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Anesthesiologist Carmen Mărginean says that at any moment the tragedy that caused the deaths of ten hospitalized patients in the ATI section of Neam cualquier County Hospital could be repeated. All anesthesia and intensive care units in the country have old facilities, oxygen is insufficient and medical units are understaffed.
“All I can say is that It is not ruled out that something similar will happen again because our hospitals have old facilities, oxygen is not enough, the sources, plugs many of them have not been updated for years, it is practically a real danger in our hospitals In these days when, due to the large number of patients infected with COVID-19, who need oxygen, all oxygen sources and electrical outlets are overloaded, ”says the anesthetist.
Carmen Mărginean praised the power of Piatra Neamț doctors to save the patients left in the ATI department, in the second room of the unit and talks about the lack of infrastructure and the very small number of personnel. In England there is a doctor and two residents for 10 patients and a nurse for each intubated patient. Two people and about 30 minutes of training are required to move an ATI patient.
“These patients are connected to all kinds of devices, to ventilators. And basically to transfer such a patient and CT when we do the exams, it takes us half an hour to do all the checklists, to make sure that we have. We need to make sure that we have enough oxygen, that the ventilators have enough battery, that we have a plan B if the patient is accidentally extubated, if the ventilator fails, we have a mask and balloon, and it usually takes at least two people to rescue a patient from intensive care , to mobilize it, two people are needed to push the bed and make sure that all the equipment is disconnected, if we do not manage to put out the fire we should practically The patients must be evacuated horizontally, we must move the patients from the area in which we are , at a distance of two fire doors horizontally, this means that each patient must be moved from that area At least I keep two doors apart, each door is supposed to keep the fire away for 30-60 minutes, explains Mărginean.
The ATI doctor says that in the Romanian hospitals where he has been so far, nowhere has he seen ramps or stretchers made of a slippery material, to be pulled up stairs and no special chairs to transport patients.
“Not to mention the fire doors that automatically close to isolate the area from flames. Add to that the old buildings, understaffed and exhausted doctors and nurses, we have a grim picture. Medical staff too they are a victim of the system and must save lives with what they have at hand ”, concluded the doctor.
Dr Carmen Mărginean has two years of experience in Mureș and Cluj hospitals and nine years in the UK.
Ten patients who were sick with COVID and intubated, died after a fire broke out Saturday afternoon in the ATI Section within Piatra Neamț County Hospital, according to the latest assessment. Seven other people, including a doctor who suffered severe burns, are in serious condition. Three more doctors, a doctor and two nurses, received care for burns, but their condition is better and does not require hospitalization.
Editing: Alexandra Andronie
