The decision taken this Friday, October 16 will not fail to cause some cold sweats: the Auvergne-Rhône-Alpes region is the first to once again initiate a massive deprogramming of activity in its hospitals, to anticipate the influx of patients suffering from Covid-19. The regional health agency announced it to public and private establishments, which are all concerned, during a crisis meeting at the end of the morning.
In three hospital areas – “Loire”, “Rhône-nord Isère” and “Alpes Dauphiné” – only emergencies, interventions whose postponement would change the patient’s prognosis, as well as medicine and outpatient surgery (not requiring hospitalization) will be maintained as of Monday. And this for the next fortnight. Everything else will be canceled, a difficult impression of reliving a scenario similar to that of the first wave of March, which doctors feared for several weeks.
” We face, would like to reassure the teacher Olivier Claris, President of the Medical Commission for the establishment of the Hospices Civils de Lyon (HCL). But we arrived at the end of what we could do, without deprogramming. “ In the Lyon institution, which has fourteen public hospitals, the tension has continued to rise since the beginning of the week: eight to nine patients infected with SARS CoV-2 are admitted to intensive care each day, saturated by patients 46% now infected with Covid-19. “For four days, things have become untenable”, notes Olivier Claris.
Risk of saturation of resuscitation services
With a special conjunction: three large cities in the region, Lyon, Saint-Etienne and Grenoble, are strongly affected at the same time. The risk of saturation of intensive care and intensive care services, but also of conventional hospitalization “Is now real in the short term”, can we read in a press release from the regional health agency, which indicates that nearly 90% of the resuscitation beds in the region are occupied, including 37% by patients with Covid-19.
Above all, deprogramming should make it possible to open resuscitation beds and reassign personnel, in particular operating theaters, that is, those most able to be mobilized in these departments – anesthetists and nurse anesthetists. For staff ” already in the shock of having to face what we have already experienced ”, “It’s a second blow of the club”, recognizes the Lyon professor Olivier Claris.
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