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With training in disaster management, Fiamengo worked to implement a triage production line to take patient details and determine how urgent their case was. "It was just chaos, there were people everywhere." At one point, a shirtless and evidently drug-affected young man wandered into the waiting room. "Hey guys, youse are doing an amazing job, I love your work," he said. Fiamengo recalls him leaving, then returning with another positive message. "It made everyone giggle for a time." She told him she was grateful for his words but it probably wasn't the best time to keep coming in. Emergency specialist Karen Winter had called her boss, acting ED director John Loy, and, at 9pm, he returned to find the department steamy, shrouded with the mist of nebulisers and noisy with beeping ventilators. He took stock: across the department, patients were receiving the three-pronged treatment approach to serious asthma: oxygen, plus steroids to dampen the immune system and reduce inflammation, and Ventolin to relax airways. In the blue, sub-acute area in cubicles designed for one, half a dozen masked patients sat sharing a wan and wheezy camaraderie. In the red, acute area, each cubicle was full and three patients were on non-invasive ventilation machines, receiving oxygen and medication behind tight-fitting face masks.
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