ER doctor: Coronavirus treatment is 'an enormous logistical nightmare'

The coronavirus pandemic has stunned the U.S, which has become the global leader in the number of cases.

Making matters worse is the fact that health care professionals are facing numerous challenges including lack of personal protective equipment (PPE), a shortage of ventilators in some areas, and no clear way of how to treat their patients.

“What we’re seeing is an enormous logistical nightmare,” Dr. Jennifer Ellice, an LA-based ER doctor, said on Yahoo Finance’s The First Trade recently (video above). “We’re trying to deal with very sick surges of COVID patients and in addition, we still have to take care of folks with appendicitis, folks who are breaking their legs.”

Emergency Medical Technicians bring a patient into Wyckoff Hospital in the Borough of Brooklyn on April 6, 2020 in New York. - New York Governor Andrew Cuomo on Monday extended a shutdown in the epicenter of America's deadly coronavirus pandemic until near the end of the month. Cuomo said the COVID-19 death rate in New York was "effectively flat" for the past two days but announced that schools and non-essential businesses must stay shut until April 29. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
Emergency Medical Technicians bring a patient into Wyckoff Hospital in the Borough of Brooklyn on April 6, 2020 in New York. (Photo by BRYAN R. SMITH/AFP via Getty Images)

In order to help alleviate an influx of patients at some hospitals, some cities have found alternative locations to treat patients. In New York, the Javits Center was repurposed to start treating patients, and a U.S. Navy ship was deployed to serve as a hospital as well.

“People are getting very sick very quickly,” Ellice said, “and we don’t understand all the aspects of this disease and the natural progression. It is frightening on many fronts.”

The New York metro area accounts for over 60,000 cases. (Graphic: David Foster/Yahoo Finance)
The New York metro area accounts for over 60,000 cases. (Graphic: David Foster/Yahoo Finance)

‘We need something so we can communicate quickly’

With assistance from a New York Times reporter, Ellice called on Silicon Valley companies to step up and help medical professionals across the country communicate with each other about what they were seeing on the ground. Slack (WORK), a messaging platform, stepped up to the challenge.

“The response was amazing,” she said. “Within 24 hours of it starting, we had 450 people log in. We have a community now of almost 3000 people. I look forward to seeing it expand even further. It’s an important platform for us. There hasn’t been anything like it in the space. We need something so we can communicate quickly.”

Ellice realized that her and the doctors had both medical and logistical challenges, with one of the main issues being the shortage of PPE.

Dr. Lauren Miller, left, and Dr. Micah Moore look over notes at a Mobile Health Unit for drive-thru coronavirus testing at Robert C. Byrd Clinic on the campus of the West Virginia School of Osteopathic Medicine in Lewisburg, W.Va., Tuesday, March 24, 2020. The nurses and doctors can test for COVID-19, but also treat flu and allergy symptoms.  "It's a full medical appointment from the comfort of your own car," Miller said. (Jenny Harnish/The Register-Herald via AP)
Dr. Lauren Miller, left, and Dr. Micah Moore look over notes at a Mobile Health Unit for drive-thru coronavirus testing at Robert C. Byrd Clinic in Lewisburg, W.Va., March 24, 2020. (Jenny Harnish/The Register-Herald via AP)

“One of the very first topics that I remember discussing was a doctor in New York who worked at eight different hospitals, had one mask that he had been using for a week,” she said. “He was describing the challenges of trying to intubate and trying to work with patients who are very, very sick without getting exposed himself.”

Other topics that have been discussed are treatment and testing for COVID-19. Normally, Ellice explained, the medical community is able to rely on information disseminated from associations and peer-reviewed journals to figure out effective approaches. But the quick spread of the virus has changed the stakes.