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To: DMaA who wrote (707001)	3/15/2020 7:30:38 PM
From: skinowski	4 Recommendations Recommended By lightshipsailor pak73 Stan Thehammer Respond to of 793883

Mechanical ventilators... there is an entire profession of Respiratory Therapists who are quite proficient with vents and respiratory issues in general. PA’s working with pulmonologists would become pretty good at it, fast. Hospitalists and PA’s working with Hospitalists can do it. Any Intensivists, of course. There are many very capable people around ICU’s. I have no doubt that many smart, experienced nurses can handle a lot of work. Many other general docs who often take care of their own patients in the ICU’s. The bottleneck is more likely to occur wrt numbers of vents and other supplies - and ICU beds that could be made safe for respiratory infections. They need pretty sophisticated ventilation systems, when the air would not be moving out of isolation areas, but to the contrary, it would be sucked in into them - and out (in a safe way). Personal protection equipment is vital. You may remember stories from Wuhan, where docs and nurses would be issued one set for the entire shift. No eating, drinking, and no bathroom breaks. That’s what shortage of critical equipment can make people do. When I see nurses taking virus tests in our drive throughs, it makes me nervous that they have face shields, but no goggles - which I think are safer. Was pretty shocked that they have head covers that are partial, with hair sticking out, clearly visible. Just imagine how much dangerous stuff is likely to settle on those hair after a shift of walking up to cars and testing many, many people, some of whom will turn out to be sick. That’s lack of training - and lack of proper supervision. People are endangered in ways that could be easily avoided.