More and more intensive care patients in Swiss hospitals – the good thing: the duration of treatment is falling – Switzerland

743 Covid patients are currently in hospital care, 74 of them in intensive care. With the support of the Statistical Office of the Canton of Zurich, programmer Robert Salzer is looking for the total number of hospitalizations. Over the weekend, the Federal Office of Public Health reported 8,737 laboratory-confirmed new infections and 171 hospital admissions. The anxious question is currently: Can the growth of the virus be contained in such a way that the hospitals do not reach their capacity limits?

In spring, at the height of the pandemic to date, Covid patients occupied a maximum of almost 2,400 beds at the same time. The health system withstood the pressure. At the press conference last Friday, Martin Ackermann, head of the federal scientific Covid task force, was unable to assess when exactly the attack will now be. If the curve for new infections is pointing upwards, as before, the task force is reckoning with a doubling of hospital admissions every seven to ten days. The Federal Council and the cantons hope to break the trend with the restrictions – including the extended mask requirement and the ban on gathering in public spaces for 15 or more people.

The intensive care units have 1,000 beds across the country, and if necessary they can put an additional 500 into operation. About a week ago, the capacity was less than 50 percent full, with Covid patients making up a small proportion. According to information from the federal government, the cantons currently have a good 6,000 free hospital beds.

Sporadic hospitals report bottlenecks. Last week or so, the Schwyz Hospital warned that it would soon no longer be able to cope with the onslaught of Covid patients. It is urgently looking for nursing staff. Meanwhile, the health department of the Canton of Zurich has announced that the hospitals are not currently being hit, but that the situation is being monitored carefully. Whether the hospital is able to cope with a possible onslaught of a second wave depends above all on whether enough specialists are available.

Hospital association absolutely want to prevent a treatment ban

The cantons and hospitals are currently making preparations to look after Covid patients across cantonal borders if necessary. That means: If one canton reaches its limit, another one, who still has resources, steps in. In the spring, the Federal Council imposed a treatment ban for all operations that are not urgently necessary. At the end of August, H +, the Association of Swiss Hospitals, announced that the damage caused by this treatment ban would amount to up to 2.6 billion francs for the whole year.

The hospitals are now doing everything possible to avoid a renewed treatment ban by coordinating with other hospitals and flexibly adapting their capacities, says H + Director Anne Bütikofer. The association demands a national information system with up-to-date data on bed capacities, staff and material in order to be able to better assess the situation in the hospitals and to improve coordination. “This is the only way to ensure that patients can be well cared for, even when the number of cases and hospitalizations increases”, says Bütikofer.

Different starting position than with the first wave in spring

There is also positive news to report from the front of the intensive care units. Because the starting position is different than in spring, when Switzerland was overrun by the first corona wave. The staff is more experienced and calmer, says Peter Steiger, Deputy Director of Intensive Care Medicine at the University Hospital Zurich (USZ).

In addition, the Covid 19 patients would now come to the hospital earlier, which is important: The therapies must start as early as possible to prevent severe courses. If there is a lack of oxygen, all patients are now given Remdesivir, which was only available to some of the patients in the spring on a study basis. The drug is now approved in Switzerland and, according to Steiger, is also available in sufficient quantities.

The cortisol preparation dexamethasone is administered against the severe inflammation. “In a study, patients also received blood plasma containing antibodies from those who had recovered, which seems promising. The results still have to be awaited, ”says Steiger. The length of stay in the intensive care unit has shortened. Further findings are that the patients were no longer intubated as early. Steiger says:

This also means that fewer places are occupied in the intensive care unit. On Monday, 16 beds in the ward and four in the intensive care unit of the University Hospital Zurich were occupied with corona patients. For comparison: At the height of the first wave, 20 patients were in the intensive care unit of the USZ and 32 in the ward.

The youngest patient in intensive care is 32 years old

So is the mortality of corona patients in the hospitals falling? According to Steiger, this trend is not evident across Switzerland. At Zurich University Hospital, however, which took on many seriously ill patients from other hospitals in the first wave, the mortality is currently only half as high.

“The increasing numbers still worry me,” says Steiger, “they could be very demanding on the system.” In addition, the staff could hardly have recovered from the stressful time in spring.

Corona patients are very difficult to treat. And Steiger points out that even if many remained without symptoms, SARS Cov-2 is a serious illness and that when there is a flu epidemic, so many people never come to the intensive care unit. The youngest patient in the last few weeks was 32 years old.

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More and more intensive care patients in Swiss hospitals – the good thing: the duration of treatment is falling – Switzerland

743 Covid patients are currently in hospital care, 74 of them in intensive care. With the support of the Statistical Office of the Canton of Zurich, programmer Robert Salzer is looking for the total number of hospitalizations. Over the weekend, the Federal Office of Public Health reported 8,737 laboratory-confirmed new infections and 171 hospital admissions. The anxious question is currently: Can the growth of the virus be contained in such a way that the hospitals do not reach their capacity limits?

In spring, at the height of the pandemic to date, Covid patients occupied a maximum of almost 2,400 beds at the same time. The health system withstood the pressure. At the press conference last Friday, Martin Ackermann, head of the federal scientific Covid task force, was unable to assess when exactly the attack will now be. If the curve for new infections is pointing upwards, as before, the task force is reckoning with a doubling of hospital admissions every seven to ten days. The Federal Council and the cantons hope to break the trend with the restrictions – including the extended mask requirement and the ban on gathering in public spaces for 15 or more people.

The intensive care units have 1,000 beds across the country, and if necessary they can put an additional 500 into operation. About a week ago, the capacity was less than 50 percent full, with Covid patients making up a small proportion. According to information from the federal government, the cantons currently have a good 6,000 free hospital beds.

Sporadic hospitals report bottlenecks. Last week or so, the Schwyz Hospital warned that it would soon no longer be able to cope with the onslaught of Covid patients. It is urgently looking for nursing staff. Meanwhile, the health department of the Canton of Zurich has announced that the hospitals are not currently being hit, but that the situation is being monitored carefully. Whether the hospital is able to cope with a possible onslaught of a second wave depends above all on whether enough specialists are available.

Hospital association absolutely want to prevent a treatment ban

The cantons and hospitals are currently making preparations to look after Covid patients across cantonal borders if necessary. That means: If one canton reaches its limit, another one, who still has resources, steps in. In the spring, the Federal Council imposed a treatment ban for all operations that are not urgently necessary. At the end of August, H +, the Association of Swiss Hospitals, announced that the damage caused by this treatment ban would amount to up to 2.6 billion francs for the whole year.

The hospitals are now doing everything possible to avoid a renewed treatment ban by coordinating with other hospitals and flexibly adapting their capacities, says H + Director Anne Bütikofer. The association demands a national information system with up-to-date data on bed capacities, staff and material in order to be able to better assess the situation in the hospitals and to improve coordination. “This is the only way to ensure that patients can be well cared for, even when the number of cases and hospitalizations increases”, says Bütikofer.

Different starting position than with the first wave in spring

There is also positive news to report from the front of the intensive care units. Because the starting position is different than in spring, when Switzerland was overrun by the first corona wave. The staff is more experienced and calmer, says Peter Steiger, Deputy Director of Intensive Care Medicine at the University Hospital Zurich (USZ).

In addition, the Covid 19 patients would now come to the hospital earlier, which is important: The therapies must start as early as possible to prevent severe courses. If there is a lack of oxygen, all patients are now given Remdesivir, which was only available to some of the patients in the spring on a study basis. The drug is now approved in Switzerland and, according to Steiger, is also available in sufficient quantities.

The cortisol preparation dexamethasone is administered against the severe inflammation. “In a study, patients also received blood plasma containing antibodies from those who had recovered, which seems promising. The results still have to be awaited, ”says Steiger. The length of stay in the intensive care unit has shortened. Further findings are that the patients were no longer intubated as early. Steiger says:

This also means that fewer places are occupied in the intensive care unit. On Monday, 16 beds in the ward and four in the intensive care unit of the University Hospital Zurich were occupied with corona patients. For comparison: At the height of the first wave, 20 patients were in the intensive care unit of the USZ and 32 in the ward.

The youngest patient in intensive care is 32 years old

So is the mortality of corona patients in the hospitals falling? According to Steiger, this trend is not evident across Switzerland. At Zurich University Hospital, however, which took on many seriously ill patients from other hospitals in the first wave, the mortality is currently only half as high.

“The increasing numbers still worry me,” says Steiger, “they could be very demanding on the system.” In addition, the staff could hardly have recovered from the stressful time in spring.

Corona patients are very difficult to treat. And Steiger points out that even if many remained without symptoms, SARS Cov-2 is a serious illness and that when there is a flu epidemic, so many people never come to the intensive care unit. The youngest patient in the last few weeks was 32 years old.

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AMLO announces a new stage of medical care for Covid-19 – Society and Justice

Mexico City. In Mexico there will be a new stage of attention to Covid-19 with the best you have in medical personnel, equipment; where there is more experience to care for the sick and minimize deaths, said President Andrés Manuel López Obrador. It includes, he detailed, an agreement with private hospitals so that patients with coronavirus receive free medical care, as in the public sector. We would pay.

After ensuring that the almost 38 thousand cancer drugs for minors that were stolen from a distributor were insured and they are replenishing, considered the recommendation of the Secretary of Public Education, Esteban Moctezuma, to use face masks in closed spaces, but also commented that no need to carry it if you keep distance, because they are non-mandatory measures. In this health emergency there have been no impositions or curfew, he recalled.

Yesterday at a press conference he offered a dialogue to businessmen affected by the withdrawal of cheese and yogurt brands. It is not the purpose to affect them, but “there is a lot of fraud, a lot of chemical products, adulterated, and that must be taken care of because it has to do with people’s nutrition and health.

“It is no longer with ugly, they have to be good quality products, “he said, highlighting that neoliberalism It involved zero regulation and that cannot be maintained.

López Obrador mentioned that the alteration also occurs even in medicines to care for children with cancer due to unscrupulous people, only guided by money.

He reiterated that the investigation into stolen cancer drugs is very advanced. There are strange things: for example, the theft was reported a long time later and the private police of the company do not have their papers in order.

He considered that next week there will be results and insisted that there are mala fe in whom they claim that we stole them ourselves. They are reckless judgments, of great evil. He assured that he fights so that minors who suffer from cancer have their medicines, but i’m not guilty, he pointed out.

On the pandemic, he maintained that now that is coming down the level of contagion and there are fewer hospitalized, we want to reconvert Covid hospitals again, leaving the best of the best to ensure that we have fewer deaths.

The President considered that instead of questioning the government, the former health secretaries They should explain why the health of the people was so neglected, why the shortage of doctors and specialists; they should be apologizing.

Regarding the use of the mask, he stated that it conforms to what the experts say and I am respectful of the opinion of each one, as well as the healthy distance, both in the National Palace and when traveling by plane, where he does use it.

He reported that authorities, including those of the Catholic Church, hold meetings to resolve around the celebrations of the days of the Dead, November 1 and 2, and the Virgin of Guadalupe, on December 12, in the Basilica. He mentioned that they seek to reach consensus, because it is not about imposing.

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Logbook of a resuscitator: “that would seem like a miracle …”

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

“For now, the Covid resuscitation patients for the month of October frankly resemble the Covid patients for the month of March. The days are again punctuated by the prone position (a position that facilitates the passage of air, note) of some patients, the careful settings of the ventilator, new data to families mainly by phone and sometimes, unfortunately deaths.

We also found the FFP2 masks and their peculiar medicine cabinet smell that we tried to forget this summer.

Again, we are drawing paramedics where we can. Nursing anesthetists, operating room nurses, all nurses likely to have the knowledge and skills to take care of intensive care patients are called upon. And we try to move the boat forward with the means at hand.

At the moment, there is little flow of patients. An entry into intensive care every day overall and a few calls to conventional care units to assess the need for an intensive care place for this or that patient. Few calls from outside.

We opened ten more beds last week. We are asked to prepare for more. All of this is gradually increasing. But we do not see very clearly our room for maneuver. We are told to increase to around 20 beds next week. It would be a miracle …

Unlike last spring, when each Covid unit was barred with a plastic sheet installed and hastily taped to separate the Covid sectors from the non-Covid sectors, our hospital and our various resuscitation services have this time little. exchange. No more plastic sheeting. No more dressing rooms at the entrance to the units. The Covid has become more democratized. Our isolation protocols have relaxed somewhat. Only patient rooms are now subject to the drastic dressing / undressing protocol.

For now people are holding on, despite a certain weariness. We try to resist and maintain the rest of our medical, teaching and research activities as much as we can. It’s important for morale. And for our patients.

The prospect of maintaining the right to a few days off here and there for those who wish it leaves us the hope of being able to breathe a little.

But the announcement of the curfew threw a chill. As with everyone, probably. This nocturnal confinement crystallizes the fact that we have entered the second or second wave. We continue to stick together, sometimes use a little humor or irony and go together to eat in the daycare, with a few and at a very safe distance, just to keep a semblance normal life in the hospital “.

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These are the 100 best doctors in Spain in 22 specialties

Related news

2020 is and will forever be the year of the pandemic Covid-19 and of the doctors who left their skin to save as many patients as possible. For almost two months, these professionals received all the applause that they had never been given, nor had they been given other recognitions.

However, the pandemic has exposed the widespread belief, and even pointed out in 2017 in a study published in The Lancet, that Spain has excellent medical assistance.

In this 2020 it has been seen that there is a lack of resources, both material and human, and it has even revealed an organizational chaos thatwhich has led to the collapse of primary and hospital care.

But one of the pillars that explained the past perception is that of the quality of human resources. With all that has been criticized for health during and after the pandemic, no one in their right mind has been able to say anything against doctors.

Spanish doctors are good, and they are good both in terms of patient care and in another equally important pillar, research. This is what explains the broad participation of our country in international clinical trials, as one of the most promising vaccine prototypes for Covid-19.

Despite the fact that the general level is very good, many citizens find themselves in the position of choosing a specific professional when facing the treatment of a specific disease. It is undoubtedly done by users of private medicine – a sector that corresponds the 28.5% of healthcare spending in our country, where there are 439 health centers with this type of ownership – but also those of the public, since in many communities the free choice of doctor is allowed.

According to him Study on Medical Demography published by the Collegiate Medical Organization (WTO) in 2018, in Spain there are 221,470 active doctors and our country exceeds the western average by 12%, but with some drawbacks, such as a very uneven distribution of professionals at a geographical level and a decompensation between the offer of MIR places and the number clausus in the Faculties of Medicine.

Although in Spain there is no no ranking prepared by an independent body that allows consulting the performance of physicians in different specialties, EL ESPAÑOL has drawn up for the third consecutive year a list of the 100 most prominent doctors in our country, which adds to the ranking of hospitals public Y private which has also been published since 2018.

To choose the specialists their charges in different hospitals have been taken into account, its inclusion in other rankings -such as the Forbes list or the Top Doctors medical directory, which collects user opinions- or the recognitions they have received during their career both nationally and internationally.

They have been divided into 22 categories, specialties included in the MIR -the most demanded- and others not named as such despite the claims of those who belong to them, such as specialists in diseases infectious, with special relevance this year due to the pandemic.

For the first time, and due to the exceptional circumstances of this year, Intensive Medicine and Public Health specialties have been included, very relevant in the management of the pandemic.

In some cases, doctors in certain categories for their professional experience rather than for the specialty studiedHence, the names of the categories sometimes correspond to the bodies they deal with and not to their official name.

These are the 22 categories collected:

The best allergy experts

The best anesthesia and pain doctors

The best doctors in heart and cardiac surgery

The best digestive system and liver doctors

The best surgeons

Best Traumatology Doctors

The best doctors of plastic, aesthetic and restorative surgery

The best dermatologist doctors

The best endocrine doctors

The best doctors in hematology

The best general practitioners and internists

Best Infectious Disease Doctors

The best lung doctors

The best brain doctors

The best gynecologists

The best ophthalmologists

The best cancer doctors

The best ear doctors

The best children’s doctors

The best urologists

Intensive Medical Doctors

The best public health doctors

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Photo 1: Vessel ‘Emma’ brings two other mobile hospitals amid a sea of ​​doubts

With the mobile hospitals that arrived today, there are already four in total of the seven that Honduras acquired for the health emergency due to COVID-19.

After a long wait that meant many people affected by COVID-19 without receiving adequate medical assistance, two other mobile hospitals finally arrived in Honduras.

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where is heart surgery in France?

The world is celebrating this Tuesday, September 29, World Heart Day to raise awareness of the risks and dangers relating to cardiovascular diseases which are the main causes of premature death in the twenty-first century, according to the WHO. It is also an opportunity to take a closer look at the advances made by medicine in heart operations in recent years.

Today a little more than 5,000 people live with the heart of another in France. 5,093 exactly, according to the Biomedicine Agency. They are victims of malformations, heart disease, but also the consequences of a serious infarction progressing to terminal heart failure.

These patients have benefited in recent years from enormous progress in anti-rejection treatments and of organ conservation. At the Lille University Hospital, for example, we use a machine that keeps the heart alive, the heart beating while waiting for the transplant.

The challenge now is to find ways to increase the number of donors. Each year, 500 people are placed on waiting lists and some die for lack of transplants.

Fewer open heart operations

The transplant is the last step. But before we get there, there are also great advances. Today, to replace a valve, do a coronary bypass or repair an aortic aneurysm, we no longer necessarily need to operate on an open heart, that is to say incise the thorax and ” install extracorporeal circulation, a heavier and more risky intervention.

Thanks to the miniaturization of catheters which have the thickness of a cigarette filter, thanks to the three-dimensional vision of on-board mini-cameras, we go through the interior of the body, most often through the femoral artery to repair damaged areas.

The benefits are huge for patients. This is particularly the case for the implantation of a prosthetic valve: two or three days of hospitalization only against eight to ten during surgery, no general anesthesia, no cardiac rehabilitation. We can thus take care of more fragile, older patients, well over the age of 80 who were previously told that nothing could be done for them.

Where is the artificial Carmat heart?

In recent years, there has also been a lot of talk about artificial heart Carmat. The international study, started at the end of 2016, continues. Thirteen patients with end-stage heart failure have been implanted in the Czech Republic, Kazakhstan and Denmark out of the 20 planned. The last must be recruited by the end of March.

According to the latest data, eight patients reached six months of survival, which was the goal. Another study will start in the United States and Carmat is awaiting CE marking for its prosthesis with a view to marketing.

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CUF Tejo Hospital opens today in Lisbon after 170 million investment – Health

In a statement, the Mello Saúde group states that the opening of the hospital will occur in a phased manner with the availability of outpatient areas – consultations and exams, including clinical analysis and imaging, as well as the oncology day hospital – starting today.

In a second phase – which will take place until the end of the year – the remaining care areas will be opened, namely hospitalization, the operating room, the intensive care unit, special exams and permanent adult care.

According to the note, the hospital unit will have more than 1,700 professionals, 10 operating theater rooms, including a hybrid room and a robotic operating room, 213 general inpatient beds, 14 intensive care beds and 178 consultation offices. and exams.

The hospital will also have permanent adult care and unscheduled pediatric care, imaging service with three magnetic resonances, two CT scans, six ultrasounds, three X-rays, a mammograph, among other equipment, as well as the oncology day hospital. and medical day hospital.

The unit estimates that 465 thousand specialty consultations per year, 80 thousand episodes of permanent care / year, 80 thousand daily (hospitalization) / year and 23 thousand surgeries / year.

The hospital represents an investment of more than 170 million euros and “was designed to prevent, diagnose and treat the diseases of the future and is centered on creating value for patients, families and caregivers and for health professionals (promoter of research clinical and pre- and post-graduate training in health).

According to the note, the CUF Tejo Hospital is the “first Portuguese hospital totally centered on the patient, being organized around 14 Clinical Centers to guarantee a personalized, integrated and complete response”.

Each Clinical Center consists of several functional units of pathology, with a multi-specialty approach, is explained in the note.

The hospital has a Heart and Vessels Center, Surgery and Digestive Pathology Center, Child and Adolescent Center, Dermatology, Plastic and Aesthetic Surgery, Endocrinology and Nutrition, Medicine, Prevention and Aging, Women’s Center, Neuroscience, Ophthalmology, Oncology , Orthopedics and Musculoskeletal, Otorhinolaryngology, Lung and Urology.

In the note it is also highlighted that CUF Oncology has a Breast Unit and an inpatient wing reserved for the Palliative Care Unit.

“With the new CUF Tejo hospital, CUF Oncology teams have access to state-of-the-art technology, whether in the context of diagnosis or in monitoring the evolution of treatments, namely in the areas of Neurosurgery, Robotic Surgery and Intervention Radiology”, is referred to.

CUF Tejo Hospital assumes itself as a teaching hospital designed to integrate the activities of pre and postgraduate university training and translational research in the daily lives of clinical teams.

With more than 600m2 dedicated exclusively to teaching, the teaching hospital includes a Simulation Center, simulation technology and augmented reality, surgical amphitheater, auditorium with 108 seats, Foyer prepared for clinical events, multipurpose rooms convertible into an auditorium, digital library with spaces for individual study and multiple meeting rooms.

The hospital has an area of ​​more than 75,000 m² spread over six floors above ground and four underground floors and parking for approximately 800 places.

“The opening of CUF Tejo Hospital is the realization of a coherent, solid and differentiating clinical project that materializes, once again, CUF’s culture of innovation and reinforces its leadership in the provision of reference healthcare in Portugal”, says Salvador de Mello, Chairman of the Board of Directors of CUF.

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Doctor-microbiologist Kluytmans: ‘In two weeks 300 corona patients in hospitals in Brabant’

Three hundred corona patients will be in Brabant hospitals in two weeks. Now there are still a hundred. This prediction is made by doctor-microbiologist Jan Kluytmans of the Amphia Hospital in Breda based on the current numbers of Brabant corona patients.

“You can see how many people are now infected. You can calculate this into the number of hospital admissions. Even if layman is relatively easy to follow that line,” says Kluytmans. “The virus is in an acceleration phase.”

According to the physician-microbiologist, the measures taken by the cabinet last night have no effect on his estimate of hospital admissions. These future patients are already infected. In order not to burden hospitals further, he therefore calls out: “Much depends on our own behavior. Please take your responsibility.”

Based on his expertise as a medical microbiologist, Kluytmans regularly advises the Outbreak Management Team, which recommends the cabinet how to deal with the corona outbreak. In March, his predictions of hospital admissions in Brabant prompted corona patients to move quickly to hospitals outside the provincial borders. In this way it was prevented that critically ill patients in Brabant could not go to hospitals. Broadly speaking, his prediction came true.

Cohortafdelingen
The number of three hundred expected corona-related hospital admissions in Brabant is approximately half of the total number of patients who were hospitalized during the corona peak in March. At the peak, 600 corona patients were admitted to hospitals in Brabant, 180 of whom were in intensive care. As a result, it was decided to almost completely scale down regular hospital care.

Because of the expected increase in corona patients, the Brabant hospitals are scaling up. For example, cohort wards are set up, where several corona patients come together. Bart Berden will tell more on Thursday about the consequences of the increase for hospital care. He is chairman of the Regional Consultation Acute Care Chain, to which all Brabant hospitals are affiliated.

Text continues below the tweet.

National trend
The expected increase in corona patients who visit hospitals in Brabant is in line with a national trend. Hospitals across the Netherlands are currently treating 660 corona patients, about twice as many as a week ago. The RIVM estimates that this number will rise to 2250 in mid-October. About 400 corona patients are expected at the ICs, said foreman Jaap van Dissel in the Lower House on Tuesday afternoon.

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IMSS announces plan to resume medical services that were suspended by the

  • It will conform to the “Continuity guide to guarantee services in the medical units of the Federal Public Administration in the New Normal”.
  • It is a process that must take care of the health of the workers and the patients themselves, not the end of the conversion: Zoé Robledo.
  • Covid-19 has not won us over for the care of other chronic conditions: Dr. Víctor Hugo Borja.
  • It is essential that the beneficiaries go to the medical units in a safe environment: Dr. Raúl Peña Viveros.

MEXICO CITY.

The Mexican Institute of Social Security (IMSS) presented its institutional plan to give continuity to medical services, which is based on three axes: security of facilities, recovery of work areas and reorganization in the operation of services that were suspended by the covid-19 pandemic, according to the “Continuity Guide to guarantee services in the medical units of the Federal Public Administration in the New Normal”.

In this sense, the general director of the Institute, Maestro Zoé Robledo, pointed out that this guide should not be understood as the end of the reconversion, “it is a process that must take care of the health of the workers and also of the patients themselves.”

In a press conference and accompanied by directors of the medical area, he pointed out that in order to address the health emergency, the Institute carried out a historic reconversion by having a huge amount of human, financial, technical, physical and infrastructure resources.

Zoé Robledo indicated that as the number of confirmed infections and the demand for a hospital bed decrease, hospitals will return to normal.

He affirmed that the objective of guaranteeing Mexicans a hospital bed, care or the use of a ventilator when they require it has been achieved, and that is reflected in the fact that the hospitals in the country that the IMSS provided have not been saturated.

At the time, the Director of Medical Benefits, Dr. Víctor Hugo Borja, commented that the Social Security reconversion meant allocating 16,074 beds for covid patients in the stage where it was most needed, in addition to 4,645 ventilators and the integration of 2 thousand 535 response teams, which translate into 40 thousand 491 doctors and nurses in charge of these patients.

He added that “the human resources that were dedicated to the care of patients with suspected covid were more than 60,000, but we additionally hired 20,868 health workers, including doctors and nurses, to care for this pandemic.”

Dr. Borja explained that since the beginning of the epidemic, IMSS workers were provided with Personal Protection Equipment (PPE), to whom more than 30 million N95, KN95 or N99 respirators have been delivered; more than 35 million triple layer masks; 1.8 million masks; almost 2,600,000 goggles; more than 27 million gloves; 24 million gowns and three million overalls.

In the comparison of services provided between January and August 2019 and 2020, it indicated that the number of family medicine, emergency and specialty consultations were reduced, in addition to hospitalizations, surgeries, prescribing, caesarean sections, deliveries and clinical analysis studies. Meanwhile, the granting of refill prescriptions increased by 372 percent.

He assured that with the actions carried out by Social Security “the covid has not won us for the care of the rest of the population and that is why we urgently want to return to attend to these other chronic, cardiovascular and metabolic diseases; cancer patients continued their treatment, and 80 to 85 percent of the consultations of IMSS beneficiaries that occur in the first level of family medicine, were maintained ”.

For his part, the coordinator of Comprehensive Second Level Care, Dr. Raúl Peña Viveros pointed out that “it is essential that our beneficiaries, when they present themselves to medical units, present themselves in a safe environment, hence the strategy that refers to security to the facilities ”.

He explained that 13 IMSS Representation Offices in the states have medical units that are already operating scheduled services that were deferred, in total there are 446 Family Medicine Units, 38 hospitals and a High Specialty Medical Unit.

This in Campeche, Chiapas, Chihuahua, Guerrero, Morelos, Oaxaca, Quintana Roo, Sonora, Tabasco, Tamaulipas, Tlaxcala, North Veracruz and South Veracruz.

He indicated that as of September 1, the services that were deferred have begun to be recovered by providing more than 20,000 specialty consultations, more than 2,000 surgeries that were not regularly being performed at the time of maximum covid care; more than 120 thousand diagnostic studies.

He said that there are services that have not been suspended, at the red traffic light they are working with extreme security in emergency situations and with people suffering from covid. “Family Medicine is an example where we have not suspended services, in general terms, so that the eligible population can have access to their own needs.”

Regarding operational reorganization, Dr. Peña Viveros indicated that it is extremely important to use all institutional capacity to be able to recover services as quickly as possible.

He commented that in second and third level hospitals there will be covid and non-covid services, respiratory emergencies, consultation at unusual hours, special surgical days, laboratory studies and radiodiagnosis on weekends.

During the press conference, a minute of silence was observed in memory of the people who lost their lives due to covid-19, and in the same way, a minute of applause was given in recognition of the medical personnel who are facing this pandemic. .

The doctors Juan Manuel Lira Romero, Head of the Medical Attention Unit; Dr. Manuel Cervantes Ocampo, Coordinator of Comprehensive Health Care at First Level; and Dr. Efraín Arizmendi Uribe, Coordinator of High Specialty Medical Units.

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