Austin hospitals are better prepared, see lower COVID-19 mortality rates despite increased admissions
Despite an exponential increase in confirmed COVID-19 cases and related hospitalizations in the Austin region, local health care workers feel better armed to respond to a surge than they did in March—and the results are good for patients.
"I feel like we're much more prepared now than we were when this was all starting," said Dr. Doug Jeffrey, a local ER doctor and board member of the Texas College of Emergency Physicians. "We were all extremely worried when we were looking at New York and what was happening there."
New procedures and protocols
In the past few months, Austin's major hospital networks—Ascension Seton, Baylor Scott & White Health and St. David's HealthCare—have had time to stock up on personal protective equipment, implement protocols that reduce risk of exposure and finesse treatment.
Emergency departments have implemented universal masking, visitor restrictions, mandatory temperature checks and more regular cleaning, Dr. Jeffrey said. "We've had a lot of time to think about these protocols and put them in practice," he added.
At St. David's South Austin Medical Center, staff have spaced out the chairs in its waiting rooms, transitioned to a wireless keyboard for patient check-in, switched to disposable blood pressure cuffs and cohorted patients suspected to have COVID-19 away from those who are seeking care for other reasons.
"We feel very, very comfortable that we're prepared to care for patients as they present," Chief Medical Officer Dr. DeVry Anderson said. "And really care not just for COVID patients but for all patients that are presenting with both routine and emergent conditions."
Lower mortality for patients
Another positive development is that treatment for COVID-19 patients is improving, as evidenced by a lower mortality rate—now down to 1.7%, from 3.6% in early June—despite increasing hospitalizations.
(Austin Public Health)
Dr. Anderson attributed this shift to a number of factors, including convalescent plasma therapy, access to the antiviral drug remdesivir and more familiarity with how the disease progresses."Having physicians and staff that have gotten, not comfortable, but now understand how to treat and care for these patients, I think it's seamless in the way we transition those [patients] to higher levels of care," he said.
Ventilator management is also better, with patients who may have been put on a ventilator before now being treated with high-flow oxygen and simple position changes—laying on their side instead of their back—to positive effect. "This is where it's nice to not be the first group going through [this]," Dr. Jeffrey said.
Higher exposure for health care workers
But challenges remain, including the continued rationing of PPE, making sure patients don't avoid the ER for fear of the coronavirus and staffing concerns should area hospitals reach capacity.
"I think that's where we would see a situation like we did in New York and in Michigan, where we're going to be getting nurses from other states to come in and help us out," said Serena Bumpus, director of practice for the Texas Nurses Association.
There is also the question of whether doctors and nurses will get COVID-19 themselves—especially considering their increased exposure to sick patients—and further strain staffing levels.
But Bumpus said the danger may not be where people expect: "Our health care workers, with the amount of PPE that they do have access to and that they're wearing inside the hospital, they actually might be more protected than they are out in the general community because the community is not masking fully and maintaining social distancing and washing their hands."
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Austin FC couldn't find the stamina to fight off a 2-0 loss against LAFC for their inaugural match on Saturday.
The match, which saw No. 21 Austin FC go head-to-head with No. 2 LAFC in Los Angeles, was broadcast nationally on FOX and FOX Deportes.
Salute the support. 👏
It's only the beginning for @AustinFC. pic.twitter.com/TduorqYr2y
— Major League Soccer (@MLS) April 18, 2021
Eleven players took the stage as Austin FC players for the first time, with five starters making their MLS debut. "Ringleader" Alex Ring took the captain's armband and wore it well. The defensive midfielder could be seen leading his teammates through their first ever match, but it wasn't enough to stage an Austin takeover in LA.
In the signature style of Head Coach Josh Wolff, the team played with quickness and intensity, nearly connecting on several fast breaks. It was harder for them to stay in front, however, something that Wolff credits with quick decision making and a tough LAFC defense.
"We have a quick attacking team, but I think when you make quick attacks and it fizzles it's just about some decision making," Wolff said. "Are we in position to finish attacks? If not, can we reestablish our attack and get stuff better?"
The club was given some generous breaks from No. 2 LAFC, who had one or both of their star DPs out for the half. While forward Diego Rossi is out for the entire match due to a hamstring injury, Carlos Vela was accidentally pulled too soon on what turned out to be a miscommunication.
"He gave us the sign that he needed to come off," LAFC Head Coach Bob Bradley said on broadcast. "I can't say more than maybe it's my fault."
LA pulled some dramatics and slowly gained more possession throughout the half, but ATXFC's defense wasn't initially as shaky as it seemed in preseason. Jhohan Romana has pulled his weight in getting the ball out of goal, and a 34-year old Matt Besler held his own in center back.
As the second half commenced, however, it became clear that LAFC had the advantage over Austin's first major league team.
Goalkeeper Brad Stuver had his work cut out for him, fending off 24 shot attempts, 11 of which were on goal. He didn't have much time to prepare, either: in the first 30 seconds of play, Stuver had already made a save to keep the match 0-0.
LAFC finally connected in the 61st minute of play as Corey Baird shot one into the bottom right corner. The team capitalized off their momentum and put one past Stuver a second time, drawing roars of approval from the LAFC crowd.
While some last-minute attempts from Jon Gallagher and others were made, Austin FC didn't have the endurance to bring a tie. After seven additional minutes of stoppage time, the club lost their first match 2-0.
While the scoreboard tells one story, Wolff said that the team did well considering the skill of LAFC and the pressure of their club debut.
"We've got to be realistic," Wolff said. "This is the first time this organization has been in front of TV with an opportunity to show itself and I think there were some promising moments. And we're going to maximize those and continue to try to develop those, but there's lots to build on."
The team may have lost, but it still won the support of thousands of Verde fans, dozens of which made it to watch their team's first match. When Stuver and the team made it to bthe stadium, Los Verdes fans were already there to show support, and Stuver said his wife saw the same back in Austin.
"The moment that we pulled into the stadium, we saw Black and Verde fans cheering us on as we got to the stadium," Stuver said. "During warm up, you can just look around and see different groups sitting in different sections of the stadium and it's just truly amazing to see the support in our first game. We know that we want to give the fans everything, because this we play for the city and we play for them."