Reply to 3 Cases of Coronavirus Confirmed in MD

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]

[quote=Anonymous]

For most people it’s a cold. Calm down.[/quote]

For 20% of people it's not. That's a lot of people. [/quote]

Cite?[/quote]

I just saw this letter from Italian doctors in Milan posted today.  They are letting colleagues in other areas know what their experience has been.

They say 10% of their patients are needing intensive care, intubation and ventilators.

https://mailchi.mp/esicm/the-future-of-haemodynamic-monitoring-first-webinar-of-the-year-1009715

Dear friends,
 
At this moment in time, we believe it is important to share our first impressions and what we have learned in the first ten days of the COVID-19 outbreak.
 
We have seen a very high number of ICU admissions, almost entirely due to severe hypoxic respiratory failure requiring mechanical ventilation.
 
The surge can be important during an outbreak and cluster containment has to be in place to slow down virus transmission.
 
We are seeing a high percentage of positive cases being admitted to our Intensive Care Units, in the range of 10% of all positive patients.
 
We wish to convey a strong message: Get ready!
 
We also want to share with you some key points from our experience:

Get ready now - with your ICU’s networks - to define your contingency plan in the event of an outbreak in your community
Don’t work “in silo”. Coordinate with your hospital management and other healthcare professionals to prepare your response
Make sure your hospital management and procurement office have a protocol in place about which personal protection equipment (PPE) to stock and re-stock
Make sure your staff is trained in donning and doffing procedures
Use education, training and simulation as much as possible
Identify early hospitals that can manage the initial surge in a safe way
Increase your total ICU capacity
Get ready to prepare ICU areas where to cohort COVID-19 + patients - in every hospital if necessary
Put in place a triage protocol to identify suspected cases, test them and direct them to the right cohort
Make sure you set clear goals for care with the patients and their families early on
 
 
With our best regards
 
Prof. Maurizio Cecconi           Prof. Antonio Pesenti             Prof. Giacomo Grasselli
President elect, ESICM           University of Milan                University of Milan
Humanitas University, Milan

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