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Reggio Calabria, the Great Metropolitan Hospital faces the pandemic with clinical and organizational excellence: of the battered Calabrian healthcare a model for all of Italy and perhaps even more
The pandemic of the new Coronavirus that we often simplify into COVID-19 but it’s actually called SARS-CoV-2 It gallops through Europe and North America after the summer truce, following a purely seasonal trend and perfectly in line with all other viruses that affect the respiratory tract. In Italy, the situation precipitated during the month of October, and now the contagion is rampant and the figures are increasing day by day. The most affected Regions are the same as in the first wave: Lombardy, Piedmont, Aosta Valley, Trentino Alto Adige me Liguria. Regardless of any type of consideration on the options of the “red” and “orange” areas determined by the Government, even in this second wave the Regions least affected by the pandemic are those of the South and in particular Calabria, Basilicata me Sicily. The figures, however, are this time much higher than in March and April because the virus circulates more widely in the area, so the organization of hospitals to deal with the pandemic becomes essential to better cope with the situation.
Photo StrettoWeb / Salvatore Dato
The context of Calabria is very difficult: regional health has been in charge of the central government for more than 10 years and in recent days with the “Decree of Calabria”, although it recognizes the failure of the management of the commissioner, the prime minister Conte confirmed the same figures by extending the commissioner for another two years. In Reggio Calabria, the ASP is also commissioned by the state, and this situation has enormous repercussions on the proper functioning of health management. In this bleak setting, however, there is a star that shines and it is that of the GOM, the Grand Metropolitan Hospital of Reggio Calabria. Here also the Director General is a government commissioner, Eng. Iole Fantozzi, which has full management powers, but is showing “extraordinary“Not only as a commissioner, in formal name, but also in fact.
Photo StrettoWeb / Salvatore Dato
In the GOM, in fact, there has been a real clinical and organizational miracle since last February. It is the hospital with the best results in Italy in terms of the ratio between hospitalized and recovered during SARS-CoV-2, an extraordinary result obtained thanks to the coordination of the different professionals of the Reggio hospital. The method of administration of adenosine by aerosol has put the focus of international science in Reggio Calabria and in particular in two great professionals such as the head of resuscitation, Sebastiano Macheda, and the chief of Oncology, the immunologist Pierpaolo Correale. To the great strength and competence of Iole Fantozzi, which has shown extraordinary ethics, is due to organizational and managerial results, often more difficult than technical ones in such a creative but too often disorganized field.
This is how the GOM is withstanding the shock wave of the pandemic despite being the only Covid-19 hospital in the entire province of Reggio Calabria, which before the 556 thousand inhabitants has generally registered to date, since the beginning of the pandemic 8 months ago, only 29 dead so 741 cured. However, the most challenging situation begins now. Today, Friday, November 6, the people currently positive in the provincial territory are 1,819. Fortunately, the vast majority are fine: they are asymptomatic or paucisymptomatic people who are in home isolation and do not need hospitalization. It is about 1,751 positives, the 96.3% of the total. In the hospital, everyone in the GOM, we have 68 patients: Of these, 6 are in intensive care (the 0.3% of all positives in Reggio) e 62 in the room. Currently the beds reserved for patients with Covid-19 are 111, that’s 43 more than current capacity, so the situation is absolutely under control and there is no criticality.
To the StrettoWeb microphones, Iole Fantozzi However, you would like to point out that “in the ward we have many patients who have recovered, about twenty, but we cannot discharge them because they are still positive. They are clinically cured people, they have no symptoms, they have overcome the infection brilliantly, but they are still positive for the swab and therefore, according to the protocols, we cannot discharge them. This is the only current critical issue: we need to replace the beds to cope with the new hospitalizations that we have weekly, but if we have to keep the patients already cured it becomes more difficult. The hospital should not be confused with a hotel, we are already the only structure for the entire Province … The support of territorial medicine is important, because we know that this infection in the vast majority of cases can be treated safely in home, and it is It is important for people to know so as not to clog hospitals, turning to general practitioners from whom they must obtain all the necessary support at home.“.
Fantozzi he has repeatedly encouraged the AEP to do so and is convinced that a solution will soon be reached. The idea is that of the Stroke Hospitals of the Province, at least one in La Piana and one in Locride. “In any case, at GOM we continue to guarantee the treatment of all diseases. It’s the most important thing: all departments, operational activities, the emergency room, everything is still operational. The regional ordinance gave us the ability to postpone unnecessary clinical activities, but since they are all necessary, we have not had to postpone or move anything until now.“It is very important that citizens know that they can count on a safe hospital, where they can go for any need without fear of the pandemic, because unfortunately there are many other pathologies much more serious than Covid-19 that should not be underestimated. Yes There are too many, terrified by the alarmism of the Coronavirus, daily on the hunt for swabs or go to the emergency room for a very trivial sore throat for no reason, on the contrary there are also those who for fear of contracting the infection do not go to the hospital for a more serious problem, and this unfounded fear can sometimes prove fatal.
Photo StrettoWeb / Salvatore Dato
Returning to the GOM, in the report no. 6 of November 4, Fantozzi explained that “Since September 15, infections and major hospitalizations of patients infected with Covid-19 have resumed in the wards of the Grand Metropolitan Hospital of Reggio Calabria. The Strategic Directorate immediately resumed the use of inferential statistical techniques to estimate the likely influx of patients. These data were shared with the territorial company ASP of Reggio Calabria in order to request, after a meeting of the GOM Crisis Unit held on October 25, the possible protected transfer of pauci-symptomatic patients to the hospital facilities. located in the province of Reggio Calabria (with notes 20888 of October 27, 2020, 21014 of October 29, 2020, 21399 of November 2, 2020 and 21487 of November 3, 2020) after overcoming attendance cuts established at the aforementioned meeting. “
Fantozzi he also writes in black and white that “To date, the ASP of Reggio Calabria has not responded to the aforementioned notes, much less has it given indications and provisions to comply with the Ordinance of the President of the Regional Council n. 82 of October 29, 2020. Taking into account the latest processing of statistical data related to the growth forecasts of the epidemic, the GOM was organized according to different scenarios of influx to treatment“.
There are 3 scenarios: we start from the current one, the “Scenario 1“In which in the Covid area specially enabled since last spring in Riuniti and completely isolated from the rest of the hospital, in building E, there is 111 places available: 102 for ordinary hospitalization and 9 for intensive care. At the moment the situation does not require an increase in the number of beds, as we have seen previously, given that the number of patients is still lower than the availability of this scenario.
But the GOM is now ready and equipped to pass, if the evolution of the situation requires it, to “scenario 2”Which foresees an additional remodeling of the intensive care units in the same room. In fact, the document states that “In the coming days, the tests of the department that was initially intended for Gastroenterology will be completed, but since it is located on the ground floor of Building E “Covid Building”, it will be used for new extensions dedicated to patients with Covid-19.“.” Scenario 2 “will take the GOM to 123 seats reserved for Covid-19 positive patients, of which 15 in intensive care and 108 in ordinary hospitalization.
Then there is the worst possible scenario, which no one expects to face, but for which the Government of Mexico is prepared. The “scenario 3“Allows the use of ordinary and intensive care seats outside of Building E” Covid Building “.”By November 10, 2020, according to working hours, n. 12 new intensive care places (which at the end of the epidemic will be configured as Postoperative Intensive Care Unit) in the old CTMO room Non-Covid ICU patients will be transferred to these places, freeing up to 16 places for Covid patients in intensive careThe document says. To complete the jobs foreseen in scenario 3, the “Transfer of the Orthopedic Service to the former Oncology Service (already transferred to Morelli) will be managed with the transformation of the 28 posts into infectious diseases with high intensity of care adjacent to the UCI Covid already existing “. “This way, for the eventual scenario 3 in the GOM they will be fine. 158 beds available, of which 22 in intensive care and 136 in ward. A huge number, more than twice the number currently hospitalized, who, as we have seen, in large part should already be discharged and / or transferred to the provincial structures as soon as the ASP proceeds with what is within its competence.
To complete the excellence picture of the Reggio hospital, it should be noted that during the summer months, in anticipation of the second epidemiological wave (while apparently sleeping in Rome), the fragile patients of the oncohematology services had already been transferred to the Morelli hospital . , since the PO dei Riuniti has been declared Covid-Hospital. These are Oncology, Hematology, the Bone Marrow Transplant Center – CTMO and all the health services necessary for the proper functioning of the departments. The Government of Mexico, therefore, despite the enormous difficulties, has jumped the obstacles and continues search staff by scrolling through all classifications, not only from Calabria but also from other nearby regions, because the the contracts planned by the Government are only for a few months and many do not accept a job with such a short horizon.
Finally, to ensure the suitability and care of Covid admissions, the GOM Covid manager has prepared the following guidelines:
Because contagion continues to increase despite the closings a month ago and because it will increase again
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