“If you have 20 coronavirus patients susceptible to entering the Intensive care unit and you have fewer free spaces, what do you do? Well war clinic. Quickly decide who you can treat and who you can’t. Does’t sound harsh? Yes, and nobody imagines how much it really is, but it is reality ”.
These critical care units at various hospitals are already selecting more strictly which patients are admitted to undergo long and painful treatment, according to seven intensivist doctors and three Intensive care unit nurses from eight public hospitals in the Community of Madrid, who have spoken with the EL PAÍS newspaper with the condition of not being identified.
Madrid concentrates the bulk of those hospitalized in the ICU throughout Spain and the deceased.
When confirmed cases began to grow in Madrid in early March and ICUs began receiving patients, there were 641 beds. The figure of 1,000 was then like a horizon to be achieved. On Monday that thousand was exceeded. The reconversion of operating rooms, resuscitation units and recovery rooms, as well as the use of pediatric ICUs and the inclusion of private beds and their corresponding expansions explained this margin to exceed 1,050.
Spain’s health ministry has warned that seven Spanish regions are struggling to cope with the complete saturation of their ICU facilities due to their high volume of coronavirus patients in serious condition.
Intensive care units in seven Spanish autonomous communities are operating “at full capacity” and three other regions are also on the verge of the complete saturation of all their hospital ICUs.
Fernando Simón, Spain’s health ministry’s emergencies coordinator, made the announcement on Sunday as Spaniards woke up to the news of yet another record number of people dying from the coronavirus in the previous 24 hours – 838.
Despite Simón’s refusal to reveal which Spanish regions have the greatest shortage of hospital beds, ministry data reveals which “comunidades autónomas” are the most stretched.
Madrid, which currently has 1,429 coronavirus patients in ICU, is the region with hospitals under most pressure, followed by Catalonia with 1,391.
Castilla-La Mancha with 299 and Castilla y León with 278 – two of Spain’s regions with the lowest and most elderly population – are also struggling to cope with this unprecedented rise in ICU patients.
Spain’s Basque Country region with 271, La Rioja with 43 and Navarra with 75 complete the list.
“We need to prevent new admissions in the ICU in a few days,” Simon stated, whilst explaining that the average time period Covid-19 patients spend in the intensive care unit is longer than usual.
“We’re trying to ensure that these limits are not exceeded so that ICUs aren’t brought to a standstill.”
Since the beginning of Covid-19’s rapid surge in Spain, health workers have feared that the lack of hospital beds would only contribute to an already dire fatality rate.
The number of confirmed cases in Spain has now reached 78,797 — after an increase of 9.1 percent in one day — as the country battles the world’s second most deadly outbreak. The number is fast approaching the figure of 81,400 in China, where the virus originated.
Spain is now one of the most heavily hit countries due to the virus, with more deaths than any other nation besides Italy. The number of dead in Spain is now more than 6,500.
Except for a brief lull recorded on Thursday, Spain’s death toll has been rising daily.
However, officials have pointed to a slower growth rate for both deaths and confirmed cases and expressed hope that the peak of the outbreak was approaching.
Spain also reported Sunday that 14,709 people had been cured of COVID-19, a rise of 19.7 percent in 24 hours.
