Australia Coronavirus: an open letter to demand the reopening of resuscitation in Beaumont-sur-Oise

23:45  06 april  2020
23:45  06 april  2020 Source:   leparisien.fr

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L’hôpital de Beaumont, du groupe hospitalier Carnelles Portes de l’Oise, a perdu son service de réanimation à la fin de l’été dernier, dans le cadre de la réorganisation du groupement hospitalier de territoire. © LP / Olivier Boitet The Beaumont hospital, of the Carnelles Portes de l'Oise hospital group, has lost its resuscitation service at the end of last summer, as part of the reorganization of the regional hospital group.

What if the Beaumont-sur-Oise hospital reopened its intensive care unit? While the peak of the Coronavirus epidemic is still not reached in the region, caregivers, elected officials and residents make this very serious proposal via an open letter which has just been sent to the regional health agency (ARS) ) and at the prefecture. As a reminder, the local establishment, which is part of the Vexin Val-d'Oise North West Hospital Group (GHT Novo), saw one of its services closed recently as part of a reorganization. Last summer, the eight Beaumont-sur-Oise resuscitation beds were transferred to Pontoise as well as four intensive care beds. This decision, which was highly contested at the time, takes on a new dimension today in the midst of a health crisis.

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"We are facing an immediate endangerment of the lives of patients" write the representatives of the CGT (CGT Health 95 and CGT of the Beaumont hospital), a representative of the association of emergency physicians of France (AMUF) which practices in the emergency of Beaumont, as well as the members of the Defense Committee of the GHCPO.

The authors of this text then cite some alarming figures. “As of April 2, 2020 for the Oise: 126 dead, 354 hospitalizations and 73 patients in intensive care and in Val-d'Oise: 174 dead, 816 hospitalizations and 154 in intensive care. The resuscitation services and Covid 19 units at the Creil, Beauvais, Eaubonne, Gonesse and Pontoise hospitals are saturated […] At the Crouy-en-Thelle (Oise) nursing home, 10 km from Beaumont, 20 out of 80 residents have just died and in Chambly, at the Louise-Michel residence, 30 people have Covid 19, including 17 caregivers! Transport by helicopter or medical TGV is increasing and this strategy of transferring patients to the province is questioning. »

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A more humane and safer solution

While the Pontoise hospital has already evacuated some of its patients to Rennes via the state-owned health TGV, the authors of the letter raise the question of the meaning and cost of these transfers. "Wouldn't it be more judicious, reasonable, less time-consuming in mobilized personnel, less expensive and above all more human, more reassuring, for all these displaced patients than to reopen the 8 resuscitation beds and 4 continuing care beds in the hospital from Beaumont-sur-Oise? »

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For the CGT, reopening resuscitation in this nearby hospital as quickly as possible is feasible. “Everything is still there, the premises, the oxygen intakes. "If some of the respirators in Beaumont have already left for Pontoise," the ARS is perfectly capable of replacing a team and equipment if it so wishes. The union then recalls that the Eaubonne hospital has just seen, for example, its services reinforced by nine nurses and nursing assistants from the Paca region for the past few days. "It is still much simpler and less expensive to bring in staff and equipment rather than moving patients," said the CGT.

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An opinion shared by Nathalie Ravier, mayor (SE) of Méru (Oise). “Currently, many field hospitals are being built in France. We, we have a nearby hospital, it would suffice to give it back the means. Today we live in a population of over 180,000 people, yet the local hospital has been emptied of its substance. »

An unthinkable solution

For the management of GHT NOVO, however, the reopening of resuscitation in Beaumont-sur-Oise is unimaginable. “The critical resuscitation beds at GHT NOVO are located on the Pontoise site: medical and nursing resources being scarce, and the environment highly specialized, it is impossible to envisage the opening of a second center while guaranteeing conditions for taking charge of equivalent quality and safety ”, declares the hierarchy of the group.

Management points out that the "resuscitation service on the Pontoise site has gone from 18 to 42 beds" and that "care is provided in conjunction with other resuscitation in the territory (Eaubonne, Argenteuil, Gonesse, etc.). In the event of resuscitation of 95 resuscitation, patients are transferred to Paris or even outside Ile-de-France. To do this, a regional management and coordination unit has been set up by the Samu de Paris and the ARS Ile-de-France. »

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A Covid unit open within the establishment

However,« a Covid sorting unit has been opened within the establishment's emergencies (from Beaumont-sur-Oise) ”, specifies the GHT. “The patients are taken care of by the emergency doctors. Depending on the medical diagnosis, they can be sent home or sent to the Pontoise site for the most acute cases. Samples can also be taken on site if necessary. From the weekend, a COVID + hospital unit will be opened within the establishment. Firstly with 7 beds, it is intended to accommodate patients who are found to be positive and require hospitalization. »

Ile-de-France: jogging during the day again authorized almost everywhere .
© LP / Guillaume Georges. Illustration. The practice of sport remains prohibited in Paris from 10 a.m. to 7 p.m. The measure had displeased many athletes, here it is greatly reduced. Maintained in Paris, the ban on outdoor sports between 10 a.m. and 7 p.m. was lifted, however, this Wednesday, in practically everything else in Ile-de-France.

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