2023-08-31 12:00:06
The vice has loosened a little. “We stabilized around 80 to 100 passages per day, this made it possible to return to a correct time for the care of a patient”, blows Doctor Renaud Jacquemin, head of emergencies at the Pellegrin hospital in Bordeaux. At the start of the summer, he was still seeing some 130 patients a day, with peaks of up to 160.
The Bordeaux university hospital center (CHU) is the first, a year ago, to have resorted to regulation at the entrance to its emergency room at night, filtering all admissions by calls to 15. A thunderclap at the time. Since July 18, the system has been deployed once more, even more widely: day and night, the Pellegrin emergency rooms keep their doors closed, only welcoming patients sent by the SAMU.
For two years now, emergency services, faced with a lack of doctors, have been trying to limit the influx and preserve vital emergencies – 18% of the 680 emergency structures in the country, according to the latest figures released at the beginning of August by the government, i.e. almost the same proportion as in the summer of 2022.
“Palliative”
This measure of the “Braun pack”, named following the former Minister of Health François Braun, who implemented it in the summer of 2022 in the face of the summer crisis, has once once more made it possible to ” have “, to hear the first feedback from emergency physicians. In Bordeaux, in addition to the permanent regulation, a stricter rule has been decided: only those vital emergencies, severe trauma, cerebrovascular accidents and patients requiring the establishment’s surgery platforms. “Everything for which the CHU is irreplaceable”, summarizes Mr. Jacquemin. No longer possible to do otherwise with only three doctors during the day, instead of the necessary five, and two at night instead of three. This while many services around the department reduce their activity during the summer. “It had become untenable”he said.
The testimony of a pregnant woman who was close to death and whose baby died in July, just a few days following the implementation of this reorganization, nevertheless came to challenge. reported in Le Figaroon August 28, the words of this patient report a particularly chaotic journey between the Bordeaux emergency services, before being admitted to Pellegrin, where her condition worsened.
“Several members of the Bordeaux University Hospital medical teams accompanied the patient with the greatest attention and the greatest diligence in all its components”communicates only in writing the establishment. “This case has crystallized many questions, we share the sadness of this family”, confides Mr. Jacquemin, who does not wish to speak on this subject, while “ an analysis of the file is in progress ».
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