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Old 12-13-2020, 02:50 AM
  #831  
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I'm not denying that COVID hospitalizations and ICU admissions are up substantially, or that SOME hospitals in SOME locations are nearing capacity.

However...

I used to work for a company whose bread and butter was designing ICUs for hospitals. In non-pandemic times, ICU census is normally 70-90% of capacity. ICUs and associated equipment are expensive and no hospital (note: most hospitals are nonprofit) is going to invest millions of dollars into physical property that normally sits and doesn't regularly generate revenue. "Only 10% ICU capacity" on its face indicates more than normal ICU occupancy but does not necessarily indicate "overwhelmed" if you are talking base ICU capacity. All hospitals have surge ICU capacity protocols for things like pandemics and mass casualty events, and if ICU capacity remaining figures include surge capacity that does represent an issue.
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Old 12-13-2020, 06:53 AM
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Originally Posted by BoilerUP View Post
I'm not denying that COVID hospitalizations and ICU admissions are up substantially, or that SOME hospitals in SOME locations are nearing capacity.

However...

I used to work for a company whose bread and butter was designing ICUs for hospitals. In non-pandemic times, ICU census is normally 70-90% of capacity. ICUs and associated equipment are expensive and no hospital (note: most hospitals are nonprofit) is going to invest millions of dollars into physical property that normally sits and doesn't regularly generate revenue. "Only 10% ICU capacity" on its face indicates more than normal ICU occupancy but does not necessarily indicate "overwhelmed" if you are talking base ICU capacity. All hospitals have surge ICU capacity protocols for things like pandemics and mass casualty events, and if ICU capacity remaining figures include surge capacity that does represent an issue.
This. As I said hospitals don't sit there with extra capacity. They are typically up to 75% full on a normal pre covid day. I guess I need to "watch the news" more. People can keep ignoring the data(numbers on a website) though and just go by what the 6pm news anchor tells you. Because they don't have any incentive to keep people engaged day after day.

Here's the same website again that no one will look at albeit with a different data set. This one percentage of occupied ICU beds. Highest in CA 84.75%, none at 100%, and most right around 75%. Updated this morning at 1am.

Percentage of occupied ICU beds.
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Old 12-13-2020, 07:22 AM
  #833  
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Originally Posted by BoilerUP View Post
I'm not denying that COVID hospitalizations and ICU admissions are up substantially, or that SOME hospitals in SOME locations are nearing capacity.

However...

I used to work for a company whose bread and butter was designing ICUs for hospitals. In non-pandemic times, ICU census is normally 70-90% of capacity. ICUs and associated equipment are expensive and no hospital (note: most hospitals are nonprofit) is going to invest millions of dollars into physical property that normally sits and doesn't regularly generate revenue. "Only 10% ICU capacity" on its face indicates more than normal ICU occupancy but does not necessarily indicate "overwhelmed" if you are talking base ICU capacity. All hospitals have surge ICU capacity protocols for things like pandemics and mass casualty events, and if ICU capacity remaining figures include surge capacity that does represent an issue.
The issue with epidemics and mass casualty events is STAFFING far more often than space or equipment.
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Old 12-13-2020, 07:43 AM
  #834  
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Originally Posted by Excargodog View Post
The issue with epidemics and mass casualty events is STAFFING far more often than space or equipment.
I believe most of the data websites are using "staffed beds."
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Old 12-13-2020, 08:16 AM
  #835  
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Originally Posted by BoilerUP View Post
I'm not denying that COVID hospitalizations and ICU admissions are up substantially, or that SOME hospitals in SOME locations are nearing capacity.

However...

I used to work for a company whose bread and butter was designing ICUs for hospitals. In non-pandemic times, ICU census is normally 70-90% of capacity. ICUs and associated equipment are expensive and no hospital (note: most hospitals are nonprofit) is going to invest millions of dollars into physical property that normally sits and doesn't regularly generate revenue. "Only 10% ICU capacity" on its face indicates more than normal ICU occupancy but does not necessarily indicate "overwhelmed" if you are talking base ICU capacity. All hospitals have surge ICU capacity protocols for things like pandemics and mass casualty events, and if ICU capacity remaining figures include surge capacity that does represent an issue.
The last time we spoke, my friend the retired pathologist told me EXACTLY this.

Hospital census statistics are being exploited to heighten FEAR, not to reflect reality.

People who are poor, ignorant and afraid are MUCH easier to manipulate and control. This has been the hallmark of the autocrat playbook for centuries.
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Old 12-13-2020, 12:59 PM
  #836  
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Originally Posted by ACEssXfer View Post
I believe most of the data websites are using "staffed beds."
I don’t believe so. I believe most data is based on authorized ICU beds approved through the certificate of need process.

https://www.mercatus.org/publication...tificates-need
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Old 12-13-2020, 01:18 PM
  #837  
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Originally Posted by Excargodog View Post
I don’t believe so. I believe most data is based on authorized ICU beds approved through the certificate of need process.

https://www.mercatus.org/publication...tificates-need
I can’t remember a site that didn’t use the heading “staffed ICU beds” on any data point but I also don’t know anything more about it than casually trolling websites so you very well could be correct.

That said, are we assuming that hospital systems are reporting an inflated capacity to .gov types via saying they have beds that cannot actually be staffed? This seems like the opposite of what they’d really want to do.
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Old 12-13-2020, 02:57 PM
  #838  
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Originally Posted by ACEssXfer View Post

That said, are we assuming that hospital systems are reporting an inflated capacity to .gov types via saying they have beds that cannot actually be staffed? This seems like the opposite of what they’d really want to do.
The major young/otherwise healthy group to be severely impacted by COVID in the US are those working in ICUs and ERs due to their high exposure rate. When they test positive, they are off until they are no longer communicable. Those missing people have been covered for by deferring vacations, weekends, and extra duty periods by those still available, but there is a limit as to how long you can do that. If these people were restricted to...oh, let’s say 1000 duty hours a year, just to pull a number out of the air, or even twice that, everybody would have already timed out for the year long since. A lot of people have been working near 16 hour shifts for months.


California Hospital Association CEO warns staffing ICU beds becoming critical issue



She said focusing on how many beds are left can be misleading.

“It’s not really about the bed, it’s not about the mattress, it’s not about the pillow. It’s about that highly trained critical care nurse,” Coyle said.

She added those nurses were available during the first surge because California was an early surge state.

But the latest surge is different.

“They are all in the Midwest and the mountain states. Hospitals report being unable to secure, no matter the price, those travel nurses,” Coyle explained.

The shortage has stopped hospitals like UC Davis Medical Center from expanding their ICU capacity.

“We have 84 adult ICU beds and we have plans to surge up to 200. That is what we could do, but not without more ICU nurses,” said one UC Davis doctor during a briefing with Governor Newsom.

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Old 12-13-2020, 04:10 PM
  #839  
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Originally Posted by ACEssXfer View Post
This. As I said hospitals don't sit there with extra capacity. They are typically up to 75% full on a normal pre covid day. I guess I need to "watch the news" more. People can keep ignoring the data(numbers on a website) though and just go by what the 6pm news anchor tells you.
The panicking alarmist that told you that posted this long ago;

Originally Posted by Knobcrk1 View Post
The media isn’t there to paint positivity and wishes, it’s there to paint the reality whether you like it or not.
After that, I stopped taking their rants seriously and now just read them for sheer entertainment value.
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Old 12-13-2020, 04:49 PM
  #840  
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Originally Posted by John Carr View Post
The panicking alarmist that told you that posted this long ago;



After that, I stopped taking their rants seriously and now just read them for sheer entertainment value.
This forum needs a like button.
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