Cumming Crisis: Soon we will leave skilled personnel to treat covid. Here's how to deal with it
Patients are dying in ICU due to lack of ICU and doctors. "We are about to make headlines after addressing the lack of oxygen. Based on the data of the first covid wave, positivity will remain at 25-30% for the next 3-4 months. More than 3 lakh people are testing positive Every day, statistically, for every positive patient, there will be at least five more patients who are positive but have not been tested.
This means that people are getting infected every day. Assuming that 5% of them may require ICU care, we will add approximately 75,000 ICU patients every day who are required to remain in the ICU for approximately ten days. Unfortunately, we only have 75,000–95,000 ICU beds, which were full before the epidemic reached its peak. Today, our own doctors do not ensure that they will get a bed in the same ICU where they are working when they are infected.
Unlike the first wave, the ICU today is full of young patients. Hence most of the patients who die are young breadwinners of the family with social implications.
To prevent this disaster, we need to add 5 lakh new ICU beds in a few days. Any bed with central oxygen in a government or private hospital can be converted into an ICU bed with some accessories, which can be easily purchased.
Unfortunately, beds do not treat patients. Doctors, nurses and paramedics do. Prior to Kovid, there was a shortage of 76% of medical specialists in government hospitals. Most government hospitals' ICUs are sub-poppy and Covid's patients live in private hospitals with small staff. Frontline workers doing unprecedented work during the first wave are tired and weary. We need a few million young, skilled and vaccinated nurses, paramedics and doctors to win the war.
India is the only country in the world that can produce a few lakh young Kovid frontline workers in a few days by changing the rules.
The biggest bottleneck in the expansion of ICU is the shortage of nurses. There are around 2.2 lakh nursing students who have completed GNM or BSC training, just waiting for the exam. Nursing and ICUs serving paramedical students should be exempted from taking undergraduate exams and should be given priority for future government jobs, provided they work in the Kovid ICU for one year. Most students would like to take this offer.
The second biggest hurdle is the availability of specialist doctors. More than 25,000 young doctors are about to finish training in various medical and surgical specialties. NBE or NMC should give exemption to those who failed in the previous examination and got the award for working for one year in Kovid ICU.
There are a few thousand medical specialists with diplomas in important specialties such as intensive medical cardiology or emergency medicine, which are not recognized by the Medical Council. If NMC recognizes these diplomas, then we should get thousands of motivated and skilled medical experts to manage Kovid ICUs across the country.
More than 1.3 lakh young doctors are sitting home memorizing multiple choice questions to secure PG seats through NEET exam. Since there are only 35,000 PG seats in clinical subjects, there will be more than one lakh doctors who will fail to get PG seats. Grace Marks may be offered to them for the next NEET exam, provided they work for one year at Kovid ICU.
In addition, there are at least 20,000 doctors who graduate from foreign universities and are unable to pass the Indian entrance exam. They can leave their country and practice as doctors in other countries. These doctors may be given a medical council registration in exchange for working in the covid ICU.
All the doctors whom I am suggesting to be exempted from the final examination are already qualified physicians with the ability to practice medicine. In the India, postgraduate resident doctors are also not required to appear for the final examination. He is recognized as a board eligible and allowed to practice.
A Kovid ICU is the worst place to work with PPE. We rarely encounter a situation in which we need to think about our lives before saving the life of the patient. No monetary incentive can work together in a Kovid ICU for a month. We have to give a life-changing gift to young nurses and doctors to face the fight.
Let's be practical and accept that whatever we are currently doing inside the hospital to increase ICU beds is not working. This is the reason why today private hospitals are not providing ICU beds even for the millionaires.
We belong to a wonderful country, which can solve the challenges of life in remarkable fashion. We started a war against Kovid with almost no PPE and very few ventilators. In a few weeks we produced enough PPE and ventilators to become pure exporters.
Today the entire nation is gasping for breath due to lack of oxygen. Thanks to the generosity of the industries and the intervention of the government, the impending crisis of Oxy: soon we will leave skilled personnel to treat Kovid. Here's how to deal with it
Patients are dying in ICU due to lack of ICU and doctors. "We are about to make headlines after addressing the lack of oxygen. Based on the data of the first Kovid wave, the positivity rate should remain at 2530% for the next 3–4 months. More than 3 lakh people are testing positive. . Every day, statistically, for every positive patient, there will be at least five more patients who are positive but have not been tested.
This means that at least 1.5 million people are getting infected every day. Assuming that 5% of them may require ICU care, we will add approximately 75,000 ICU patients every day who are required to remain in the ICU for approximately ten days. Unfortunately, we only have 75,000–95,000 ICU beds, which were full before the epidemic reached its peak. Today, our own terrorists are not sure that they will get a bed in the same ICU where they are working when they are infected.
Unlike the first wave, the ICU today is full of young patients. Hence most of the patients who die are young breadwinners of the family with social implications.
To prevent this disaster, we need to add 5 lakh new ICU beds in a few days. Any bed with central oxygen in a government or private hospital can be converted into an ICU bed with some accessories, which can be easily purchased.
Unfortunately, beds do not treat patients. Doctors, nurses and paramedics do. Prior to Kovid, there was a shortage of 76% of medical specialists in government hospitals. Most government hospitals' ICUs are sub-poppy and Covid's patients live in private hospitals with small staff. Frontline workers doing unprecedented work during the first wave are tired and weary. We need a few million young, skilled and vaccinated nurses, paramedics and doctors to win the war.
India is the only country in the world that can produce a few lakh young Kovid frontline workers in a few days by changing the rules.
The biggest bottleneck in the expansion of ICU is the shortage of nurses. There are around 2.2 lakh nursing students who have completed GNM or BSC training, just waiting for the exam. Nursing and ICUs serving paramedical students should be exempted from taking undergraduate exams and should be given priority for future government jobs, provided they work in the Kovid ICU for one year. Most students would like to take this offer.
The second biggest hurdle is the availability of specialist doctors. More than 25,000 young doctors are about to finish training in various medical and surgical specialties. NBEs or NMCs should give them exemption and those who failed the previous exam and got the award for working for one year in Kovid ICU.
There are a few thousand medical specialists with diplomas in important specialties such as intensive medical cardiology or emergency medicine, which are not recognized by the Medical Council. If NMC recognizes these diplomas, then we should get thousands of motivated and skilled medical experts to manage Kovid ICUs across the country.
More than 1.3 lakh young doctors are sitting home memorizing multiple choice questions to secure PG seats through NEET exam. Since there are only 35,000 PG seats in clinical subjects, there will be more than one lakh doctors who will fail to get PG seats. Grace Marks may be offered to them for the next NEET exam, provided they work for one year at Kovid ICU.
In addition, there are at least 20,000 doctors who graduate from foreign universities and are unable to pass the Indian entrance exam. They can leave their country and practice as doctors in other countries. These doctors may be given a medical council registration in exchange for working in the Kovid ICU.
All the doctors whom I am suggesting to be exempted from the final examination are already qualified physicians with the ability to practice medicine. In the United States, postgraduate resident doctors are also not required to appear for the final examination. He is recognized as a board eligible and allowed to practice.
A Kovid ICU is the worst place to work with PPE. We rarely encounter a situation in which we need to think about our lives before saving the life of the patient. No monetary incentive can work together in a Kovid ICU for a month. We have to give a life-changing gift to young nurses and doctors to face the fight.
Let's be practical and accept that whatever we are currently doing inside the hospital to increase ICU beds is not working. This is the reason why today private hospitals are not providing ICU beds even for the millionaires.
We belong to a wonderful country, which can solve the challenges of life in remarkable fashion. We started a war against Kovid with virtually no PPE and very few ventilators. In a few weeks we produced enough PPE and ventilators to become pure exporters.
Today the entire nation is gasping for breath due to lack of oxygen. Thanks to the generosity of the industries and the intervention of the government, the lack of oxygen will soon be resolved. We have the power to overcome the manpower crisis and the biggest human being
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