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Offbeat Faced with the rebound of the Covid, hospitals in Ile-de-France are switching to a "reinforced white plan"

17:05  08 october  2020
17:05  08 october  2020 Source:   nouvelobs.com

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  Face au rebond du Covid, les hôpitaux d’Ile-de-France passent en « plan blanc renforcé » © Copyright 2020, L'Obs

Maximum mobilization. This Thursday, October 8, the director of the Regional Health Agency (ARS) Aurélien Rousseau asked all hospitals and clinics in the region to “mobilize all their resources” in anticipation of a “significant influx” of Covid patients -19 in the coming weeks. He asked the hospitals in the region to launch the white plan, "a heavy decision" which "means that we are going to take a very strong tide and that we must put all forces into the battle", warned the director. of ARS Ile-de-France.

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On Twitter, he justified the reactivation of the "white plan" in hospitals in Ile-de-France in view of "the pressure on the resuscitation and hospital beds".

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1/2 In view of the pressure on intensive care and conventional hospitalization beds, I asked the direct… https://t.co/jouP1RuVwV

—aur_rousseau (@ Aurélien Rousseau)

A spokesperson for the ARS explained to AFP that due to the circumstances, "the activation of level 2 of the white plan" is initiated to "anticipate a large influx of patients" and "make room" in the services concerned.

Intense mobilization of nursing staff

The white plan means intense mobilization of nursing staff, which in particular forces them to postpone their All Saints' leave and to deprogram non-urgent surgical interventions.

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"We are helping institutions to implement reorganizations of care", which will mainly result in "deprogramming" of activities, explained the ARS. By the end of September, the Paris Hospitals (AP-HP) had chosen to postpone up to 20% of their surgeries.

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These measures must also make it possible to “ reallocate internal staff ”. The "reinforced white plan" also opens the way to an increased use of temporary workers, or even, if necessary, the recall of staff on leave.

41% of intensive care beds occupied in Ile-de-France

The decision follows a deterioration of the situation in Paris hospitals. With 455 “Covid + patients” hospitalized in “critical care” Wednesday according to Aurélien Rousseau, 41% of intensive care beds are currently occupied in Ile-de-France. Earlier this week, the director of ARS Ile-de-France had already predicted that the 50% threshold would be reached "in the next two weeks".

We have just passed the 40% of Covid patients in IdF sheaves. Barrier gestures are our daily life ... https://t.co/MV8j4WlGOx

—aur_rousseau (@ Aurélien Rousseau)

In addition, there are very few places left in intensive care in most of the major Parisian hospitals such as Pitié-Salpétrière or even Saint-Antoine, where 8 out of 18 beds are occupied by Covid patients. The intensive care unit is full because non-Covid people are still being treated there.

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The situation in Seine-Saint-Denis is particularly tense, where the inhabitants are victims of an" exceptional excess mortality ", 118.4% higher than in other departments, according to an tribune signed in" the World "by Locally elected.

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