I’ll tell you what really happens in the emergency room
In the emergency room even with few and mild Covid symptoms because there is no local medicine: the denunciations of Salvatore Manca, president of the Italian Society of Emergency Medicine
Contagions from Covid return to rise dramatically and hospital emergency rooms are once again in trouble.
Because? Simple: "Even symptomatic patients are going to the emergency services", since the local medicine is absent or struggling to organize itself, denounces the Ppesident of the Italian Society of Emergency Medicine, Salvatore Manca. All the details.
ACCESS TO FIRST AID GROWING
Let's start with what, for President Manca, is a fact: access to the emergency room has started to rise again. "Compared to the first period of March-April in which there was a significant reduction from 30 to 60% in access to the emergency room, we now have an increase in access, compared to non-Covid periods", he says to Omnibus , a La7 , the president of the Italian Society of Emergency Medicine, Manca.
TO THE PS ALSO SYMPTOMATIC PAUCI
"Even patients with severe symptoms or mild symptoms are going to the emergency services," says Manca.
TERRITORY MEDICINE IS MISSING
The problem, explains the president of the Italian Society of Emergency Medicine, is that there is almost no local medicine, the one that should treat the mildest cases. “This happens in my opinion and in the opinion of my scientific society because the territorial organization is lacking. The territory is not functioning properly. The special units of continuity of care that should follow symptomatic patients at home are scarce in number ”, says Manca, who denounces that“ there is an overload of work in the 118 services that are called home to visit symptomatic patients. Many times they leave them at home, but clearly the 118 service is subtracted from its essential task ”.
TRACKING ALSO DOESN'T WORK
Tracking also comes with all its difficulties. “There is also chaos from this point of view. There is a real difficulty in tracing patients' contacts ”, Manca complains.
The reason? “Positive patient names are not passed on to public health services. If swabs are made by general practitioners, rapid swabs – even if they have an 80% reliability and therefore 15% is not traced as positive – positive swabs are sent to make the molecular swab for diagnostic confirmation of positivity at Covid. These patients are not reported to the public health services and therefore contacts cannot be traced, ”explains Manca.
NEED LOCAL CLOSURE
The president also expresses himself on a hypothetical lockdown. "The closure must not be generalized, the areas with the highest incidence and in which the growth curve of infections is exponential must be closed", says Manca.
If it is true that closing can be "a damage to commercial activities", adds Manca, it is true that "we must also see the opposite side, namely how much hospitalized patients cost and how much a death related to Covid costs to families".
This is a machine translation from Italian language of a post published on Start Magazine at the URL https://www.startmag.it/sanita/vi-racconto-cosa-succede-davvero-nei-pronto-soccorso/ on Fri, 30 Oct 2020 11:05:13 +0000.