One of the main drivers of the COVID-19 pandemic is Intensive Care Unit (ICU) capacity as resources such as hospital staff and personal protective equipment (PPE) are continuously used up. Although disaster planning for such a contingency had already taken place (and indeed has been updated),[1] the sheer scale of the impact first became apparent on the state level in late November 2020.[2] [3] [4]
Not least amongst the concerns is the tremendous strain on staff and the inability to transfer patients to other hospitals which are likewise swamped, a particular problem in rural states which have commensurate health care infrastructure.[5]
So serious is the issue that Governor Newsom of California issued a strict stay-at-home order to take effect 48 hours whenever any of that state's five regions -Northern California, San Francisco Bay Area, Southern California, Greater Sacramento, San Joaquin Valley, and Southern California reach 15% remaining capacity as projections were that hospitals shall be swamped by Christmas.[6]