Thread by @ArmonRaE

#GovCuomo & #MayordeBlasio are like toilet paper hoarders with $40,000 ventilators. They'll never have enough thousands in storage to believe they can handle bogus worst-case modeling predictions that are proving to be false.
politico.com/news/2020/03/2…
#Cuomo #VentilatorShortage

#GovCuomo is demanding 40,000 #ventilators to add to the warehouse.
2015 — As hospitals face tighter profit margins tied to care costs & cuts in reimbursement rates, more are turning to just-in-time inventory management to keep supplies lean & costs low.
healthcarefinancenews.com/news/hospitals…

#Trump explained that #GovCuomo should’ve ordered ventilators when he had a chance in 2015.
Trump read: “It says #Cuomo refused to buy the recommended 16,000 ventilators for the pandemic — for a pandemic — established death panels & lotteries instead.”
freedomoutpost.com/trump-drops-tr…

#Cuomo spent more money than the cost of the ventilators on a solar panel boondoggle. #GovCuomo decided instead to establish “triage officers” to decide in a crisis who would get a ventilator and who would be left to die.
thegatewaypundit.com/2020/03/cuomo-… #Cuomo #DeathLottery

“the Task Force modified the definition of #triage. Patients with the highest likelihood of survival without medical intervention, along with patients with the smallest likelihood of survival with medical intervention, have the lowest level of access to ventilator therapy”
#Cuomo

The guidelines envision using a #lottery in limited circumstances. "there may be a situation where multiple patients have been assigned a red color code indicating the highest level of access to ventilator therapy, & they all have equal (or near equal) likelihoods of survival.”

guidlines: “If the eligible patient pool consists of only adults or only children, a randomization process such as a #lottery is used each time a #ventilator becomes available because there are no other evidence–based clinical factors available to consider.”
#Cuomo #DeathLottery

"Because the baseline assumption that 85% of ventilators in an acute care setting are in use during any given (non-pandemic) week, during a severe influenza pandemic, there could be a projected shortfall of #ventilators (-15,783) during peak week demand."
health.ny.gov/regulations/ta…

"Even if the vast number of [16,000] ventilators needed were purchased, a sufficient number of trained staff would not be available to operate them. If the most severe forecast becomes a reality, New York State & the rest of the country will need to allocate #ventilators."
#Cuomo

Apparently #GovCuomo & #MayordeBlasio think that every $40,000 ventilator they MIGHT need comes complete with an ICU room, a highly trained $64,000 nurse, & endless insurance to pay $4,000 a day to keep extremely sick older people alive a few more days.
#VentilatorShortage #Cuomo

Nurses working on a ventilator or respiratory unit have very stressful jobs, treating conditions such as lung infections or diseases, respiratory or ventilator failure, lung transplants & pulmonary recovery. Qualifications include a 4-year nursing degree.
work.chron.com/jobs-duties-nu…

For every day a patient is on a ventilator, he or she accumulates a risk for developing a ventilator-associated event and/or VAP.
There is a 35 percent mortality rate for ventilated patients with VAP.
ahrq.gov/hai/tools/mvp/… #VentilatorShortage #GovCuomo #VentilatorNurseShortage

Who does #GovCuomo think is going to monitor tens of thousands of ICU patients hooked up to all the new ventilators he thinks he’ll need?
There are no extra intensive care rooms, and there will be no insurance money to pay the $2,300 to $4,000 a day.
ahrq.gov/hai/tools/mvp/…

@threadreaderapp unroll