Ventilators in Short Supply

In severe cases of people infected by the Covid-19 virus the lungs fill with fluid and it becomes difficult to impossible to breath. Ventilators help patients breath by pumping oxygen directly into the lungs, while removing CO2. This machine makes the difference between life and death. In Italy, doctors had to make the gut wrenching decisions every day about who could go on a ventilator and live and who would die. The ventilator can keep someone alive long enough to fight off the virus.

In 2018 it was estimated that there were about 160,000 ventilators in the United States. Up until now that has been enough machines to serve anyone who needed one. The American Hospital Association estimated that up to 1 million Americans will need a ventilator due to Covid-19. Patients might need a ventilator for a matter of weeks before they recover.

So were will all the much needed ventilators come from? The machine can cost tens of thousands of dollars. Now with this virus affecting every nation, everyone it trying to buy ventilators all at once. They can not be found. The companies who make the ventilators are ramping up production.

Auto makers, Ford, General Motors and Tesla in the United States are offering to help with mass production. The problem is that it might take months for these companies to start producing ventilators. Chinese companies are also producing ventilators, but considering the trade war with the United States it is hard too imagine Trump bowing to get help form the East. He continues to go out of his way to blame the virus on China.

Dyson, a vacuum machine manufacturer in Britain signed a formal contract last week, when it announced an order for 10,000 of its CoVent prototype, which was designed in about a fortnight. CoVent is yet to secure final regulatory approval, and may not reach production for weeks.

Ventilator Challenge UK, a consortium of 14 firms including Airbus and
Rolls-Royce, is expected to say that it has secured a formal order for
two types of machines with twin code names of Project Oyster and Project Penguin. The goal is to produce 10,000 machines for England to help battle the virus. These design are more likely to get quickly approved because they incorporate two existing designs.

3D printers are being used to create ventilator parts, and engineers are designing open sourced DIY machines with 3D printed and of the shelf parts. They are envisioned to be used in a worst case scenario.  It is possible to intimate a patient and then manually pump air into their lings with a small hand held pump. This could be dangerous if done wrong. To much air can damage the lungs.

Public health expert have estimated that there are 12,000 ventilators in the national stockpile, which is far to few to the coming demand in about 14 days. New York Mayor Andrew Cuomo explained that in New York, they are trying to use one ventilator to treat two patients at once by splitting the tubes.

On Friday, March 27, 2020, President Donald Trump announced he was invoking the Defense Production Act to require GM to “accept, perform, and prioritize” federal contracts for ventilators.Switching from making cars to making ventilators however takes time. The machines sophisticated software and specialized parts, and companies that seek to
manufacture them face several hurdles, including intellectual property
rights, the need for specially trained workers, regulatory approvals
and safety considerations.For now the auto makers are teaming up with existing ventilator makers to help them ramp up production. New York Mayor Cuomo however said that getting ventilators in a month or two months will not help save lives since the virus apex is in just 14 days. The city hospitals are full and overflowing with patients.

There is no solver lining to this pandemic. America is unprepared and having leaders ignore the science has not helped. Calling the pandemic a hoax cost many their lives. Ignoring science is not the way to keep Americans safe. Things are getting very real in America’s hospitals right now.

As of this writing, there are 777,286 cases of Covid-19 in America with 37,140 deaths. The US has surpasses Spain and Italy for the most confirmed cases of the virus. I have been watching what has been happening in those countries hospitals closely online. Things are about to get very real and ugly here in America. There is no miracle cure and there is no wishing it away. Now Trump is spinning the ultimate Covid-19 death toll saying, “if the death toll stays at or below 100,000, “we all together have done a very good job.”

Stay home. Stay safe. Self isolate.

The Mudflappers

At Florida Blog Con the closing keynote by Pat Moore of Marketing Nutz. Nothing she talked about made any practical sense. I glanced around the auditorium and most people seemed to be surfing the web or checking their Facebook status.

There was a Ford after party in Full Sail‘s back Lot. Sysco provided the food, and Pinnacle Vodka provided the drinks. The Mudflappers provided the entertainment. I pulled over a chair and sketched. One woman and her child danced to the music but for the most part the music was something people shouted over. I’m sure I should have mingled but it is just as important that I do what I do. The performers thought that I was writing an extensive review. I last saw the Mudflappers at a Fringe Fundraiser at Hard Rock Live. Their music is lively and fun and I tapped my toe as I sketched. Their music pulls its influences from the outlaw country of Johnny
Cash
, the blazing bluegrass of Earl Scruggs,  the roaming melodies of gypsy swing
à la Django Reinhardt, to the prohibitionary jazz of your local
speakeasy. This sonic gumbo is held together by the sultrily celestial
harmonies of leading lady Sarah Elizabeth Patrick the violinist who, as it turns out, is expecting a baby. Her flapper’s dress hid that fact quite well. Soon there will be a little Mudflapper kicking up his or her heels.

 When the band stopped, one performer stopped over to see what I was up to. He knew my work and said one of my sketches was being used as his laptop desktop. I smiled, but groaned inside, there was another use of my work where I wasn’t getting paid. Then all the performers started coming over.

By the time I was done, most people had left. I had some pasta , a coke and some incredible peanut butter cupcakes and then headed home. I learned plenty at the conference and now it was time to implement changes going forward.