Mayo Clinic Health System will defer elective procedures at its hospitals in Northwest Wisconsin starting Oct. 31 amid an escalation of COVID-19 cases, the system said Oct. 30. 

Two people died Oct. 30 in a shooting at Spotsylvania Regional Medical Center in Fredericksburg, Va., according to InsideNoVa.com. 

University of Arkansas Medical Sciences in Little Rock has canceled elective surgeries after a water pipe burst Oct. 26 and destroyed sterile supplies and personal protective equipment in the building's basement, according to the Arkansas Times. 

Three physicians offered their rationales for handling elective surgeries amid a COVID-19 surge in a recent case vignette published in The New England Journal of Medicine. 

If the number of positive COVID-19 cases remains steady, Wisconsin is on track to run out of intensive care unit beds and the people to staff them in as little as two weeks, according to the Milwaukee Journal Sentinel. 

Mercy Hospital Springfield (Mo.) opened an outdoor unit to help treat COVID-19 and flu patients, reports The Springfield News-Leader.

Hospitals around Knoxville, Tenn., are warning that their volume of elective procedures may be affected if the number of patients hospitalized for COVID-19 remains high. 

Erie, Pa.-based Saint Vincent Hospital plans to postpone a small number of elective procedures after "a number of patients and direct caregivers" recently tested positive for COVID-19, according to a hospital statement shared with WJET. 

Wildfires and smoke in Southern California have affected services at some of Kaiser Permanente's medical facilities in the region. 

Haywood Park Community Hospital in Brownsville, Tenn., is reopening after shutting down in 2014, according to TV station WREG. 

Estes Park (Colo.) Health was originally evacuated Oct. 22 due to wildfire spread in the area, and plans to reopen its emergency department this week, according to a hospital statement published in the Trail-Gazette. 

Johnson City, Tenn.-based Ballad Health will begin deferring elective procedures at three of its Tennessee hospitals due to a spike in COVID-19 hospitalizations, CEO Alan Levine announced in a series of tweets. 

Texas will establish a makeshift hospital in El Paso to help the city manage a spike in COVID-19 cases and hospitalizations, Gov. Greg Abbott said Oct. 25.

Maury Regional Medical Center in Columbia, Tenn., is suspending elective procedures requiring an overnight stay, effective Oct. 26.

At least 14 states are hitting record high COVID-19 hospitalizations, with seven more states close to peaking, according to The COVID-19 Tracking Project data cited by The New York Times.

Mercy Hospital and Medical Center in Chicago is scheduled to close next year, and it will be the 14th hospital in the Chicago area to close since 2000, according to an analysis by ABC7 Chicago. 

Thousand Oaks, Calif.-based Los Robles Regional Medical Center will close its 4-year-old pediatric intensive care unit in December, according to the Thousand Oaks Acorn.

Kootenai Health in Coeur d'Alene, Idaho, is looking at opportunities to transfer patients to facilities in Seattle and Portland, Ore., as its hospital nears capacity and COVID-19 cases surge in the region, according to TV station KREM.

Salt Lake City-based University of Utah Hospital has canceled elective procedures amid a COVID-19 surge in the state, according to Newsweek.

Total hospital admissions dropped to 68.6 percent of predicted admissions during a week in April, according to an analysis published Oct. 19 by the Kaiser Family Foundation.