Here’s how doctors and parents are responding.
A pediatrician in Mount Zion, Illinois, sent a video of a 6-month-old named Natalie to a colleague for advice: The infant’s belly was puffing and retracting with every pant as she struggled to breathe, her nostrils flaring and bubbles forming on her lips.
“Every children’s hospital that I’m aware of is absolutely swamped,” said Dr. Coleen Cunningham, the pediatrician in chief at Children’s Hospital of Orange County, a 334-bed facility in Southern California that is so full that children are being treated right in the emergency room as they wait for inpatient beds — sometimes for more than 24 hours.
The onslaught of cases is coinciding with the seasonal burst of other respiratory viruses like rhinoviruses and influenza, plus the ongoing burden of COVID. It is particularly challenging in regions where pediatric units have shrunk or have even been shuttered in recent years, creating bottlenecks in emergency rooms and shifting the strain to children’s hospitals that focus on specialized services like cancer treatment or heart surgery.
Johns Hopkins Children’s Center in Baltimore, which has also reached capacity, is deploying floor nurses to the pediatric emergency department and will soon have children being treated by doctors who normally care for adults — a reversal from two years ago, when the pediatric staff helped treat adult COVID patients.
At the height of the pandemic, hospital administrators across the country transformed empty pediatric floors into adult COVID ones. Without a financial incentive to revert them back to pediatrics, some have made the changes permanent.
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