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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

#41
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...

Re: Map of usage of intensive care beds in Germany

#42

Earlier quoted context omitted.

The question is, why is the death rate of ventilated patients so high? I would guess that it simply doesn’t fix the underlying issue. A hypothesis (just a simulation model, totally unproven): https://news.ycombinator.com/item?id=22794837

A former registered nurse once told me that heart problems typically start as lung problems. Heart stress isn't at all unusual with lung distress. The two systems very much work together. I have serious lung problems and I used to have arhythmia. I don't have arhythmia anymore. I'm generally healthier than I used to be. I don't know why the death rate on ventilators is so high. I'm not inclined to do a lot of specula…

Not having any real medical knowledge, just as a logical speculation, there is always the possibilitly, that at the point, where people get put on the ventilators, the infection has come to a point where the survivability is extremely low.

Re: Map of usage of intensive care beds in Germany

#43
post #10

Earlier quoted context omitted.

Interesting points, thank you. I previously mostly had the death rate for "ordinary" ICU admissions in mind, which were 50%. Didn't know that once you are you are connected a ventilator, you have a 80% death rate. To compare the effect of ventilators vs none, one needs good studies with randomized groups where one gets ventilators and the other doesn't. But I guess those aren't available and doing them is probably no…

I have a really serious lung condition. I used to use mechanical intervention to treat my condition. I have found other methods and no longer do that, in part because such interventions are hard to keep adequately sterile and are known to increase risk of antibiotic resistant infections because of that element. It's really not good to think of this problem space in terms of finding some group without ventilators at a…

How is you experience with oxygen? I can imagine it helps without stress to the lungs, which lung ventilators might introduce?

Re: Map of usage of intensive care beds in Germany

#45
post #42

Earlier quoted context omitted.

A former registered nurse once told me that heart problems typically start as lung problems. Heart stress isn't at all unusual with lung distress. The two systems very much work together. I have serious lung problems and I used to have arhythmia. I don't have arhythmia anymore. I'm generally healthier than I used to be. I don't know why the death rate on ventilators is so high. I'm not inclined to do a lot of specula…

Not having any real medical knowledge, just as a logical speculation, there is always the possibilitly, that at the point, where people get put on the ventilators, the infection has come to a point where the survivability is extremely low.

That's generally true of ventilator usage. It thus fails to account for the abnormally high death rate of people with Coronavirus put on ventilators as compared to statistical norms for ventilator usage generally.

Re: Map of usage of intensive care beds in Germany

#46

Earlier quoted context omitted.

I have a really serious lung condition. I used to use mechanical intervention to treat my condition. I have found other methods and no longer do that, in part because such interventions are hard to keep adequately sterile and are known to increase risk of antibiotic resistant infections because of that element. It's really not good to think of this problem space in terms of finding some group without ventilators at a…

How is you experience with oxygen? I can imagine it helps without stress to the lungs, which lung ventilators might introduce?

I've never been put on oxygen.

A downside of oxygen is that it's very flammable. Also, to whatever degree it involves a cannula, masks, etc, it has some of the same issues in terms of sterility challenges.

I've generally relied on things like airway clearance and dietary intervention in recent years.

Re: Map of usage of intensive care beds in Germany

#48
post #38

Earlier quoted context omitted.

Thank you. The translation I saw described yellow as something like "emerging bottlenecks." There seem to be a lot of them in Bavaria, where I have relatives.

My Bavarian hospital is on there as yellow. I'm currently sitting in the empty urgent care clinic and just had a chat with the nurse from the almost empty emergency room about the fact that both the COVID-19 ward and the ICU are far from capacity. Not really sure why we're yellow, to be honest.

[deleted]

Re: Map of usage of intensive care beds in Germany

#49

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?).

Re: Map of usage of intensive care beds in Germany

#50

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...

Shortages may also be due to non-Covid-19 patients. It's not that hospitals suddenly stopped caring for all other ailments.
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