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Coronavirus: German doctors are preparing for triage - these factors determine who is treated and who is not

2020-03-25T19:21:28.654Z


Corona: Capacity in medical facilities is becoming scarce. The priority with which patients should be treated in Germany has now been determined.


Corona: Capacity in medical facilities is becoming scarce. The priority with which patients should be treated in Germany has now been determined.

  • The intensive care units in Germany's hospitals are busy due to the corona virus.
  • According to the Frankfurter Allgemeine Zeitung, there is a catalog with recommendations for action.
  • Here you will find the basic facts about the corona virus * and the corona news from Germany *. You can also find current case numbers in Germany here as a map *. The following recommendations for corona protective measures * are currently available.

Frankfurt - In Italy it is already essential, in Germany it could soon be a reality. Based on the triage, i.e. the division of the Covid 19 sufferers according to the severity of the infection or illness, a decision will soon be made about life and death. As the Frankfurter Allgemeine Zeitung reports, German doctors are already preparing for a triage . Many doctors therefore believe that a lack of intensive care beds in the Federal Republic is likely.

Corona virus in Germany: emergency plan provides for triage of the sick

That is why seven medical societies (including the German Society for Anaesthesiology and Intensive Care Medicine) adopted a catalog with appropriate recommendations for action . This is to determine the order in which patients should be treated.

The paper with the long title "Decisions on the allocation of resources in emergency and intensive care medicine in the context of the Covid 19 pandemic" is intended to help with "conflicts in decisions regarding intensive care treatments".

Coronavirus in Germany: treatments could be dependent on the chances of success

"If it is no longer possible to admit all critically ill patients to the intensive care unit, the distribution of the limited available resources must be decided analogously to triage in disaster medicine," says the eleven-page paper. It is "inevitable" to make a selection of which people receive acute or intensive medical treatment "and which are not (or no longer)".

"Decision making with insufficient intensive resources"

Decisions on resource allocation in # emergency and # intensive care in the context of the COVID-19 # pandemic

Clinical-ethical recommendations #Triage ☹ https://t.co/WqnMcCzstZ pic.twitter.com/oqOIq1sUfM

- Manuel Atug (@HonkHase) March 25, 2020

According to the paper, these decisions are made, if possible, by two physicians experienced in intensive medicine, as well as a representative of nursing staff and other specialists. The "multi-eye principle" applies. Prioritization of who is treated and who is not is based solely on the clinical prospects of success . Thus, the "treatment of those who have little or no prospect of success" could be dispensed with.

Coronavirus in Germany: patient's station irrelevant when prioritizing

Patients with a higher probability of survival and a better overall prognosis have a better chance of being treated. The weighing is also carried out regardless of which ward patients are lying on. The selection is not justifiable only within the Covid 19 sufferers. It was also not permitted not to treat patients based solely on their age or on the basis of social criteria .

List of rubric lists: © dpa / Axel Heimken

Source: merkur

All news articles on 2020-03-25

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