Europe starts to reopen but virus patients still overwhelm ICU teams

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Mon, 2021-04-26 01:29 — mike kraft

Europe reopens but virus patients still overwhelm ICU teams PARIS (AP) — Cradling the head of the deeply sedated COVID-19 patient like a precious jewel in his hands, Dr. Alexy Tran Dinh steered his intensive-care nurses through the delicate process of rolling the woman off her stomach and onto her back, guiding the team like a dance instructor. They moved only on Tran Dinh’s count, in unison and with extreme care, because the unconscious patient could die within minutes should they inadvertently rip the breathing tube from her mouth. “One, two and three — onto the side," the doctor instructed. AP NEWS

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French President Emmanuel Macron’s decision to reopen elementary schools on Monday and allow people to move about more freely again in May — even though ICU numbers have remained stubbornly higher than at any point since the pandemic’s catastrophic first surge — marks a shift away from prioritizing hospitals that is taking place in multiple European capitals.

In France, Greece and elsewhere, the cursor is moving toward other economic, social and educational imperatives. Governments are using ramped-up vaccinations to bolster arguments to ease restrictions, although just one-quarter of adults in Europe have received a first dose.

With record-high numbers of COVID-19 patients in critical care, Greece announced the reopening of its tourism industry from mid-May. Spain’s prime minister says the state of emergency that allowed for curfews and travel bans won’t be extended when it expires May 9, in part because vaccinations are allowing for a safe de-escalation of restrictions. This despite more than 2,200 critically ill COVID-19 patients still occupying one-fifth of Spain’s ICU beds.

Beginning Monday, in low-risk zones, Italy’s schools can reopen for full-time, in-person learning, and restaurants and bars can offer sit-down, outdoor service. The Netherlands is ending a night curfew and reopening the outdoor terraces of bars and cafes for the first time since mid-October, even as hospitals scale back non-urgent care to increase ICU beds for COVID-19 patients.

In France, Prime Minister Jean Castex said the latest infection surge that pushed the country’s COVID-19-related death toll beyond 100,000 people has begun a slow retreat, allowing for all schools to reopen and day-time travel restrictions to end starting May 3. Castex also raised the prospect that stores and outdoor service at restaurants and cafes closed since October could reopen in mid-May.

“The peak of the third wave appears to be behind us, and the epidemic’s pressure is lifting,” Castex said Thursday.

That’s not how it feels to Nadia Boudra, a critical care nurse at Bichat Hospital in Paris. Her 12-hour shift Thursday started with the unpleasant job of sealing the corpse of a 69-year-old man who died overnight with COVID-19 in a body bag, just hours before his daughter flew in from Canada hoping to see him alive.

“We have our noses in it. We see what’s happening, we see that people are dying — a lot,” she said. For her, reopened schools and, possibly, outdoor eating and drinking in May are “too soon” — a misleading message that “things are getting better.” ...

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