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In the beginning of March Mayo Clinic circulated a COVID ICU protocol which virtually everybody implemented. Cleveland Clinic had something similar though NYC,
by notyourday 6y ago
In the beginning of March Mayo Clinic circulated a COVID ICU protocol which virtually everybody implemented. Cleveland Clinic had something similar though NYC, Philadelphia and Baltimore hospital systems went with Mayo. It had metrics and trigger points at which point different units at hospitals were converted into COVID ICUs. Such protocols are absolutely standard for any large scale disaster scenarios. "Overwhelmed" means "handling of this event is not in a protocol". That has never happened. 2x the normal ICU beds was would not have triggered even the 2nd implementation of a second phase.
- BubRoss 6y agoThat is an insane redefinition and goal post moving.
- notyourday 6y agoIt is not. It is exactly the same as event one's AWS installation has a capacity problem. You do sort of have that plan, don't you?
- TeaDrunk 6y agoIf I attempt at AWS load balancing was “cut down all other services for the purpose of this particular services up to and including the full shut down of other services to divert to this service” I would definitely say this instance is wildly out of hand and an unacceptable state and that we may need to evaluate if this is temporary or if we need to grab more AWS $$$.
- notyourday 6y agoYou just described the plan. That's exactly what it is.
- BubRoss 6y agoThis definition you have concocted isn't real. Just because everyone stops what they are doing and starts bailing water out of a boat doesn't mean the boat isn't flooded. You can't hallucinate some new definition for being overwhelmed and then say New York hospitals weren't overwhelmed. That is not rational.
- simonh 6y agoTo me, overwhelmed means not able to provide the expected standard of care to a majority, or large minority of patients. In many cases the patient to nurse ratios went up to 3 or 4 times higher than would normally be considered acceptable, and patients dying before the nurses can even get to them. Simply having a bed isn’t enough.