By Billy Hammond (Copyright AELS)

January 18, 2021

SARS-CoV-2 Treat in Place

As Japan’s hospitals fill up due to the pandemic, it is becoming obvious that they will not be able to handle the flood of patients resulting from SARS-CoV-2.

It may seem cruel and callous, but the final answer lies in the best option for treating a pandemic, which is to treat in place. Assembling patients into a single location, such as a hospital to care for them makes sense in the case of non-infectious illnesses, MCIs or injuries, but it probably isn’t the best way to handle viruses with the infectiousness of SARS-CoV-2.

For one thing, you’re putting patients with various viral loads in a single location where those with the higher viral levels can take the airborne virus to higher levels. Furthermore, no matter how much care is taken in transport to the facilities, it is impossible to achieve full containment at all steps of the process, resulting in anyone nearby being exposed. In addition, as hospitals reach their capacities, you will have cases where transport takes several hours with the suffering patient lying in an ambulance filling the transport vehicle with the virus.

The final answer is to “Treat in place.”

* Use remote diagnosis (telephone, video, etc.) to initially assess the patient and prescribe whatever is available.

* Give the patient Avigan (which the idiot Health Ministry should have approved long ago) since anecdotal evidence suggests it helps

* Have the paramedics leave an oxygen tank for the patient to provide simple face mask support in the more critical patients

* Give patients a thermometer, pulse oximeter and sphhygmomanometer

* Have the local associations or the municipal government make deliveries of food and sports drinks to the patient

* Monitor the patients by phone 3x/day. In addition to patient condition, accept and convey patient requests for necessities to the authority in charge of deliveries.

Some patients will die under this program, but the majority will recover. It’s a last resort program, but far better than using all of the health resources to help save a small, limited number of patients.



むごいに聞こえるが、最終的にはその場で治療することしかない。ウイルス性パンデミックの場合にはこれが最も理屈に合っている方法である。確かに通常のトラウマ、多数傷病者事故 などの場合、治療設備がそろえている病院のようなところが最適だけど、感染性の高いウイルスの場合、これは理屈に反する。なぜならば、各患者には異なるウイルス量がある。少ないウイルス量の患者を高いウイルス量の患者と一緒にするとその分ウイルスへの暴露が増えるからだ。更に、搬送の全ての段階でのウイルス封じ込めが不可能だ。ちょっとしたことで搬送中に近い人が感染する。それから、病院が限界に近づくと、搬送先が決まるまで数時間、患者は救急車内で待つしかないのでそこで患者さんへの負担が増えるし、救急車内部にウイルスが引っ付く。










English novels by Billy Hammond published by AELS



I. Majoh Gakuin and Hikari Juku – Japanese Witch Schools Trilogy

1. Majoh Gakuin & Hikari Juku – Japanese Witch Schools

2. Lost Witch (The second book)

3. Fate & Magic (The final book in the trilogy)

II. Brindle – Scryer Extraordinaire Trilogy

1. Brindle – Scryer Extraordinaire

2. Brindle – Scryer Extraordinaire – Returns

3. Brindle – Scryer Extraordinaire – Challenges (The final book in the trilogy)

III. Fantasy fiction set in Japan

1. 21st Century Ninja

2. Regressed

3. Japanese Woman

IV. Fantasy fiction set outside of Japan

1. Dimension Jumpers