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3rd floor hospital cools down due to severe F0 drop

HanoiThe number of severe F0 decreased, the hospitalization rate is low, the last-level hospital is no longer overloaded, the pressure on the medical staff is gradually easing.

Doctors and nurses at the Hospital for the Treatment of Patients with Covid-19 – under Hanoi Medical University Hospital on the evening of March 21 continue to receive many calls about the arrival of F0, but no longer as intense as a few weeks ago. Units receive about 10 to less than 20 new F0 per day; before 40 to 50.

Deputy hospital director, Assoc. Hoang Bui Hai, said the number of new infections in Hanoi had decreased, with most of the patients being mild and asymptomatic, being treated at home. As a result, severe F0 (on the second and third floors) reduced hospital admissions by more than 50%, to approximately 70 persons; in which 20% were mechanically ventilated, 80% were given oxygen, the majority of whom were patients who had not received injections or had not had enough injections, had underlying disease. The number of medical staff was reduced from 250 to 130 to 150 people, responding to treatment.

According to Dr. Hi, at its peak, this facility should implement the model multi floor to support other hospitals in monitoring and treating F0. The planned phase two of the 200-bed hospital is also filled with sick people, increasing pressure on frontline medical staff. Currently, the unit is not overloaded due to the sharp decline in the number of cases, thereby reducing the burden on medical staff.

“But the pandemic is unpredictable, we are not in a hurry to stop surgery but still maintain the care of Covid patients, aiming to reduce the number of severe transmissions, deaths combined with post-Covid rehabilitation,” said the doctor.

Meanwhile, the number of patients at other terminal hospitals in the capital has also decreased by around 50% in the last three weeks.

In particular, Thanh Nhan General Hospital (Hai Ba Trung) was reduced from more than 250 patients to about 100 people, medical staff reduced from 160 people to 70 people. Ha Dong General Hospital (Ha Dong) was reduced from 400 to about 200 patients; The medical staff was cut in half, only 100 people.

In addition, the implementation of the treatment infrastructure plan by Duc Giang General Hospital (Long Bien) – that is, patients only need to pass through a dangerous stage to be able to go home for further monitoring, helps reduce the burden on medical staff. , the facility always has a bed available for the new F0. Currently, the number of Covid patients here has decreased from 400 to 150, 10 to 15 hospitalizations per day; before about 50 people.

Doctor Nguyen Van Thuong, director of the hospital, said the pressure on treatment had dropped sharply, “the most important thing in the health sector today is reducing deaths, reducing severe cases and managing to avoid spreading in society.” .

In the fourth outbreak, Hanoi recorded a total of more than one million infections Covid-19. On average, over the past week, the city recorded more than 20,000 cases per day, on March 19 alone due to the addition of more than 200,000 cases, but in a downward trend.

At a meeting of the City Steering Committee for the Prevention and Control of Covid-19, on the morning of March 17, Hanoi Deputy Chairman Chu Xuan Dung judged that the city had control translated, when the number of F0 tends to decrease, the hospitalization rate is low, the number of deaths decreases.

Hanoi Ministry of Health director Tran Thi Nhi Ha also said that the prevention and control of the Covid-19 epidemic in the area was showing signs of improvement. positive. The number of new cases tends to decrease, on March 11 it was recorded nearly 32,000, on March 20 it decreased to more than 19,000 cases.

The city tasked the district with “going every lane, knocking door to door, checking every object” to campaign for vaccinations, fighting to complete a third vaccination for people aged 18 and over by March. The city also prepares human resources and equipment so that when the Ministry of Health conducts guidance and distribution of vaccines, it can immediately vaccinate children aged 5 to under 12 years.

As of March 21, according to statistics from the Department of Medical Examination and Treatment (Ministry of Health), Hanoi had nearly 318,000 Covid-19 cases treated, 260 of whom were in isolation, more than 2,700 were in hospital (counting 0). ,94%), the rest were treated at home. The number of deaths also decreased by less than 10 cases a day, March 20 alone recorded three cases, the lowest after more than two months. Hanoi is one of the areas with the highest vaccination rate against Covid-19 in the country.

Currently, the city opens all nursing beds to patients on the 2nd and 3rd floors of all hospitals; asked central hospitals such as Bach Mai, Hanoi Medical University, Viet Duc, Central Tropical Diseases, E, … to support patient collection. The Ministry of Health deployed a number of suburban district hospitals in Gia Lam, Thach That, Chuong My, Son Tay to spend half of their facilities treating Covid-19 patients, the other half treating other diseases.

The city is prepared for a situation of 100-500 severe cases a day. Anti-epidemic plans continue to follow response scenario to treat 100,000 cases proposed by the government a few months ago.

Assoc Prof Dr Tran Dac Phu, former Director of the Department of Preventive Medicine, Ministry of Health, said that the vaccination rate in Hanoi is high, so the number of severe cases is low. In addition, the fact that people are being treated at home and rapidly tested to ensure that, together with the experience of preventing epidemics through waves, has reduced the pressure on health care.

According to him, the health sector must pay attention to strengthening disease prevention efforts, such as ensuring adequate personal protective equipment for employees so they don’t get infected and have to quit their jobs. If the area lacks this strength, it is necessary to immediately notify superiors for reinforcement and timely mobilization as this is the main human resource to ensure care for F0 at home.

In addition, F0 must follow the instructions of doctors and medical staff strictly; taking prescribed medications, especially anti-inflammatory, anticoagulant, antibiotic, antiviral…; proper respiratory hygiene; exercise, exercise, eat and rest properly; complete nutritional supplement.

When detecting abnormal signs, F0 needs to notify the nearest health service for advice, treatment, and official access to medical information.

“People don’t panic, but avoid subjective psychology, waiting for ‘everyone F0’; seriously implementing 5K, avoiding unnecessary gatherings, gatherings and exchanges is the best measure to protect my health and that of my family,” said Mr Phu.

Hospital medical staff treating Covid patients doing respiratory rehabilitation on F0 patient with pneumonia Photo: Provided by a doctor

Hospital medical staff who treat Covid patients are doing respiratory rehabilitation on F0 patient with pneumonia Photo: given by doctor

Thuy An

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