Postponement of surgeries as cancer patients by government order to secure corona critical patient beds



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44 high-level general and national university hospitals should increase by 300 by 26

1% of authorized beds corresponds to 20-10% of existing beds for critical patients

Resilience in the medical field “inevitable postponement of surgery, as cancer patients more than doubled”

Corona 19 negative pressure bed construction Busy Park Ae Hospital To secure Corona 19 critically ill beds, facility improvement work, such as negative pressure hospital room in Pyeongtaek, Gyeonggi province, on the 19th, is in full swing. It is the first hospital dedicated to the base where only Corona 19 patients receive the entire hospital. / yunhap news

As the number of hospital beds, such as critically ill patients, became increasingly severe due to the rapid rise in confirmed corona 19 cases, management was required to secure more than 1% of the number of authorized beds in 44 hospitals for the elderly and national university hospitals as beds for critical patients crown 19, and operate them in stages until 26. I gave the order. An additional 300 beds for critically ill patients are expected to be secured through this.

On the 20th, according to the medical community, the Ministry of Health and Welfare and local governments, the Accident Recovery Headquarters (heavy copies) sent an official letter to each local government on the 18th, saying: ‘Order to ensure a Dedicated treatment bed for seriously ill patients with Corona 19 ‘.

The heavy water copy presented a plan to secure a bed for critically ill patients with Corona 19 by medical institution by 19, and declared before the deadline to operate 60% of the goal for 23 and 100% by 26 .

Regarding the size of the dedicated beds, 30 private hospitals, excluding 12 national university hospitals of 42 hospitals for the elderly, represent at least 1% of the number of authorized beds, and 14 national university hospitals (12 general hospitals and general hospitals). Kangwon National University and Jeju National University Hospital) presented more than 1% of the number of approved beds. Consequently, the ‘Big 5’ hospital currently operates 44 critically ill beds (20 at Seoul National University, 6 each in Samsung Seoul, Seoul St. Mary, Seoul Asan and Severance), but around 60 additionally need be insured.

A heavy water supply official said: “In the case of seriously ill patients, participation in a high-level hospital with high treatment capacity is essential, so even 1% of them are asked to participate in the national crisis. for a temporary period ”. “Through the order to secure beds, there are 300 dedicated treatment beds for critically ill patients. Hopefully you can get more. The hospital is considering ways to encourage the evaluation of medical institutions and the use of human resources. ”

This is the first time since the Corona 19 epidemic was ordered to mobilize hospital beds in hospitals for the elderly across the country. The Infectious Disease Prevention and Management Act allows the head of the Korea Centers for Disease Control and Prevention, the governor of a province or province, or the head of a Si / Gun / Gu to mobilize hospital beds during an epidemic of infectious diseases.

Earlier, civic health and medical organizations had insisted on an emergency order to address the hospital bed shortage. In February, when the number of confirmed patients rose rapidly in Daegu, the government ordered local medical centers and private hospitals to secure beds for infectious diseases only (Corona 19 patient treatment beds), but did not specify treatment beds for seriously ill patients.

However, while recognizing the inevitability of this order, the medical community is concerned that critically ill patients who have to undergo surgery for cancer, organ transplantation, acute myocardial infarction and stroke, etc., will face disadvantages.

In the case of Seoul National University Hospital, which operates more than 1% of authorized beds (1,771), 20 patients with more serious illnesses and 12 patients with moderate and severe illnesses, half of the doctors and nurses in the pediatric emergency department, surgery and intensive care unit. Placed to change ~ a third. A hospital official said: “There are still fewer emergency, surgical and pediatric intensive care staff, so between 60 and 70 of the intensive care units that must undergo surgery such as cancer and organ transplants have been suspended. If he is not a patient, the surgery will have to be delayed for several days to two months. ”

It is a scale that goes far beyond the dimension of “moving the lower stone and pulling the upper stone”. To operate on the 10 most serious patients with Corona 19 in a general hospital, 60 nurses with experience in critical care nursing (6 per patient) and 5 nursing assistants are required. Since medical personnel must be heavily armed with protective equipment, nurses with 3 to 4 times more intensive care nursing experience are required per patient per patient than patients without crown or in critical condition.

Another professor at a university hospital said: “In the case of high-level hospitals, 5-10% of the authorized beds (50-100 beds for a total of 1,000 beds) are beds for critically ill patients, and 20- 10% of these are used for patients in critical condition corona19. Critically ill non-Corona 19 patients are ordered to endure more than twice the disadvantage of Corona 19 critically ill patients, ” he said. “Who should be responsible when big sequels are experienced?”
/ Reporter Lim Woong-jae [email protected]

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