From: Covid-19 in China: ten critical issues for intensive care medicine
 | Current situations or problems | Suggestions or solutions |
---|---|---|
1 | Severe shortage of critical medical resources including physicians, nurses, and ICU beds in China. | Increase financial and staff investment, value the training of intensive care physicians and intensivists, and increase the ratio of ICU beds to hospital beds nationwide. |
2 | The levels of intensive care medicine in different provinces are uneven. | Strengthen training to achieve the homogeneity of clinical cognition and management capabilities of intensive care physicians in different provinces. |
3 | To focus medical resources on rescuing large numbers of Covid-19 patients, many non-Covid-19 patients are unable to receive effective treatment. | Establish a professional agency for the integration and optimization of the allocation of critical medical resources. |
4 | Medical staffs in Wuhan City from other provinces or cities were unfamiliar with the local conditions and the early phage of rescuing was in unordered states. | Set up standardized operating procedures for ensuring the refined risk stratification and subsequent refined management of critically ill patients. |
5 | Lack protection awareness and equipment early, many physicians or nurses were infected by SARS-CoV-2. | Strengthen occupational protection training and develop special standardized protection procedures during epidemics. |
6 | The continuous recognition of Covid-19 by Chinese intensive care physicians is a long and deepening process. | Develop the ability of intensive care physicians to quickly analyze and respond to a new disease. |
7 | Covid-19 patients usually are complicated with multiple organ failure. | More cooperation between intensive care medicine and other disciplines to deal with the rapid development of Covid-19. |
8 | The timing, dose, and duration of many therapies or life support for Covid-19 still remain controversial. | More training to improve the research ability of intensive care physicians. |
9 | The published studies mostly are single-centered and retrospective. It is difficult to integrate clinical, basic and public health data. | Establish a national special disease database, specimen bank and share research data from different medical centers. |
10 | Critical patients obtain multi-disciplinary expert team consultations through a national video remote consultation platform during Covid-19. | Promote ICU informatization construction. The successful experience should be extensively extended to the cure of other critical patients. |