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Hedvig Glans is an assistant physician in the infection clinic of Karolinska University Hospital in Huddinge.
– All covid-19 patients in regular wards receive good care. They don’t need the VAT care, but they do well with the care provided, even though they have a difficult time with their respiratory infection, she says.
A small proportion of those infected with covid-19 become so ill that they need to be hospitalized. Most do not end up in intensive care units, but in ordinary care units.
Today, nearly eight out of ten (77 percent) of hospital care is in a regular care unit. A total of 1,884 patients, compared to 549 who receive care with VAT, according to the latest official statistics from the National Board of Health.
Most need oxygen
Patients go to the usual care units in different ways. Some stray further through 1177, others head to the hospital with severely impaired breathing, and another category enters an ambulance.
Many are admitted because they need good general nursing. Most, but not all, need oxygen.
– Some can handle only a few liters of oxygen. But as soon as you remove the oxygen, the oxygen saturation falls into the blood, and then they think it’s hard to breathe again. But while they get the oxygen, they stay decent. Others need more oxygen, where the dose may need to be gradually increased, says Hedvig Glans.
The next level is so-called high-flow ventilation, which is provided through a sealing mask or hood.
Since there is no medicine for the new coronavirus, treatment is aimed at relieving symptoms. In addition to oxygen, for example, fever-reducing medications, fluids, and bronchodilators are given.
Many with risk factors.
The age of greedy patients who are cared for in regular care units is extended, says Hedvig Glans.
– It is not that we see a certain age group that is more affected, but that all age groups are represented among adults.
A large proportion of patients present have one or more risk factors, especially obesity, diabetes, and high blood pressure. The time they need attention varies.
– Some of those who go in and get oxygen come out of this difficult situation in a few days, recover well and can go home after just under a week. While others need oxygen for a longer period of time and it takes longer to slowly descend and free themselves from it, says Hedvig Glans.
At the moment, it is unknown why some suffer more than others. The proportion to be relocated to intensive care cannot be said exactly, but in Stockholm a total of approximately 20 percent of all those receiving ambulatory care are treated in VAT.
Challenge to bear
Hedvig Glans emphasizes that the seriously ill should not resort to seeking care. Some wait too long at home.
– Many of those who fall ill may never have been so ill before in their lives, which can make them feel manageable as long as they take it quietly and don’t move. You can lie in your bed and then everything works fine, but as soon as you move to go to the bathroom or have a glass of water, it becomes very difficult to breathe, and I think you should look, she says.
The advantage of arriving earlier is that medical care can quickly meet the need for oxygen. Low oxygenation means a lot of stress and stress for the body.
Even in the usual care departments, the extreme situation that currently prevails in the staff is decreasing.
– It is intense, there are many patients who are poor, sometimes we have a little more patients per nurse than usual, so it is difficult to stay out day after day, week after week. This is where we see the challenges now, creating time for a breather and reflection despite the heavy burden, says Hedvig Glans.
Concern about the new wave
The Public Health Authority has spoken of a plateau in the number of new cases, but at the same time it has emphasized that the situation of medical care in its areas remains extreme. There are still no reliefs on the floor.
– We notice that it does not continue upwards, that it does not continue in the trend that it was before Easter. We are happy that it has leveled off, because we still have something to relate to. Before that, we didn’t even know what the roof was, says Glans.
The great fear now is that a new wave is coming.
“We are concerned that people in society think that this has calmed down and is beginning to hit the social gap and should take off again,” says Hedvig Glans.
Anja Haglund / TT
In the country’s infection clinics, a large proportion of greedy patients need hospital care. Stock Photography. Image: Mikael Fritzon / TT
The new coronavirus is called sars-cov2.
The virus can cause covid-19 coronavirus disease, which causes various respiratory symptoms. Symptoms often include fever, dry cough, and pneumonia.
In rare cases, the disease can also cause severe breathing difficulties, as a result of organ failure and acute lung injury, called pulmonary shock.
To date, more than 22,000 Swedish cases of coronary infection have been found.
Currently, more than 1,800 people are being treated in hospitals for covid-19 and more than 500 are receiving intensive care.
The number of people who have died in Sweden exceeds 2,600.
Source: Public Health Agency, The Lancet and others.
