Although the situation in ten hospitals in Quebec is “critical”, the government does not intend to change the vaccine regimen established by Public Health due to the more dramatic effects of COVID-19 on CHSLDs.
Depending on the asteroid progression of the virus in hospitals, Managers and associations are raising their voices to ensure that Quebec care staff are vaccinated sooner rather than later., Hoping to avoid service interruptions.
However, Quebec hopes to stick to its initial game plan. “We have made a list of priorities to protect those who are dying and having problems,” Horacio Arruda, national director of public health, said Friday.
Health Minister Christian Dubey argued that the public health recommendation was “very clear”. He recalled that the number of vaccines was “very, very limited”. Quebec expects to receive 50,000 doses between December 21 and January 4. “It simply came to our notice then Focus It’s really about the patients in CHSLD and their staff, ”he said.
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In front of the media, the minister took on a more serious tone than usual, asking the Quebecars to “please, please” not to meet on the eve of Christmas.
“Both our health care system and our staff can’t withstand the surge after the holidays. If Quebeckers do not respect the rules during the holidays and do not increase their contacts, unfortunately, we will hit the wall in January,” he said.
The protocol is under study
In Quebec, the Hospital de Elfont-Jasse – CHU de Quebec and the Institute Universitర్r de Cardiology et de Pneumology de Quebec (IUCPQ) are among the institutions under critical conditions. In an interview at Destiny, Matthew Simon, head of the IUCPQ Intensive Care Unit, showed signs of anxiety. “We have already been tight for two weeks. We are within our human resource limit,” he said.
He recalled that IUCPQ specializes in cardiac surgery and pulmonary oncology, while Enfont-Jesus Hospital provides wound care. “These are not elective like a hip prosthesis or cataract,” he said.
If the virus continues to spread, “tough choices” will have to be made. “The next step is, ‘Look, I have a Kovid patient, I have a heart attack patient, which of the two am I treating?’ This is an exercise we must do, in the hope that it will never be necessary, and while trying our best to gently tell the population not to push the lemon so far. “
Quebec has adopted a new national protocol to provide access to adult intensive care in the event of an epidemic. It’s too far to be motivated, but simulation exercises have been going on for a few weeks at IUCPQ, D recallsr Simon. “We have a duty to be ready,” he said.
The next step is, “Look, I have a covid patient, I have a heart attack patient, which of the two am I treating?”
“We do not expect to get there, but we have yet to prepare,” said Jermaine Poier, president of the Society des Intensivists du Quebec. “It’s like an emergency plane landing. If we never practice it, when it happens, we will all get stuck in our warts and we will not know what to do. “
Near the breaking point
Quebec crossed the 1,000-hospital limit on Thursday. A total of 2,164 beds have been released for patients with COVID-19, the health minister recalled. “If we continue like this, we will exceed our capacity,” he worried. His warning echoed data from the National Institute of Excellence in Health and Social Services, It once again saw the possibility of hospitals reaching a breaking point in their weekly estimates.
“Every time we release a conventional bed for a ‘covid bed, it’s operations, surgeries, conventional treatments that we forget,” Mr. Dubey said. In some cases, hospitals already operating at 80% capacity had to offload “25 to 30%” of their emergency operations to reach the 50% limit. “We don’t want to fall below 50%,” he stressed.
To avoid rubbish, he appealed to the Quebeckers’ sense of responsibility. “So think of people whose surgeries have been postponed because some do not respect the actions of the holiday season,” he said, refusing to exclude the possibility of postponing the “break” for the time being. Christmas beyond January 11th.