Can you ask if they are using MATH+ Protocol? Depending on condition, it often doesn't require an ICU bed.
Response from the doctor (verbatim including gaps because each line was one DM, and their first language is not English)
I understand what they are asking
Criteria for ICU admission vary depending on the resources outside the ICU
For example, if we have intermediate units where high flow cannulae and proning can be implemented, many patients wouldn't need intensive monitoring
But I have to add another nuance
In the first wave, we intubated a lot more (in part because we wanted full control and less aerosol, and intubation allows this
In the second, we had more logistical practice, so we tried non-invasive ventilation in elderly patients with very severe COVID, with several successful cases!!!
They made the whole 3 weeks in non-invasive support
We tried to have them in good mental state (essential in respiratory difficulties) and lent them their phones to talk to family or whatever (they could barely talk but they could at least vídeo)
Their effort was heroic. Those old patients out of pure stamina
We knew that if we intubated them, the mechanics would not improve them and could cause heart problems due to high chest pressures
We only intubated patients who got tired.
They needed rest and comfort so we did
But patients heard that we were discussing intubation if they got tired....
so the first thing they did wen we approached them was a big "thumbs up" sign
[[Me: What does MATH+ mean?]]
It's an acronym for the medications given...
"Methylprednisolone, Ascorbic Acid, Thiamine, low molecular weight Heparin", and PLUS additional ...such as vitamins
We didn't follow the MATH+ as is. Several differences although many similarities
Vitamins and oligoelements like Zinc only as nutrition, daily needs (not as drug)
No famotidine no ivermectin
Corticoids since April in all hospitalised patients
We had low mortality because of early corticoid usage
We gave tocilizumab in strictly selected cases as well (very few)