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Corona: Will doctors in Germany soon have to make horror decisions? "Better keep the last beds free"

2020-11-18T23:23:24.425Z


When the number of free ICU beds is too few, doctors can face a difficult decision. Sometimes it is a matter of life or death.


When the number of free ICU beds is too few, doctors can face a difficult decision.

Sometimes it is a matter of life or death.

  • The corona pandemic is affecting health systems around the world.

  • In many hospitals the capacity limits have almost been reached.

  • Dramatic decisions are made for doctors.

Munich - In rare cases,

hospitals

are

confronted

with such a large number of

patients

that they can no longer control them.

In serious accidents with an

extremely high number of injuries

or in the

event of a disaster

,

for example

,

doctors

are faced with the worst choice: They have to

decide

very quickly between

life

and

death

.

The

doctors

have set in such scenarios that

emergency patients

are treated first and who is not helping more.

A procedure that has been around since the 19th century.

It is called

triage

, derived from the French word “trier”, which translates as sorting or selecting.

Because of Corona: Triage - horror decisions about life and death

This day makes the

coronavirus

*

the

intensive care units

in many places reach their limits, therefore also renewed discussions about the treatment kindled sick.

It is not always where hospitals can help: Absence of the

intensive care beds

, and patients must be based on the principle of triage partially

rejected

are.

In Italy, for example, there were

catastrophic conditions in the hospitals there

during the first

Corona wave

*

.

The flood of people

infected

with

corona

*

overwhelmed the country's health system, with particularly bad conditions in Lombardy.

The physicians were placed in

emotionally unbearable situations

.

"I have come into a situation that

demands

inhuman decisions

," said the doctor Francesca Mangiatordi, who worked in Cremona at the time.

The corona development is similarly

dramatic

these

days

, and for many doctors there could be another

life-and-death decision

.

May this cup please pass us by. # Triage pic.twitter.com/j4MfBli39Q

- goia (@goia) November 1, 2020

Corona: Swiss doctor had to use triage and reject the seriously ill

Belgium has to use triage, and

some clinics in

Switzerland have

already reached the limits of their capacity.

This is how Bienvenido Sanchez, who works as a senior

intensive care

physician in several hospitals in the canton of Valais, described that he was

doomed to idleness

in a previous case

.

At the end of October, the doctor had

to turn away

an

80-year-old

who was seriously ill with corona

due to

a

lack of intensive care beds

.

"Normally we would have taken this person in so that they had at least a minimal chance of survival," Sanchez described the

NZZ on Sunday

.

“In the current situation, however, I

prefer to

keep the last

beds free for cases where there is more hope.

"

After the tragic case in Valais became known, debates broke out about

triage

and its

criteria

, which were established by the

Swiss Academy of Medical Sciences

in March.

In particular, the

age limits

mentioned

in the

guideline

were discussed controversially.

These have recently been adjusted and given a point

system based

on so-called “frailty scores”.

Corona: Germany threatens shortage of intensive care beds in a few weeks

In the case of insufficient intensive care beds in Switzerland, people

over the age of 85 are

no longer treated intensively

or only when they are fit or need little care.

Older people

over 75 years

with serious diseases such as liver cirrhosis, chronic kidney failure or heart failure can hospitals

rejected

are.

The same applies to

extremely dependent patients

over 65 years of age.

Swiss lawyers strongly criticized the guide.

Every patient has the right to be examined.

Meanwhile, there are

currently enough

intensive care beds

available

in

Germany

: However, experts fear that

the capacity limits of hospitals

nationwide

could be exceeded in the next four to eight weeks.

Then German doctors could also face brutal decisions.

(kh)

* Merkur.de is part of the nationwide Ippen-Digital editorial network

List of rubric lists: © Claudio Furlan / LaPresse via ZUMA Press / dpa / picture alliance

Source: merkur

All news articles on 2020-11-18

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