Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Department of Internal Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Pan Afr Med J. 2022 Mar 14;41:210. doi: 10.11604/pamj.2022.41.210.29956. eCollection 2022.
COVID-19 continues to spread across borders and has proven to be a challenge for the existing healthcare system. The demand for intensivists has dramatically increased in the United States, in the backdrop of an expected lack of intensivists in many States even before the pandemic. One proposal has been to organize multidisciplinary teams functioning under one intensivist, as this approach would make use of the existing healthcare force and lessen the burden on intensivists. Another recommendation is the adaptation of Tele-ICUs, which have demonstrated constructive outcomes in the past. Moreover, ensuring the provision of all types of personal protective equipment, adequate testing and, other provisions such as mental health support, financial incentives for intensivists should be prioritized. More intensivists should be trained for the future, for which better institutional policies are essential.
新冠疫情继续跨境传播，对现有医疗体系构成了挑战。在美国，由于预计即使在大流行之前，许多州也缺乏重症监护医生，对重症监护医生的需求急剧增加。一项提议是组织一个由一名重症监护医生领导的多学科团队，因为这种方法将利用现有的医疗力量，并减轻重症监护医生的负担。另一个建议是调整远程重症监护病房，过去的经验表明这是一种有效的方法。此外，应优先考虑确保提供各类个人防护设备、充分检测以及其他规定，如心理健康支持、对重症监护医生的经济激励等。应优先考虑为未来培养更多的重症监护医生，为此需要更好的机构政策。
