The coronavirus crisis is taxing New York City’s 911 system like never before. Operators pick up a new call every 15.5 seconds. Panicked voices tell of loved ones in declining health. There are multitudes of cardiac arrests and respiratory failures and others who call needing reassurance that a mere sneeze isn’t a sign they’ve been infected. The system is so overwhelmed, the city has started sending text and tweet alerts urging people to only call 911 “for life-threatening emergencies.” As the city staggered through its deadliest week of the pandemic, its emergency response system and army of operators, dispatchers and ambulance crews were pushed to the brink. The Fire Department said it has averaged more than 5,500 ambulance requests each day — about 40% higher than usual, eclipsing the total call volume on Sept. 11, 2001. “When you hang up with one call, another one pops in,” said 911 operator Monique Brown. “There’s no time for a minute’s rest.” “It’s back to back, nonstop,” said dispatcher Virginia Creary. “We just pick up call after call after call,” said paramedic Ravi Kailayanathan. Between the torrent of calls and so many requiring immediate intervention, like IVs and breathing tubes, it’s taking longer for help to arrive. The Fire Department said response times for the most serious calls have been averaging more than 10 minutes, up from about 6½ to 7 minutes under normal circumstances. People with mild symptoms or a minor injury could wait hours. ___ ‘NEW YORK CITY 911’ Operators begin each 911 call in the nation’s largest city with the same question: “Do you need police, fire or medical?” Then they evaluate the call’s urgency, prioritizing them on the fly. Brown and her colleagues often work mandatory 16-hour shifts, crammed into Bronx and Brooklyn call centers behind screens that flash call details. The fevers and coughing that crowded the city’s 911 lines early in the crisis have given way to frantic calls about grave illnesses. Creary said she has noticed cardiac arrest calls spike. Some people call back within hours to report symptoms suddenly worsening. The Fire Department said it is seeing more than 300 cardiac arrest calls per day, with well over 200 of those patients dying. A year ago, the department averaged 64 calls for cardiac arrest per day. “The worst thing is taking a call and hearing somebody screaming because their loved one has stopped breathing or they’re in distress and they don’t know what to do,” said Creary, who’s also an EMT. “You just feel utterly helpless.” For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough. But for others, especially older adults and the infirm, it can cause severe symptoms like pneumonia. ___ ‘WE CANNOT HANDLE THIS’ After the 911 operator, medical dispatchers like Creary take charge. They find an ambulance to respond and act as a liaison between crews in the field and the hospitals. Hospitals swamped by the surge of patients sometimes make ambulances line up outside, with crews waiting upward of 40 minutes to hand over a patient. Hospitals have told Creary twice in recent days to divert ambulances elsewhere, she said. A nurse she alerted about an impending arrival pleaded: “We cannot handle this. We have no beds. We have no oxygen. We have no equipment. […]
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