Re ventilators. This seems to seriously be a plan as talked about in the Peter Foster tweets
Peter Foster @pmdfoster
Now on building more capacity.
Some NHS Trusts - per two separate sources, one London, one Provincial - with multiple sites are reorganising 'acute' sites in order to boost capacity.
Taking ventitators from surgical theatres etc could 'double' capacity, per doc /4
BUT as we know (from Imperial Resarch) that's still going to like be below capacity when this 'storm' makes landfall. These charts do NOT make for happy reading.
BUT there is some novel thinking going on...for EG.../5
It is POSSIBLE that a mass-shooting in Las Vegas may hold the KEY to some innovative use of ventilators - it might be possible to run FOUR patients off ONE ventilator. See this paper here:
t.co/ZRLY0n9RY2 /6
You can also WATCH this video which was shared by a doctor and is doing the rounds...
Worth a watch, but basically you use a 'splitter' to use one ventilator to serve up to four patients.
Tho there are some caveats... /7
t.co/2Egk4KsLxl
- the machines are officially 'rated' for this
- the patients need to be similar size and have similar 'resistance' in lungs, since they're sharing.
- but it HAS been done before, in extremis, even if it's not been officially reviewed/tested.
But in extremis? Maybe /8
Which brings us back to another CAPACITY constraint - whether older NHS trusts can pump sufficient oxygen through their networks to cope with the extra load. Not clear. But that capacity is also being scaled up /9
And he finishes up with
But very tough choices are ahead. Docs are developing the 'three wise men' protocols, to decide when/if an older/less viable patient is taken off a ventilator to give a younger/more viable patient a shot. TOUGH DECISIONS that no person must carry alone. /19
Let's hope we don't get there - one says 'only' 20,000 extra deaths would be a 'miracle'. That's why people need to LISTEN and ACT on social distancing.
This is not just about YOU.
It's disrupting the transmission NETWORK to save OTHERS.
THINK ON. Lives are at stake
ENDS
Think the multiple ventilator thing is something that's crazy? Think again. Already being done in NYC cos of shortages...
Peter Attia @peterattiamd
Just received word from an ICU doctor at a small NY hospital: They are officially out of ventilators and are now double venting patients with COVID (using the same ventilator for 2 infected patients). Do everything possible to avoid infection.
PLEASE ISOLATE as best you can.