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Thread: Coronavirus thread

  1. #3331
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    Quote Originally Posted by Dov View Post
    If you follow NY Gov Cuomo conferences they have addressed this, I've been following NY & NJ Gov's news conferences because I figure what they are going through now is what we here in midwest will be experiencing soon.

    Short version all the models they have from CDC etc for peak wave of people needing medical intervention suggest they will need that many vents.

    They are keeping the bulk of them in centralized storage because it functions akin to military reserve forces that you keep back to plug into the breaches.

    There is no way to know ahead of time if this hospital will need 100 vents and that one 150.

    HTH
    Good info, so how are they calculating the required number of 30k?

  2. #3332
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    Quote Originally Posted by TGS View Post
    They're using refrigerated trucks at the loading dock to store the dead for some of the hospitals in NYC.
    Just like here in the 1995 heat wave... those trailers, and their replacements as they aged, were and are a part of our local response resources.
    Ken

    BBI: ...”you better not forget the safe word because shit's about to get weird”...

  3. #3333
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    Quote Originally Posted by Redhat View Post
    Good info, so how are they calculating the required number of 30k?
    Likely based on estimates of total # of infected and applying what we know about the % of cases that require ICU level care. These have held pretty stable across multiple countries.

    Given how many intubated patients there are at Cornell Weill already, 30k seems like a totally reasonable estimate of folks who will require ventilation over the course of this pandemic. This will vary a lot based on how long this pandemic lasts, if it has a seasonal pattern, and how well we are able to use public health measures to slow the spread of the virus.

  4. #3334
    Quote Originally Posted by Redhat View Post
    Gov Cuomo admits NY has ventilators in stockpile:

    https://www.breitbart.com/politics/2...d-ventilators/
    Just because they have a small stockpile now doesn't mean they don't need thousands more. The peak is expected in 2-3 weeks. This isn't the peak now.

  5. #3335
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    Quote Originally Posted by Grey View Post
    Just because they have a small stockpile now doesn't mean they don't need thousands more. The peak is expected in 2-3 weeks. This isn't the peak now.
    Yeah that is the part that fucks with my head the most.

  6. #3336
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    Quote Originally Posted by Grey View Post
    Just because they have a small stockpile now doesn't mean they don't need "thousands" more. The peak is expected in 2-3 weeks. This isn't the peak now.
    I didn't see anything about how many they had, just thousands...don't know, but if they're already running one per two patients...why nor break them out? They're doing nobody any good sitting in storage.

  7. #3337
    Quote Originally Posted by Nephrology View Post
    Yeah that is the part that fucks with my head the most.
    You know its bad when a politician (Alaska) has to do an apology video for making light of the "beer" virus.

    People thinking that were going to get out of lock downs any time soon are kidding themselves. That is also why I think China's numbers are total crap.

  8. #3338
    Quote Originally Posted by Redhat View Post
    I didn't see anything about how many they had, just thousands...don't know, but if they're already running one per two patients...why nor break them out? They're doing nobody any good sitting in storage.
    If you can run 2 people on a single vent and it works, why are you trying to break out supplies that you may not be able to utilize later because you went to a single vent per person? NY is facing a shortage, they are trying to make their resources go as far as possible while still having some in reserve because they know a massive wave is coming.

  9. #3339
    Site Supporter ccmdfd's Avatar
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    Just received from one of our national Pulmonary societies.

    begin message:

    Urgent Help Needed in NYC Intensive Care Units

    Hospital systems in New York City are overwhelmed with patients suffering poor COVID-19 prognoses who require intensive and urgent care. The situation is dire — the city is running low on ICU-trained physicians.

    If you are an ICU-trained physician outside of New York City and can volunteer to support this worsening situation before it affects other areas, please contact Dr. Doreen Addrizzo-Harris at Doreen.addrizzo@nyulangone.org. New York State Governor Andrew Cuomo can provide same-day approval on all credentialing and licensing, provided that you are board certified in critical care and have a valid driver’s license from another state.

    Thank you for lending your skills and support to colleagues and patients in grave need.

  10. #3340
    STAFF Nephrology's Avatar
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    Quote Originally Posted by Redhat View Post
    Gov Cuomo admits NY has ventilators in stockpile:

    https://www.breitbart.com/politics/2...d-ventilators/
    Nobody said NYS was out of ventilators.... but NYC is getting close. that was a stupid article.

    Quote Originally Posted by Grey View Post
    If you can run 2 people on a single vent and it works, why are you trying to break out supplies that you may not be able to utilize later because you went to a single vent per person? NY is facing a shortage, they are trying to make their resources go as far as possible while still having some in reserve because they know a massive wave is coming.
    Re: Columbia doing the human ventipede, per my friend they only did that to test and see if it was feasible. They are not out of vents last time I heard.

    However, the problem with "2 patients 1 vent" is that you basically need both of them to be of similar size/weight and to have similar/identical ventilator requirements. This isn't easy, especially because ventilation requirements can change over time. @ccmdfd can comment more specifically than I can.

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