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Monday, July 6, 2020

Italy: Patients over 80 could “be left to die” as hospitals OVERWHELMED

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Doctors fear that some patients in intensive care will in effect be left to die, as a document prepared by a crisis management unit in Turin proposed that older patients could be denied access to intensive care reports the Telegraph.

The protocol will determine which patients receive treatment in intensive care if there aren’t enough spaces at hospitals.

“The criteria for access to intesive therapy in cases of emergency must include age of less than 80 or a score on the Charlson comorbidity Index of less than 5.” the document reads.

“Should it become impossible to provide all patients with intensive care services, it will be necessary to apply criteria for access to intensive treatment, which depends on the limited resources available.”

The document is currently awaiting approval from a technical-scientific committe which is needed before it is sent out ot hospitals.

An Italian doctor has warned a Norwegian doctor about the situation in Italy, which is now becoming dire, saying the situation “is like war”.

He said that patients over 60 years of age aren’t intubated any more and that hospitals in the north of Italy are on their knees.

The Italian doctor also estimates that 30% of the patients are between 30-60 years of age.

A user on social media posted a conversation between one of his friends and an Italian doctor warning of the situation in Italy, saying the same things that other Italian doctors have warned about.

Dr. Daniele Macchini, an Intensive Care Unit physician in Bergamo, posted a warning on facebook about the situation that Italian hospitals are dealing with.

Here is a translation of some of his warning. The full post can be read on facebook here.

The war has literally exploded and battles are uninterrupted day and night. But now that need for beds has arrived in all its drama. One after the other the departments that had been emptied fill up at an impressive pace. The boards with the names of the patients, of different colours depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the d**ned same: bilateral interstitial pneumonia. Now, explain to me which flu virus causes such a rapid drama. And while there are still people who boast of not being afraid by ignoring directions, protesting because their normal routine is”temporarily” put in crisis, the epidemiological disaster is taking place. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us. Cases are multiplying, we arrive at a rate of 15-20 admissions per day all for the same reason. The results of the swabs now come one after the other: positive, positive, positive. Suddenly the E.R. is collapsing. Reasons for the access always the same: fever and breathing difficulties, fever and cough, respiratory failure. Radiology reports always the same: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized. Someone already to be intubated and go to intensive care. For others it’s too late… Every ventilator becomes like gold: those in operating theatres that have now suspended their non-urgent activity become intensive care places that did not exist before. The staff is exhausted. I saw the tiredness on faces that didn’t know what it was despite the already exhausting workloads they had. I saw a solidarity of all of us, who never failed to go to our internist colleagues to ask “what can I do for you now?” Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can’t save everyone, and the vital parameters of several patients at the same time reveal an already marked destiny. There are no more shifts, no more hours. Social life is suspended for us. We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols.

Italy has been the epicentre of the corona virus pandemic in Europe, reporting 24 747 infections and 1 809 deaths, bringing the death rate in Italy to 7.3%.

The region of Lombardy has been hit very hard. They have one of the best hospital systems in the world, yet they now have a death rate of 9.2%. That means 1 in 11 people with the virus in the region have died.

We at Times of Sweden are reporting LIVE updates on the latest corona virus situation HERE.

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Peter Imanuelsen
Peter Imanuelsen
Swedish journalist and political commentator. Founder and Editor-in-chief at Times of Sweden. Peter Imanuelsen has been reporting on the situation in Sweden for years and is more commonly known as PeterSweden on social media.

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