Zhongshan University Sun Yixian Memorial Hospital Medical Team Leader And Vice President Of The Consolation: Wuhan Concord Critical Care Area 6 Days Zero Death And "Front And Rear Linkage" Tactics Are Inseparable.

"It's been 12 days since I went to the front line, and I can't remember a long time." Professor Sun Yixian, deputy leader and deputy dean of the hospital of the Memorial Hospital of Zhongshan University in Wuhan, Professor Sun Yixian, recalls the experience of the twenty-first Century economic report reporter recalling the experience of helping Wuhan.

In February 7th, Sun Yixian was allowed to lead the 131 member medical team of the Zhongshan University Memorial Hospital of to support the critical wards of Wuhan Union Hospital. 12 days passed, and the condolences indicated that the work of the medical team in the critical wards has been transformed from the emergency wartime to the daily wartime state.

Meanwhile, the Sun Yixian Memorial Hospital medical team of Zhongshan University also set a record of 6 days of severe zero mortality in Wuhan Concord West hospital. As a leader of the 100 hundred hospital medical teams, the leaders of the twenty-first Century economic report told us how to deal with calmly.

Zhongshan University Sun Yixian Memorial Hospital medical team leader and vice president permit comfort.

"Everything is difficult at the beginning."

The first small test came before us on the day of our arrival.

"We have reached the epidemic area." On the day of my departure for Wuhan, I kept emphasizing the concept of "epidemic area" to the medical team by microphones on the car. Besides moving forward, it is more important to remind everyone to be calm.

On the same day when we first entered Wuhan, the hotel that we stayed in was only requisitioned in the afternoon. All preparations were hurried. When the medical team arrived, the disinfection work was not yet fully processed, and the air conditioning system could not be systematically checked on that day. Because of the worry that the air conditioning system caused cross infection, the medical staff had to sleep in Wuhan's February chill, and the nurse later reflected to me. That day, four quilts were hard to withstand the cold.

On the second day, we immediately found the air conditioning engineer to check carefully, and determined that the air-conditioner in each room was independent and available. Not before. I dare not take this risk. If we haven't started the battle, we have begun to lose staff. How can we afford the dean's advice? But the air conditioning in these corridors and public areas must be closed.

Traffic also encountered a small episode. We had special vehicles to pick up and send medical staff to and from work. But at the very beginning, our time was very difficult to get very accurate, and the time of commuting in each ward was different, so sometimes the medical staff had to wait for more than an hour before they got a car. After we find the problem, we will run in as soon as possible. After entering three or four days, we have already run well. If there is not enough time to get a lift, we have a spare car. We have several doctors to form a self-help team. If any of the doctors and nurses queued up to change their clothes late, we could take them back by ourselves.

In addition to solving the problems faced by daily life, the urgent task of the medical team is how to carry out the rescue work quickly and effectively. Especially, the medical team is connected with the severe wards and is faced with arduous treatment tasks.

Because all the doctors in various departments need to run in, we are equipped with doctors in various departments for every shift, to ensure that a group has doctors who are familiar with respiratory diseases, physicians who have an assessment of the whole body system, and an anesthesiologists or ICU doctors who can plug in tubes whenever necessary. Because of the needs of clinical work, there were five doctors in one team, and now there are four. The number of shifts has been adjusted accordingly. With previous clinical experience, the medical team first adjusted the scheduling of doctors to meet the medical needs of critically ill patients.

When the medical team arrived at the ward, they noticed the nutritional problems of some patients. Before we got into the ward, some doctors found that some patients were not well nourishment. Maybe they were poor appetite and poor food. They donated all the nourishment that our hospital assigned to the medical staff. Later, we suggested that if the medical personnel were provided with materials, they could donate part to the patients if they were willing. The rear is also very supportive of us, saying what we need to replenish in the front.

Front and rear linkage

We are here to win the battle. After entering the critical care area of Wuhan union West Hospital, the Sun Yixian Memorial Hospital of Zhongshan University has set a record of "zero death" for six days.

I believe that the death rate of critically ill patients will be reduced and the "coordination" tactics adopted by the medical team can not be separated from each other. We must choose the best soldier to go to the front line and the rear expert group to give strong support to form the joint efforts of the rescue work.

We received this task very urgent, we are very prudent in accordance with the objective of treatment of severe patients, mainly select critical care medicine, respiratory diseases, anesthesiology, emergency medicine, internal medicine experienced doctors, nurses mainly selected ICU, Department of respiration these high seniority nurses, we choose from the registration of medical personnel selected 1/3 composition. Good front line.

In addition, the rear constituted a consultation committee under the organization of academician Song Erwei and Secretary Wang Jingfeng, and was appointed head of the Department of respiration by Professor Jiang Shanping. When we set out, Professor Jiang Shan Ping also pulled over his suitcase and was persuaded by us. On the one hand, he was a member of the expert group to guide everywhere, and on the other hand, it was also an important backing for our rear area. On the one hand, the front and rear sides should select elite soldiers, on the one hand, build up a good consultation platform to form joint forces before and after.

The biggest difficulty in the treatment of severe diseases is to have a comprehensive assessment of the patients, not to rely solely on one side of the treatment, but to adopt a treatment plan according to the patient's condition.

We classified severe patients into mild, severe, critical and severe diseases. Patients with mild or severe diseases mainly give him some oral antiviral drugs, some proprietary Chinese medicines, plus oxygen therapy, plus psychological counseling and nutritional support.

We should try to avoid him turning to critical illness. The mortality rate for critical illness will be very high. We must try hard to pull them together, pull them back, rescue them more aggressively, perform some intubation, or strengthen clinical ventilation. Sometimes, besides anti-virus, we need some anti bacterial treatments. There are also blood vessels, because we found that this disease can lead to severe patients' "inflammatory storm", including heart, liver, kidney and blood vessels. We all have to do the corresponding treatment to minimize the risk of critical illness to critically ill patients, and to reduce mortality by active salvage.

In order to adjust the treatment plan in time, there are two Kone consultation sessions every week in the ward of the medical team, and one to two consultation sessions a week. Sometimes, we do not need to mobilize all members of the panel. For many times, we are in the WeChat group for phone calls, so we are very happy to provide support.

Solving psychological appeals

On the other hand, in the treatment of severe wards, in addition to prescribe the right medicine, it is also important for clinicians to pay close attention to patients' psychological appeals.

We are clinicians, nurses, what is clinical, is to bedside care and observation of patients, so that we can know the patient's condition, promptly relieve the patient's psychology. For our medical staff, when we come to a strange environment and face a group of patients suffering from diseases, we need to have a detailed understanding of the psychological condition of the patients. The safe working environment of doctors and nurses needs the help of both doctors and patients. We should try our best to cure them, and patients will also trust us and form a good atmosphere. In my usual rounds, I try to shake hands with every patient. Under the condition of good protection, the simple action of holding hands can give patients confidence.

Such a difficult task of treatment, our medical staff also need to bear tremendous work pressure. The work lasted for 24 hours. There were many seriously ill patients and even critically ill patients in the ward. Before the 50 beds were full, there were seven or eight critically ill patients. There were three patients who had undergone endotracheal intubation or minimally invasive breathing. So when we were in the ten hour shift, we were all wet. Some of the nurses were wearing their nose edges and their skin was damaged.

Each group's chief nurse inquired about the physical and mental condition of the players every day and conducted psychological counseling in a timely manner. On the other hand, it also strengthened everyone's protection work. There are 15 steps to wear protective equipment when going to work. There are 30 steps to take off protective equipment at work. At present, if the material is not enough, we must ensure that our medical staff are well protected.

Even if the work is intense, be nervous and lively. At present, the work of our medical team in the intensive care unit of Xiehe West hospital has been on the right track and has been carried out in an orderly way. (Editor: Zhang Weixian)

?