“We intubate and ventilate, young man”: chief physician, via Corona-madness in Munich

Clemens Wendtner was the first doctor, the Corona-Infected treated in Germany. Today, the infection Lodge has to provide nearly 50 additional Sars-CoV-2-patients. Many of them need to ventilate device artificially – including not only Old and Vorerkrankte, such as the physician warns.

“The momentum in the last few days was insane,” reported Clemens Wendtner, in a conversation with “time Online”. The head of infectious diseases at the Munich Schwabing hospital treated nearly 50 people, the severity of disease symptoms have developed in result of infection with the new Coronavirus. Nine of them are currently in intensive care.

Those who show only mild symptoms, such as the first German Corona-Infected, which were all in connection with the automotive supplier Webasto, from couriers now home and will care for inpatients, says Wendtner. In the Klinikum Schwabing, the clinic team treat today, “only serious cases”.

Clinic staff gets Crash courses in breathing technique

Some of them would have to be ventilated, normal stations had been converted already to breathing stations. The hospital staff receive appropriate Crash courses, so Wendtner. “Of course, all of you have made in your training, even intensive care medicine, but in many it has been a while. Here is everything – in a positive sense – the military, organized and prepared,“ he describes the Situation on the ground.

Among the people, the need to give breathing machines currently artificially, are Wendtner, according to young people “in their twenties and thirties”. Many of the Young, especially without a pre-existing condition, would be in a safety weigh-in, there is not. “The young people are not invincible,” warns the infection Lodge.

Many of the young patients that were currently treated in a Munich hospital, had previously been in Ischgl or St. Anton for skiing. In particular, Ischgl is called Wendtner in this Interview, an “envelope of space for the Virus”.

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X – ray and CT findings for diagnosis of Central

With the new mass in patients with the best possible deal, have you built in the Munich clinic, in the meantime, a Triage tent, he says. There Infected and Non-Infected could be very quickly separated from each other. This week they wanted the car in addition to a kind of living with mobile x-ray and CT equipment in front of the tent will not install – “the Covid-patient’s kidney, the devices in the house of contamination”.

Because these devices would have to be in relation to the Covid-19-disease of particular importance: So Doctors in the x-ray and the computer could tomography very quickly see whether someone can show lung changes, which are typical for the infection. The test result from the laboratory should not be-and often waited until after. Appropriate measures can therefore be initiated earlier.

In many patients with a Virus-induced lung inflammation huge areas of the lung are loud Wendtner infected. “We call it milk glass opacities,” explains the infection Loge to “time Online”. These areas would seem on the x-ray image is whitish clouded, “milk glass”.

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“This is already a very bulky Happen”

Doctors take this as a sign of inflamed tissue, says the Munich-based head doctor of the medical Background. As strong as the Covid-19-be Sick of this effect, however, rarely pronounced. “As a lung segment is affected, but never the whole lung. This is already a very bulky Happen.“

In consequence, the Breathing is difficult for many patients, in the worst case, you have to be like the Munich-based patients, and artificially beamtet intubated – sometimes up to three weeks, as Wendtner says.   
 

Also, many people would see – as is currently often in Italian hospitals during the treatment turned temporarily on the abdomen to relieve the pressure on your lungs and make sure that the air from the equipment flows into the lower lung sections. The Klinikum Schwabing, a set of special turning-the Teams that turned the patient on a regular basis. Because you would spend the whole day in the prone position, that would be your state of health is also very beneficial, so Wentnder.

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In the first step, that saves the patient’s life. But can carry on artificial Respiration under certain circumstances, to long-term damage. “Some of them are dependent then maybe even in everyday life, on oxygen,” says the physician. “And Yes, it can happen to young people.”

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