I’m at a rural critical access hospital in the mountains. While our daily census/capacity varies wildly on the inpatient side we have absolutely no where to send people. We have MI’s (heart attacks) waiting for days in the ER. We don’t generally manage ventilated patients and have been trying to transfer a covid patient on a ventilator for 8 days. I admit multiple covid patients daily. Yesterday I saw 28 patients in an 8 hour shift. We are totally overrun and the only solace I have is that the surrounding counties are in even worse shape.