Dealing with Sars-CoV-2: insights from Italy: “That was the point where we were nervous,”

Maurizio Cecconi is an Italian intensive care physician and Director of the “Covid-19 Lombardy ICU Network”. Together with his colleagues, he draws in a newly published study by a first conclusion. In it, he not only shares important insights, but also has an appeal to all people.

The Lombardy is one of the most from novel Coronavirus-affected areas of Italy. More than 14.600 people are not alone in the Region in the North of Italy becomes ill, of about 28,000, the it in the entire country (as of: 17.3.2020).

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A key moment had the doctors at the 20. February. To this day, has presented a first Patient in an emergency room in Codogno in the province of Lodi. He does not belong to any risk group: he was young and without pre-existing conditions. But as he has not responded to the usual treatment methods for lung inflammation, had become the Doctors alert: “Italy has closely observed what happened in China and the Rest of the world,” recalls the intensive care physician Maurizio Cecconi from Milan, in an Interview with JAMA editor in chief Howard Bauchner.   
 

Quickly have the patients for the novel Virus tested positive. The findings from the previous cases, in Lombardy, the physician published together with two colleagues, now in the journal “Jama”.

“That was the point where we were nervous,”

On the same day in the intensive care units of the Lombardy a number of cases occurred, and 36 in only 24 hours, without connection to the first patient. “That was the point where we were nervous,” says Cecconi. Because at this time you realized that the Virus had to be in circulation, and a “further spread is likely to” was.

Then it went on and on. Within just one day, they formed a Task Force made up of members of the government and the health authority: The “Covid-19 Lombardy ICU Network”, the head of Cecconi was.

Findings after a month of Corona-crisis

In their recently published study, Cecconi and his colleagues show not only how you have responded to, but also share their findings with the Public.   
 

So you can observe that children rarely of a severe course are affected, you are “the exception”. Why this is so, you have not found out yet.

More good news the doctors: Many of the severely ill patients, some of which also over a longer period of ventilation have been, had again recovered – including “Patient 1”.

Physicians recommends the protection of employees and has important appeal to all

For the Italians, the protection of the medical staff standing in the first place. For the particular circumstances you have set up a special Six-hour shifts, during which may eat with the staff, nor drink or go to the toilet.

At the Moment, you can offer in Lombardy, still each patient, the station needed a bed on the intensive care, a such. Thus, the physician is an important appeal: “We must not underestimate the Situation. This is not a normal flu. This is serious!“  

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He directs his words to every citizen who currently lives in a high-risk area. Everyone should insulation and other measures to comply with the spread of the Virus as possible to slow down.

His appeal is also for the operators of hospitals. This, he urges, already prior to a possible outbreak of Covid-19 emergency capacity boot and to make the processes in such cases, familiar – because of the outbreak is done only once, it was too late.

In Lombardy there was, at the time of the outbreak the capacity for 720 emergency patients. Within the first 18 days you have extended this to a total of 482 beds.

All of the developments to the outbreak of the Corona Virus that you read in the News-Ticker of FOCUS Online .

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