MAKESHIFT HOSPITALS -LEARNING FROM OTHERS (HOW THEY DID IT DIFFERENTLY )

LEARNING FROM OTHERS (Covid hospitals are useless without medical staff-Makeshift hospitals for COVID-19 patients: where health-care workers and patients need sufficient ventilation for more protection-)--Vacancies and shortage of staff in the public health system is nothing new. “Keeping the regular salaried workforce small” has been projected in economic and social policy as a virtue. “But such minimalist design cannot handle a pandemic like this, which is a maximum event,”Though authorities react too quickly . Beds do not treat patients” is an oft-repeated adage in this pandemic but it still rings true. If it wasn’t enough that the staff in existing hospitals is stretched, governments are making hare-brained announcements of attaching banquet halls with beds to government hospitals and hotels to private hospitals. Is a bed in a hotel equivalent to a hospital bed? A hospital bed requires trained staff and equipment to monitor patients. You might buy the monitors and ventilators, but how do you find trained staff overnight? Last year, the occupancy of such banquet halls and hotels was abysmal as the inferior care provided was obvious to all. All it did was distract doctors and staff from patient care within hospitals. Yet, having learnt nothing from last year, governments are doing it yet again even as their own hospitals are unable to operationalize beds optimally due to acute staff shortages.Learning from Chinese model --Makeshift hospitals for COVID-19 patients: where health-care workers and patients need sufficient ventilation for more protection.(how efficient is ventilation at xyz or stadium).opportunistic airborne transmission usually occurs during aerosol-generating medical procedures, but a nurse wearing protection equipment was infected with SARS-CoV by the airborne virus generated from patient's coughing during treatment . More than 17000 health-care workers have been infected with SARS-CoV-2 and the protection for health-care workers in these makeshift hospitals is important and urgent issue to be dealt. Personal protective equipment and sufficient resting time may be the basic procedure. On the other hand, the patients may also contract other diseases in the hospitals when they are being treated for COVID-19. This cross-contamination of patients should also be prevented and is also closely related to ventilation conditions inside the hospitals.Therefore, the ventilation rates in makeshift hospitals should be increased to as high as the system can support. With more ventilation, current low outdoor temperature will increase the need for heating inside the hospitals. Air conditionings and electric blankets are necessary to keep the patients warm. There remain challenges in energy consumption to exhaust such high-volume air for hundreds of people, and risks in potential unventilated zones in the large space sports& some solutions;;An alternative to increasing dilution of contaminated air is to use air purifiers to reduce the possible virus-laden aerosols. And all the filters should be collected and disposed as medical waste or disinfected thoroughly to prevent secondary contamination.Can we do that ?Are We geared to take that much challenge ?Get a professional healthcare expert-team- doctor or nurse or TQM who deals with building capacity to guide babus. In all epidemics,wars, disaster makeshift hospitals are put up to control the worst effects and triaging. Temporary , immediate care SOP's and training is very different from permanent ICU care. Dr Fiaz Fazili (Ex Director TQM & Hospital quality & patient safety standards .Healthcare and Hospital policy planning ,Disaster Management