The hospital is full. We are holding boarders (admitted patients waiting for hospital room) who are now taking up more than 1/2 of our ER space. Anyone who is not critical is being sent home with oxygen. Multiple nurses out sick and no room to see patients but the waiting room. We cannot accept transfers from smaller, less capable centers because we have no room left. And then…the news that we had a pediatric death from COVID. In 16 years of practice, this the worst thing I have ever seen. Almost all are unvaccinated.