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