Thursday, March 10, 2011

Tuneup Vs Registry Mechanic

BEDS, THE CHILD DOES NOT WORK


TORINO - Speech delayed, missing persons. It happens early in the morning to Queen Margherita when the parents of small EF, 18 months, applying for a planned intervention. The child must be made for the removal of a neuroblastoma in the abdomen. At 8.30, the surgeon comes with hands outstretched: "The resuscitation has no beds available, we can not operate." Neuroblastoma, a form most common cancer in children, requires time for action rather quickly. In fact, the entire structure was moved to Children's Hospital is to arrive early intervention when, in mid-February, doctors discovered that the EF had a serious illness. Everything was smoothly until yesterday morning. "Unfortunately - says the medical director Giuseppe De Intinis - there has been one of those situations that prevent them from carrying out operations. On the morning because all the seats were occupied resuscitation. It was a disaster for a few hours. In the afternoon they had already released three places. So we could postpone the operation of only twenty-four hours. "

Questa mattina dunque E.F. dovrebbe entrare in sala operatoria. Ma com’è possibile che tutto si blocchi senza che si verifichino eventi eccezionali? Il Regina Margherita è l’ospedale infantile di riferimento di tutto il Piemonte. La rianimazione è divisa in due parti: c’è quella riservata ai bambini che subiscono interventi cardiaci e trapianti, con quattro posti letto e due infermiere per turno. E c’è quella destinata a tutti gli altri casi con sei posti letto (più uno di isolamento) e tre infermiere per turno. In tutto, compreso l’isolamento, 11 posti letto che ieri mattina risultavano occupati. Tanto che sarebbe stato rinviato anche un secondo intervento previsto su un bambino di circa un year.

The availability of beds is directly related to the number of nurses employed: usually two nurses for each patient. It was decided to cut this sensitive area? "Since I came back to hold the post of medical director, that is from 16 September, there has been no cutting of staff and beds in that area," answered De Intinis. It 's a fact, however, that the beds are scarce as to be forced to postpone action. "A case that took place yesterday for the first time," said the director of health, although hospital sources speak of a similar situation in recent days had already led to the postponement of an operation. In all, according to these sources, the operations would be delayed three in a short time.

In any case, a situation which should be carefully monitored. At Gaslini in Genoa, the Children's Hospital that represents excellence in Italy, the seats are 24 in intensive care. It 'may be necessary to increase the Turin hospital intensive care beds in order to avoid the congestion that yesterday led to an interruption of the operating room in a hospital that serves the entire region.


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