Coronavirus: the ultras “say no to a premature resumption of football”

“The ultras are the trade unionists of popular football”, explained to Release sports historian Sébastien Louis. In this health crisis, they also seem to be the guarantors of the health of spectators as much as the guardians of temples who only make sense with people in their spans. In a press release published on Monday, about fifty associations of supporters, ultras or not, and supporting around thirty clubs “Say no to a premature resumption of football” : “France has experienced its worst health crisis for several generations. Many people are dying in hospitals more in demand than ever. […] Everywhere, collective interest prevails. “

Under these conditions, they write, “It is urgent to wait. It is not conceivable that football will resume prematurely. It is not possible that it will resume in camera. It will resume in due course when the health and social conditions are met. ” While the season is far from over, the football league has offered to resume L1 and L2 on August 22 and 23. Between the end of the season, the players’ vacations and the preparation, it is difficult to imagine such a scenario possible, except to want to resume quickly and behind closed doors. From Lille to Montpellier, from Brest to Strasbourg, the ultra groups then castigate these “” Thinking heads “of football who quarrel”, “far from these harsh, concrete realities, far from this capillary and anonymous solidarity” symbolized by these caregivers and ultras who decided to participate in the collective effort.

Read also Sports: ten scenarios (more or less eccentric) for the end of the season

Masks and pizzas

Because on the ground, a number of supporters deprived of their passion have decided to mobilize their forces for charitable, social actions or in favor of hospitals. As in Toulouse, where the Tolosa Indians harvested more than 11,000 euros from 500 people to buy coffee, fruit juice, cakes or cookies for the Purpan and Rangueil teaching hospitals. A little further north, the Ultramarines also bring boxes overflowing with food at four Bordeaux hospitals. And, taken in Tenon or La Pitié-Salpêtrière, Massy (Essonne) or Chelles (Seine-et-Marne) – and even as far as Seine-Maritime or in Burgundy – the photos of hospital staff and firefighters are increasing daily, Collectif Ultra Paris scarf in hand and in medical combat uniforms, posing in front of boxes of foodstuffs financed by members or sympathizers of the CUP as well as pizzas offered by restaurateurs and delivered by members of the group.

Even if not all of them are signatories to the press release, all of the associations organize its actions, rooted in their city and in solidarity with their hospital staff. Like the ultra Marseille people who, in addition to the banners hung in the stadium or in the streets in support of the mobilized staff and Professor Didier Raoult, the South Winners distributed some 3,000 protective masks collected from their members for hospitals, the IHU and seafarers.

“Football torn from its roots”

An altruism that does not stop at supporters of elite clubs since those of FC Rouen, resident of National 2 (4e division), also collected 900 euros while the Rouen Fans hung a banner of support in front of the CHU “Strength and honor to our caregivers”.

Read also Coronavirus: European football on the brink of a crash

Even though football clubs have often displayed their support for hospital staff, with money or simple messages, the actions of ultra groups, in terms of their means, contrast with the will of directions giving the impression of wanting resume as soon as possible, so as not to see the windfall of TV rights escape them. Everyone, however, believes that they are defending the best interests of the club: some talking about financial survival, others about spectator health or the ridiculous nature of matches behind closed doors for months. “This football is dying of being torn from its roots and not being able to see more than a fiscal year, a window of transfers or a multi-year contract for television broadcasting. […] [Le football professionnel] must take advantage of this break time to rethink “, explain the associations in their press release. Who conclude: “Football” at all costs “is a football of shame, which will have no future.”

Damien dole

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Shortages extend to drugs

Faced with the unprecedented scale of the crisis and the influx of patients, stocks are running out. First those of protective masks. Then reagents used in diagnostic tests from Covid-19. And the respirators, whose production is struggling to keep up with demand. Little by little, everything necessary for hospitalization and treatment of patients is running out. Even the most common equipment, the most common drugs.

“Hospital stocks of muscle relaxants, sedatives and painkillers are consumed quickly”, is alarmed by the European Alliance of European University Hospitals, and “At their current rate of consumption, stocks will be empty within a few days in the hospitals hardest hit, and within two weeks for those with the largest reserves.” In their press release published on Tuesday, forty doctors and directors of establishments in France and other European countries call their respective leaders to coll

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Camille Gévaudan

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Resuscitation drugs: “We fear a shortage of stocks”

Damien Roux, university professor and hospital practitioner of intensive resuscitation medicine, works in the medical and surgical resuscitation department of Louis-Mourier Hospital (AP-HP), located in Colombes, in the Hauts-de-Seine. As of last weekend, this doctor was responsible for reflecting – in collaboration with other colleagues from the Public Assistance taking care of Covid-19 patients – on the means of optimizing the use of drugs in the services of resuscitation, due to the ever increasing number of serious patients. “The aim was to anticipate the overconsumption of certain drugs in the same way that we have been trying to increase the number of nurses for the past month»He explains. Except that a week later, the fear of an imminent shortage of certain molecules became a reality in Ile-de-France. “Despite our prospects and our vigilance on the issue, it is clear that suppliers and manufacturers are no longer able to monitor the consumption of drugs or certain medical devices in our hospitals.He warns.

AP-HP Director General Martin Hirsch acknowledged at a press conference on Friday that “stocks are very short on certain drugs.“This Saturday evening, it’s Edouard Philippe who admits the existence of”supply tensions here and there” “We regulate them by ensuring the circulation of these products throughout the territory, because there are stocks. We guarantee it by making sure to encourage increased domestic and global productionAdded the Prime Minister. Update with Professor Roux.

What is the situation of Louis-Mourier resuscitation service today?

We fear the beginning of a stock shortage for the end of the weekend. We have visibility over two days. That is to say, we are not sure that our internal pharmacy will be able to supply us with all of the drugs necessary for optimal patient management. There is great concern because it is very likely that the AP-HP central pharmacy, despite all its efforts, may not be able to meet the demands of all hospitals and that we will end up with shortages during the restocking. This shortage situation is new but ultimately quite logical. Instead of having a variety of patients who require very different treatments, resuscitation services are currently finding themselves with a majority of Covid + patients who need the same molecules. It is this quantity of identical patients, hitherto unknown in our units, which causes the drug shortage.

Which families of molecules are likely to be lacking?

There is a strong tension on hypnotics. These are the molecules we use to keep patients in sleep in intensive care. The equation is therefore simple: if we run out of stocks, we will no longer be able to take care of new patients. It’s a real danger. We also fear a rapid shortage of curares, which allow the patient, once asleep, to prevent him from moving and therefore consume less oxygen. Curares are necessary because they allow these patients with acute respiratory distress syndrome (ARDS) to be completely ventilated by the ventilator. The last other concern concerns antibiotics. As we speak, I do not believe that an AP-HP hospital is lacking. But there is a risk of overconsumption in the days and weeks to come, because these serious patients in intensive care are at high risk of nosocomial infection. As you can see, the supply of these three groups of molecules is essential to save lives.

Your working group’s mission was to think of new protocols to save your stocks. A summary of your recommendations is currently being sent to all AP-HP hospitals. What does it contain?

At this stage, we propose an optimization of the sedation protocols in order to limit any use which is not absolutely necessary. A close relationship between the pharmacy and the resuscitation service is also necessary in order to anticipate any shortage of a molecule to refer to another close molecule. We also underlined the interest of associating other molecules making it possible to reduce the quantity of usual molecules to be administered. More specifically for sedation, one of the recommendations would also be to use the usual method of anesthesia in the operating room. It is a procedure that uses halogenated gases to put people to sleep and that we never use in most resuscitation services. This technique would also limit the use of curares.

At Louis-Mourier Hospital, where are you with your stock of syringe pumps, which allow the infusion of treatments? Some hospital structures already seem to be lacking…

We did the drawer bottoms and requisitioned all the units a little to find as many as possible. But indeed, faced with the impressive influx of resuscitation patients, we had to resolve to work with fewer electric syringe pumps per patient. For the moment, it does not degrade the quality of care but it causes discomfort in work for nurses who must regularly move this type of equipment from one room to another. Unless suppliers, especially Chinese, can quickly send us a large quantity of electric syringe pumps, we will have to modify the way we administer treatments to patients using less precise techniques.


Anaïs Moran

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A resuscitation doctor: “It’s the start of the war”

Marc Amouretti, 32, is a doctor in the intensive care unit at Louis Mourier Hospital in Colombes (Hauts-de-Seine), an establishment dependent on the Public Assistance of Paris Hospitals (AP-HP). In the front line facing the Coronavirus epidemic, he tells Release his daily life and how his service is organized to cope.

Read also More than 7,000 dead worldwide, help for companies… update on the coronavirus

“The Covid-19 becomes a reality for more than a week. We are now going beyond the “anecdotal” cases linked to a few well-established clusters, where we could almost trace the chains of contamination from one family member to another. From now on, the cases are multiplying, in more or less serious forms, and occupy an increasing part of the resuscitation beds. This pushes us to rethink our organization every day to optimize patient care, and in particular to ensure that those who do not have the coronavirus are not

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Sylvain Mouillard

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