• Wed. Oct 27th, 2021

Covid Milan, Blasi: “Fewer sick people arrive in the emergency room”

Byeditorial

May 10, 2021

“At the Milan Polyclinic we have begun to close Covid beds, we have reached more or less half of the semi-intensive respiratory beds. This means that there are fewer severe patients and it is a good sign”. Taking stock with the Adnkronos Salute is Francesco Blasi, professor of Diseases of the respiratory system at the University of Milan and director of Pneumology (now Covid) of the Polyclinic of the Lombard capital. “The number of intensive care units is also slightly, steadily decreasing, as is the number of patients arriving in the emergency room. To give an idea, today in our emergency room there was a single Covid patient, compared to dozens of some week ago “. “These are all positive signs: fewer sick people arrive in the emergency room, we have fewer patients to ventilate with helmets and also in intensive care. The pressure on the hospital is significantly lower, but we are not yet in a framework for resolving the problem. 160 Covid dedicated beds in general, including the Mangiagalli part. These places are now about half of those we had opened and therefore we are doing quite well. The hope – he underlines – is that this trend will continue. We are waiting to see if there will be an effect for the Inter party. I understand, as an Interista, the desire to celebrate, but caution is needed and in the next few days we will see if there will be an impact. “” In the meantime, however, apart from what we see in our hospital, also at the Milanese level it seems to me that there is a minimum breathing space. As for numbers we are not going down at breakneck speed, but calmly. But it bodes well. And this greater breathing space has allowed us to reopen 20 cardi beds in via Sforza non-Covid respirators “, a sign of an initial return to normality. “During the week, the idea would be to open a few more Surgery beds, because on this front we have suffered from a welfare point of view”, he explains. We look to summer with hope, continues Blasi. “We hope for a less frequent infection like last year. Then in Lombardy now vaccinations are running and it is a fundamental point. Some of my collaborators go to vaccinate, there are primaries who are busy” with shield injections, ” there is a unanimous effort of all. We work for vaccines which are the strongest weapon we have, irreplaceable “. A first sign of the effect of vaccinations, he explains,” we also see it in hospitals. In the sense that age Patient average has dropped a bit and it means that the protection of the elderly is working. Let’s see what happened in the UK: with the high-speed vaccination they have seen a significant reduction. A colleague in Scotland told me about having seen the situation change radically in a month and a half or two. He too has reopened the non-Covid business and certainly the fact that so many are vaccinated in Lombardy and that there is a very low rejection rate is important “. that the impact become more and more visible, the specialist catches the first signs of calming. “Hospitals have slower reaction times than contagion numbers – recalls Blasi – When a patient is hospitalized often stays a month and there is a latency before seeing results. For this reason, the data that encourages us in particular is the reduction of access to the emergency room. It will certainly also be the reduction in the average age that affects the need for hospitalization, but the overall picture is encouraging. We have emptied a floor of the Sacco Pavilion. Then we stopped for a while and now we think that maybe in the week we will be able to close another small department until we reach more closures in the short term. We estimate there are 3-4 weeks left before we can see an important effect on our hospital “. One last mention the expert reserves it to ‘intensive care hub in Fiera di Milano. “Luckily there was, because in the end he came to have 70 patients hospitalized at the same time, which is no small feat.” These numbers have also dropped to the current 55. And the survival of patients who have passed through this facility has grown over time: now almost 80% make it.