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Modeling studies, published in 2009, concluded that a pandemic with a severity level similar to the 1918 Pandemic, would require 400% of the current American Intensive Care Unit (ICU) beds and 200% of all mechanical ventilators [1]. This concern has not been resolved even up to 2015, whereupon New York State public health officials declared that the state’s medical infrastructure still lacks the ventilator resources to meet the 1918 challenge [2].

Three Critical Patients and One Ventilator: An Analysis of Factors Used in Making Life-Saving or Life-Ending Decisions