A tragic situation unfolds in healthcare – the workload is increasing and quality is deteriorating

The walls of the hospitals are not transparent, and healthcare workers are forced to remain silent. Again, more than 6,000 covid patients are in our hospitals, according to 444.

Image: Pixabay

According to the paper, as the load increases, the quality of care deteriorates, while there is little strength left for patients other than those infected. This also affects those who are avoided by the virus.

More and more people are lying in the intensive care unit, but the beds should not be extended indefinitely because its patients drink their juices. Beyond one point, there aren’t enough professionals to take care of them, even though they’re lying on the bed.

The government has never acknowledged this problem and has made no real effort to prepare the system for the next one between two waves of epidemics.

And substantial measures came again only when the curve was very steep. The government listens to its people instead of the opinions of professionals, while not providing them with information.

The paper interviewed Tamás Svéd, an intensive care specialist and secretary of the Hungarian Medical Chamber.

We run the same laps:

after the second and third wave of epidemics, so many covid patients still need to be hospitalized that health care is slowly unable to deal with anything else. Deferred care is being suspended in more and more places, putting patients who are surviving the coronavirus in a difficult position.

As the load increases, those infected also receive worse care, not because there are few beds or ventilators, but because there are not enough professionals. Instead of a Bergamo-like, rapid crash, the system is still cracking slowly, almost imperceptibly from the outside.

Intensive care units have been under a much higher than long-term average since September last year. They care for the most severe patients there, and their chances of survival are largely determined by how many trained nurses can look after them. Special knowledge and thoroughness are required for ventilation, handling of instruments, and rotation of patients.

The supply has run out, as have many other professional fields. And they can’t simply be hanged from somewhere because it takes years to train a good intensive care nurse

said Sweden.

In the last year and a half, there would have been time to at least partially train nurses for this task. According to Swedes, however, they only tried in one hospital on their own during the most difficult weeks, when most people were needed. There was no central intent, no scheduling, no enrollment, no curriculum.

According to Sweden, the lack of preparedness is indicated by the fact that the central protocols on care methods are not updated often enough, so it is up to the hospitals to follow the international recommendations. Intensive care physicians working in different parts of the country are not allowed to publish mortality and recovery statistics, although they could analyze which method has been shown to be effective and which less so.

In the third wave, with a higher number of patients than at present, he said that 6-8 patients were admitted to a specialist. Based on the number of patients, we are not here yet, but in the absence of detailed data, we do not know what the conditions are like in the various hospitals.

If we recognize that there is no point in expanding intensive capacities beyond one point, we must also recognize that, in the final analysis, it is necessary to establish a sequence of who should be intensive first.

Over the past year and a half, the ministry has not published guidelines on the principles by which this could be done, with the MOK alone drafting an ethics guideline at the time of the first wave.

Kásler also ruled in late October that severe covidium patients should be treated in large county centers and medium and milder cases in smaller hospitals. This is logical in the light of the fact that Minister Gergely Gulyás revealed in June that the survival rates of covids are much better in larger hospitals than in smaller ones.

The number of covids treated in the hospital continues to grow faster than a year ago. As we wrote earlier, there are several reasons why the situation is so serious again, starting with the fact that 40 percent of people don’t have a single vaccine, and many have been worn out by protection since they received the first two.

Although public experts, including those who are members of the ministry’s analysis team, the Hungarian Academy of Sciences or the Hungarian Medical Chamber have long suggested measures, the government did not want to take action.

The government finally ordered the wearing of masks in closed, public spaces from Saturday. Gulyás said that in the fourth wave, the most pessimistic scenario was realized, and we asked if no other measures should have been taken then.

Sweden says government communication seems to have put everything to vaccination, practically the message is that once vaccination is available, nothing else is needed.

There are victims of the epidemic and even the most optimal epidemic management. A responsible decision maker needs to consider many aspects – health, economy, society, even politics. The focus is on priorities. Our priority is clearly health and epidemiology. We don’t see anything else – more precisely, unfortunately, not enough.

said Sweden.

According to him, one thing is certain: without transparent epidemic management, we do not see optimal epidemic management in the world that is really successful, and we are constantly learning from mistakes.

Source: 444
Cover image: Pixabay

Source: Propeller – Saját anyagok by propeller.hu.

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