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With the spread of a new coronavirus infection (Corona 19) in nursing hospitals, the number of unconfirmed deaths and confirmed cases is increasing. As limitations in the care and care of Corona 19 patients are revealed, harm is being done to unconfirmed patients.
When 7 confirmed patients die at Guro Smile Hospital, 10 normal patients die
Collapse of treatment and nursing due to isolation of the cohort … Government “operates the response team” belatedly
10 crownless patients have been confirmed to have died in the past two weeks at the Smile Medical Center in Guro-gu, Seoul. On the 30th, a medical staff from the hospital called JoongAng Ilbo and revealed this fact. On the 15th, the health authorities took the same group (cohort) quarantine measures when the first confirmed cases left the hospital. This is a measure to prevent the spread of infections by completely controlling access. However, the number of confirmed patients who started with 3 on the first day snowballed, reaching 190 at 0 o’clock on 30, and 7 people died (Guro-gu count). Of these, six died in hospitals and one was transferred to another and passed away.
The first death of a patient without a crown was announced on the 23rd. Then, the number of deaths increased from 26 to 27, and increased to 10 on 30. Most of them are people with underlying diseases between 70 and 90 years. . Before the isolation of the cohort at this hospital, there were generally no deaths for two weeks, or only one or two people were reported. The collapse of the medical system led to “excess death.”
As of day 30, the hospital has 51 confirmed cases and 90 unconfirmed patients. The stress of unconfirmed patients is not the only one. The medical team said: “General patients are also being tested for Corona 19 every other day and are not receiving adequate treatment.” It seems to have had an effect. ”
This hospital originally had 13 doctors but has now been reduced to 10. The number of nurses is also reduced to a third, making shift work impossible. Many caregivers were also confirmed and some were isolated and escaped from the hospital. The health authorities only remove confirmed patients and transfer them to another location. On the 29th, the health authorities decided to transfer 12 unconfirmed patients who met conditions, such as being admitted to a hospital room without a confirmed person or without fever, to another hospital. However, it is said that it was impossible to find a place to go.
Among confirmed patients at this hospital, even those diagnosed with a cure after moving elsewhere became ambiguous. The health authorities have no symptoms, so even if they try to send him home, it is often difficult for the family to take care of him, making it difficult to move him. That is why I want to return him to this hospital. Hospital medical staff said: “There are few caregivers left, so I don’t know what to do.”
Daegu Cohort Ignores Failing Lessons, Nursing Hospital Turns Into ‘Japanese Cruise Ship’
Hospital officials wearing protective clothing are being examined for Corona 19 on the 30th at Misodeul Nursing Hospital in Guro-gu, Seoul, where the group infection occurred. Health authorities took steps to quarantine the same group (cohort) after the first confirmed cases appeared at the hospital on the 15th, but the cumulative number of confirmed hospital-related cases rose to 190 as of 0 a.m. on the 30th. [연합뉴스]
The Korean Medical Association declared a medical crisis on the 23rd and claimed that the death rate increased by 6% this year as medical resources were focused on treating Corona 19 patients. Approximately 20,000 people died excessively. “Patients admitted to a nursing hospital often go to the acute care hospital for treatment even if they have pneumonia. However, if the cohort is in quarantine, this should not work. In the future, there will be a constant glut of deaths. ”
Currently, there are 17 nursing hospitals across the country where the COVID-19 outbreak is ongoing. At midnight on the 28th, 1451 confirmed cases were found. To prevent the spread of infectious disease, health officials have mainly implemented cohort quarantine measures. It works like a hospital’s collective infection solution formula.
However, unlike the February-March 19 corona epidemic, Daegu does not currently quarantine the cohort. Daegu City Citizen Health Office Director Kim Jae-dong said: “After the cohort quarantine in spring, a cross infection occurred in the hospital. This is why we are not quarantining the cohort now. “To lower the density of patients, patients are dissipated to other facilities (dispersed and disappeared). Experts also recommend a dissipation policy. ”
Director Kim gave an example. The presence of a nursing assistant working in a nursing hospital in Daegu was confirmed. 34 patients hospitalized on the same floor were transferred to a place where conditions were acceptable. After moving in, four of them were confirmed. Director Kim said: “If the cohort were quarantined, all 34 people could have been infected.”
Miso Hospital, Bucheon Hyoplus Nursing Hospital and Goyang Smile Morning Nursing Hospital, where group infections occurred in the metropolitan area, entered cohort quarantine on the day of first confirmation. However, as internal infections spread, the number of Hyoplus people at 0 o’clock on the 30th increased to 167 and the number of smiles to 105. Measures to prevent the spread of Corona 19 have resulted in a ‘crown plant’.
Kim Shin-woo, Chief of Daegu City Infectious Disease Control Division (Director of Infectious Disease Control Division, Kyungpook National University Hospital), said: “If there is no reliable environment for isolation of cohorts , an internal cross infection will occur. There must be sufficient manpower, and workers must be knowledgeable about infectious diseases and be trained, “he said.” If these requirements are not met, it is better to withdraw the confirmed cases and observe them in other institutions. ”
However, none of the nursing hospitals that entered cohort quarantine met these conditions. Choi Hee-chan, a neurologist at Smiles Nursing Hospital, told the Blue House national petition: “More than a Japanese cruise ship is passing through a nursing hospital.” “About 100 caregivers left the hospital for fear of infection. Nurses and doctors provide care services like diaper changes. “Hospital medical staff said,” After the cohort was isolated, an epidemiological investigator came out and told me to ‘separate the confirmed case.’ Did not give. It wouldn’t have happened if the patient had been quickly removed in the first place. ”
He has accumulated expensive experiences in Daegu, but has not been able to use them. As the mass infection situation worsened in nursing hospitals, the government announced that it would operate three emergency response teams on site within the accident control headquarters starting on the 30th. When a Corona patient 19 occurs in a nursing home or nursing home, the response team will be dispatched to the site along with the on-site response team from the Central Defense Agency. After that, he takes on the role of deciding how to drive patients and how much manpower to invest in group infections.
Wellness reporter Shin Seong-shik, reporter Kim Hyun-ye [email protected]
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