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Comment by jojo2000 | Hacker News Reader

jojo2000·

It is because of the consequences of covid-19 on the lungs of some people, which needs intensive care and specialized equipment to cure them, that is rare (ventilators etc.).

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People forget that ventilator means not only the machine itself, but you also need couple of doctors - anesthesiologist in the least and nurses that have to keep watch. Person on the ventilator needs to be partly paralyzed to not interfere with the machine. I do not know how many staff on average is needed per patient but it is a significant number.

Also the length of time that people stay on it, with covid-19 it seems to be 2-3 week so bed and staff turnover is slow, which meant you need many more people that are available.

ICU "bed" is a virtual term, it not only means the physical availability of ventilator, but also staff.

Just a nitpick but a regular ventilator doctor that isn’t necessarily qualified to administer anesthesia is a Pulmonary specialist. They are generally the doctors prescribing the ventilation therapy. Below them are Respiratory Therapists who have a core of general knowledge and training for ventilation therapy. The RT is the person who administers the therapy and manages the equipment in the day to day. You don’t need to have run anesthesia ventilators to run regular ventilators. Anesthesia delivery is generally considered a different animal.

People are conditioned by experience to not present to hospital with mild respiratory symptoms. As they get older it gets more common and you still apply the same rules. Often too late by then to do anything other than ventilate.

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