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Covid-19: "The second wave is here and it's time to prepare for it"

2020-09-19T18:22:52.656Z


For the emergency physician François Braun, boss of the powerful Samu-Urgences de France union, hospitals are not saturated, but "we feel that


While the number of Covid-19 patients explodes in Spain and Madrid, the capital, is partially reconfigured, the signals are turning red in France, with, for the first time, since the lifting of deconfinement, an increase in the number of patients who died last week.

After Bordeaux or Nice, Lyon must take more restrictive measures on Monday, especially in terms of gatherings.

For François Braun, president of the powerful Samu-Urgences union in France, and emergency manager of the CHR of Metz-Thionville (Moselle), we have arrived at a pivotal moment in the fight against the epidemic.

Are you worried about the acceleration in the number of Covid-19 contaminations in France?

FRANÇOIS BRAUN.

Yes.

For about ten days, we have seen a fairly significant increase in cases and this increase is constant day by day.

The second wave is here and it's time to prepare for it.

It was not the tidal wave that we experienced in March, the intensive care units, overall, are not saturated, but we feel that we are at a tipping point.

The AP-HP has just reactivated its White plan, Montpellier also ...

Are hospitals going to be able to hold out?

People are prepared.

Everything will depend on individual behavior.

If everyone respects the barrier gestures, perhaps the circulation of the virus will be slower, this is what to hope so that we do not relive the brutal peak of last spring.

In any case, we are expecting a complicated October.

The annual emergency room congress, which was to be held in Paris in mid-October, has just been canceled, it's no coincidence, we are anything but serene.

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What is the current climate in the emergency room?

It is again very difficult.

During the first wave, if we were able to cope, it was because we only worked with Covid-19 patients and everything was fluid: we had the whole hospital behind us.

We all shared the same goal!

Dedicated channels for Covid-19 patients had been set up, there was no longer any difficulty in finding hospital beds.

There, as the doctrine is once again to prioritize scheduled care over unscheduled ones, it is again the cross and the banner to find beds downstream, even for our Covid-19 patients, it is difficult to find them. .

Each has closed in its own meadow.

However, the Covid-19 is not just any virus, it is crap!

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What is the state of mind of the caregivers?

If we have to go back to the front, they will do it, but we can feel them again exhausted, disillusioned.

Everywhere predominates, after the Ségur de la santé, the feeling of having been rolled in the flour, particularly in the emergency services.

I am worried about the possible reactions to come, because in addition to Covid-19, we expect to see all those who are crushed by the social crisis in the emergency room.

I do not understand that we have not learned the lessons of the hospital organization that had been put in place during the first wave and which demonstrated its effectiveness.

What do you expect from the government?

Taking this new wave seriously is not just giving figures on the number of cases of Covid-19 patients every day, it is making sure that the entire hospital is ready to absorb them.

Since we have to "live with Covid-19", then let's organize ourselves in a structural, sustainable way!

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Will it be necessary, in the coming weeks, to deprogram again certain non-urgent interventions?

If the number of patients continues to grow as it does, I do not see how we can cut it.

As soon as a region is in tension and resuscitation services begin to be overwhelmed, sorting is essential.

Otherwise, we're going to break our face.

Obviously, this deprogramming must be done according to medical criteria.

After the first wave, we saw that the patients had deteriorated very quickly, they must be received without delay.

Digestive cancer will not wait.

However, a hip prosthesis can be postponed for one month.

Source: leparis

All life articles on 2020-09-19

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