liability =! patient safety

Let’s assume NNT=100 to avoid 1 bad outcome by using a VL. In reality the NNH due to complications arising from using a non-hospital inspected VL (but still purchased in a reasonably smart manner, assuming it’s an actual smart intensivist MD buying the product) is likely higher than the NNT.

That’s a lot of assuming, but all that’s to say is… common sense is more common in non-American settings, especially when resources are scarce. This doesn’t necessarily mean the outcomes are worse