As virus fills French ICUs anew, doctors ask what went wrong
PARIS (AP) — Three fresh COVID-19 patients were rushed this week to the tiny intensive care unit at Dr. Karim Debbat in the southern French town of Arles during a single overnight transfer.
He now has a larger number of virus patients than during the first outbreak of the pandemic and is seeking to build new emergency beds to take care of ill people elsewhere in the emergency.
Throughout France, like scenes are being played.
COVID-19 patients actually inhabit 40% of ICU beds in Paris and almost one fifth in ICUs globally, as young people have been steadily contaminated for recent weeks by marginalized communities.
Although France has not installed significant ICU resources and resources required to handle extra beds to tackle the pandemic, according to statistics at the national health agencies, according to doctors in many hospitals, it is one of the wealthiest nations in the world and one of those worst affected by the pandemic first in the world.
Critics claim that France's politicians have not learnt the lessons of the first wave as they have in several countries with resurgent diseases.
Dr. Debbat told Associated Press: "It's really tense. We don't have more locations.
His hospital is turning rehabilitation rooms into ICUs and halting emergency procedure and gradually directing his personnel to COVID patients with high maintenance.
He inquired for additional drugs to support the fresh cases, and clearly replied, "We haven't got them.
This is the case. "This is the case.
As the public hospital staff in Paris marched this week in front of the President of the French Republic Emmanuel Macron, he said: "It's no longer a matter of money, but an organisation.
He defended the management of his government's crisis and stated that the hospital system was dedicated to spending EUR 8.5 billion in July.
After years of cuts that left France with half the amount of ICU beds in 2020 that it had in 2010, protesting doctors said support would be too limited and too late to arrive.
ICU occupancy rates are viewed as an significant measure of how the healthcare sector is saturated and how effective health agencies are to safeguard communities at risk.
And the figures of France don't look good.
More than 18,000 new cases have been registered on Thursday and 1,427 ICU beds of viruses currently occupy nationally – a number that has increased in less than a month.
According to the AP national health agency estimates, France has a total ICU capability of 6,000, nearly the same as in March.
In contrast with France which has an equally integrated health care infrastructure and a significantly smaller population Germany joined the pandemic with nearly five times the amount of intensive care beds.
The recorded death toll in Germany has been 9,584 compared with 32,521 in France to date.
The task is to correct ICU ability.
In the season, Spain was caught short, and its continuous ICU capacity extended by some 1,000 beds.
By constructing emergency field hospitals, Great Britain increased ICU capacity.
The Nightingale hospitals were mothballed because they were rarely used.
The British Government, though, claims that it may be used again if desired.
In spring, France added extra improved beds — including military-built in the first ever peace time hospital in the world — and the health agency told the French hospitals that, this autumn, it will ultimate be necessary to double the ICU capacity.
Compared with March and April, doctors claim that this time, both with security devices and further experience into the functioning of the coronavirus, French intensive care wards are better prepared.
Drugs also place fewer patients on respiratory devices and clinics are used to reorder surgery and concentrate on COVID-19.
In Strasbourg, New Civilian Hospital last month, the number of ICU virus patients rapidly doubled, but the environment is remarkably quiet.
An AP writer has been monitoring care staff closely planning the trajectory and evaluation of each individual patient according to their strict guidelines.
Although this additional experience does not mean that it is straightforward to treat resurgent ICU situations.
Adding additional ICU beds requires time and work, as does service to COVID-19 patients, in addition to special ventilation tubes and other supplies.
Pierre-Yves, the head of the intensive care department at Laveran Military Training Hospital in Marseille said "Work is tougher and takes longer" than any other patients.
Because of military policy, he was not approved for his last name.
Any time a patient rotates slowly and attentively, seven or more of his 47 employees are required or vice versa.
Entering and leaving the ward now requires a slow, deliberate movement that turns the entire body and disinfects everything they encounter.
Dr. Debbat at Arles said it takes many months for ICU workers to practice, and so he depends on the same standard as the spring, and he cares that they might burn off.
"I'm like a coach, and I've got just one squad without any reservation members," he said.
He is still worried for patients that are not viral and who have already been placed on the back burner earlier this year.
The next flu season in France brings nearly 2,000 patients to the ICUs a year is a matter of concern.
Serge Smadja, the Director of SOS Medicines Emergency Service, does not think that France will face up again in spring because more than 7,000 virus patients at the height of the outbreak were in acute attention, and around 10,000 sick people disappeared, without even needing to go to the hospitals.
But he said that it is false to believe the French people and its politicians are "behind us the plague."
"No sufficient beds ...
In fact, there is a shortage of employees, "he added.
And he warned with his service that "what's lacking is an end date" that his cases were slowly up and that the pandemic was going on.
This story was contributed by Jean-François Badias in Strasbourg, France.
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