In the intensive care unit of the Sainte Camille de Bry sur Marne hospital.

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Lionel GUERICOLAS / MPP / SIPA

The specter of the “choice” between patients threatens in hospitals in the face of the third wave of Covid-19 which is overwhelming the Paris region.

Forty AP-HP crisis medical directors say they are preparing to have to “sort out patients”, in a column published in the

Journal du dimanche

.

"We cannot remain silent without betraying the Hippocratic oath that we took one day", write seriously these doctors who manage the emergency in the Hospitals of Paris.

"In the next two weeks", they estimate, "we have almost certainty on the number of critical care beds that will be necessary, and we already know that our care capacities will be exceeded at the end of the day. of this period ”.

"In this situation of disaster medicine where there will be a glaring mismatch between the needs and the available resources, we will be forced to sort out patients in order to save as many lives as possible", add the 41 signatories, in the front row including Professor Bruno Riou, crisis medical director of the Assistance Publique-Hôpitaux de Paris.

"This sorting will concern all patients, Covid and non-Covid, in particular for the access of adult patients to critical care", they continue, indicating that they "never experienced such a situation, even during the worst attacks suffered in recent years. years ”.

The first alarm of medical deprogramming

Admittedly, "the triage of patients has already started since major medical and surgical deprogramming have already been imposed on us and we know very well that these are associated with loss of opportunity and non-access to care for some patients".

But "these deprogramming will have to intensify in the days to come, soon sparing only vital emergencies".

The regional health agency (ARS) has asked hospitals in Ile-de-France "to anticipate an increase in the number of beds" for critical care with a target of 2,200 beds available to accommodate Covid patients. 19.

A first level of 1,800 beds must be crossed in a few days.

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