With one person admitted to intensive care every 12 minutes in Ile-de-France, and more than 1050 patients treated in intensive care in our region for less than 1050 beds, available according to the Regional Health Agency (ARS), how to increase capacity care in hospitals?
Postponing scheduled operations is not everything.
A regional plan to equip 500 beds in continuing care units gradually converted into intensive care beds (modular beds) will ultimately benefit around sixty hospitals in Ile-de-France.
High-tech equipment - fans and monitors - is in fact offered by the regional council, with the support of the European Union and the Réact-EU program.
It is an investment of 10 million euros, including 3 million euros financed by the region and 7 million euros by European funds.
This is all the more exceptional as it does not fall within regional competences.
The first stage concerns 28 public and private establishments in Ile-de-France, for a budget of 6.2 million euros, in order to create 280 ephemeral resuscitation beds.
This Friday, this first stage began with nine voluntary sites, the equivalent of 94 potential resuscitation beds.
This Friday morning, the regional councilor Frédéric Valletoux (Agir), also president of the Hospital Federation of France and mayor of Fontainebleau, went to Melun (Seine-et-Marne), to the South Ile-de-France hospital group (GHSIF), which received twelve multiparametric monitors.
A gift equivalent to 265,139 euros.
"It is the only region of France to do so!"
These devices will prove to be very useful.
Each will be set up on a cart with a large screen to monitor the patient's EKG, blood pressure, saturation and breathing rate.
A central installed at the monitoring station will manage the twelve screens and… the problems.
"They are really configured for the sheave, so that additional beds can be created", greets Loïc Dubois, biomedical engineer at GHSIF.
Philips won the contract.
“We thank the regional council because it is great that it allows us to strengthen our resuscitation service.
Especially since health does not figure in its competences, greets Dominique Peljak, director of the GHSIF.
Frédéric Valletoux nods.
“It is the only region of France to do so!
It all started with the recommendations of the National Professional Council of Anesthesiologists and Resuscitators and their concept of ephemeral resuscitation.
A flexible concept to adapt to the reality of the situations of the territories according to their needs ”, explains the elected official.
“Here, there are twelve devices.
Four in Marne-la-Vallée and Provins, three in Meaux… In total, there is enough to equip 500 short-lived sheaves in the region!
"
"Having the ability to create a reserve is the challenge"
At the GHSIF in Melun-Sénart, which currently has 75 patients hospitalized for Covid-19, including 24 in intensive care, we appreciate this flexibility.
“Creating more long-term intensive care beds would be foolish if we don't need them in normal times.
A crisis like this happens every ten years.
On the other hand, it is necessary to have the capacity to create a reserve, in equipment and personnel, to face it.
That's what is at stake, ”insists Dr. Mehran Monchi, head of resuscitation at GHSIF.
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The Melun site usually has 22 intensive care beds.
It went up to 40 beds by converting 12 beds in the continuous monitoring unit, then 6 in medicine.
Management also anticipated the future.
"On March 22, we open a wing with 36 beds, 12 of which can be converted into intensive care", rejoices Dominique Peljak, director of the GHSIF.
The site will thus have a total of 46 sheave beds and will return 6 to medicine.
The list of the 28 establishments that will be equipped first
/ Ile-de-France Regional Council
What about staff, another sinews of war?
The region offers training to caregivers to learn more about these latest devices.
In Ile-de-France, 1,500 are affected, at a rate of 40 people per week maximum in two half-day sessions.
In Melun, out of 2,400 agents at the GHSIF, 50% are also already vaccinated… 85% in the intensive care unit.
At the ARS of Ile-de-France, we welcome this global initiative of the regional council.
"This is welcome support, complementary to the 150 million euros in investment aid that is deployed each year for hospitals in the region, the amounts of which will increase very significantly with the recovery plan and Health Segur measures.
"
