At the point where they are, these doctors at the Montluçon hospital ignore any respect for the protocols. They have chosen to “speak directly to patients”, without taking refuge behind a press release from management, to explain how they are approaching all the dangers in the emergency room this summer.
What is the emergency staff of the public hospital of Montluçon?
“The theory would be that we are twenty doctors in full-time equivalent. We have been meeting since May at 3.2: two full-time, two part-time and one at 20%, ”notes Sébastien Loiseau, head of the emergency department. It also has “numerous” temporary workers, some of whom have been retained and are familiar with the operation of the Montluçon hospital, as well as reinforcements from the Clermont-Ferrand University Hospital, for a few shifts.
Summer is a critical period since the holidays decimate the workforce a little more. The consequence ? “We will end up with degraded days. Rather than having four doctors during the day and three at night, in a theoretical workforce, we have one or two less for the twenty-four hours. And sometimes, there will be no doctor at night, during the day, or both,” says Sébastien Loiseau.
premium Partial closures have started in the emergency room of Montluçon (Allier) and will continue all summer
What are the consequences of this lack of doctors?
“It will be complicated on certain days and certain nights to welcome everyone, sometimes we will not be able to, except for vital and immediate emergencies”, affirms Sébastien Loiseau.
“We will be forced to filter entries for a good part of the summer”, adds Marie-Laure Dubouchet, president of the establishment’s medical commission.
Concretely, patients will have to dial 15 before going to the emergency room. A call that is destined to become the norm throughout the year.
Sebastien Loiseau
We are not going to return to a full workforce on September 1, patients must understand that access to the emergency room will require regulation
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To relieve emergencies, needs can be taken care of by “ambulatory medicine, a care center – Bien-Assis, Avicenne, Saint-François – or by the attending physician, who is the central pivot in the management of the disease. patient,” explains Sébastien Loiseau.
Can these other doctors, also understaffed, fill the gaps? “From time to time, it can work, they can make the effort to absorb more people, but it will not be possible throughout July and August”, recognizes Marie-Laure Dubouchet
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A reorganization within the hospital will allow direct admissions to coronary angiography or to a neurovascular unit. “For other vital emergencies, we created an internal protocol, on a voluntary basis. The resuscitators, who have themselves been impacted by the human deficit for years since we are at 50% of the workforce, have offered to accommodate these vital emergencies within the resuscitation service. Before, they were treated in boxes dedicated to them, ”explains Thierry Comte, head of the center and intensive care doctor.
When should you come to the emergency room?
These are obviously vital emergencies, cardiac pathologies or neurological pathologies such as strokes. It is also about medical emergencies, which can range from the occlusive syndrome to the fracture of the neck of the femur. We must add to this the people who are already followed in the hospital, and who can have an acute episode.
What about Smur?
Another difficulty is that the service combines emergencies with the Smur (mobile emergency and resuscitation structure), which goes to the Montluçon health basin.
In July and August, there should be five or six days without Smur. An absence which will be compensated by the arrival of a helicopter in the Allier this week. Until the end of August, this helismur will allow a shorter arrival time for interventions and free up medical time for emergencies.
“But emergencies don’t stop on September 1, it’s a tool that should be there all year round,” remarks the head of emergencies.
Guillaume Bellavoine
The “Samu03” helicopter returns to the rescue of the Allier this summer
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