Logbook of a resuscitator: “No decline yet”

Practitioner in a hospital in the Paris region, on the front line since January to treat patients with severe forms of Covid-19, an anesthetist-resuscitator delivers every week for AFP, on condition of anonymity, his journal of the crisis sanitary.

“I have the impression that things are calming down. We still have around 15 extra beds compared to our normal activity and there are about one to two admissions per day of Covid patients in intensive care.

This week we also welcomed patients from other regions. There is a little less pressure on intensive care hospital beds in Ile-de-France at the moment. In intensive care, there is not yet a “decline” but the standard hospitalization units remain relatively under pressure.

We hope that things will continue to evolve in the right direction. We are satisfied to see a lull, but we must all the same keep in mind that we have been working again in “over-speed” for a month and a half and that we wish to be able to reduce the number of intensive care beds as soon as possible and return to more standard operation.

Epidemiological notions are quite abstract for us. As long as our intensive care units are full, we are welcoming patients and we have additional doctors on call, it does not mean much to us on a daily basis whether we have reached the epidemic peak or not.

On the other hand, there is a real gap between the vision of the public authorities and our own. Our ministers are satisfied to see that we are able to deploy resuscitation beds in an emergency and to respond to a health crisis.

It is obvious that we are not going to let people suffocate at the doors of the hospital due to a lack of means and hospital beds. It is obvious that in all French hospitals, the doctors and paramedical teams have taken their responsibilities and have been working tirelessly for months. But this should not be overly congratulated.

– Deprogramming –

We would like to have more hospital beds, in intensive care or not, and more staff on a daily basis. I do not believe that we should be satisfied with deprogramming, the only way we have available to free up beds and staff.

That some things can be postponed, of course, but currently we are deprogramming about 50% of the medical-surgical activity of the hospital. We do not believe that half of our day-to-day work at the public hospital, and therefore half of our patients, deserves to be considered “secondary”.

More beds, more staff, clean and functioning hospitals cost money, but that’s what we need to do our jobs properly.

For the rest, we are like everyone else. If we can regain some social freedom quickly, we will be happy. We are not here to give lessons on this or that measure to adopt.

The only thing we will dare to ask when a safe and effective vaccine is available is for people to get vaccinated. But we are in France, and it is not won …

Finally, the week was marked by the commemoration of November 13, 2015. No official ceremony at the hospital, but each of the doctors, nurses and orderlies of the hospital keeps a moving and deeply painful memory of that atrocious night. In five years, our profession has changed a lot. “

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