Saturday, April 4, 2020

COVID-19 USA---Available Ventilators by State--CAMBRIDGE U PRESS, 2010

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     "...to see where the surplus can be appropriated for use in the hotspots..."

     (The Lab)--Published in 2010 and not available online until 2013, the survey includes not just the total numbers according to those who responded, but percentage in relation to 100,000 population per state. The top 5 states include California (6589), Texas (5419), New York (4506), Florida (4307), and Pennsylvania (3013). The data at the study was pasted into a spreadsheet, sorted by descending availability and graphed.


     The hotspot Louisiana is at #19 with 1109 ventilators in the state in this dated survey. Dated because there doesn't appear to be any more recent stats on individual numbers. However, the 2010 guideline can at least indicate the necessity for redistribution not just statewide, but federally as well.
     According to the study  published at Cambridge U., the survey was based on the following procedure;
     "Respondents were asked to report on the number and types of mechanical ventilators owned by their respective medical facilities in the following 10 categories, based on the framework of Rubinson et al1: full featured, high frequency, portable mechanical (pneumatic driven only), portable, basic emergency medical services transport, noninvasive, CPAP only, automatic resuscitators, neonatal-pediatric–specific and standby (no longer used for every day patient care but maintained and available on site). The survey instrument was updated to include all mechanical ventilators and automatic resuscitators approved by the US Food and Drug Administration up until the date of the initial survey mailing. Manual resuscitators were not included. Also, anesthesia machines were not included, because respiratory care professionals were unlikely to be able to provide accurate information regarding anesthesia machine model, quantities, and functional capabilities." (Rubinson et. al.)



      The next step is to compare the number of available ventilators by state to the outbreak to see where the surplus can be appropriated for use in the hotspots. This may alleviate some of the pressure on the federal government to commit its current stockpile in reserve to a place where a hotspot may appear only as a mirage. Not included in this survey may also have been  recent numbers as to inventory at manufacturers.



Source
Rubinson, L., Vaughn, F., Nelson, S., Giordano, S., Kallstrom, T., Buckley, T., . . . Branson, R. (2010). Mechanical Ventilators in US Acute Care Hospitals. Disaster Medicine and Public Health Preparedness, 4(3), 199-206. doi:10.1001/dmp.2010.18
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/F1FDBACA53531F2A150D6AD8E96F144D/S1935789300002731a.pdf/mechanical_ventilators_in_us_acute_care_hospitals.pdf

https://covidtracking.com/data/

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