Improvising in a makeshift ICU in Spain



            By RENATA BRITO
            Associated Press
            BADALONA,  Spain  (AP)  —
            The  tension  is  palpable.
            There  is  no  non-essential
            talking.  An  orchestra  of
            medical  monitors  marks
            the tempo with an endless
            series of soft, distinct beeps.
            Never have so many peo-                                                                  Britain's  Health  Secretary  Matt  Hancock  and  NHS  staff
            ple  been  inside  the  library                                                          stand  on  marks  on  the  ground,  put  in  place  to  ensure
            of  the  Germans  Trias  i  Pu-                                                          social distancing guidelines are adhered to, ahead of the
            jol  hospital  in  northeastern                                                          opening of the NHS Nightingale Hospital at the ExCel centre
                                                                                                     in London, Friday April 3, 2020. The ExCel centre which has
            Spain.  But  the  health  care                                                           been  converted  into  a  4000  bed  temporary  hospital  NHS
            workers  in  improvised  pro-                                                            Nightingale amid the growing coronavirus outbreak.
            tective gear aren’t consult-                                                                                 (Stefan Rousseau/Pool Photo via AP)
            ing medical books. Instead,
            they’re treating patients in   Healthcare  workers  assist  a  COVID-19  patient  at  a  library   Prince Charles opens new
            critical  condition  suffering   that  was  turned  into  an  intensive  care  unit  (ICU)  at  Germans   London hospital for virus
            from  pneumonia  caused      Trias  i  Pujol  hospital  in  Badalona,  Barcelona  province,  Spain,
                                         Wednesday, April 1, 2020. The new coronavirus causes mild or
            by the coronavirus.          moderate symptoms for most people, but for some, especially   patients
            From the outside, this make-  older adults and people with existing health problems, it can
            shift  intensive-care  unit  in   cause more severe illness or death.                    LONDON  (AP)  —  Prince  4,000  beds,  it  will  be  the
            Badalona, near Barcelona,                                       (AP Photo/Felipe Dana)   Charles remotely opened  biggest  hospital  facility
            looks nothing like a library.  journalists  enters  the  room  visit them.               a  vast  temporary  hospi-  in  the  U.K..  Charles,  71,
            The    bookshelves    have  to  document  the  work,  Nurses  on  the  other  side       tal for COVID-19 patients  paid tribute to everyone,
            been  removed  to  make  but their presence is barely  of  the  glass  observe  their    at  London’s  main  exhibi-  including  military  person-
            room  for  up  to  20  hospital  noticed. Health workers re-  movements,  typing  away   tion center Friday, as the  nel,  involved  in  its  "spec-
            beds,  breathing  machines  main  focused  on  their  es-  on  computers.  Communi-      number  of  coronavirus-   tacular and almost unbe-
            and  an  array  of  medical  sential  tasks  --  monitoring  cating  on  walkie-talkies,   related  deaths  reported  lievable” construction.
            equipment  after  the  long-  vitals,  administering  medi-  those  inside  give  them   in the U.K. surpassed Chi-  “An example, if ever one
            standing ICU and other ar-   cation,  manipulating  the  the  latest  developments:      na’s official total.       was  needed,  of  how
            eas of the hospital flooded  tubes  and  cords  connect-  “37.8C.”  One  of  the  pa-    While   confirmed   virus  the  impossible  could  be
            with COVID-19 patients.      ing the patients to a pleth-  tients  has  a  fever  again.   cases and deaths contin-  made  possible  and  how
            With  the  scarcity  of  full-  ora of machines.          Medication is then injected    ued to rise steeply, British  we  can  achieve  the  un-
            body protective suits across  Most  patients  are  intubat-  into the IV bag.            Prime Minister Boris John-  thinkable  through  hu-
            Spain,  doctors  and  nurses  ed and hooked up to ven-    Time  floats,  and  not  just   son  said  he  remained  in  man  will  and  ingenuity,"
            are  employing  what  they  tilators.  About  half  have  because the nurses are un-     isolation with a fever eight  he said from his home in
            can  find,  reusing  masks,  been  flipped  onto  their  able  to  see  their  watches   days after testing positive  Scotland, Birkhall.
            layering  oversized  surgical  stomachs to ease pressure  from  behind  their  foggy     for the new virus.         The  new  National  Health
            gowns  with  plastic  aprons  on  their  lungs  and  help  goggles.                      Charles, who on Monday  Service  hospital  will  only
            and  running  through  an  their  breathing.  Nurses  ac-  As one person’s shift ends,   completed  a  week  of  care for people with CO-
            infinite  number  of  latex  knowledge that this is not a  the  laborious  process  of   self-isolating as he recov-  VID-19,  and  patients  will
            gloves.                      hopeful sign.                leaving  the  ICU  begins.     ered from COVID-19, said  only  be  assigned  there
            Like  scuba  divers,  they  As  Spain  sees  the  rate  of  Nurses  exit  via  a  designat-  via video link that he was  after  their  local  London
            apply  a  small  dose  of  de-  infections slowly stabilize, it  ed  door  and  remove  their   “enormously   touched”  hospital  reaches  its  ca-
            tergent  to  their  goggles  continues  logging  a  daily  now-contaminated  armor,      to be asked to open the  pacity.
            just  before  stepping  into  record  number  of  deaths  one piece at a time. Gog-      new  Nightingale  Hospi-   Charles described himself
            the  sweltering,  virus-laden  –  Thursday  set  a  record,  gles  go  into  one  bucket,   tal, which was built in just  as one of “the lucky ones”
            room  in  the  hopes  of  miti-  with 950 deaths in 24 hours.  gowns in another. The outer   nine days at the vast Ex-  with  only  mild  symptoms
            gating  the  inevitable  fog-  More  than  10,000  people  layer of gloves and aprons    Cel  conference  center  but noted “for some it will
            ging  of  their  eye  protec-  have died in Spain thus far.  are thrown into the trash.  in east London, with cor-  be  a  much  harder  jour-
            tion  caused  by  their  own  The  patients  in  this  alter-  A  weight  is  lifted  off  their   ridors  stretching  a  full  ki-  ney.”
            breathing.                   nate  ICU  will  likely  spend  shoulders as they leave the   lometer  (just  over  half  a  He  expressed  his  hope
            They’ll  be  at  it  for  hours,  weeks  in  the  hospital  be-  ICU  behind.  But  another   mile).                that the hospital “is need-
            racing from patient to pa-   fore their battle with the vi-  weight takes its place in the   It opens with around 500  ed  for  as  short  a  time
            tient,  sweating  under  all  rus is won or lost. They fight  form  of  a  haunting  ques-  beds  but  when  at  its  ex-  and for as few people as
            the layers.                  for  life  without  their  loved  tion:  Will  the  virus  follow   pected  full  capacity  of  possible.”q
            A team of Associated Press  ones,  who  are  unable  to  them home?q
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