After the Great East, Île-de-France is in the eye of the storm. The urgency faced with the flow of patients is to increase the number of intensive care beds: from 1,200 last weekend, it rose to 1,500 Thursday and must reach 2,000 this weekend, according to ARS Île-de- France, which coordinates the organization. A real race against the clock, as the region had 1,350 COVID + resuscitation patients on Thursday evening, with stays of around 2 weeks, and the influx of serious patients is increasing faster and faster.
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Finding new beds is a tour de force for bed managers, which was only made possible thanks to the mobilization of all the players. “There is no longer any difference between public and private. All establishments, large hospitals and small structures, are mobilized, ”said Jérôme Salomon, Director General of Health.
"In 72 hours, we have created 200 additional sheave beds in Île-de-France, by mobilizing recovery rooms where we have equipment that allows ventilation," explains Marie-Sophie Desaulle, president of the federation of hospitals private non-profit (Fehap). Thus, the Institut Mutualiste Montsouris went from 18 intensive care beds last weekend to 66, the Saint-Joseph hospital from 33 to 66, the Rothschild Foundation from 10 to 39… And this despite persistent tensions around the supply of medicines, consumables, infusion pumps, etc.
Some may be disappointed not to be called, but priority is given to nurses and caregivers who have experience with equipment or recovery room
Marie-Sophie Desaulle, president of the federation of private non-profit hospitals (Fehap)On the personal side, the teams are reinforced by the health reserve and the volunteers registered on the RenfortsCovid platform. But you can't improvise as a resuscitation specialist. "Some may be disappointed not to be called, but we rely primarily on nurses and caregivers who have experience of equipment or recovery room , " says Marie-Sophie Desaulle, indicating that training programs in two weeks were launched to upgrade the nurses. History of preparing the succession, when those who are at the front will have to rest.
No patient transfer
Will this be enough? The concern is tangible at the AP-HP, where general manager Martin Hirsch sounded the alarm on Thursday. Friday, Bruno Riou, crisis medical director of the AP-HP, asked that we begin quickly the transfer of patients from Ile-de-France with coronavirus to other regions, like what is done in the Grand Est . "We must do it now, the goal is to find availability for patients of tomorrow or the day after tomorrow," he alerted.
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For the time being, it is not on the agenda. "For the moment, we are not making transfers to other regions to avoid saturating them, as long as all of the Ile-de-France capacities have not been fully deployed," concludes the Federation of Hospitals of France (FHF). No question either, for the moment, of using a field hospital deployed by the army.
