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Map of usage of intensive care beds in Germany

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Re: Map of usage of intensive care beds in Germany

#81
People from other countries are always hating "just wait, we laughed too, but then things got worse!"

But I have the feeling, in Germany we are doing pretty good for ourselves.

I don't think this will be over soon, but when I look at our numbers, I just can't see it getting much worse, let alone as bad as our neighbors or the US has it...

Re: Map of usage of intensive care beds in Germany

#82
post #52

Earlier quoted context omitted.

The Chinese recommendations document ( Handbook of COVID-19 Prevention and Treatment available from https://covid-19.alibabacloud.com/ ) suggests oxygen early on, and not keeping patients on noninvasive ventilation for long before moving on to invasive, or skipping noninvasive altogether (intubating earlier rather than later) gives better outcomes. I suspect this is what the parent post is referencing. However, this…

Thanks for that. I have really serious lung problems and spent years homeless. While homeless, I used to just stand outside my tent and cough up massive amounts of fluid and gunk so I could breathe when I laid down to sleep. Based on my experiences with my incurable lung disorder, I'm fairly confident we could be doing more with non-invasive techniques even at fairly advanced stages.

I understand your perspective but you’re relying on anecdata, not data.

Re: Map of usage of intensive care beds in Germany

#83
post #53
post #33

Germany (like a few other countries) is in the situation "too much lockdown, too few sick". So it has to remove those lockdowns. This creates a fun political dynamic where the authorities who just spend a month scaring the population in doors now has to explain and justify why it is ok to go out and get a little sick.

I strongly disagree with the statement, that we have "too few sick" here in Germany. With the lockdown, we managed to just keep the health system from being completely overloaded in the most infected regions. But that already at the price of postponing non-urgent medical procedures. So yes, there are a few free beds in hospitals still, but we might still need them. What is not accounted for is, that supplies (masks..…

It is the same "problem" here in Denmark; massive lockdown and overcapacity for COVID19 treatment.

The current level of lockdown is unmaintainable as this virus is probably going to be here for a year or two. However it is very hard for our politicians to say: It is too expensive to save these lives - other lives are cheaper to save.

In a way the media coverage has been so effective that people actually do not want the restrictions lifted.

Re: Map of usage of intensive care beds in Germany

#84

Translation of the German captions: The number of hospitals that report that their ICU capacities as: Blue: Has Free Capacities (639 currently) Yellow: Some Contention (326 currently) Red: Fully Utilized (41 currently) Covid 19 patients in ICUs: 2453 (76% of which are on ventilators) ICU beds reported by hospitals: 19,663 (58% in use currently)

red/yellow doesn't mean covid-19 full. clinic close to my birthplace always have had full low care beds and they build and build new stuff every ~5 years to keep up with demand.

Re: Map of usage of intensive care beds in Germany

#85
post #81

People from other countries are always hating "just wait, we laughed too, but then things got worse!" But I have the feeling, in Germany we are doing pretty good for ourselves. I don't think this will be over soon, but when I look at our numbers, I just can't see it getting much worse, let alone as bad as our neighbors or the US has it...

We reacted late, but not as late as for example Italy. And at least where I live, many people tried to reduce social contacts. Not all obviously, but streets got emptier. But probably the most relevant thing to do was closing schools and especially kindergartens. It may just work out fine, I think it also depends on whether people get their shit together during the Easter weekend regarding family visits. Good weather also helps making things look less grim.

Re: Map of usage of intensive care beds in Germany

#86
post #81

People from other countries are always hating "just wait, we laughed too, but then things got worse!" But I have the feeling, in Germany we are doing pretty good for ourselves. I don't think this will be over soon, but when I look at our numbers, I just can't see it getting much worse, let alone as bad as our neighbors or the US has it...

Wait few days after Eastern celebration, parks in Munich are full, people around houses are celebrating in packs. Even deep in woods 30 miles away isn’t that empty as it was few days ago. 4000+ new cases alone yesterday. So another 200 intensive care beds needed. I am really worried about all this careless “we are doing well”.

Re: Map of usage of intensive care beds in Germany

#87

According to the district office there are 778 cases in the district of Ortenau right now [1]. Curiously the map colors indicate shortages in several places but checking the individual clinics yield 0 cases. [1] https://www.ortenaukreis.de/Politik-Verwaltung/Verwaltung/Si...

... I am aware cases != clinic beds. But 0 clinical cases at 778 total cases is unlikely (right?).

There's a single patient with COVID-19 in MediClin Herzzentrum Lahr/Baden. Some of the other 777 will probably end up hospitalized over the next week.

Re: Map of usage of intensive care beds in Germany

#88
post #53

Earlier quoted context omitted.

I strongly disagree with the statement, that we have "too few sick" here in Germany. With the lockdown, we managed to just keep the health system from being completely overloaded in the most infected regions. But that already at the price of postponing non-urgent medical procedures. So yes, there are a few free beds in hospitals still, but we might still need them. What is not accounted for is, that supplies (masks..…

> I strongly disagree with the statement, that we have "too few sick" here in Germany. We want to be close to maximum capacity (but just under) though, and we're not. If "the curve" is too flat, it gets drawn out much more than necessary, and nobody should fool themselves into thinking that this can be a permanent setup. You'll need martial law if you want to confine everyone to their homes for 12+ months.

That is why we have to find a way out of the lockdown: because, as I wrote, you can't confine people to their home for too long. But not because we have "too few sick". If you are playing towards herd immunity: it doesn't look like we are getting there with "acceptable" infection rates. The disease is too nasty for that. So we have to reduce the lockdown in a way so that the infection rate does not increase significantly.

Re: Map of usage of intensive care beds in Germany

#89

Translation of the German captions: The number of hospitals that report that their ICU capacities as: Blue: Has Free Capacities (639 currently) Yellow: Some Contention (326 currently) Red: Fully Utilized (41 currently) Covid 19 patients in ICUs: 2453 (76% of which are on ventilators) ICU beds reported by hospitals: 19,663 (58% in use currently)

Just a note: This includes hospitals that do not have intensive care units or that does not take Covid patients at all.

For example, I found a "clinic" for neurodiagnostic that has zero patients and is "fully utilized".

Re: Map of usage of intensive care beds in Germany

#90
post #72

Earlier quoted context omitted.

I posted a link in my original comment to a source indicating that's not what doctors are concluding. It's also not what I'm concluding. While I'm not a doctor, my life literally depends upon me having a fairly substantial amount of knowledge about things like my lung function. In contrast, you opened with saying you don't have much medical knowledge, this just seems logical to you. I will suggest you do more reading…

I found the link you are probably referring to, but the article doesn't give any clear conclusion, other that it is known, that ventilation is a very harmful procedure. I would assume, for that reason, doctors wouldn't use ventilators until there is no other option to keep people breathing. Do you have a source for ventilators being used much earlier? If so, than this is certainly something which should be reconsider…

I feel I've already covered these points. To recap:

Some doctors are currently making a concerted effort to intentionally delay or avoid use of ventilators because they are concerned about the alarmingly high death rate associated with them. On the face of it, this implicitly admits that doctors haven't heretofore been exhausting all other treatment modalities before ordering use of a ventilator.

I don't know how to answer your last question. I've talked extensively about my firsthand experience with using alternative treatment modalities with my life threatening lung issues, but I'm not a doctor and I don't really have the background to assert anything more than I've already covered, which, as usual, is being dismissed by some commenters as anecdata.

Since I've already qualified it up front as "my firsthand personal experience," it seems entirely pointless to belabor any points about my opinions.

If the opinions of some random internet stranger (aka me) don't satisfy you and the opinions of medical professionals in the source I posted don't either, I think you probably need to do some digging to come up with the sorts of info that interest you.

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