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Intensivist and COVID-19 in the United States of America: a narrative review of clinical roles, current workforce, and future direction


Nadia Nazir Jatoi
Sana Awan
Maham Abbasi
Momina Mariam Marufi
Muhammad Ahmed
Shehzeen Fatima Memon
Nimra Farooqui
Maaz Hasan Khan
Hadi Saiyid
Abdurrahman Husain
Kaneez Fatima
Shahram Maroof
Atul Malhotra

Abstract

COVID-19 continues to spread across borders and has proven to be a challenge for the existing healthcare system. The demand for intensivists has dramatically increased in the United States, in the backdrop of an expected lack of intensivists in many states even before the pandemic. One proposal has been to organize multidisciplinary teams functioning under one intensivist, as this approach would make use of the existing healthcare force and lessen the burden on intensivists. Another recommendation is the adaptation of Tele-ICUs, which have demonstrated constructive outcomes in the past. Moreover, ensuring the provision of all types of personal protective equipment, adequate testing and, other provisions such as mental health support, financial incentives for intensivists should be prioritized. More intensivists should be trained for the future, for which better institutional policies are essential.


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eISSN: 1937-8688