Thu. Nov 26th, 2020

In Italy, lines of ambulances park outside hospitals awaiting beds, and in France the government coronavirus disease 2019 (Covid-19) tracking app prominently displays the intensive care capacity taken up by Covid-19 patients: 92.5 percent and rising.

In the intensive car unit (ICU) in Barcelona, there is no end in sight for the doctors and nurses who endured this once already.

Intensive care is the last line of defense for severely ill Covid-19 patients and Europe is running out of beds and the doctors and nurses to staff them.

In country after country, the intensive care burden of Covid-19 patients is nearing and sometimes surpassing levels seen at last spring’s peak. Health officials, many advocating a return to stricter lockdowns, warn that adding beds will do no good because there aren’t enough doctors and nurses trained to staff them.

In France, more than 7,000 health care workers have undergone training since last spring in intensive care techniques. Nursing students, intern and paramedics, all have been drafted, according to Health Minister Olivier Veran.

“If the mobilization is well and truly there, it is not infinite,” he said last week, when the ICU units were filled to 85-perceny capacity. “It is not enough.”

Within days, it had jumped another 7 percentage points and he warned it would continue to tick upward. And, unlike in the first wave last spring, the virus is now everywhere in France, making transfers from one region to another by high-speed train less practical. One hospital in the southern city of Marseille recently wheeled in refrigerated rental trucks ahead of a feared rise in ICU deaths there.

SHORTAGE IN PHYSICIANS SEEN

In Italy, Filippo Anelli, the head of the national doctors’ association, said at the current infection rate, there soon won’t be enough physicians to go around. Recently in Naples, nurses started checking on people as they sat in cars outside emergency rooms, waiting for space to free up.

Italy has a total of 11,000 ICU beds, but only enough anesthesiologists for 5,000 patients, Anelli said. As of Monday, 2,849 ICU beds were filled nationwide — up 100 from just the day before.

For the average coronavirus patient with serious symptoms, it takes seven to 10 days to go from infection to hospitalization. Those admitted often need to stay for weeks, even as more patients arrive. The math is inexorable as long as infection rates rise.

Patients from France, Belgium and the Netherlands are being evacuated to German intensive care units, but German doctors say they are watching the number of free beds dwindle quickly.

Dr. Uwe Janssens, who heads Germany’s Interdisciplinary Association for Intensive Care and Emergency Medicine, said some urban areas are reaching precarious levels.

“When a city of millions only has 80, 90 beds left then that can be a critical mass, because you don’t just have Covid-19, there are also traffic accidents, heart attacks, pulmonary embolisms and so forth,” he said.

In the past two weeks alone the number of coronavirus patients treated in ICUs in Germany has almost tripled, from 943 to 2,546. Still Janssens acknowledged that the situation in Germany is better than that of France, Belgium, the Netherlands and Britain. SOVEREIGNPH WITH THE ASSOCIATED PRESS

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