The emergencies of the Hôtel-Dieu are replaced from this Monday by a consultation center open 24 hours a day. The mobilization of opponents of the closure continues.
The deadline has arrived! It is this Monday, November 4 that the emergency department of the Hôtel-Dieu will close its doors and be replaced by a consultation service open 24/24 to patients who do not require hospital care. Faced with this decision of the Assistance publique-Hôpitaux de Paris (AP-HP) which they describe as “perilous” for the Parisian emergencies, the members of the support committee of the hospital, “Hôtel-Dieu-Hôpital pour tous », Have decided not to let go. For this reason, they call for a rally today in front of the establishment to denounce this “scandal” and remind the minister of her promise to maintain this emergency service. Why actor looks back at the stakes of this emblematic battle of the Hôtel-Dieu.
“The hospital of the 21st century”, according to the AP-HP
The Hôtel Dieu is at the heart of a vast modernization project, which plans to make it “the hospital of the 21st century”. In other words, a hospital without a bed, but with medicine focused on prevention, screening and health education. A “low-cost” establishment, comment its detractors. As a result, patients treated by firefighters will now be redirected to other emergency reception services. “An adaptation of flows”, according to Prof. Yves Fagon, medical manager of the new Hôtel-Dieu. This project is also supported by a certain number of doctors, in particular those of the medical establishment commission (CME) of the Hôtel-Dieu who recently unanimously requested the closure of the emergency department of this hospital. . For this Commission, the safety conditions for the patient are no longer met.
Listen to Dr Anne Gervais, vice-president of the CME: ” We have no more surgery, no more gynecology. And for example, if you come for resuscitation, you are transferred to Cochin. It is irrelevant to keep this UAA (Emergency Reception Service) without equipment and therefore without personnel who can immediately act. ” (interview conducted on September 4, 2013)
This lack of equipment made Dr Anne Gervais fear accidents. A bad diagnosis during the reception in the emergency room can sometimes have terrible consequences. In this case, the penal but also moral responsibility of the hospital staff can be engaged. To avoid these tragedies, this hepatologist once again reminds us that closing the emergency room in this hospital is the best solution, in the patient’s interest. “Imagine an ectopic pregnancy which breaks out in the emergency room of the Hôtel-Dieu because of a bad diagnosis. In this case, there is a death on the conscience and we at the CME, we are criminally and morally responsible. She concluded.
The problem of emergency room saturation
But in this emblematic battle, it’s word against word. Regarding the dilapidation of the premises, “it is a lie of the public authorities”, recently affirmed Dr Gérald Kierzek, ex-manager of the Smur of the Hôtel-Dieu, dismissed from his functions by the “AP-HP.” The hospital has been partly renovated over the past few years, and we are in fact occupying a brand new room which is the symbol of this refurbished hospital. ”Since the beginning of September, around thirty staff, users and elected officials have been occupying a room in this room. Parisian hospital to denounce the scheduled dismantling of the emergency department of this establishment.According to its opponents, the AP-HP would have asked the firefighters and Samu of Paris not to bring any more patients to the emergency room of the Hôtel-Dieu. A version contradicted by Public Assistance. The truth is that the management of the AP-HP wants to close this hospital to create administrative offices “, recalled Dr. Gerald Kierzek. The latter wishes, it is true, to transfer its new headquarters at the Hôtel-Dieu.
Finally, for Gérald Kierzek, closing the emergencies would create a wave of panic in the organization of emergency services within the capital. Located in the center of Paris, the patients would then be transferred to the SMUR of the Lariboisière Hospital, which is already saturated.
Listen to Dr Gérald Kierzek : ” We are going to transfer all these small people to Lariboisière which is not able to absorb all these patients. This hospital already has ten hours of waiting in its emergency department and receives 250 patients per day … ”(interview carried out on 02/09/2013)
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