Liaoning Supports Ding Renyu, The Leader Of The Hubei Critical Care Unit, And Vice President Of The First Affiliated Hospital Of Dalian Medical University, Shang Dong: Liaoning Medical Team Left The Critical Area Of The "Deep Bunker".

Editor's note

The whole country is playing chess.

From the beginning of new year's Eve, more than 300 medical teams and more than 40 thousand white warriors came to Hubei from all over the country to join the battle of Hubei. They are the most beautiful pedestrians.

No one is brave but brave. They are truly brave.

The warrior's armour goes to Jingchu. The fight against disease is still going on without smoke.

In this period, the "war epidemic" medical team of the great Wuhan was told by front-line white warriors personally the first line of anti epidemic stories.

"Our critical medical team is mainly responsible for tackling tough battles. Our task is to reduce the fatality rate. If we compare the front-line epidemic to a campaign, then the critical medical team is concentrated on the most powerful enemy area, specially for the bunker. In February 21st, Liaoning supported Ding Renyu, the leader of the Hubei critical care unit, to dictate to the twenty-first Century economic correspondent the experience of the epidemic.

A total of 150 people in the Liaoning critical care unit led by Ding Renyu led the 3 ward and 4 ward of the people's Hospital of Wuhan University. Among them, 3 of the wards were responsible for the diagnosis and treatment of the most critical patients in the hospital.

"And (the Liaoning medical team took over) the Raytheon mountain disease area, mainly is the treatment of our patients from severe to light illness, and for the critically ill patients to make beds, and form a coordination. Ding Renyu said.

There are about 649 patients in the ward of the Liaoning medical team (at Raytheon Hill). Vice president of the First Affiliated Hospital of Dalian Medical University in Raytheon hill, Shangdong 21, told the twenty-first Century economic report about the latest treatment of Lei Shen Shan's anti epidemic line. "Now the ICU ward is also fully equipped."

"We have light, ordinary, heavy, and critically ill patients. We will take different treatment options according to the circumstances." Liaoning supports Raytheon Hill medical team commander Xu Yinghui 19, said in an interview with reporters.

As an important part of the battle front, "Raytheon hill" hospital has an important task. After full open access, Raytheon hill hospital will be able to treat 1500 patients.

On the 21 day, two "Gan Jiang" Ding Renyu and He Shangdong told the twenty-first Century economic news reporter how the Liaoning team left the "serious battle" on the left hand, and the right hand fight against the thunder god mountain.

Ding Renyu, chief medical officer of Liaoning medical team.

Ding Renyu: critical area "tough battle"

How to reduce the fatality rate of critically ill patients has always been a major problem in front-line battle. At the speed of life and death, it is urgent to rescue the critically ill patients. We spent ten days to rebuild the ward to support vital patients.

The process risk of rescuing critically ill patients is relatively large, because during the process of intubation, the patient has some cough reflex or some droplet transmission, but we don't have any good protective measures. At the same time, there should be some high-level protective measures such as negative pressure wards, helmets and so on, which can block these droplets, including the invasion of viruses. But the front line does not have negative pressure wards or better protective measures. Every time we save patients, we actually take a bigger risk. But even so, we all face difficulties.

How to transform a common ward in the shortest time and at the same time ensure the success rate of patients' treatment is the most important thing. It is also the most difficult thing for me to come here for the first 10 days.

The transformation work we do is actually equivalent to rebuilding a ICU at the front line. The establishment of a ICU is not just a complete set of rescue equipment and drugs in the ward, but also from experienced medical personnel in the intensive care unit and a set of mature first-aid process. At this time, for critically ill doctors, the most valuable thing is the ability to judge critically ill patients with acute signs and make the most accurate and timely judgement.

The general ward is very simple. If you put several beds, put a stethoscope and hire a few doctors, you can start healing. But ICU can not do it, that is, all the first-aid equipment, respirator, endotracheal intubation, ECMO, blood purification equipment of ICU, including those rescue drugs, liquid resuscitated drugs, analgesic sedative drugs, first aid and some medicines are not enough. Most importantly, medical personnel from the intensive care unit and standardized emergency procedures are needed.

The mortality rate in Wuhan is nearly 10 times higher than that in the whole country. There are many reasons for this, but the main reason is the lack of medical professionals related to critical care medicine. Treatment of critically ill patients is the professional quality of critical departments, and other professions may not be able to achieve, because we see too many critically ill patients. For some patients who are particularly ill, we should find ways to pull them back from the line of death.

Our medical team has done a lot to transform the general wards into the isolation places for critically ill patients. In order not to delay the treatment of patients, we have been treated and transformed. Medical personnel have taken the initiative to undertake the task of ward transformation and even repair work in addition to treating patients.

I can not accomplish this arduous task by myself. It must be the concerted efforts of all the members of our team. In case of difficulty, the hospital also actively coordinates, and then think of ways to solve these difficulties. There are 150 people in the medical team. In fact, I don't know most of them. I don't know each other for more than 20 days. I can only remember the way they wear masks. But we all dedicate silently. Most of us want to make contributions to this country and the people.

The first vascular catheterization, the first blood purification, the first to do ECMO... Our medical team took the lead in treating severe patients, and it also played an exemplary role in promoting severe medical care in the whole area.

The first 10 days came to be the most difficult time for us. This series of work in reforming wards is equivalent to helping some subsequent medical teams to establish a more mature framework. After the arrival of other medical teams, there are no such difficulties that we faced at the beginning, and they can work smoothly and step by step.

On the other hand, the harder nurses in our intensive care units are nurses on the front line.

The number of nurses in the intensive care unit is not enough. High intensity work is also a great challenge for nurses in the intensive care unit. In a normal ICU ward, a critically ill patient needs a nurse to take charge. But now our medical team has only 10 nurses at most, and more than 40 patients are responsible for the work.

Although the current scheduling is 4-6 hours a day, but because the medical care is in a critical ward, the actual work intensity is also much larger than usual. In this case, our medical staff are very enthusiastic. Sometimes, the medical staff also bring some nourishment to the patient to supplement their nutrition.

Nursing staff are frontline and patient contact most closely. Now the environment is special. On the one hand, they can not recruit nursing workers or other related personnel to help care for elderly patients. On the other hand, family members can not be accompanied by elderly patients, and many elderly people in the ward rely on nursing nurses to take care of them. Our nurses are both medical workers, and to some extent play the role of nannies and family members, especially those who can not help themselves. Bits and pieces reflect the love of our nurses. Although they are very tired, they are willing to pass these things on to the patients and encourage them, because these patients may be more or less anxious. Psychological counseling may be more important.

Shang Dong: fierce battle of Raytheon Hill

In February 8th, the Raytheon hill hospital was officially delivered on the Lantern Festival. That night, our Liaoning support for Raytheon Hill medical team, a total of 1013 medical staff, 8 charter flights to Wuhan. In February 18th, with the formal reception of B1, B2, B3 and C11 in 4 wards, the 17 wards of our medical team were all opened for admission, and 780 people were admitted.

As of 20, there were more than 2000 medical personnel gathered in Raytheon hill. Because these medical teams have doctors from different places and units, it is very important to keep pace between medical staff to improve the efficiency of medical treatment.

Our work is arranged in a unified arrangement. The medical staff in the medical team are mainly from Dalian Medical University and Jinzhou Medical University. Medical personnel from other municipal units are interspersed into it, and doctors and nurses from different hospitals are working together.

Sharp tools make good work.

At first, the equipment at Raytheon hill hospital was not yet perfect. We found that there was a shortage of equipment in our work, and we tried our best to upgrade the equipment. In the process of rescuing patients, we found that due to the special treatment of infectious diseases and the special design of hospitals, strict distinction between the different working areas was needed, and strict disinfection and disinfection procedures were needed. So, we quickly contacted the technical team, the professionals drove to Wuhan, and built the "medical audio video real-time interconnect system" at the Raytheon hill hospital all night.

In February 19th, the first "medical audio and video real-time interconnect system" was installed, built and tested. After entering the isolation area, our medical staff can maintain real-time calls through wireless headsets and "comrades in arms" in the non isolated areas, and share the case information through mobile devices to the staff in the non isolation and medical team offices and administrative centers. Medical staff in the ward (isolation ward, doctor office, nurse workstation, clean area, etc.), between wards, and between wards and administrative regions, to achieve non-contact, continuous, real-time, online audio and video and medical information sharing and interoperability. At the same time, we also realized the interconnection between Raytheon hospital and the rear medical consultation center.

The Raytheon Hill Hospital designed a negative pressure ward for the infectious disease. The air pressure in this ward is lower than that outside the ward, which is equivalent to putting a mask on the ward, which can play a better role in isolation and protection. Raytheon hill hospital has adopted the design of the negative pressure ward, and separated three areas (clean area, polluted area and semi polluted area) and two channels (two channels refer to medical personnel passageways and patient passages), in line with infectious disease protection standards.

In the course of treatment, we found that psychological counseling and humanistic care are also indispensable.

For some elderly patients who are lonely, lack of care, fear and sadness, we will care for them from psychological care. At present, a difficulty in treatment is that some elderly patients have underlying diseases, such as Al Merl F's disease, which may not be very suitable for treatment. We need to give these patients more care and communication, so that he can cooperate with the treatment.

Because the new crown pneumonia is highly infectious and the patients need isolation treatment, it is impossible for the family members to accompany the patients. It is inevitable for some older patients to feel lonely. Therefore, we introduce empathy medicine according to the psychological condition of the patients, so that the medical staff can play the role of "family", listen to the patients' stories, and enlighten the patients with relatively low mood.

Unlike the shelter hospital, the target of Raytheon hill hospital includes mild to critically ill patients of different types. Raytheon Hill Hospital also specially configured the ward's ICU, which means that Raytheon hill hospital can treat severe and critically ill patients. Once the patients in the hospital get worse, they can be transferred to the ICU ward of the hospital in time to avoid wasting valuable first aid time, and patients can receive continuous treatment.

In the Raytheon Hill Hospital, the fight against disease is still continuing. All our medical staff are fighting for the common goal of treating the patients.

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