It basically runs on salt but nevertheless Crescent Dunes, the new 110 megawatt solar power and energy storage facility near Tonopah, Nevada, is billed as the “most advanced solar plant in the world” on top of laying claim to being the largest facility…
A combative Gov. Tate Reeves (R-MS) battled with "State of the Union " host Jake Tapper on Sunday morning after the CNN host pointed out the massive death toll in his state from Covid-19 and point-blank told him: "You're not doing anything."
During the interview that ranged over 14 minutes, host Tapper called the death toll in Mississippi "horrible" and informed the Republican lawmaker that, if his state was a country, it would be second in Covid deaths per capita worldwide.
That in turn, led Reeves to accuse the CNN host of not talking about Covid deaths in states overseen by Democratic governors -- with the two talking over each other as Tapper told Reeves he wanted to talk about Mississippi's staggering death toll.
"Governor, if Mississippi were a country, you would have the second-worst per capita death toll in the world, and I'm saying are you going to do anything to try to change that?" Tapper pressed.
"Jake, as I mentioned earlier, deaths, unfortunately, are a lagging indicator," Reeves shot back. "Our total number of cases went from 100 to 3,600 and over the last two weeks has declined. They've been cut in half from 3,600 to 1,800. When you wanted me to come on three or four weeks ago and talk about our number of cases then you want to talk about our hospitalizations, now you want to talk about a lagging indicator, which is sad, and it's horrible."
"I'm saying to you, your way's not working and whether you say it's a lagging indicator, or whatever your argument is. Mississippi now has, if it were its own country, the second-worst per capita death rate in the world, behind only Peru. and I'm saying, are you going to try to do anything to change that and I'm not hearing an answer," Tapper insisted.
"Well, what I have said to you repeatedly, Jake, is that Mississippi has taken action, Mississippi has seen a significant uptick in the total number of Mississippians that have gotten the vaccine." Reeves attempted. "We've seen our case numbers have fallen dramatically in the last two weeks. And so ultimately, as I have said, deaths, unfortunately, is a lagging indicator, we've seen cases, again, cut in half in Mississippi. And these other states that you refuse to talk about, perhaps because they have Democratic governors, you don't want to talk about them. But the reality is, you and the president and so many other people want to make this about politics."
Watch below:
CNN 09 19 2021 09 21 14 youtu.be
People misinterpreted one piece of that guidance. Now, the misinformation is spreading. Prominent social media accounts have repeated it on Twitter, TikTok and Facebook.
Dr. Frank Johnson, St. Luke's Health System chief medical officer, worries that it might keep people from going to the hospital.
Johnson chairs the St. Luke's crisis standards committee.
“We don't want people who are in need of emergent care to stay away from the hospital. If you're having chest pain (or) symptoms of a heart attack or stroke, my goodness, come to the hospital," he said.
St. Luke's Health System on Saturday addressed the claim on its own social media accounts.
“To be clear, there is no 'universal DNR' at St. Luke's," the health system said on Twitter. “The state of Idaho includes a reference to 'universal DNR' in their Crisis Standards of Care Activation plan. The state's plan contemplates and provides guidance on a range of issues that provider organizations may or may not have a need to implement. St. Luke's does not include this element in our Crisis Standards of Care plan and our internal CSC steering committee has recommended against having such a policy. We understand area providers are taking a similar approach."
The Idaho crisis standards of care plan includes in its guidance a section about what to do if, for example, there's a ventilator shortage. One part of that guidance addresses whether to try reviving adults whose hearts have stopped, even if they're not already on a ventilator.
Adult patients hospitalized during a public health emergency, when crisis standards of care have been declared (and a hospital is using the mechanical ventilation allocation framework due to demand for ventilators exceeding supply), should receive aggressive interventions; however, they should receive NO attempts at resuscitation (compressions, shocks or intubation if not yet intubated) in the event of cardiac arrest. The likelihood of survival after a cardiac arrest is extremely low for adult patients. As well, resuscitation poses significant risk to healthcare workers due to aerosolization of body fluids and uses large quantities of scarce resources such as staff time, personal protective equipment, and lifesaving medications, with minimal opportunity for benefit. This universal DNR order does not apply to pediatric patients; however, pediatric patients requiring a ventilator after resuscitation would enter the ventilator triage protocol after resuscitation, just like other patients needing ventilator access.
– Patient Care Strategies for Scarce Resource Situations guide for Idaho crisis standards of care
So in theory, it is possible that a person who goes into cardiac arrest could be allowed to die. But first, three things must happen:
It's also important to note that the state plan is a framework. It is meant to help hospitals make an impossible choice: decide who gets life-saving care when they don't have enough for everyone. It is not an order for hospitals or medical workers to withhold medical care when they can adequately provide it.
Johnson notes that the Idaho crisis standards plan doesn't apply to just this crisis. It is a framework developed for any overwhelming medical crisis — whether that's a pandemic, a natural disaster or a sudden mass casualty event.
St. Luke's and other hospitals are digging out older ventilators and requesting more to meet the demand from a growing number of COVID-19 patients. But they're not at a point where they need to stop doing CPR on patients, Johnson said. He says a “universal DNR" is more likely in an immediate crisis scenario.
“You've got Hurricane Katrina, all the power's out, the hospitals are flooded. … You have 30 people who need a ventilator in the ICU, and you only have 20 (ventilators)," he said.
Idaho is in crisis standards, which is very serious. And it was preventable; almost all hospitalized COVID-19 patients are unvaccinated.
Crisis standards could mean some people won't get life-saving care. It could mean that health care providers will have to decide which patient is most likely to be saved by one ventilator. But, at least for now, it doesn't mean every adult is marked “DNR."
Johnson provided the Sun with a document St. Luke's prepared Friday. It addresses DNRs and other questions about how St. Luke's is managing crisis standards.
St. Luke's crisis standards FAQ
Idaho Capital Sun is part of States Newsroom, a network of news bureaus supported by grants and a coalition of donors as a 501c(3) public charity. Idaho Capital Sun maintains editorial independence. Contact Editor Christine Lords for questions: info@idahocapitalsun.com. Follow Idaho Capital Sun on Facebook and Twitter.
ABC correspondent Jonathan Karl revealed on Sunday that he is writing a new book that has left him "dumbfounded" at former President Donald Trump's affinity for the rally that incited a violent attack on the U.S. Capitol.
"I'm not sure his influence is waning," Karl said of Trump. "Trump also called [the rioters] protesters. And I can tell you from my interviews for Trump for my book that's going to be coming out, I was absolutely dumbfounded at how fondly he looks back Jan. 6."
"He thinks it was a great day," he noted. "He thinks it was one of the greatest days of his time in politics. Now, he doesn't necessarily say that because of the storming of the Capitol. He has this sense that this was like the biggest crowd he'd ever seen."
Karl added: "But, look, he sees that incredibly fondly and his hold on the Republican Party has been far more resilient than I thought it would be."
Watch the video below from ABC.
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