key: cord-0015976-4yspiwhu authors: Marshall, Andrea P. title: A critical care pandemic staffing framework in Australia – Authors' response date: 2021-03-09 journal: Aust Crit Care DOI: 10.1016/j.aucc.2021.02.005 sha: fa3c22bf6e4d75db12bb81f0530c7635a75a279e doc_id: 15976 cord_uid: 4yspiwhu nan A critical care pandemic staffing framework in Australia e Authors' response We thank Ramnarain and Pouwels 1 for their comments on our recently published critical care pandemic staffing framework in Australia. 2 It is with interest that they report using strategies similar to those we have recommended in our framework. This allowed them to upscale their intensive care unit capacity to more than 250%. We agree with the important points made that modelling staffing requirements is extraordinarily challenging, particularly in the context of severe acute respiratory syndrome coronavirus 2 infection and coronavirus disease 2019, an area in which we are continually learning. The ability to undertake such modelling is important for planning not only for surge episodes but also for sustained surge, as has been observed in some countries. No doubt with the rapid generation of large amounts of data specific to coronavirus disease 2019, we will begin to better understand the disease including its trajectory, impact on patient outcomes, and service level requirements. Such a disruption can also open opportunities for identifying, implementing, and evaluating novel models of care that may have future utility. 3 Response to: 'A critical care pandemic staffing framework in Australia A critical care pandemic staffing framework in Australia Preparedness of ICU networks for pandemics Published by Elsevier Ltd on behalf of Australian College of Critical Care Nurses Ltd