韓国の新型コロナ重症患者、全国で『人工呼吸器・ECMO使用者』だけを集計
・・それ以外は集中治療室で治療していてもカウントせず
Korea's new corona severely ill patients, only "ventilator / ECMO users" are aggregated nationwide
・ ・ Other than that, it is not counted even if it is treated in the intensive care unit.
https://sincereleeblog.com/2022/03/12/matahitotubareta/
March 12, 2022 March 12, 2022 The future of the Moon Jae-in administration, the blog of his Sincerely, which is impossible in the neighboring country, Korea information 0
韓国医療システムが崩壊,予告クリスマス悪夢2日で113人の死
S-KoreaMedicalSystemCollapseNightmar113death2day
HigherMortalityThanEuropeLowKoreaVaccinationRate
CaseFatalityRateRisesOnlyWithCoronaS-Korea
S-KoreaCorpseProsNurseDrivenIntoExtremeSituation
PleaseAcceptOurSincerestCanAnyoneDie?
S-KoreaCoronaStatisticallyNoLongerMoreSeverely
K-QuarantineDifficultSituationeturnAfteDistance
WhatGovernmentAlreadyAdmitK-quarantinePhantom?
K-QuarantineSoAllCountrieCalledBestQuarantine
S-KoreaEpidemicPreventionMeasureDecidNonExpert
SouthKoreaFinallyAbandonsWithCorona
4reasonSeparationEpidemicResultS-KoreaOrJapan
3ReasonIncreasFatalityRateS-KoreaCorona19
KoreaPresidentOfficeMustNotSaidKquarantineFailed
K-infectionMoreThanChinaIndiaVoterTurnoutDrop15y
K-QuarantineBasicsTestTraceTreatmentCollapse
K防疫の基本、 検査（Test）追跡（Trace）治療（Treatment）が崩壊
PeopleLooseAwarenesEpidemicPreventionWithCorona
Week13peopleDieOutsideHospitalNoTransferS-Korea
ConspiracyTheoryJapanCoronaDoNoFitInS-Korea
CoronaPatientsNoUndergoEmergencySurgeryRoadDeath
S-KoreaCoronaFatalityRateMoreUK5times
South Korea medical collapse progresses 2
South Korea medical collapse progresses
S-KoreaGovOrder210seriouslyIll20DayGiveUpYourBed
韓国政府、重症者210人に命令20日間過ぎたから病床を明け渡せ
Crazy fanatics who follow K-quarantine
JapanCan'tCaptureDeltaVariantNo-K-DiagnosticKit
OldSwaying60sBankruptcyMostOften1stTime8year
S-KoreaVergeMedicalCollapseBreakthroughInCorona2
S-KoreaVergeMedicalCollapseBreakthroughInCorona1
한국은 코로나의 브레이크 스루 감염으로 의료 붕괴 직전
한국은 코로나의 브레이크 스루 감염으로 의료 붕괴 직전2
K防疫は新規感染者の数を減らすために、コロナ検査件数を減らした
。
Was it February? It was pointed out that the standards for critically ill patients in Tokyo differ from the national standards.
I remember that it was like this at that time.
According to Japan's national standard (Ministry of Health, Labor and Welfare), among new corona patients, those who are using "ventilator" or "heart-lung machine (ECMO)" or treated in the intensive care unit (ICU) Means the patient who is.
However, according to the standards of Tokyo, patients who are not using a ventilator or Ekmo are not counted as seriously ill patients even if they are treated in the intensive care unit.
The number as a national standard is also published on the page of Tokyo.
Personally, I thought it would be better to unify the standards. However, it was found that South Korea also counts only new corona patients who are using "ventilators (such as Ekmo)" as severely ill patients.
This is common throughout Korea.
Most severely ill patients with the new corona had lung problems.
That is why such a standard was set, but the number of severely ill patients who do not depend on the ventilator for the Omicron mutation is increasing compared to the new corona.
The effect on the lungs is less than ever.
As you know, the Korean government has issued an administrative order to each hospital to "secure a bed for the new corona severely ill patient". What if there aren't enough beds, even if there are plenty of beds and staff?
Patients who do not use a ventilator (actually, this is also a seriously ill patient) must be transferred to another hospital, general sickbed, etc. as "not a seriously ill patient", so to speak, "postponed".
This matter, [Dong-a Ilbo on March 1st3月1日の東亜日報] reports properly, but it is not so much talked about, and there are only five comments in the source article.
＜＜～＞＞ is the quoted part.
Statistics cannot be captured'Corona severely ill patients' 6 times for the first time in a month
.. "Medical staff shortage has already become a reality"
통계 잡히지 않는 '코로나 중환자' 한 달 만에 6배.."의료인력 부족 이미 현실화"
https://news.v.daum.net/v/20220301194510030
Cho Kon-hee reporter input 2022.03.01.19: 45
＜＜・・The number of severely ill patients with new corona, which is not counted in the official government statistics, has increased nearly six times in the past month.
The government does not count as a severely ill patient with the new corona if he / she is infected with the new corona and can breathe by himself / herself without mechanical devices.
However, due to the spread of the Omicron mutation, infections of severe non-respiratory patients such as cardiovascular and cerebrovascular patients are increasing, and the shortage of human resources in the medical field is becoming more serious.
● Heavy patients who are not officially tabulated 5.7 times
(* March) On the 1st, the Korea Disease Control and Prevention Agency revealed that there are 727 new severe corona patients in South Korea on the basis of midnight on that day.
However, on the same day, 1324 beds for the new type of corona for severely ill patients nationwide are in use.
A mysterious phenomenon appears in which more medical conditions are used than the number of severely ill patients.
Currently, the Disease Agency counts only "severe mechanical breathing patients" who depend on machines such as ventilators and cardiopulmonary bypass (Ekmo) among those infected with the new corona as new corona severely ill patients.
For this reason, 597 patients on a daily basis have been confirmed to have a new corona infection and are hospitalized in a bed for critically ill patients, but because they can breathe themselves, they are not counted as new corona critically ill patients.
Many of them suffer from underlying non-respiratory disorders such as stroke, angina, and diabetes.・・＞＞
On the 1st, the Korea Centers for Disease Control and Prevention (KCDC) announced that there were 727 critically ill patients with COVID-19 in Korea. However, on the same day, there are 1324 hospital beds dedicated to critically ill patients nationwide. Although the number of critically ill patients is small, the number of beds is full.
Currently, the Korea Centers for Disease Control and Prevention (KCDC) counts only “mechanical breathing critical patients” who rely on machines such as a ventilator or an artificial heart-lung machine (Ekmo) to breathe among the confirmed COVID-19 patients. For this reason, as of the 1st, 597 patients were confirmed with Corona 19 and were hospitalized in the critically ill, but they were not included in the Corona 19 critically ill patients because they could breathe on their own. Most of them have underlying diseases of the non-respiratory system, such as stroke, angina, diabetes, and kidney disease.
The number of 'self-respiration critically ill' increased 5.7 times in one month from 104 on the 1st of last month. The increase is much steeper compared to the 2.7-fold increase in the number of critically ill patients with mechanical ventilation, which the government manages statistics during the same period.
The recent increase in the number of critically ill patients with self-respiration is due to the nature of the omicron mutation. Even if infected, the rate of exacerbation of respiratory symptoms such as pneumonia to severe disease is lower than that of the existing ‘delta mutation’. On the other hand, due to its strong transmission power, it causes infection in patients with underlying diseases, and causes fever and thrombosis (blood clots in blood vessels), thereby lowering the patient's immunity. The number of hospitalizations for patients suffering from stroke, etc. is increasing due to worsening of chronic diseases or complications as they become infected with the Omicron mutation. This is in contrast to when the delta mutation epidemic occurred at the end of last year, when the majority of critically ill patients with COVID-19 were pneumonia.
● “The shortage of medical personnel has already become a reality”
The problem is that a considerable number of medical personnel are required for self-respiratory intensive care. The recovery and maintenance of life of patients who do not use a ventilator and cannot move on their own requires as much labor as treating pneumonia patients. In fact, a large hospital in Seongdong-gu, Seoul stopped emergency aortic surgery on the 27th of last month due to a shortage of manpower. A hospital in Cheonan, South Chungcheong Province, has not received patients with cerebral hemorrhage, cerebral infarction or aortic rupture since the 28th of last month.
There is also concern that the number of COVID-19 cluster infections among medical staff is fueling the shortage of manpower. At a university hospital in Dongdaemun-gu, Seoul, a large number of obstetricians and gynecologists were infected and quarantined, so they were unable to receive emergency delivery mothers. Eom Joong-sik, a professor of infectious disease at Gachon University Gil Hospital, said, "As workers are being transferred to the dedicated hospital for COVID-19, the problem of manpower shortage in general intensive care units is also serious." It is also becoming increasingly difficult to retain existing employees,” he said.
For this reason, there are many points out that the medical system needs to be overhauled before the critical patient response reaches its limit. There is also a proposal to secure a bed with only a separate space to prevent the spread of the virus without a ventilator, and to accommodate the rapidly increasing number of patients with critically ill breathing. Jang Young-wook, an associate research fellow at the Institute for International Economic Policy who studies the response to COVID-19 at home and abroad, said, “The number of seriously ill patients with COVID-19 is expected to increase sharply for the time being.
Correspondent Cho Kyeon-hee becom@donga.com
Correspondent Kim So-young ksy@donga.com
Comment Creator Crater
If the epidemic prevention is strengthened, all self-employed people will make a noise when they die, and if the epidemic prevention is mitigated and the number of patients increases, and if the number of patients increases, they will make a noise with curse.
Stop and give me a little alternative.
You can do everything that makes noise like you guys.
No matter how much Gilegi (기레기 ギレギー), but without an alternative, without unconditional opposition ...
In South Korea, which has a higher population density than foreign countries
At this level, if you guys have a beautiful conscience
Try using a little child at this difficult time. Gilegi (기레기 ギレギー) Dura.
Gilegi (기레기 ギレギー)
マスゴミ(Masugomi,기레기)
Originally a type of net slang that means mass media and media
A word that is a product of the terms "media" and "garbage" used when criticizing the media.
In South Korea,「기레기（gilegi,キレギ）」has the same meaning.
gilegi is a combination of reporter {「기자(gija,キジャ)」 in Korean word} and garbage {쓰레기(sseulegi,スレギ)} in Korean word.
Comment Creator Time Travel
I was wary of the high fever from yesterday in the corona confirmation, but I could not contact the health center, so what should I do at home?
Comment author Air purification
Speech incites and exacerbates the situation
Commenter Blue Sea
It is worrisome that the number of critically ill patients is increasing, but the age range of critically ill patients should be disclosed.
If 95% are over 60 years old, over 60 years old is meaningless
Appropriate epidemic prevention for the elderly and vaccination that is trusted in that way does not make sense for vaccination under the age of 60, and it is appropriate to solve the epidemic prevention appropriately.
Controlling for 24 months and acquiring mass innate immunity is what happens to people who have died from the side effects of vaccination during that time?
Comment creator Automatic to write comments
Clinical trials also reveal genetic properties for people who develop Darhammer cytokines
We have to open up such things and teach patients how to deal with them ...
Continue vaccination to make patients
Do you eat only money for patients without treatment?
[Dialogue with Lee Jing] "The scene is hell .. There is a group of government experts who give the wrong sign."
"현장은 지옥인데.. 정부 내 전문가 중 잘못된 사인 주는 그룹 있어"
https://news.v.daum.net/v/20220307030313624
Lee Jing reporter input 2022.03.07.03:03 correction 2022.03.07.13:34
Professor Lee Jae-gap said, “The government must honestly acknowledge the crisis situation. Reporter Jang Seung-yoon tomato99@donga.com
“As the number of confirmed COVID-19 cases is skyrocketing, it is predicted that the number of confirmed cases per day will reach 350,000 next week. On the other hand, the quarantine policy is gradually easing. On the 4th, when the government announced a plan to adjust the distance to extend the business limit to 11 p.m., 216 people died, the highest number in a single day. Lee Jae-gap, a professor of infectious disease at Hallym University Gangnam Sacred Heart Hospital, who recently resigned from the government's Corona 19 Daily Recovery Support Committee, said, "When the government said '200,000 people can go' when the government expects 30,000 people, they say I'm a pessimist."
Reporter Lee Jin-goo
―Today (as of 00:00 on the 2nd), the number of confirmed cases exceeded 200,000 for the first time. I don't think I'm a pessimist... .
“When the government sees a maximum of 30,000 people, it says 200,000 people, but the experts working with the government say they don’t think so. At the same time, I and Jeong Jae-hoon, a professor of preventive medicine at Gachon University Gil Hospital, are pessimists… . I was a member of the Daily Recovery Support Committee, and Professor Jung was Special Advisor to Prime Minister Bu-gyeom Kim. We didn't work with the government. There are groups of experts in the government who give wrong signs.”
―Is that experts contributing to easing the quarantine policy?
“The virus is honest. If you respond, it will decrease, if you do not, it will decrease. Shouldn't it be said that social distancing is practically non-existent, except during business hours? The quarantine pass was released, and no epidemiological investigation was conducted. I don't understand why they are releasing things that can be alleviated when the number of confirmed cases is at a peak in the midst of an explosion. “Omicron has a lower risk than Delta and has a higher vaccination rate, so you shouldn't go in this direction unless you're determined to make it the last of the pandemic.”
―The infection among medical staff is also increasing, and the government says that if the symptoms are mild, they can quarantine for only 3 to 5 days and return to work.
“Let’s say you can do the job because it’s mild. How do you deal with infection of patients or other medical staff? You should do it if the situation is enough to stop the hospital, but you shouldn't tell them to come out openly. Even if quarantine is lifted 7 or 8 days after the diagnosis, more than 20% of the virus is released. It takes 3 to 5 days to get sick, and regardless of whether you have a fever or not, when the virus is in full swing, come out if you don't get sick. Is the person who passed on to me as mild as I am mild? (Government side) Some experts have never worked in a hospital. The field is hell, and people who do not know the field are involved in the policy.”
―You said that there may be situations that the medical system cannot handle.
“Once the beds are full, we can no longer accept patients. If a doctor becomes infected, he or she cannot perform surgery or treatment for a week. If it's mild, just do it? Anesthesia departments are coming in, nurses are coming in, and there are other doctors... . At our hospital, two professors of thoracic surgery operate ECMO, but if they are quarantined, the machine will not work properly. Corona patients are not the only ones who die.”
―If such a situation arises, should there be a lockdown like in other countries?
“I think we can do it when the need arises… The question is whether the government will be able to take strong administrative measures such as lockdown at the end of his term. Since it's a lame duck, it's questionable whether it can be properly maintained, and you might not think, 'Why are we all over?' I don't think the new government would like to have such a painful and unpopular policy from the start. So the next few months can be a very ambiguous and strange time in terms of quarantine policy.”
―The number of critically ill patients who are not caught in the statistics has increased 6 times in the past month. What does it mean to be not caught in the statistics?
“This is because only those who rely on machines such as ventilators or Ekmo to breathe among confirmed patients are counted as critically ill with Corona.” (Among the confirmed patients, stroke, angina, etc. are critically ill, only breathing on their own.) “Of course. However, we did not create a patient classification system for such cases.”
―You didn't create a classification system... .
“In the past, when you got Corona, you mainly had problems with your lungs. Classification was meaningless as there were only a few critically ill patients with self-ventilation, but as the number of confirmed patients with Omicron increased, the number of critically ill patients also increased. As a result, something bizarre happened.” (Strange thing?) “The Ministry of Health and Welfare allocates beds, and although there are doctors at the national and departmental level, most do not know the medical field well. As a result, a self-breathing critically ill patient is lying in a hospital with a critically ill corona virus, so they are saying, ‘Why are these people here, get them out quickly’.”
※According to the Korea Centers for Disease Control and Prevention, the number of 'self-respiratory critically ill' increased 5.7 times from 104 on February 1 to 597 on March 1.
―You are a critically ill patient who only breathes on your own.
“I have nowhere to go. A heart failure dialysis patient infected with Corona cannot be cared for in a general intensive care unit. However, according to the classification system, it is not (Corona critical patient), so it should be removed. There was a riot at the hospital, so it was only last month that a single line was added to the relevant guidelines saying, “It can accommodate critically ill patients with other diseases.” It took me a really long time to put that one line in.”
―Recently, infants and young children have died one after another while being transported or treated at home.
“There is a lack of hospital beds, but… It is also due to the lack of popularity of pediatrics. As the birth rate decreases, there is no money, but the protests from parents increase, so it is a so-called difficult field to work in. Except for major university hospitals, few hospitals have pediatric residents. Even where there is a resident, I can’t set up a watch at night because I work during the day.” (What to do with emergency pediatric patients at night.) “In most university hospitals, pediatrics do not answer emergency calls at night. Our hospital does not provide emergency care for children. Apart from Corona, the emergency part of the Korean pediatric care system is already collapsing.” (Why has such a problem been revealed only now?) “Before the Delta, there were not many pediatric infections, so major hospitals could handle it, but now it has exceeded that number. As the number of confirmed cases skyrocketed, these problems arose. But relief... .”
―Why did you leave the Daily Life Recovery Support Committee?
“Omicron is just spreading in January and February, but the quarantine keeps changing to an easing stance. Whatever was said was not accepted, and moreover, at that critical time, the committee did not meet for a month. There were many important issues to deal with, such as self-isolation, home treatment, and abandonment of epidemiological investigations, but they did not do it. So, I came out to the Kakao Talk chat room of the committee's quarantine and medical division, saying, 'If that's the case, I'm not sure why I want to participate anymore'. In fact, I was going to quit sooner.”
※The committee held its 8th meeting on February 17th, about a month after the 7th meeting on January 12th. On February 18, the next day, the Central Disaster and Safety Countermeasures Headquarters announced a plan to adjust the distancing measures to abolish the QR authentication of large marts and to extend the restaurant and cafe business by one more hour until 10 pm. For this reason, it was pointed out that the committee meeting was actually held formally.
- Were there any conflicts?
“It was time to prepare for the ‘step-by-step recovery of daily life’, which started on November 1 of last year, and we said that we should go in a way of slowly relieving it in about 5 steps. However, the government brought a three-step plan. He said that the quarantine subcommittee could agree to that if only a brake device (emergency quarantine reinforcement system) was put in the middle... .” (At the time of the announcement, it was said that it would be activated when the utilization rate of hospital beds for critically ill patients exceeds 75%, but it did not go beyond that.) “So I agreed to the condition to put the brake system on, but I thought there was no reason to be in the committee if it was not implemented. In fact, the government wanted to do the 2nd stage instead of the 3rd stage, but it was blocked by screaming and fighting. At a meeting, there was a lot of fuss about, ‘Do you really want to see hundreds or thousands of people die in the intensive care unit?’”
-But what I don't understand... At a committee meeting on the 17th of last month, Korea Centers for Disease Control and Prevention (KCDC) Director Eun-Kyung Jung gave a negative opinion on easing the distance, but the next day the government announced an easing adjustment plan.
“It must have seemed obvious to the Korea Centers for Disease Control and Prevention and the Ministry of Health and Welfare, but… Because the Blue House or the Prime Minister's Office is going too far. Even then, experts wondered why (the government) was making judgments that were out of context.”
※At the 8th Daily Recovery Support Committee on the 17th, Commissioner Jeong said, “The number of patients more than doubled compared to the previous week due to the spread of Omicron mutation… It is expected that the number of severe cases and deaths will continue to increase. Uncertainty about the peak period and scale of the epidemic is high, so stable situation management is required until the peak of the epidemic.”
―You said that the most important thing right now is that the government calls a crisis a crisis.
“Right now, the number of confirmed cases has increased so much that the government cannot manage it other than the centralized control group. Then, like former German Chancellor Angela Merkel, I have to be honest with the people that this is a crisis and that the people have to protect themselves. But I am proud of how well I have done so far, so I think acknowledging the crisis is like giving up on quarantine. I thought the current government would be different from the previous governments, at least in terms of communication... All I can think of is the same thing.”
Reporter Lee Jin-goo sys1201@donga.com
Lee Jae-gap, a professor of infection internal medicine who disagreed with the government's epidemic prevention policy and left the government's advisory body, the Daily Recovery Committee, said in an interview with [Dong-a Ilbo on March 73月7日の東亜日報] . he am.
"Before, the new Corona had problems mainly with the lungs.
However, the number of infected people has increased rapidly in Omicron, and the number of severely ill patients who can "breath by themselves" has also increased.
But something impossible happened. The Health and Welfare Department will distribute the medical conditions.
The director and section chief of the Health and Welfare Department also have doctors, but all of them do not know the medical field.
So, when a critically ill patient who can breathe on his own is using a bed for critically ill patients, he says, "Why are they using that bed? Move it quickly, quickly. "
Where are you going to move it? Where can I move a dialysis patient with heart failure who has the new corona? "
The hospital protested violently, and from around last month, it was added to the guideline, saying, "Depending on other diseases (even severe patients who can breathe on their own), it is possible to use the new corona bed for severely ill patients."
However, I wonder if this is also the case if there is still room in the bed (I didn't go into more detail in the source article).
Of course, they are still not counted as critically ill.
