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ICU capacity was a bottleneck that never got resolved. In the US there was never a nationwide effort to mobilize ICU resources to target hot spots other than an initial aborted attempt to gather respirators for the surge in NYC and send a military floating hospital.

Regional programs were put into place to shift patients during a local surge and to mobilize hallways and other non-traditional capacity. In California once capacity dropped below 10% health orders went into effect.

At the beginning of 2023 and well after widespread vaccination the California statewide capacity was at 24% availability with 7% of beds being taken by Covid patients.

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Reg...




I am still struggling to find transfer facilities with available ICU beds.


This has been studied ALOT lately. Here is one such paper

https://ieeexplore.ieee.org/document/9383939


Didn't that huge hospital ship in New York sit unused until it eventually left


The hospital ship was never intended to take covid patients. The idea was the ship would take non-covid cases leaving ICU capacity in hospitals. It turns out that military hospital ships aren’t great for the general population given bulkheads and the general layout of ships.


The massive Javits Center was also made available. 2500 beds, only 141 used.

https://gothamist.com/news/fema-begin-strategic-drawdown-lar...


In Chicago we also spent millions of dollars building extra temporary capacity. It only got something like 38 patients and was quietly dismantled after one month.




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