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US News Covid-19. In hospitals, the intensive care units are approaching saturation

00:40  28 october  2020
00:40  28 october  2020 Source:   ouest-france.fr

Coronavirus: 30,000 new cases in France this Sunday, 1,939 patients in intensive care

 Coronavirus: 30,000 new cases in France this Sunday, 1,939 patients in intensive care The number of patients with the most serious form of the disease and currently hospitalized in an intensive care unit is 1,939, or 71 more than the day before © Caroline Politi / 20 Minutes The number of positive coronavirus cases reached nearly 30,000 this Sunday PANDEMIC - The number of patients with the most serious form of the disease and currently hospitalized in an intensive care unit is 1,939 , 71 more than the day before The number of positive cases for coronavirus reached nearly 30,000

Date Projected Census of Covid -­‐ 19 PaTents (Acute Beds) Projected Census of COVID -­‐ 19 PaTents Requiring ICU N Acute Beds Available as of 3/29/2020 Adult ICU April 3, 2020 Our Hospitals and Health Care Providers are Answering the Call On Wednesday: hospitals directed to create additional

Every ICU is preparing for the surge, there are a number of changes that intensive care units are making, including ours. We are preparing anesthesiologists (who are not CCM trained) and nurse anesthetists, to help us manage patients with COVID - 19 . Even though they are not CCM trained

Le service de réanimation du CHU de Nantes avec des patients atteints de Covid-19 coronavirus. © Franck Dubray / Ouest-France The intensive care unit of the Nantes University Hospital with patients suffering from Covid-19 coronavirus.

More than 2,900 Covid-19 patients were hospitalized in intensive care on Tuesday, October 27, 2020. They occupy half of the beds currently available in France in these services welcoming the most seriously ill patients, according to the latest official figures. But as the epidemic progresses, saturation is fast approaching.

More than the number of positive cases, it is the number of hospitalizations and intensive care admissions that must be observed to have a good idea of ​​the rise of the coronavirus pandemic. And, on that side, the figures are worrying. More than 2,900 Covid-19 patients were hospitalized in intensive care on Tuesday, October 27, 2020, or half of the available beds. Compared to Monday evening, there are 148 more patients in intensive care (2,909 against 2,761 on Monday).

Coronavirus: "We will have to start pushing the walls" at the

 Coronavirus: hospital © AFP Head of the intensive care unit at Bichat hospital, in Paris, Jean-François Timsit gave a report on Europe 1 on Wednesday morning. from the scene of the coronavirus epidemic in his hospital. The doctor reports an alarming situation: as in other establishments in the Ile-de-France region, all the sheaves beds are occupied, and surgical procedures have already been canceled. The second wave of the coronavirus epidemic continues to hit French hospitals.

Learn how to prepare and respond to COVID - 19 in nursing home and long-term care facilities. This guidance is based on currently available information about COVID - 19 and will be refined and Ensure EPA-registered, hospital -grade disinfectants are available to allow for frequent cleaning of high-touch

Coronavirus disease 2019 ( COVID - 19 ): Intensive care ventilation with anesthesia machines. Learning from regions that have dealt with the overwhelming burden of COVID - 19 to date, it is essential that all hospitals and health systems develop task forces to manage patients admitted with this

The current capacity of resuscitation services - which do not only accommodate Covid patients - is around 5,800 beds, which the public authorities intend to ramp up in the coming days to 12,000.

The number of resuscitation beds available in France (public and private combined) was indeed theoretically 5,433 at the end of 2019, according to figures from the DREES (the statistical service of the Ministry of Health), to which are added 5,955 intensive care beds , and some 8,000 continuing care beds.

For the record, 7,027 beds had received patients in intensive care at the peak of the first wave, on April 8.

It's getting tense in the West

In some areas things are starting to get tense. In Normandy, the Regional Health Agency is alarmed by the progression of the Covid-19 epidemic. The number of hospitalizations is increasing sharply and the circulation of the virus continues to accelerate.

Coronavirus. What is the occupancy rate of intensive care beds in your department?

 Coronavirus. What is the occupancy rate of intensive care beds in your department? © FRANCK DUBRAY / OUEST-FRANCE The Covid intensive care unit at Nantes University Hospital. In one week, it went from 32.3% (October 13) to 42.9% (October 20), an increase of 10.6 points in 7 days. 42.9%. This was the average percentage of intensive care beds occupied by Covid patients in France as of Tuesday, October 20, while the government is preparing to announce new restrictive measures in its weekly update on Thursday, October 22, in the face of the upsurge of the epidemic in France.

The Scottish Intensive Care Society Audit Group study looked at 472 adult ICU patients with confirmed Covid - 19 infections between 1 March and 2 May. In 2018, 18% of all Scottish patients admitted to ICU and combined units died in hospital . A similar study of coronavirus ICU patients in the rest of the

Management of COVID - 19 includes supportive care , which may include fluid therapy, oxygen support, and supporting other affected vital organs.

For the first time, the number of hospitalizations in Normandy exceeds the highest level observed during the first wave of Covid-19: 794, this Tuesday, October 27, against 743 on April 10. Of these people, 105 were admitted to intensive care. In four days, the hospital pressure on the resuscitation beds fell from 32.7% to 38%.

In Pays de la Loire, the ARS is planning 200 intensive care patients on November 15. They are currently 27.

In Brittany, in hospitals, the intensive care units are approaching saturation, with 93.8% filling rate at the Rennes University Hospital.

Unplanned operations

In other regions, the situation has already deteriorated, as in Auvergne Rhône-Alpes where the occupancy rate climbs to 50% and in Ile-de-France where hospitals count more 67% of beds occupied in intensive care units by patients suffering from the coronavirus. In these two regions, massive operational deprogramming has been ordered in public and private hospitals.

Covid-19: Spain first EU country to exceed one million cases

 Covid-19: Spain first EU country to exceed one million cases © AFP / Pierre-Philippe Marcou La Paz Hospital in Madrid, September 22, 2020. Spain deplores 34,366 deaths linked to Covid-19 since the start of the epidemic. Spain officially became on Wednesday the first EU member to cross the milestone of one million cases of the new coronavirus, as restrictions multiply in the country to contain the second wave of the epidemic.

COVID - 19 is a new disease and CDC is learning more about it every day. Among adults, the risk for severe illness from COVID - 19 increases with age, with older adults at highest risk. Severe illness means that the person with COVID - 19 may require hospitalization, intensive care , or a ventilator to help

An intensive care unit ( ICU ), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that

At Marseille , as of Sunday, the resuscitation services of public hospitals were in the red, while the peak of the second wave had not yet been reached, notes France Bleu. On October 25, 54 patients were in intensive care, out of 63 available beds. The deprogramming of operations seems inevitable.

A milestone that hospitals in Alsace have already crossed: 222 people are hospitalized and 31 are in intensive care. But in view of the contaminations in recent days, caregivers are preparing for the second wave of Covid-19.

"The department is full, our 23 beds are occupied, we have had a very significant increase in recent days", confirms to France Bleu Yves Hansmann, head of the infectious diseases department of the New Civil Hospital in Strasbourg.

Patient transfers resume

Sign that the situation is extremely tense, patient transfers have resumed. On Friday, eight patients from the Loire were transferred to Bordeaux, Poitiers and Brive.

Eight patients from Auvergne-Rhône-Alpes were also transferred to hospitals in Pays de la Loire on Tuesday 27 October. Two patients were transferred to Nantes, two to Angers, two to La Roche-sur-Yon, one to Saint-Nazaire and a Cholet. These patients come from the medical establishments of Saint-Etienne, Lyon and Roanne.

Also on Tuesday, four Covid-19 patients were transferred this Tuesday, October 27 from Nîmes to Brest. Two are supported by the Brest CHRU, and the other two by the Army Instruction Hospital (HIA).

So many indicators that prove that the second wave is here. And that the reconfinement, that could announce this Wednesday, October 28, Emmanuel Macron is an increasingly tangible hypothesis.

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