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by rumbeando Sun Nov 28, 2021 10:15 pmNemačka:
https://zdfheute-stories-scroll.zdf.de/intensivstationen-in-dramatischer-lage-zdfheute/index.html (prevod: Deepl)Dramatic situation in intensive care units
Why the situation is much tighter than it was a year ago
New corona infections are higher than ever - and staffing in intensive care units is scarcer than ever. This mix is what makes the current situation so volatile:
Nearly half of all intensive care units are currently able to operate on a limited basis.
This is because the workload in intensive care units has been rising massively since the beginning of November 2021.
There are people who say, 'Oh, I don't think that affects me.' It does, so all I can say is, it can affect anyone. The youngest patient we had here was 17 years old. She was also in intensive care - unvaccinated.
Prof. Dr. Sebastian Maier, Chief Physician at the St. Elisabeth Hospital in Straubing, Germany
65 percent of intensive care patients in Germany are unvaccinated. However, 35 percent of intensive care patients are fully vaccinated.
However, this percentage must be interpreted in connection with the high vaccination rate achieved.
The more people are vaccinated, the more frequently vaccine breakthroughs can occur. Consequently, even vaccinated people can end up in intensive care.
However, the probability is ten times lower than without vaccination.
Without vaccination, we would not have a single free intensive care bed in Germany at the current incidence.
Jan-Thorsten Gräsner, Director of the Institute for Emergency Medicine at the University Hospital of Schleswig-Holstein in Kiel, Germany
Fewer and fewer intensive care beds due to staff shortages
Despite the tense situation, the number of beds in intensive care units has decreased within the Corona crisis.
At the beginning of November 2021, there were 5,000 fewer operable intensive care beds than a year earlier [27,000 -> 22,000], according to German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) President Professor Gernot Marx.
Yet corona patients* in intensive care units require particularly high levels of care. Due to the complex turning of covid patients, there is ideally one person to be cared for per caregiver.
The work is so exhausting because the patients are unpredictable. One moment they're fine, but in half an hour they can be breathing so badly that they have to be intubated, ventilated, or maybe even turned onto their stomach.
Petra Rücker, Deputy Nursing Manager of the Intensive Care Unit, St. Elisabeth Hospital, Straubing, Germany
To provide this care, more and more wards lack the necessary staff.
Staff shortages are cited by intensive care units as the most common reason for limited intensive care operations. And the problem continues to worsen.
According to a representative survey by the German Hospital Institute, more than 70 percent of intensive care units have fewer staff available than they did at the end of 2020.
My husband often says, 'They won't let you vaccinate, but you have to put yourself at risk.'
Petra Rücker, deputy nursing director of the intensive care unit, St. Elisabeth Straubing, Germany
Fewer intensive care beds are not only a problem for Corona patients*.
Because everyone else has to wait when there are no more beds available. Operations that can be planned are postponed.
Sources:
German Hospital Institute; DIVI Intensive Care Register; DIVI press release (Nov. 4, 2021); interview with nursing director Petra Rücker; interview with Prof. Dr. Sebastian Maier; RKI: Weekly Situation Report on Coronavirus Disease-2019 (Nov. 25, 2021); Science Media Center.
prosle nedelje,na pocetku smo uspostavili cajnu stanicu sa nasim Primus gorionikom koji se pokazao kao jedna od boljih kupovima da ne moramo da izlazimo a sada sam iscerala i kamperski sto i stolice jer stvarno ne mogu da jedem za niskim kafenim stocicem i na trosedu
