8/26/2023 0 Comments Stockpile app forum![]() Ventilators supplied from the Strategic National Stockpile or from emergency purchases may be more basic models than a typical, full-featured intensive care unit (ICU) ventilator. 5 Providing personal protective equipment is also paramount to maintain the capacity of this highly trained workforce. 3, 4 Telehealth for training or consultation may extend staffing resources. To address these challenges, professional societies have provided resources for cross-training other providers to support ventilated patients with oversight by more experienced critical care providers. Accepting out-of-state licenses may have a limited effect as more states seek qualified providers for pandemic response. State initiatives to increase provider availability include extending medical licenses and broadening the scope of practice. 2 These concerns apply to patients who need ventilation for COVID-19 or other conditions, such as stroke or chronic obstructive pulmonary disease. The Society for Critical Care Medicine has warned that even after distributing additional ventilators, the nation’s capacity to treat a surge of patients may be limited by the number of critical care physicians, nurses, and respiratory therapists trained to treat ventilated patients. Staff Availability-A Critical Factor in Ventilator Access In responding to the COVID-19 pandemic, policy makers must also consider key factors when allocating ventilators across facilities, such as anticipated patient need, facility capacity to use additional ventilators, and supporting residents in areas without critical care services. Policy makers and clinical leaders must recognize essential components of ventilator management, including skilled staffing support, differences in ventilator model capacity, and supply and training needs. These choices require understanding how facilities use existing ventilator resources. State and regional leaders face critical decisions about how to efficiently and ethically allocate additional available ventilators to health care facilities. As multiple states seek new orders, ventilator manufacturers in the United States report not being able to prioritize where ventilators are most needed given limitations in how quickly ventilators can be produced. In addition to any existing state stockpiles, states have started purchasing additional ventilators. 1 According to media reports, the federal government’s Strategic National Stockpile has almost 13 000 ventilators to be released in emergencies. Without enough ventilators, rationing measures that triage ventilators in order to save the most lives could be necessary. Shared Decision Making and CommunicationĪs the COVID-19 pandemic continues, policy makers are seeking to expand ventilator capacity to address the anticipated surge in patients with severe respiratory failure.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Margol wouldn't disclose pricing but says the service is subscription-based and "makes financial sense for companies doing 10 or more measurements a month. ![]() Cloud computers using photogrammetry turn the video's digital pixels into XYZ coordinates, creating a 3D model of the pile. "Once you upload the video, the real magic happens," says Margol. Keeping the top and bottom of the pile in the frame, the user walks the 25 ft from the first cone to the second cone, then keeps circling the pile until he passes the first cone again, ending at the second. "The cones are like a legend on a map, giving the computer a point of reference," says Margol. A user places two orange construction cones parallel to the stockpile and exactly 25 ft apart on center. "Collecting data in the app is like shooting a panoramic photo," says Maury Margol, head of business development at Stockpile Reports. ![]() Bradshaw adds that the app is easy to use and accurate and improves safety. For stockpiles smaller than 100 cu yd, Bradshaw's team did its own tests on the app against light detection and ranging (LIDAR), GPS and employee measurements and confirmed its accuracy to be plus or minus 1.5%. "They documented accuracy of plus or minus 2% on these large stockpiles" but reported a lower accuracy for piles smaller than 100 cu yd, he says. ![]() Stockpile Reports Inc., Redmond, Wash., developed an app of the same name for aggregate suppliers measuring stockpiles 3,000 cu yd and larger, says Mark Bradshaw, TxDOT procurement administration manager. The app works by uploading a video of the stockpile to a cloud server, which turns the data into a 3D model to calculate its volume. of Transportation has benchmarked and adopted an iPhone app to measure its stockpiles. A model of a 100,000-cu-yd pile, made from iPhone video. ![]()
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