The Need for Specially Trained Experts to Run Ventilators
Today I noticed more news articles stating the need and shortage of medical experts trained to operate ventilators . There is currently a shortage of critical care experts, intensivists, pulmonary Dr's, respiratory therapists, There was a shortage of respiratory therapists in some states before the virus.
--Hospitals are seeking tens of thousands of ventilators to help patients breathe as the disease attacks their lungs.
But someone needs to operate those breathing machines. And there aren't enough specially trained personnel, health care experts and reports warn.
"They're very complex machines, and you don't have enough respiratory therapists," said
Dr. Thomas Frieden, a former director of the U.S. Centers for Disease Control and Prevention.
"You're going to have to train nurses and others to run them," he said. "This is not a surprise.
We've known for more than 15 years that this is one of the biggest chokepoints ... in saving lives in a pandemic."
New York is among the states with the lowest concentration of respiratory therapists compared to the national average, according to U.S. Bureau of Labor Statistics data from 2018 that was analyzed by USA TODAY. The concentration is similarly low in Washington, the first hotspot in the U.S.
In New York, Cuomo cast an even wider net, seeking retirees in many health care specialties. Roughly 40,000 people volunteered to be on call for the state’s newly-created Surge Healthcare Force, including 160 respiratory therapists, according to the governor’s office.
A similar plea in Illinois recruited 450 healthcare retirees.
Shortages of respiratory therapists could limit the number of patients on ventilators to 135,000at a time, according to a 2015 assessment of the U.S. health care system's capacity during a major health crisis.
--Licensing
officials in North Carolina, California, Ohio and Colorado told USA TODAY they are cutting red tape to help retirees return quickly.
The respiratory care board of North Carolina, a state with about 5,000 licensed respiratory therapists, approved 50 respiratory therapy students to work as assistants in hospitals. It's working on approvals for dozens more.
“Even prior to this we were struggling to keep up with demand for therapists,” Croft said. One hospital had 20 openings for therapists before the coronavirus crisis.
Their numbers, sufficient for ordinary times, are too few for the pandemic.
“Ideally, if you want to train someone to be competent to do critical care in a respiratory sense, you need a better part of a year
,” Gibson said. “If you’re just going to use them as sort of an extension of the physician or respiratory therapist
— six to eight weeks, maybe. But we don’t have that.”
Some of the most important specialties needed to fight the coronavirus pandemic are
intensivists and critical care nurses — the physicians and nurses specially trained to manage ventilators and life-supporting medications essential for critically ill patients. There are currently
fewer than 65,000 physicians, physician assistants and
advanced practice nursing intensivists and about
550,000 critical care nurses in the United States.
Further complicating the provider shortage. first-line doctors and nurses need robust layers of backup personnel in case they fall ill and become an infectious risk to others.
Coronavirus treatment: Hospitals need ventilators, respiratory staff
For now, SA has enough ventilators and medical staff. Will it in the future?
The Calculus of Coronavirus Care