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| ▲ On the morning of the 11th, a 48-person containerized infectious disease bed is being built in an empty lot next to the main building of the Seoul Medical Center in Sinnae-dong, Jungnang-gu, Seoul, to be used as a ward recovery for patients with crown19. | |
| Ⓒ Kwon Woo-seong |
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The most urgent problem caused by the ‘third pandemic’ of Corona 19 in Korea is ‘securing beds’. Suddenly, as the spread increases and there are nearly 1,000 patients a day, the existing medical system is not working properly. In particular, there is still talk that there is no ‘critical patient bed’ that can be used in the metropolitan area, where the number of confirmed cases has skyrocketed.
The government began preparing measures for Burjaburya. From the 13th to the present, the number of critically ill (quasi) patients has increased by 24 places and 130 beds. In addition, starting on the 18th, it is planned to prepare a total of 328 beds for critically ill patients by the end of the year, with the order to ensure 1% of the number of beds authorized in hospitals for seriously ill patients from the 18th.
However, there is a history of “lack of dynamism” in the field. The government announces that there are still beds, but in real hospitals there are cases of death in the air because “not all beds” are available.
“It is too late, even if the government is late,” said Woo Seok-gyun, co-representative of the Council of Humanitarian Practitioners, who has argued that it is necessary to expand public medical facilities and secure beds since the beginning of the Corona epidemic. 19. “In a medical disaster situation where patients are dying, I don’t know why the government says the medical response system works well,” he exclaimed.
“It is an urgent situation that the government must mobilize 10% of hospital beds instead of 1% of hospital beds,” said Co-CEO Woo. “The government that took power under the courage to protect the safety of people’s lives denied its identity and deviated from the wishes of the people. “There is,” he criticized intensely.
The following is a summary of questions and answers with Co-CEO Woo.
“The government’s response is late … the problem of the workforce is also serious”
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| ▲ “Emergency due to shortage of beds, emergency press conference for the government reestablishment of the bed mobilization system and urging the social responsibility of private hospitals” was held on the morning of the 14th at the Participación Solidaria in Jongno- gu, Seoul, for the realization of the right to health. It was welcomed by meetings and solidarity participation. | |
| Ⓒ Kwon Woo-seong |
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-The government says the number of waiting patients is decreasing and more hospital beds are being secured than before. Are actual medical conditions improving?
“It is not at all. It follows one step later. Civil society has been repeating the story of ‘Increase public beds and establish a system of mobilization of private hospital beds’ in preparation for the Corona 19 epidemic starting in February. The Federation of Health and Medical Organizations made three statements from the end of November to December, and on the 14th, they even held a press conference because they wanted ‘No’.
However, only on the 18th, the government issued an order to provide beds in a hospital for the elderly. Governments are slower than civic groups. In local public medical centers, many patients die unknowingly because the intensive care unit is full. The bed itself, including the critically ill bed (including the hospital bed dedicated to infectious diseases), is also insufficient. The manpower problem is also very serious. The appeal of ‘I can’t take it’ is looming. A medical center said a patient who died in a shared room had been in the hospital room for four hours. This is what happens because the number of critically ill patients is increasing and the workforce is scarce. “
-It seems that the situation does not only lack the bed for critically ill patients.
“For just one example, the Yangji Nursing Hospital in Ulsan, where a cohort was quarantined because a group infection occurred, is not a hospital that can cure Corona 19. Ulsan does not have public hospitals and private hospitals do not have beds, so it could not be transferred. So, confirmed and unconfirmed hospitals. The ruler is said to have separated, but the spread continued from within.
Due to the lack of hospital beds, patients 65 years of age or older with underlying illnesses may be transferred to a life treatment center (at the discretion of the medical staff). However, if these people suddenly get worse, they must be hospitalized but cannot go to the hospital.
The Korean Society for Emergency Medicine issued a statement saying: “The emergency room is in the paralysis area.” Since there are no beds, patients also flock to the ER. On the shortage of hospital rooms, the Society for Emergency Medicine called it a “medical disaster.” However, the government is talking about “the medical system still in operation.” I can’t understand the situation. “
-What is the reason for not insuring beds like this?
“If 1000 patients leave, 400 of them will have to be hospitalized. 1000 beds are finished in two and a half days. Patients develop faster than the government provides. The conversation about mobilizing a high-level general hospital is gave a long time ago. At least last Monday. By (December 14), the administrative order should have been issued to mobilize 10% of the hospital beds in the metropolitan area, but it was too late, why only Can’t Korea insure corona intensive care beds? In New York, 70% of the intensive care unit of a general hospital was filled with just 19 Corona patients. There are enemies. “
“You have to secure a bed by any means.”
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| ▲ The nurses in the 39 Infection Control Room of Seoul National University Bundang Hospital wear D-level protective clothing. | |
| Ⓒ Lee Hee-hoon |
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-It is said that it is actually difficult to secure a large number of beds because there are many patients with serious diseases besides Corona 19 in the higher general hospitals.
“Seoul National University Hospital has the highest number of critically ill patients among the big five, and among them, it has secured the most beds for the crown 19 critically ill. Soonchunhyang University Hospital (Bucheon) participated at the ‘dedicated hospital at Corona 19.’ How were the beds secured?
For now, you can postpone non-emergency surgery. According to data from Shimpyeongwon in 2018, 36.1% of seriously ill patients account for the proportion of hospitals for the elderly. In general, 56.2% of patients who can be treated in secondary hospitals and 7.7% of patients with mild symptoms. Of course, you cannot remove all the beds. However, it should be noted that 90% of Korean hospitals are private hospitals and their beds remain. There are big hospitals like this, how can we run out of beds to treat COVID-19?
The reason you should use advanced general hospitals is that they have the best trained manpower and facilities. The situation is urgent now. It would have been nice if we could talk about the hospital bed mobilization system in advance, but it is not possible at the moment, so we have to go to an “equipped” hospital.
While emptying the ward of Soonchunhyang University Hospital, a professor said, “If you can’t treat urgent patients, why is there a hospital?”
-Is the government the problem? Hospitals not very cooperative?
“The government is a problem. Whether it’s an administrative order or the search for social cooperation, we have to mobilize beds. We must mobilize 10% first, and then secure more if necessary later.” There is a government to match.
If you haven’t made plans for a year, you will have to act quickly even now, but I’m still afraid of the reaction from private hospitals. Now a person is dying. In a situation where people are dying, I really don’t understand what the government is like now. Whether you pay the loss award in advance, you must secure a bed by any means. “
-If you have any last word to say.
“On the 24th, the Corona Civil Society Countermeasures Council will announce one more statement. The title is ‘It’s late and late.’ The government came to power with the word ‘The life and safety of the people will be the highest priority’. But now one’s identity is in power. It seems that they are denying them and moving away from the wishes of the people. “
