The bronchiolitis epidemic aggravates an already degraded situation in the services. On Sunday, 150 million euros were released to meet the “urgent needs of hospitals”. A response deemed insufficient by caregivers.
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It is the symbol of a series of “dysfunctions” that the actors of the pediatric emergencies are no longer ready to accept: the number of young patients transferred outside Ile-de-France, where the suitable services are not able to take care of them, towards hospitals in the region (Reims, Rouen, Orleans, Amiens …), has spent, for a weekend, from fourteen to sixteen children. During the winter of 2019, before the COVID-19, the record of twenty-five transfers had been reached. At the time, already, the alarm bell had been drawn. “We are off to exceed this figure”, prognostic Gilles Jourdain, coordinator of the four mobile structures of emergency and pediatric resuscitation of Ile-de-France.
This doctor is no longer in his first crisis: he is used to “regulating”, according to the expression consecrated, the hospitalizations of children between the five Ile-de-France services of resuscitation likely to welcome them (Necker, Raymond- Poincaré, Debré, Trousseau and Bicêtre). With the objective of finding them, he explains, “a place as quickly and as close as possible”. “Winter is in front of us, and the system is already on the verge of the explosion, he notes. And no, it is not the bronchiolitis epidemic, predictable and usual, even if it swallows a little Earlier this year, which is involved: the springs of this crisis are much deeper. “
Staff hemorrhage, closed beds, lack of resources, bureaucratic governance, loss of meaning … in a Open letter published by Le Parisien , Saturday October 22, more than 4,000 caregivers – including Dr. Jourdain – slept on paper what is played out in saturated pediatric services, and summoned the Head of the to intervene without delay. An approach carried by collectives of caregivers -such as the Inter -Hôpitaux (CIH) collective -, many learned companies and also numerous patient associations. “Our goal is not to panic the population, but to claim an immediate and strong political response,” said Mélodie Aubart, neuropediatrician in Necker, coordinator of this letter. Eleven metropolitan regions are on red alert for bronchiolitis.
“endanger of children”
Children’s transfers, therefore, but also hospitalizations in unsuitable places, postponement of scheduled intervention, premature outings … The situation, write the signatories, leads to “delays in care” and “endangerment of children “. This letter which, Sunday evening, exceeded 6,500 initials, was accompanied by the broadcast of a collective press release. The title sets the tone: “Children’s health: political inaction is irresponsible”. “We are forced to sort our patients for lack of space,” we can read.
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