[ad_1]
More than six thousand cases in one day and the awareness of having to choose. What happens in resuscitation all over the world, including Italy, is now sanctioned in Switzerland in black and white with a protocol that concerns those over 75 with pathologies and those over 85. In fact, it is usually the resuscitators themselves who They ask for certain rules to avoid facing difficult decisions made too quickly. In the face of a system that is clearly collapsing, the elderly are being pushed aside even in civilized Switzerland.
The case ratio is 494.9 per 100,000 inhabitants. Double in Italy and Austria, five times more than in Germany. The document prepared by the Swiss Academy of Medical Sciences and the Swiss Society for Intensive Medicine has been in force since March 20, although it has not yet been officially adopted. The title is accurate: “Triage of Intensive Care Treatments in Case of Resource Scarcity.”
Autumn Covid: the healthcare industry faces a new challenge
Patients older than 75 years are divided into several groups. On page 5 of the document, the types of patients destined not to be admitted to the Intensive Care Unit if resources are very limited (level B) are indicated: «Age over 85 years. Age older than 75 years accompanied by at least one of the following criteria: liver cirrhosis, stage III chronic renal failure, NYHA class heart failure greater than 1 and estimated survival less than 24 months. At level A, ICU beds available but resources limited, the criteria for not entering resuscitation are more severe. Among others: “Recurrent cardiac arrest, cancer disease with a life expectancy of less than 12 months, severe dementia, NYHA class IV heart failure, end-stage degenerative disease.”
Coronavirus in Italy, today’s newsletter September 27: stable infections, 1,766, but fewer buffers
edited by GIOVANNI GAGLIARDI
