New York State Governor Andrew Cuomo takes stock of the coronavirus crisis on March 24, 2020. - John Minchillo / AP / SIPA

With his shirt stamped with the coat of arms of the Governor of New York State, he takes stock of the coronavirus crisis every day. Tuesday, Andrew Cuomo was gloomy, sending a warning message to his fellow citizens: with 25,000 confirmed coronavirus cases - half the total in the United States - and 210 dead, New York faces "a drastic increase in the rate of infection ”. And with a “doubling every three days” despite the confinement, the American metropolis, which represents nearly two thirds of the cases in the state, is engaged in a race against the clock to avoid a health drama.

At the Javits Center in New York City making an announcement. WATCH: https://t.co/ylMDR0U440

- Andrew Cuomo (@NYGovCuomo) March 24, 2020

As everywhere in the world, the main objective is to "flatten the curve". And according to Cuomo, New York State is far from having “flattened the curve” of contamination. The climax should be reached in "two to three weeks", and it will be "higher" than expected: 140,000 beds may be needed and there are only 53,000 available at present. According to the governor, a first emergency hospital with 1,000 beds being installed in a convention center in Manhattan should be operational within a week.

There is still a critical shortage of respirators. New York has a stock of 10,000, but at least 30,000 more will be needed, according to Cuomo. And the emergency services mobilized by Donald Trump (the Fema agency) sent some… 400. "Do you want a pat on the shoulder?" You are missing the magnitude of the problem. We have astronomical figures, “annoyed the governor. In the process, US Vice President Mike Pence announced the shipment of 2,000 more respirators.

90% of emergency patients for covid-19

On the front lines of the front lines, emergency physicians are already on the tight side. On Twitter, Craig Spencer, who survived the Ebola epidemic after being infected in West Africa in 2014, recounts his daily life at the Presbyterian hospital. "Finally returned home after a 13 hour guard. Over 90% of my patients are confirmed or probable cases of Covid-19. Most are very sick, some are in their thirties like me. The sirens in an empty New York do not stop. I am tired. But very honored to return to the emergency room tomorrow morning, ”he wrote on Sunday.

Finally home after 13 hours in the ER. Today> 90% of my patients were confirmed or likely COVID19. Many really sick, some in their 30s like me. The sirens on otherwise empty NYC streets are unending & haunting. I'm tired. But really honored to be back in the ER in the morning.

- Craig Spencer MD MPH (@Craig_A_Spencer) March 23, 2020

He continued his story Monday evening. "Cough, difficulty breathing, fever. They are very worried about this patient. We have a sincere discussion with his family on the phone. It must be placed under a respirator. We are preparing it. Another patient in serious condition arrives. He vomits and must be admitted to intensive care. We intubate them. It is not yet 10 a.m. Craig removes his mask and glasses briefly to eat. "Where have the heart attacks and appendicitis gone?" It's all Covid. Before leaving, he "cleans up everything." Phone, badge, wallet, cup. You have to bleach everything. Don't take a risk. "

Thank you everyone for your incredible messages of support and encouragement. ♥ ️

Many of you asked what it was like in the ER right now. I want to share a bit with you. Please RT:

A Day in the Life of an ER Doc - A Brief Dispatch from the # COVID19 Frontline:

- Craig Spencer MD MPH (@Craig_A_Spencer) March 24, 2020

In the Washington Post, the emergency physician Michelle Romero describes her "nervousness" when intubating a patient, "because of the exposure and the risk (of contamination) for each person in the room". She returns home exhausted and "worried". With the certainty that the situation will get worse in the next 10 days.

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