Chinanews.com, Shanghai, December 27th (Reporter Chen Jing) In recent days, every day until late at night, Gu Xinyu, an anesthesiologist at Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine (hereinafter referred to as: Renji Hospital), took the last patient After being sent to the emergency department of the hospital, and after the handover is completed, the day-long rush can be completed and returned to the Shanghai Medical Emergency Center.
On the 27th, Gu Xinyu, as a car doctor, went to the homes of 8 patients who dialed "120" to participate in the pre-hospital first aid.
Recently, with the sharp increase in the number of people infected with the new coronavirus, the public's demand for 120 ambulances has increased sharply, and Shanghai's pre-hospital first aid has faced a severe test.
It is reported that the Shanghai Municipal Health Commission has expanded the emergency team, and Renji Hospital sent five anesthesiologists to support the Shanghai Medical Emergency Center.
Recalling the situation on the 22nd, Lu Zhisheng, an anesthesiologist, said that on that day, he received a notice at 11:30 in the morning and was going to attend intensive training at 1:00 pm. The time was tight, and he had no time to rest, so he ran directly from the operating room of the South Campus of Renji Hospital. Go to Shanghai Emergency Center.
In the past, this kind of training took one month, but this time the special training for anesthesiologists only lasted one and a half hours.
At 4 pm on the 22nd, they set off with the car.
"We set off with the car at 10 am every day, and we are usually busy until after 8 pm. Apart from taking time to have a simple lunch and dinner, there is basically no time to stop and rest." Gu Xinyu said, "I received a dispatch call from the emergency center. , no matter how late it is, we have to leave immediately."
With the sharp increase in the number of people infected with the new crown virus, the public's demand for 120 ambulances has increased sharply, and Shanghai's pre-hospital first aid is facing a test.
Photo courtesy of Renji Hospital
According to reports, the anesthesiologists who participated in the first aid were the elderly and those infected with the new coronavirus with underlying diseases. Many of them lived in old residential areas without elevators.
As an emergency doctor, Gu Xinyu had to work with the driver and the stretcher bearer to lift the patient down from upstairs.
"When encountering patients living on the fifth and sixth floors, the corridors are narrow, which increases the difficulty of first aid." Gu Xinyu said frankly.
Lu Zhisheng, who has been working in an ambulance for 6 consecutive days, told reporters that these days the "120" dispatched vehicles for first aid are basically elderly people over the age of 60 or 70 who are antigen-positive. , apathy or even coma.
Among the patients he received, there was an elderly patient whose family members called "120" because of wrestling, coma, and fecal incontinence.
After the ambulance arrived, the old man was carried on a stretcher and sent to the ambulance after a brief inquiry about symptoms and medical history, and judging the patient's pupils, breathing and pulse.
On the way to the nearest hospital, Lu Zhisheng continued to monitor and observe the patient's carotid artery fluctuations and respiration, and evaluated his vital signs. When he arrived at the emergency room, the nurses measured his blood pressure and pulse oxygen saturation. The finger pulse oxygen was only 70%, and the situation was very serious. It is critical.
"If the family members find that the elderly with underlying diseases have a tendency to deteriorate, they should be sent to the hospital as soon as possible." Gu Xinyu suggested to judge whether the condition is deteriorating from three aspects: respiratory rate exceeding 30 times per minute, blood oxygen saturation below 93%, Fever for more than 3 days.
On weekdays, anesthesiologists are responsible for maintaining the vital signs of patients during operations. In this special period, they rush to the front line of treating critically ill patients.
According to the Shanghai Municipal Health Commission, at present, 15 tertiary hospitals in Shanghai have sent 45 anesthesiologists to support the Shanghai Emergency Center.
Why can an anesthesiologist take on this important task?
According to Yu Weifeng, director of the Anesthesiology Department of Renji Hospital, the "120" mainly treats vulnerable people with high blood pressure, coronary heart disease, diabetes, stroke, and bronchitis. Risk, urgent need to strengthen pre-hospital first aid.
Pre-hospital first aid requires medical staff to be proficient in difficult rescue techniques, and to quickly and effectively perform cardiopulmonary resuscitation, electric shock defibrillation, endotracheal intubation, blood pressure management, etc., who can integrate so many skills, in addition to emergency physicians, is Anesthesiologist.
"Letting the anesthesiologist follow the car to pick up the patient at the patient's home is to move the rescue process forward. For vulnerable people who are infected and have underlying diseases, in an emergency, they can use the most professional skills to rescue the patient as soon as possible. Ensure the safety of patients' lives." The expert pointed out.
(use up)