Posted from a national physician group:
In a “best case scenario“ model, epidemiology experts project that 200,000 Americans may need ICU level care in the coming months. However, based on emerging global data, the “worst case scenario” model projects that 2.9 million Americans may need ICU level care. There are 46,500 ICU beds available in the US. In an emergency, hospitals can quickly try to create alternative spaces to double this number to approximately 80,000. In the US, we only have 160,000 available ventilators. There are even fewer trained respiratory therapists, who are essential for achieving good outcomes for ventilated patients.
If nearly 3 million Americans need ICU beds during the same month, there will be an extreme mismatch between supply and demand. This results in something called “distributive justice,” which is currently happening in other countries. When there are not enough resources to care for all of the sick patients, medical teams have to make decisions about who to try to save. Right now, there are hospitals in Italy in which doctors are not even able to assess patients over 60 years (or younger patients with preexisting heart or lung problems) - these patients are dying in hospital hallways because 100% of efforts and resources are geared towards saving younger patients.
This is not a partisan issue; it’s not about “socialism” or “political agendas.” This is math: too many patients + not enough hospital resources and staff = more deaths. A recent study out of Johns Hopkins demonstrated that the US healthcare system will struggle to absorb a sudden and large influx of critically ill patients. Specifically, Memphis was identified as one of two US cities least prepared to absorb a high volume of critically ill patients, due to low ICU bed per population ratios.
Key message: decreasing your interactions with people (“social distancing”) can help to slow the spread of infection. This, in turn, slows the rate of sick people presenting to hospitals. The same number of people may ultimately get sick, but if they present to hospitals more gradually, then there will be more resources to go around. This helps to save lives.
The country of France has fewer reported cases of COVID19 than does the US - and today, the centralized government mandated closure of all public gathering spaces, including restaurants and cafes. I anticipate that other countries will begin to follow suit in the coming days. With the anticipated rate of spread, every day matters.
The goal is for us to look back on this year and think - that was stressful, but it could have been worse. This is achievable if millions of people make quiet, uncelebrated sacrifices and choices to minimize social interactions.