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Thursday, April 9, 2020

If Not In Place - Universal Best Practices Urgently Needed

 
Used: Statgraphics' Centurion 18 statistical analysis software.



The centerline between the red lines is the mean (average) ratio of 0.029 or 29 deaths per 1000.
The chart, shown above, traces the US cumulative ratio of number of deaths divided by the number of confirmed infections.  What does this chart tell us?  In the beginning of the outbreak we had a high death rate, probably because little was known about this COVID-19 virus, and the then current best practices were inadequate.  As days went by and experience was gained, which allowed very bad cases to be successfully resolved.  As more time passed and still more experience was accumulated, the death rate was further reduced.  However, about March 23rd we reached the bottom of the curve, and the death rate was about to increase once more.

One may ask, how is that possible?  What happened?  The not so simple answer is, the system, apparently, became overwhelmed due to the dramatic increase in new infections.  Medical supplies and equipment of all kinds were no longer available in adequate numbers.  The COVID-19 virus infected medical staff in great numbers, instead of adding more medical and support personnel, staff numbers were reduced, as a result.  In addition, working very long hours, the medical staff became less efficient, which is the expected result when overworking people.  Not having adequate protective gear for our doctors and nurses did not help.  The news media highlighted many stories showing that our medical system was inadequate for this pandemic; no doubt, they were right.

It may be that new best practices must established, documented, analyzed and universally distributed to all medical facilities, to allow the use of such by all medical staff, to ensure the maximum successful outcomes for all patients, no matter where they are living.

My advice to anyone tempted to take chances by closely interacting with others in public places, don't do it now, you will probably experience that the service at hospitals, right now, is kind of slow and inadequate, due to staff and supply/equipment shortage.






1 comment:

  1. "Desperate for medical supplies, US asks to buy from Turkey"

    "The United States has submitted a list of medical supplies they would like to purchase from Turkey, seeking Ankara’s help in dealing with the coronavirus pandemic that has inflicted a major blow to the country’s already fragile health care system and depleted the Strategic National Stockpile.

    The list submitted to the Turkish Embassy in Washington includes body bags, soap, masks, beds, gloves, respirators, goggles, mobile X-ray units, alcohol-based hand disinfectants, antiviral vaccines, morphine, antibiotics, medical kits, oxygen masks, shoe covers, medical tubes, laryngoscope sets, surgical masks, disposable medical gowns, mobile sphygmometers, sample carry cases and chloride, according to a report by the Hürriyet daily, citing Foreign Ministry and Industry and Technology Ministry records."

    https://www.dailysabah.com/politics/desperate-for-medical-supplies-us-asks-to-buy-from-turkey/news

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