Germany: There is a shortage of available covid beds. The relocation of the sick is ongoing

During the current fourth wave of the pandemic, the occupancy limit in intensive care units has already been reached in some counties, mainly in Thuringia, Brandenburg and Bavaria, RND emphasizes.

On Tuesday evening, five federal states (Bavaria, Thuringia, Saxony, Berlin and Brandenburg) launched the “clover leaf” procedure for the strategic relocation of COVID 19 patients, the German Association for Intensive and Emergency Medicine (DIVI) said. The system was developed in spring 2020 by federal and state governments so that people with more severe COVID-19 can receive hospital care in the event of bottlenecks in their area.

The assumption of the system was the easy movement of patients within the “clover leaf”, which includes the neighboring federal states. Germany is divided into five “big clovers”, each of which is coordinated from a central point (Single Point of Contact – SPoC). The most populous federal states of Bavaria and North Rhine-Westphalia create their own clover leaves. Less numerous federal states form a common system – for example, the eastern clover is Thuringia, Saxony, Saxony-Anhalt, Brandenburg and Berlin.

In the first phase of the disease, relocations of patients took place within a given “clover”. – If the possibilities do not allow it anymore, it is possible to move beyond the clover limits and seek support in other regions of Germany – explained during the conference the spokesman of the federal Ministry of Health, Sebastian Guelde.

The central clover offices are coordinated by specialists, incl. from the Robert Koch Institute (RKI) and the Federal Relief Coordination Center (GMLZ), who provide information on vacant intensive care beds and coordinate patient transport.

Currently, the southern (Bavaria) and eastern (Thuringia, Saxony, Saxony-Anhalt, Brandenburg, Berlin) clover have started their search for help outside their regions. As part of these measures, approximately 80 COVID-19 patients are to be transferred to other federal states, 50 of which are Bavarian patients.

Activation of the system was necessary because ‘intensive care units in the worst-hit regions have been flooded with patients in recent weeks,’ explains RND. In the area of ​​Bavaria, Berlin, Saxony and Saxony-Anhalt, less than 10% of ICU units remained vacant on Wednesday. beds.

In Bavaria, Saxony and Thuringia, COVID-19 patients currently occupy almost a third of the beds in intensive care. As pointed out by the Thuringian authorities, beds are available in some districts, but they must still remain free for patients, e.g. from traffic accidents.

– Most of the 80 relocations planned in the first stage will concern COVID-19 patients – announced Hermann Schroeder, head of the working group of the conference of external ministers for disasters and civil defense. Only in exceptional cases will patients with other illnesses be transferred. “Transported patients with COVID-19” should be in a stable condition and not under a ventilator, said Viktoria Bogner-Flatz, head of hospital coordination in Munich.

According to the DIVI register, there are currently around 2.4 thousand available throughout Germany. intensive care beds, with the possibility of using 9173 reserve beds during the week.


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