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April 9th
According to the councils, Karolinska has presented a guidance document with guidelines for crown patients that was presented at important meetings. Staff should have been asked not to take photos or speak to the media about it.
“Very questionable guidelines in themselves and not developed multidisciplinary with other important players such as infection or kidney medicine, even more annoying is that they have already been implemented when there is still room for VAT,” writes the informant.
April 8
According to the advice, kidney patients are treated at the Karolinska University Hospital in Stockholm.
“The intensive care unit has developed its own criteria without evidence that dialysis patients are considered too basic to be up to date for intensive care,” he believes and continues:
“It is of utmost importance to make clear that the guidelines of the National Board of Health and Welfare apply, and not some home carpenters with little evidence.”
April 8
Hospitals in the Stockholm Region prioritize different when it comes to who receives intensive care, according to the informant who mentions that S: t Göran Hospital and Danderyds Hospital “restrict patients who are quite young and relatively healthy”, patients who Then they received VAT care in other hospitals.
“There are big differences in evaluation between hospitals,” writes the informant.
Lennart Wennerström, Chief Physician, Capio St. Göran Hospital, comments:
“Medical considerations are always made as to what best benefits the individual patient. We are doing the same now and have not changed any guidelines. “
April 8
The expert believes that kidney patients do not receive the necessary care in the Karolinska intensive care unit.
“The principle of equal care applies as long as resources are not exhausted. In severe cases, the hospital’s ethics council should be consulted for guidance, ”writes the informant.
5th of April
Boards of Capio St. Göran Hospital write that they are concerned about how greedy patients are selected for respiratory care in the Stockholm region.
“We have repeatedly found that those patients who are considered to need respiratory care for a long time (eg, a couple of weeks) are denied intensive care on the grounds that a younger patient with a better prognosis may need the site. in a few days, when the intensive care sites in the region are ending, “he says.
They say that at least two hospitals acted as if they were in disaster mode despite VAT sites remaining.
“This places us all on an ethically inclined level and in a legally insecure position.”
Source: The Inspection of Care and Cares, Ivo
