Translated material
“Patients are changed in places to give a breath”: a doctor of the regional hospital about life in an infectious hospital
The Ministry of Health explained that the situation is quite difficult now in any hospitals. There are really a lot of patients. However, there are no shortages in the devices of the Ivl and places for coronavirus patients. The press service of the regional clinical hospital said that now there are 44 patients on 84 beds for IVL, there is a supply of equipment. ”“A hospital in which coronavirus patients are treated work in non-stop mode. Unfortunately, we have many patients. At any time of the day there are 20-30 people in the reception department. Some of them already definitely have a COVID+status, they are placed in an insulator, someone with an unknown status, they are in a separate hall. Taking into account so many patients, a queue for MSCT is created, and this is the only indirect confirmation of viral pneumonia.
Moreover, in addition to pneumonia, people with diseases of the cardiovascular system, digestive tract come to us. So, they need to be examined additionally, determine with tactics. And, if at the time of admission in the reception department there was a free couch, then while it is examined and is ready for hospitalization, the situation will change several times.
Someone will be transferred to intensive care, someone from the resuscitation to the department, someone will bring a sanavian. Some of those who were transferred to another hospital were transferred to one of those who were worse and they need to be taken back. Therefore, there are practically no guarantees for the availability of space.
Even more difficult with oxygen places. There are a lot of them, a lot. But there are even more patients. And patients alternately change places to "give a breath." The engineers have already made the biases, but this is not enough - you will not reach it into the corridor.
And in addition to all patients there are current problems: someone also after surgery, someone needs dressings, someone puncture, because the liquid has accumulated in the pleural cavity, someone has formed a hematoma-all on anticoagulants, pregnant women. Traffic on MSCT is also loaded with those who are already in the hospital - everyone needs a control picture.
And now we have 338 people. If the patient’s health worsens, the resuscitator examines him. Only there is always nowhere to translate. All resuscitation beds are occupied by extremely severe patients. And if in a peaceful life there are 6 patients for one resuscitator's brigade, now 12-13. Therefore, doctors in the departments, and cardiologists, surgeons, traumatologists, gynecologists work, since there are not enough personnel, also play the role of the resuscitator, conducting the recommended therapy in the conditions of their department.
When someone becomes better, he will be transferred to the department. A happy and joyful event for everyone, which, unfortunately, does not happen as often as we would like. More often the place is released when a message with the patient’s data, the status of Covid and a set of letters comes to the chat. KPAB or SME. This means someone else died. And the letters are the morgue in which the body will go. The place was freed.
There are so many patients and they act so severe that in the reception department it was necessary to organize an additional shock ward. Resuscitators treat reinforcements right in it. But she, in fact, is only a room for agonous. They can no longer be saved.
But, in addition to everything, employees need to monitor domestic processes. Collect and properly pack garbage, linen, constantly treat the premises, monitor the sanitary inspection room, replenish the reserves of medicines, consumables, and sizes. This is a parallel and continuous process. No one has long been saying the word "output", everyone has only yesterday and tomorrow, all as one long work week. "