Chinanews.com client Suizhou, March 2nd, Question: New crown pneumonia ICU ward doctor: At the moment of life and death, the patient is almost mouth and nose
Author: Peng Jing as
"Flying droplets and aerosols, we face this risk almost every day." Zou Yi, a critical care physician at Jiujiang First People's Hospital in Jiangxi, said very quietly on the phone. "When submitting an application for medical support from outside the country, I was mentally prepared. It was very early then, and I didn't know where I would support. "
Less than two hours from order to departure
Zou Min is the leader of the critical care group of the Jiangxi Suizhou Medical Team in Hubei. Her daily job is to enter the ICU ward of the new coronary pneumonia to rescue critically ill patients.
It is understood that Zou Yong and his party set off from Jiujiang, Jiangxi on February 6, and arrived in Suizhou in the early morning of February 7. At that time, the aerosol transmission of the new crown virus had not yet attracted high attention. After close training and preparation, they officially entered the ICU isolation ward and connected.
Data Map: Jiangxi counterparts assisted the second batch of medical teams in Suizhou. Photo by China News Agency reporter Liu Zhankun
Zou Yan said that the time from receiving the order to the departure was very short, less than two hours. "I have been prepared for a long time. I know that my application has been selected, but the specific time and place must wait for instructions. The specific support area should be based on the changing situation of patients, and delivery should be made wherever it is urgent."
Twenty days ago, due to close contacts between the people in Wuhan and the state, the number of cases continued to rise, the number of critically ill patients increased, and supplies of materials and medical care were in short supply. As the parties in the state turned to the outside world for help, they needed epidemic prevention supplies, medical experts, and technical personnel in critical illness support. On February 6, there were 81 newly confirmed cases in Suizhou, 428 suspected cases, a total of 915 confirmed cases, 36 severe cases, 22 critical cases, and 9 cases cured.
The moment of life and death in severe ICU is almost the same as the nose and mouth of the patient
"Unlike ordinary wards, critically ill patients have a little change in their condition. If they are not treated within an hour or two, their lives may not continue." Zou Jun said that the intensive care unit is facing patient rescue every day.
"Critically ill patients are basically intubated and placed on the ventilator. Their airways are open. Especially when sputum is sucked, there is a large number of aerosols, and the probability of infection with the virus will be very high." Zou Jun said Because at that time the medical staff and the patient were almost mouth to nose.
Data Map: Medical staff take good care of Zhu Mo lying in the hospital bed. Photo by Zhang Chi
According to Zou Yan, the number of intubation operations performed by medical staff in the ICU ward every day depends on the patient's condition, and the time for intubation will also vary according to personal experience and patient conditions.
"When the trachea was intubated, it was also when the virus and aerosol in the patient were released in large quantities." Zou Yan said that she and her teammates were basically in a "relatively closed environment and exposed to high concentrations of aerosol for a long time every day." under".
"Aerosol transmission poses the greatest threat to medical personnel." Jiang Rongmeng, chief physician of the Second Department of Infectious Diseases at Beijing Ditan Hospital, explained on the 19th that "the public does not need to panic over aerosol transmission."
Not not afraid, but feel like you need it
"Regardless of whether you have just arrived or now, there must be psychological stress. After all, patients with new coronary pneumonia are different from those who are usually exposed. We are not only facing the critical condition of the patient, but also the risk of infection." Zou Jun said.
Recently, an elderly patient with severe neonatal pneumonia treated by Zou Jun's team experienced a respiratory failure. In addition to the new crown virus, this patient also has underlying diseases such as hypertension and coronary heart disease.
"The treatments we gave her included high-flow oxygen therapy, antiviral and anti-infective therapy, systemic symptomatic support, and her indicators were eventually improved through oxygen therapy." Zou Jun explained that the condition of critically ill patients was individualized. It is necessary to take appropriate rescue measures according to each person's condition and changes in condition.
Patients at risk of re-coronary pneumonia and ICU medical staff. Photo courtesy
"The danger of oxygen therapy is relatively low for the medical staff. Fortunately, it is controlled. If it does not work and the patient cannot maintain his vital signs and oxygenation, he needs to be intubated and put on the ventilator. The risk at this time is High."
Zou Zheng is also constantly learning about the progress of medical information, and pays close attention to the research progress of Academician Zhong Nanshan and his team. "Because it is a new type of virus, we do not know much about this virus, and we are constantly exploring its transmission channels, including the respiratory tract and digestive tract. Wait."
Even after training and protection in accordance with the formal procedures, "it definitely feels more risky, such as the possibility of occupational exposure is very high when the ventilator is intubated." Zou Jun said, but once the medical staff entered the working state It's different, "We believe that our knowledge and technology can do this job well."
When you have time to rest, Zou Yan will video with her at home, but can not talk for a long time. "My daughter is a junior high school student. At this time, her study is very heavy and nervous. It is good to be able to accompany her to take care of her, but here (Suizhou) needs me more. After all, there is her father in Jiangxi to accompany her." Zou Jun said.
On February 23, it was Zou Yan's birthday. In her opinion, one patient's condition improved that day, and moving out of the ICU ward was the best gift. She made a wish in front of the birthday candle at the hospital: "Pray for an early victory over the epidemic, and hope that all medical staff will be safe." (End)