May 24, 2023.- The Libertador Bernardo O’Higgins Regional Hospital (HRLBO) activated its winter plan since May, as HRLBO Director(s) Dr. Paula Stegmayer said, “We received about 200 daily emergency respiratory consultations, Most of them are pediatric care and so far, we have not registered hospitalization in emergency”, adding that “we are preparing ourselves through a process of recruitment of officers” to respond to the demand. and reorganizing services to respond in normal hospitalization time with flow in accordance with managing our beds”.
With regard to the respiratory viral surge, the head of the Pediatric Emergency Service, Dr. Raquel Carreno noted that indirect isolation (preventive isolation at home) of children during the Covid-19 pandemic produced not only a reduction in coronavirus and other respiratory viruses, but a negative effect on immunity, stressing that ” The Ministry of Health directed us to make emergency preparedness on priority to face the eventuality and that is why today with a winter plan, we converted children’s beds into pediatrics for elective surgeries, thereby empowering us.” Employees in all services. We estimate that 80% of patients one to four years of age will be hospitalized and require a moderate or intensive care bed, because viral circulation is high, particularly of respiratory syncytial virus (RSV).
Along the same lines, Carreno said, “While it is true that viruses such as adenovirus, influenza, parainfluenza, rotavirus circulate in this season, among others that can be complex to manage, in the primary health care system (APS) Children can be taken care of. , which has specialist doctors in community family medicine, who can refer patients to our hospital if needed, otherwise, primary care will solve the problem”.
For her part, Dr. María José Pérez, head of the HRLBO Adult Emergency Service, indicated that “we have not yet recorded such a significant increase in respiratory cases in adults, but we have seen consultations for chronic decompensated pathology, such as as diabetes, congestive heart failure and hypertension, which can be completely resolved in Cesfam, SAPU, CECOSF, SAR. Therefore, despite the expansion and reinforcement of our health teams during this winter plan, support to the community There is a call to action so that our effective care capacity is not saturated.
With respect to the emergency care classification system, both professionals called for understanding that the criteria prioritize emergency care for those who present according to significant risk or pathology, based on its level of severity and time of arrival. But no. Being alive. “We must make good use of our emergency services, recognize and respect step by step using the APS. If they cannot attend given the complexity of the case, they will be referred to the HRLBO”, Dr. Perez concluded.