- Has a hospital in Ile-de-France started to operate a dramatic "sorting" between certain patients for lack of means, in the midst of a coronavirus epidemic?
- This is what attorney Juan Branco affirms by sharing an internal document at the AP-HP, which evokes a 75-year-old patient with no medical history and potentially suffering from coronavirus deprived of a bed in intensive care in the absence of places.
- The AP-HP confirms the authenticity of the document at 20 Minutes and recognizes "tensions on the resuscitation beds", while recalling the measures taken to alleviate these difficulties.
Faced with the influx of patients with coronavirus in Ile-de-France, has the hospital staff already started to make dramatic choices between the patients to be treated as a priority and those to be "sacrificed" for lack of means to treat everyone?
This is what lawyer Juan Branco - recently publicized in the Griveaux case - says in a tweet and Facebook post published on Wednesday, accompanied by a photo supposed to show the medical record of the patient in question.
“Contrary to what the government has said, patients with no history have already stopped being treated in Ile-de-France. I think this is the first document of this kind to be made public. It was sent to me by a doctor from the AP-HP [Public Assistance-Hospitals of Paris]. Note that they could not even test the patient concerned. The decision, taken the day before yesterday, collegially in a Parisian hospital whose name I will not mention, has been applied, ”says Juan Branco, adding that he had verified this information.
The medical document provides some details on this "75 year old patient, without ATCD [history]", suffering from "acute respiratory distress on hypoxaemic pneumonia" with "suspicion of Covid +". One can especially read there the mention: "Because of the current context, absence of place of resuscitation, and because of the age of 75 years of the patient, it is decided of the absence of recourse to maneuvers of resuscitation".
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Contacted by 20 Minutes , Juan Branco confirms that he is holding this internal document from a doctor at the AP-HP whose identity he is committed to preserving. We were able to view an anonymized extract from this message.
The lawyer also explains that he was able to verify the information contained in the document by ascertaining the identity of the said doctor and confirming his remarks with "another source from the hospital".
"The document is a report written by a doctor in the AP-HP software"
Joined by 20 Minutes , the Public Assistance-Hospitals of Paris confirms the authenticity of the photo shared by Juan Branco: "After verification, the document disseminated is a report, part of the medical file, written by a doctor in the the AP-HP Orbis. Given the general condition of the patient, the medical team decided collegially not to place him in an intensive care unit or in the establishment where he is located or to transfer him to another establishment. "
“The patient's condition was reassessed a little later and the decision not to hospitalize him in an intensive care unit was confirmed. Without going into the details of the medical file, the patient is then placed on oxygen therapy ”, specifies the AP-HP, recognizing“ tensions on the resuscitation beds ”.
The Assistance Publique-Hôpitaux de Paris finally recalls that "bed openings continue to be made to increase capacity" and that it always calls on "qualified caregivers to strengthen its teams in the face of the epidemic".
Up to 2,000 resuscitation beds available in Ile-de-France?
On March 20, Mediapart already mentioned the “sorting” between patients for which some hospitals in France were preparing more or less openly. Jean-Michel Constantin, anesthesiologist at the Pitié-Salpêtrière hospital in Paris, detailed in particular the preparation of the AP-HP in the face of the wave announced: “Our strategy is to protect our capabilities for the moment resuscitation. We send patients to private clinics to train their teams. Of the 1,000 resuscitation beds of the Public Assistance-Hospitals of Paris, 600 are dedicated to Covid patients. "
227 of these beds were already occupied ten days ago, according to Liberation , and, according to Jean-Michel Constantin, still quoted by Mediapart, the total number of beds available in intensive care in Ile-de-France could go up to 2,000, to condition to mobilize all public and private establishments.
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