“We cannot remain silent without betraying the Hippocratic Oath we once took”, write with seriousness these doctors who manage the emergency in the Hospitals of Paris.
“In the next fortnight”, they say, “We have virtual certainty on the number of critical care beds that will be necessary, and we already know that our care capacities will be exceeded at the end of this period”.
“In this disaster medicine situation where there will be a glaring mismatch between needs and available resources, we will be forced to sort out patients in order to save as many lives as possible”, add the 41 signatories, foremost among which is Prof. Bruno Riou, crisis medical director of the Assistance Publique-Hôpitaux de Paris.
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“This sorting will concern all patients, Covid and non-Covid, in particular for the access of adult patients to critical care”, they continue, indicating that they do not have “never experienced such a situation, even during the worst attacks suffered in recent years.”
Certainly, “The triage of patients has already started since major medical and surgical deprogramming have already been imposed on us and we know full well that these are associated with loss of opportunity and non-access to care for some patients”. More “These deprogramming will have to intensify in the days to come, soon sparing only vital emergencies”.
The regional health agency (ARS) has asked hospitals in Ile-de-France “to anticipate an increase in the number of beds” for critical care with a target of 2,200 beds available to accommodate Covid patients. 19.
A first level of 1,800 beds must be crossed in a few days.
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Health
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Covid-19: crisis directors at hospitals in Paris and Île-de-France warn that they will have to triage patients
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