Citizen Brief

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Stakeholders Involved

Hospitals -Systems 

Federal l Government

Executive Branch 

HHS

CDC 

FDA

Private Industry 

Take Action 

Ventilator & ICU

 

Vision:

All patients who need assisted ventilation has access to them.

 

 

Goal:

Provide an overview and recommandations for best practice  for treatment of COVID 19 related respiratory dysfunction.

 

 

The Challenge:

Provide an evidence-based strategy for minimizing the spread of the COVID 19 virus through evidence based recommandations

Evidence based recommandations for ICU and Ventilators 

 

Background:

"Personal protective equipment, commonly referred to as “PPE”, is equipment worn to minimize exposure to a variety of hazards. Examples of PPE include such items as gloves, foot and eye protection, protective hearing devices (earplugs, muffs) hard hats, respirators and full body suits."

OSHA

Oxygen Suport:

Assisted Mechanical Ventilation 

High-Flow Nasal Cannula Oxygen Therapy Devices

Mechanical ventilation

CPAP and BPAP

CPAP vs BiPAP - Non-Invasive Ventilation EXPLAINED

 

References

Guidelines and Recommandations 

How ventilators work and why they are so important in saving people with coronavirus

A shortage of ventilators will put lives at risk, so health authorities around the world are doing everything they can to get more 

COVID-19 – Trying Not to Intubate Early & Why ARDSnet may be the Wrong Ventilator Paradigm

For me and I am sure many COVID-19 has been quite the whirlwind.  So much information, so little time to process all of it.  Meanwhile, many of us are on the frontlines having to take care of these patients.  Personally, I have never been so wrong, so many times about a single disease process.  What I say today, may be different tomorrow.  This podcast was recorded on April 3rd, 2020

Prone Positioning in Awake, Nonintubated Patients With COVID-19: Necessity Is the Mother of Invention

Aartik Sarma, MD; Carolyn S. Calfee, MD, MAS

Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure

Alison E. Thompson, MD; Benjamin L. Ranard, MD; Ying Wei, PhD; et al.

General Media: 

At least of covid-19 patients on ventilators don't make it Washington Post 

How ventilators work and why they are so important in saving people with coronavirus

A shortage of ventilators will put lives at risk, so health authorities around the world are doing everything they can to get more 

Mechanical ventilators, which help patients breathe or breathe for them, are considered critical to the nation’s effort to contain the worst effects of the pandemic and avoid a crisis like the one Italy is facing.

 

Projected Need:
Current Supply: 

Potential Ramp up:

 

“hospitals are holding back from ordering more medical ventilators because of the high cost for what may be only a short-term spike in demand from the coronavirus epidemic, supply chain experts and health researchers say, intensifying an anticipated shortage of lifesaving equipment for patients who become critically ill.”

“amid growing fears that the United States could face a shortage of ventilators for coronavirus patients, state officials and hospitals are quietly preparing to make excruciating decisions about how they would ration lifesaving care.” 

What the ventilator shortage means for America’s fight against the coronavirus 

l
GM, Ford studying how to make ventilators to fight COVID-19 (Detroit News) At least two of Detroit's three automakers are studying the feasibility of producing vital medical equipment, such as ventilators, as the nation tries to combat the coronavirus pandemic, echoing the industry's conversion to building tanks, trucks and planes during World War II.

General information and guidelines