Professor Philippe Revel, head of the emergency-adult center attests to this. “Since 2003, we have not experienced major effects related to heat waves. We have all learned to protect ourselves from physical decompensation. Fragile people are more followed upstream now. “The fears” mentioned by the director general of the CHU concerned almost all the health establishments in France and are linked to a loss of attractiveness, to a major concern for human resources. “We conducted a massive recruiting campaign in the spring and it paid off because, for three years, we have never recruited so many: 1,000 people over a period of four months. Nurses, anesthesiologists and operating room nurses, midwives, nursing auxiliaries, service agents. The challenge now is to make them want to stay! »
Absenteeism rate down
If Yann Bubien notes a drop in absenteeism since the end of spring, he concedes that two sectors remain in great tension, namely geriatrics and night shifts. Professor Revel adds for his part that “the lack of doctors, in particular “emergency physicians”, is a concern. Indeed, the Tondu polyclinic, which had just opened a right bank emergency service, was forced to close it this summer due to a lack of emergency doctors. Concerning the adult emergencies of Pellegrin, they “resisted” during the summer “thanks to the commitment of the whole team, but above all thanks to the regulation by the center 15, resumed Philippe Revel. We observed this summer between 20 and 25% less activity, while the regulation platform has increased by 20% in activity. Patients are now much more aware of the real function of the emergency department. »
Now it is the medical regulation agents (ARM) that are in short supply. Fortunately, the CHU obtained an agreement to open its own training center for ARMs. “The closest was in Poitiers, notes Yann Bubien. We will be able to double the regional capacity since now all the emergencies in the region operate with regulation. »
Viruses and vaccination
monkey pox and Omicron: the summer was placed under surveillance and the CHU vaccination center, directed by Doctor Marianne Lafitte at the Haut-Lévêque hospital in Pessac, did not close its doors. “Our key words, she reports, are action and anticipation. We are lucky to have vaccines and we are moving forward from a scientifically validated word. Regarding the monkeypox epidemic, we have implemented the most appropriate response possible in the face of the perceived urgency. We started with a one-week waiting period and ended up with a twenty-four hour period. In New Aquitaine, 4,494 people were vaccinated, half of them at the University Hospital. »
Professors Malvy and Cazanave, both infectiologists, admit that the Monkeypox epidemic is on the decline. Ditto for the Covid epidemic versus Omicron, versus BA.5. “However, we are still in a pandemic period,” said Professor Malvy. We thus observe a dyssynchronic phenomenon: the epidemic has been decreasing for six weeks, but the hospital indicators are going up. Thus, we currently have 72 Covid patients at the CHU, including 12 in critical care. We are living a staggered end. »
