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“Intensive care, anesthetists confirm the lack of transparency Giunta

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Another complaint of lack of transparency. After that of a few months ago, the anesthetists association Italian hospitals in the critical emergency area of ​​the Fvg (Aaroi Emac Fvg) returns to the question beds in intensive care that, according to a note they disclosed, those “currently active and operational throughout the Fvg are far fewer than those declared in recent days by the regional administration to the Ministry of Health“.

The complaint

In consideration of the resumption of the numbers of the Covid 19 pandemic and the slowly growing number of more serious patients hospitalized at our Intensive Care Units, ten days ago Aaroi Emac Fvg sent a note to Councilor Riccardi and to the Central Health Director Zamaro, reporting with concern the incorrect calculation of the number of regional beds and asking for their correction in the transmission of ministerial data also in consideration of the new government criteria for the passage of the risk zone. To date, no feedback has been received“, reads the note.

The ICU beds as established by current legislation and national and international standards, as well as having clear requirements in terms of technology and equipment, must provide for the 24-hour presence of Anesthesia and Intensive Care specialists and nurses with specific training, in a precise and predetermined number and ratio with respect to the number of patients to assist and treat. No derogation can be made to these principles if not to the detriment of the quality of the care provided“, conclude the anesthesiologists.

The letter to the Fvg Region

It is arousing great amazement and disbelief in all of us, to detect for days from the national site of Agenas, Portal Covid 19 (data from the Civil Protection Department and the Ministry of Health updated daily) that the Fvg Region would have 175 active intensive care beds are available (with zero beds that can be activated). This number is absolutely unreal and not true because it refers to a maximum total number of intensive beds reached in full previous pandemic crisis, then largely dismantled at the end of the third wave and therefore never reopenedi”.

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The decree law of 5/19/2020 actually provided for the creation of a further 55 new intensive care beds for our region, but in fact these beds have been progressively closed for a few months and are now probably activated but, given the continuing shortage of personnel resources, only with a sacrifice of medical and nursing staff at the expense of other activities“, write the anesthesiologists.

In the regional resolution n.1224 of 7 August 2020, the status quo (ante covid 19) of the Fvg intensive care places was indicated in the number of 120 beds, with distribution by single company and hospital unit, as communicated to the Ministry in phase pre-pandemic. “This calculation it is absolutely wrong“, denounce the anesthesiologists,”because it ascribes to Asugi (Presidium Cattinara / Maggiore) 26 intensive care beds where there are actually 15 active and operating beds, to Asufc 3 DH intensive care beds without any structural significance and of which there is no trace in any setting and company organization chart, in fact non-existent; takes into account 8 beds in the emergency area of ​​the Palmanova garrison, 8 in the San Daniele one and 8 in the Tolmezzo one, for a total of 24 non-intensive but semi-intensive care places. The calculation of the real intensive care beds currently available in Fvg and as required by current legislation corresponds to approximately 80 and not 120 and much chin 175“.

The considerations are valid for the purposes of calculating the need for intensive beds corresponding to 0.14 per 1000 inhabitants and the calculation of the percentage of occupancy of intensive beds in compliance with the new criteria for the passage of color (10% on actual beds)

The reactions

«We are hostages of a majority that hides the truth, provides false data and propaganda on the merits of health workers, forced to work in increasingly difficult conditions also due to the dramatic shortage of staff“. This was stated by the regional councilor of Five Star Movement, Andrea Ussai, commenting on the AAROI EMAC statement, which he denounces once again an incorrect communication from the regional council to the Ministry of Health with respect to the really active intensive care places. “Waiting for the outcome of the ministerial inspection, this press release from the Anesthesiologists and Resuscitators Association does not reassure us, because it again highlights the lack of listening, on the part of those who govern health, of operators and their representatives»Adds the councilor M5S.
«Perhaps it would be appropriate for the Ministry to verify and express itself on this too. Meantime – conclude Ussai – we believe what the professionals say and we are on the side of those who are committed every day on the front line to fight the virus with sacrifice and self-denial».

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Liguori

«The inspectors of the Ministry of Health visiting our hospitals at the beginning of August were not enough. It’s this afternoon (yesterday ndr) the new report from the Italian Hospital Resuscitator Association Critical Area Emergency (AAROI EMAC) on “incorrect calculation of the number of regional beds” intensive care and the consequent request to the Region “for correction in the transmission of ministerial data”. At this point we do not really understand Riccardi’s attitude and we consider it urgent to hear the representatives of the anesthetists resuscitating doctors in the Health Commission, given that the commissioner did not even bother to reply to the note that a dozen or so had already sent him. days ago“. Like this the regional councilor of the citizens, Simona Liguori, regarding the communication of the Association of Anesthesia and Intensive Care Doctors, 118 and the FVG First Aid.

“Enough playing three cards on citizens skin”

«This miserable game of three cards on the skin of the citizens of Friuli Venezia Giulia must end: Riccardi responds to the resuscitators. It is unacceptable that health professionals on the front line for over a year and a half have not received responses to their requests from the Central Health Directorate and Councilor Riccardi. First it was the ‘past’ deaths that appeared weeks later, then the Palmanova court set up against resuscitators, now again the data transmitted to the Ministry that according to the technicians are not real. All with the inspectors of the Ministry practically still at home. Disaffection towards our health and the vaccination campaign is fueled: transparency is the first antidote to novax “. This was stated by the member of the Joint Commission Salvatore Spitaleri, of the Democratic Party, after AAROI EMAC Fvg announced that it was sent days ago a note to the councilor Riccardi and the Central Health Director Zamaro, “pointing out with concern the incorrect calculation of the number of regional beds and asking for their correction in the transmission of the ministerial data».

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“Riccardi clarifies the complaint about intensive resuscitators”

«Given the seriousness of the denunciation of the Aaroi-Emac resuscitators on the inconsistency of the data relating to intensive care that the Region has transmitted to the ministry, it is good that the councilor for health clarifies the situation immediately. And given the precedents it is good that it is done in a completely transparent way with the involvement of all the interested parties in the committee“. He states it the leader of the Democratic Party in the Fvg Regional Council, Diego Moretti commenting on today’s note from the Fvg section of the national trade union organization of anesthesia and resuscitation doctors, 118 and emergency room (Aaroi-Emac) in which they underline the “resumption of the numbers of the Covid19 pandemic and the slowly increasing number of the most serious patients admitted to our intensive care units”. «Tomorrow we will file the request for urgent convocation of the third commission, formalizing the need to audit the union of resuscitators and the subjects involved, with the hope of not finding themselves, as already happened only a few months ago, in a situation that seemed to us to be artfully created to put doctors against each other. other».

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