patient transfers resume against a backdrop of hospital tension

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patient transfers resume against a backdrop of hospital tension


As in the spring, the tension in the intensive care units pushes establishments to transfer some of their patients to other hospitals.


Nursing staff install a patient with Covid-19 in an ambulance after arriving by medicalized TGV on April 10, 2020 at Bordeaux station.


© afp.com/MEHDI FEDOUACH
Caregivers install a patient with Covid-19 in an ambulance after arriving by medicalized TGV on April 10, 2020 at Bordeaux station.


The machine stalls again. As in spring, the upsurge in new cases of coronavirus raises fears of saturation of resuscitation services. Currently, their occupancy rate for patients with Covid-19 is flirting with the 50% mark. Far from the 136% (and therefore the initial capacity) of the first wave. But the figure continues to climb, while France on Friday exceeded the million cases of coronavirus identified, and displays a test positivity rate greater than 15%.

READ ALSO >> Resuscitation, death, positivity rate: the second wave hits France with full force

In some regions, such as Hauts-de-France or Auvergne-Rhône-Alpes, saturation is already a reality. As of October 20, according to data from Public Health France, several of their departments had occupancy rates above 60%. This is the case in the North (64.85%), where the Lille metropolis has activated his white plan, and further south, the Rhône (66.67%). To the point, therefore, of having recourse to deprogramming of operations non-urgent, but also to carry out the first transfers of patients to less saturated hospitals, or even other regions such as New Aquitaine.

Intraregional transfers

In the hospitals of Roubaix and Tourcoing, around twenty patients suffering from Covid-19 have been transferred to several establishments in the region, including the Lille University Hospital.

This is, for the hospital, to give itself “the time to create a new wheel of Covid medicine beds as the weekend approaches”, explained Dr Julien Poissy, from the resuscitation center of the Lille University Hospital. , during a press conference on Friday. It should be noted that Roubaix and Tourcoing are faced with respective incidence rates (number of new cases over seven days per 100,000 inhabitants) of 1135 and 953, against 251 nationwide.

READ ALSO >> Hospital: a second wave of deprogramming of operations more delicate than in the spring

These first transfers, at the regional level, may however be insufficient. At the Lille University Hospital, saturation has not yet been reached, but Dr Poissy said he was “concerned”, estimating that if the current trend continued, the hospital might find itself in difficulty within two weeks.

In the Pyrénées-Orientales, transfers of so-called “convalescent” patients also took place during the week, to other establishments in the department, indicates The Independent.

From Rhône to New Aquitaine

Same system in eastern France. On Friday, the director general of ARS Auvergne Rhône-Alpes Jean-Yves Grall, indicated that 16 patients, between October 13 and 19, were transferred to departments in the region a little more spared by the epidemic, relay 20 minutes.

Other transfers, this time interregional, also took place this Friday. Eight other patients, treated in Lyon, Villeurbanne and Saint-Etienne were directed to New Aquitaine by medical plane, completes the daily. Bordeaux, Poitiers and Brive are among the cities that can still welcome new patients.

Nearly 650 transfers during the first wave

In the spring, at the height of the first wave, these interregional transfers took the form medicalized military aircraft, of TGV and even ships.

In total, nearly 650 patients had been moved from regions heavily impacted by the crisis – mainly in the East and Ile-de-France – to the West of France, according to a count from the Ministry of Health.

At the time, a handful of patients had also been sent abroad for treatment, in Switzerland and Germany. A time considered, the track leading to the Czech Republic had she finally been abandoned.

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