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Health Minister Kostadin Angelov announced on Monday that he had created an organization to take care of the largest number of Covid-19 patients in recent days, but the hospital directors boycotted it, sparking a crisis with circulating ambulances. for hours in hospitals. Sofia unable to accommodate the needy due to exhausted places. Angelov and the director of the Emergency Department, Dr. Georgi Gelev, assured in a briefing on Monday that since Saturday, when 100 additional Covid beds were opened in the Sofia hospitals, there is no such problem. From today 10 cars of the Ministry of the Interior will support the 25 emergency teams. There will be drivers, paramedics and paramedics in the police cars, and they will respond to what is considered a minor case of telephone triage by dispatchers. By the end of this week, the ambulance will also receive 17 brand new ambulances.
The Minister of Health does not accept accusations that he did not create the necessary organization. He recalled that two weeks ago he had a meeting with the directors of the capital’s hospitals, where he ordered the opening of extra beds, and then issued an order stipulating that 10% of the beds be for the treatment of patients with coronavirus. According to him, if these orders had been carried out, there would be no shortage of places. Angelov said that Currently 650 people are being treated in hospitals in Sofia, and the order issued by him provides for the opening of 1,200 beds for the treatment of patients with coronavirus..
“3-4 days after I became a minister, I issued an order to open places, to ensure the needs of the system. Those who do not follow the orders will receive the sanction. But these are not the Bulgarian doctors and nurses. These are the ones hospital directors, who don’t do their job “he said. Angelov has so far refused to say which hospital directors have refused to comply with his order and open treatment sites for Covid-19, but has promised to do so by completing inspections.
“But I can’t help but be mad at the hospital directorsthat do not fulfill my request. My reproaches are for them. Therefore, I will do personal checks to make sure my order is obeyed. Laboratory inspections are also being carried out, since we have the problem that they are slowing down the loading of results in the information system. “Angelov said. He warned that a large number of new infections are expected tomorrow precisely because of the data entered late in the information system by some laboratories, which report data collection for 2-3 days.
The minister also explained that the results had to be uploaded to the information system of the Ministry of Health before 9 am the day after they were collected. However, this was often not observed. According to Angelov, there were cases of such delay that it was absurd to quarantine the cured.
“There are such paradoxes when taking a test, say, today, upload said test to the system on Wednesday, Thursday, the RHI calls after 3-4 days, for example, on Monday and at a time when medical staff to issue a Sick leave turns out that time is almost up, the person is healthy and at the same time we quarantine him. Such a thing cannot exist, I cannot allow it, we cannot tolerate it anymore“he said.
According to him, at the moment we do not need field hospitals. About 2,600 of the country’s more than 7,000 coronavirus treatment beds are currently occupied.
Gelev explained that the necessary beds were planned in advance, but were revealed in motion, as they did not need to remain locked together with service personnel since the summer, when the system was not under such pressure. According to him, if necessary, 20% of the hospital bed capacity can be used for the treatment of the coronavirus and he recalled that there are 80 hospitals in Sofia, that is. there are places. He clarified that not everyone has the same opportunities, but there is no other option because “we are at war.”
The Minister of Health said that each patient can reach the hospital by ambulance or own transport and doctors are obliged to examine him and if it is not an emergency release it.
Angelov recalled that also on September 1 he ordered an increase in emergency aid teams and that was done. A coordination center was also opened on September 1.
Sofia hospitals opened 733 beds for the 1,200 requested
Subsequently, the Ministry of Health told Mediapool that Sofia hospitals have opened 733 beds with 1,200 places requested by the Ministry of Health for the treatment of patients with coronavirus. According to the latest order in force, all medical institutions in the “red” areas must provide 10% of their bed capacity for the hospitalization of citizens with Covid-19. For Sofia, the active beds are about 12,000, which means about 1,200 beds in the territory of 69 medical institutions – municipal, private and state – conservative and intensive.he explained from there.
However, according to RHI data, as of October 31, Sofia hospitals had found 620 beds for patients without complications and 113 beds for intensive care, or a total of 733. According to the Ministry of Health as of October 31, the occupancy of these beds was 559 needs intensive treatment.
For this reason, the Executive Agency “Medical Supervision” and the Regional Health Inspectorate carry out inspections and impose sanctions on medical institutions that do not comply with the order of the Minister of Health, they specified.
Emergency on the verge of exhaustion, delayed 6-7 hours
Earlier, Emergency Service spokeswoman Katya Sungarska told bTV that there is a very severe staff shortage and ambulances arrive with a signal after 6-7 hours, said the press secretary of the Center for Emergency Medical Aid in Sofia Katya Sungarska.
“It is a long time, but when there is no one to do it, the vicious cycle turns too fast. Our ambulances are in other directions during that time.”Sungarska said.
“My colleagues are on the verge of exhaustion. They fly constantly, there are no stops. Covid-19 addresses are raining one after another.”she added.
According to her, to only comply with Covid addresses, a team has to go to four or five addresses in an hour. And after each of those directions, the team disinfects again along with the ambulance.
“When a patient is taken in serious condition, a second opinion is taken from the coordination center, where there is another specialist to examine the patient. There are also RHI employees who have a permanent connection where how many beds are there. But those beds there are, there are one or two and by the time the ambulance reaches “Pirogov”, for example, the bed is already taken “Sungarska explained about the problem of lack of free beds and hospitalization.
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