Corona: Situation in intensive care units comes to a head – doctors warn clearly

Corona: Situation in intensive care units comes to a head – doctors warn clearly

Clinic Occupancy

Corona patients: the situation in the intensive care units is deteriorating

How intensive care nurse Ricardo Lange experiences the corona pandemic

How intensive care carer Ricardo Lange experiences the corona pandemic

The intensive care nurse works in the intensive care units of Berlin with a Covid focus. He regularly shares his experiences and last spoke with Jens Spahn and Lothar Wieler at the press conference.

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Clinic occupation will be the new central Coronanorm. The Covid-19 curve in intensive care units shows a steep upward trend.

Berlin.

  • More and more Covid-19 patients are in German intensive care units
  • The number of patients has doubled in one month
  • More than 1000 seriously ill Covid-19 patients now receive intensive medical care

the Seven-day incidence rises above 75, there are again more than 1000 seriously ill Covid-19 patients in intensive care – this is how Germany will start in September. But what exactly do these numbers mean to them? Corona-Politics? For 18 months, the country was the first to look at the corona case numbers every morning. The seven-day incidence of new infections was the primary measure of location, lockdown and easing. Now comes a new value: the hospitalization incidence – or the number of clinically treated Covid-19 patients per week per 100,000 inhabitants. What will the new value bring – and what do experts say about it?




Covid-19 patients: what is the situation in the clinics?

Over the weekend, the number of Covid-19 patients rose to The intensive care unit for the first time in a long time, above 1000, the Divi Intensive Registry had already registered more than 1060 cases by Monday afternoon. In comparison, at the height of the second wave, more than 5,500 critically ill patients were in intensive care. The rapid and early rise is particularly worrying at the moment: the Covid-19 curve in intensive care units has been pointing steeply up for four weeks. “Within a month, the number has nearly tripled from less than 400 to more than 1000,” said Gernot Marx, president of the German Interdisciplinary Association for Intensive and Emergency Medicine (DIVI), our editorial.



In some regions of West Germany, intensive care units are already full again. “That’s worrying.” Especially because, unlike last year, the rising numbers can already be seen in August this time. At the end of August 2020, the Intensive patientszahl it was only 240, and it wasn’t until the end of October that it rose to over 1000 over the course of the second wave. Also read: Corona: is 14 days of quarantine good for students?




“In addition, there is something else: our people are exhausted,” notes intensive care doctor Marx. Staff in intensive care units are still under Continuous load. “The exhaustion of the first three waves has not yet recovered. The clinics have not taken a break, but have rescheduled many of the interventions postponed over the summer. Most workers in intensive care units do not yet have a chance to recover .”

Intensive care: which patients are being treated now?

Unlike the first waves of the pandemic Seniors in particular no longer suffer from severe corona treatments: almost every tenth Covid 19 patient currently being treated in intensive care is aged 30 to 39 years, according to the latest data from the Divi Register, and almost one in five is 40 to 40 years old. 49 years. The 50 to 59 year olds make up a quarter of the patients, the 60 to 69 year olds a good fifth.




How does the clinic’s new incidence rate work?

A proposal from Federal Health Minister Jens Spahn (CDU) says that “Hospitalisierungsinzidenz“should” become an “essential yardstick for protective measures to be taken”. This expressly includes all Covid 19 patients admitted for treatment within seven days per 100,000 inhabitants – not just the intensive care patients. But: Spahn does not want a nationally uniform threshold for political measures (unlike earlier with the New infections). Instead, states should establish thresholds “taking into account regional hospital care capacities” to avoid an impending overload of regional hospital care.

On this Tuesday, the politicians want to discuss the proposal and listen to experts from the medical world and local authorities. ICU doctors in particular are critical of the new focus on clinical patients. Your argument: the old one incidence (of the new infections) is still important as an early warning level. Also read: Corona in the adventure bath: infected people visited tropical islands




Also the SPD health politician Karl Lauterbach sees weaknesses: The informational value of the hospitalization rate is limited because the value from which it could become critical varies greatly from region to region. For example, the admission rate depends on the number of hospital beds in a region. In other words, if there are few beds, a low posting rate may already sound an alarm – although the risk to the individual may be low. Conversely, it can happen that in a region very high case numbers are tolerated without restrictions and therefore children are at great risk – precisely because there are in principle sufficient clinic places.

at the next Bundestag session On September 7, in addition to the vaccination rate and the number of infections, the hospital admission incidence could be established as a new central yardstick in the Protection of Infections Act. The area in which the regional intervention thresholds could lie is currently still open. If it were up to Lauterbach, there would in any case be nationally uniform threshold values ​​for this. Also interesting: Corona:
Double the risk of hospitalization with Delta


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