Hello world!

Let us make our strengths stronger and weaknesses our strengths!

I am writing this blog with pain and I wish to help.

I don’t know how to make websites, I made one somehow and hopefully someone taught this in med schools.

I am a physician and I have a few ideas which I think should be used to help against this COVID-19 pandemic and be prepared for the next one very very effectively.

1. First here at home in the USA, We have a rapidly increasing death toll and scant ventilators at epicenters of the pandemic. I recommend let us get big tech to create an AI interfaced app with all websites of our private and public healthcare systems including the VA and let us list all the vacant ventilators and ECMO units in REAL TIME. Let us use programmers from the aviation industry to come up with this real-time tracker and this should be installed on a common CDC server and automatically link COVID-19 patients to an available ventilator across state lines.
2. Medical point of view: each patient who is high risk to get intubated must be scored on the basis of lactate levels, pulse oximetry and let us calculate and trend severity scores on each patient and once the patient crosses a threshold, the patient must be matched to a ventilator or ECMO
3. I recommend using a partnership between US Airforce and private plane sector to set up AIR AMBULANCE program. Once a critical COVID-19 patient is identified, We must attempt to fly the patient to that location. We could totally use the generosity of our millionaires who could give us their planes or boats to use as units to transport and care for out patients.
4. To address the acute scarcity of pulmonologists and anethesiologists, let us work with American boards of Pulmonology and Internal medicine and create a portal of all available pulmonologist and specialists who again can be flown across state lines to mitigate shortage of medical staffing. This could be applied to Canada and the USA and both countries have very similar specialist training. Again a good AI interface could rate each doctor in terms of years of service, active state license etc and match that doctor with a location of need.
5. For future pandemic mitigation, let us work with every country in the world through WHO to create a portal, where any distress signal online can be mined out based on epidemiology and spread rate of an active infection ANYWHERE in the world. There should be a central UN or multinational command on this, Even local doctors, pulmonologists, Infectious disease experts should be able to track that data. Twitter,Facebook every one should work together to locate any area of a suspected pandemic as a hot spot and EARLY quarantine that location. For example : If the epicenter is identified early using data delivered by local specialists, when doctors and nurses sound an alarm, that will be investigated internationally and we could quarantine that location for the time determined by the biology of the infectious organism.
6. Mobile pandemic intensive care units driven by robotics: This is for future pandemics, We should be able to intubate patients in respiratory distress using robots, We are able to do surgeries using robots. Let us get our very best robotics team and assemble a very state of the art mobile robotic ICU which is compatible with total quarantine. It should also be able to be transported anywhere in the world and usable for viruses of various nature based on their spread. For instance, a patient should be able to be put in this unit, be intubated by a robot and supportive measures including sample collection from sputum etc and quick chest X-rays and lab draws with arterial access could all be done with robotics. We should mass produce these units to be ready for the next pandemic, and move it to areas of need quickly so that such pathogens can be isolated quickly and efficiently.

I call the above the. BRADMIT approach

B : Breathe : this to track vents now

R : Risk stratify patients

A: Air transfer across state lines

D: Match doctors to areas of need and transport them there.

MIT : mitigation for the future using integration of AI-Epidemiology and Mobile pandemic care units powered by Robots.