Chinanews.com, Guangzhou, December 30th (Cai Minjie, Zhang Cancheng, Jianwen Yang, Zhou Jinan) With the optimization and adjustment of epidemic prevention and control policies, medical institutions have ushered in the "big test" of life-saving treatment.

The surge in demand for medical treatment, the expansion of fever clinics, and the number of emergency patients several times the usual number... In the past few days, many hospitals in Guangdong have adopted "stepped" multi-level management, established multidisciplinary joint treatment expert groups, and remodeled venues to increase consultation rooms and beds. And other ways to ensure the treatment of patients.

　　"At present, our daily consultation volume is between 300 and 400, and during the peak period, as many as 700 per day. As more medical staff return to work, I believe the situation will get better and better." Sun Yat-sen University Affiliated Third Ouyang Shan, head nurse of the hospital's fever clinic, said.

In order to reduce the pressure on fever clinics and emergency departments, various departments have been linked together under the overall arrangement of the hospital, and consultation teams have been dispatched to the emergency department for consultation and referral of critically ill patients.

At the same time, the hospital has set up a special class for the management of employees infected with the new crown, condolences to clinical front-line medical workers, and assisting infected employees to solve practical difficulties.

Photo courtesy of the Third Affiliated Hospital of Sun Yat-sen University in the work of medical staff in the emergency department

　　In order to treat as many patients as possible, the Third Affiliated Hospital of Sun Yat-sen University optimized and adjusted the admission process according to the actual situation, and admitted severe patients in a "step-by-step" manner.

　　"The hospital implements a "ladder" multi-layer management. The first floor is the emergency department, fever clinic, and intensive care unit. The second floor is the Department of Respiratory Medicine and Infectious Diseases. The beds in the department are converted into intensive care beds. Department of Traditional Chinese Medicine, Department of Neurology. The fourth floor is combat readiness departments: Rehabilitation Department, Psychiatric Department, General Surgery, etc. According to the patient's condition, each department gives priority to treating critically ill patients from the first and second floors. To the third and fourth wards, realize the efficient circulation of hospital beds." said Zhu Jieming, Director of the Quality Control Department of the Third Affiliated Hospital of Sun Yat-sen University.

　　"The hospital is revising guidelines for clinical treatment and clinical care based on its rich anti-epidemic experience and the actual situation of this patient. The hospital has also established a multidisciplinary joint treatment expert group to guide various specialties in carrying out comprehensive treatment to ensure medical safety. Rong Limin, president of the Third Affiliated Hospital of Sun Yat-sen University, said that under the efficient management of the hospital, more and more patients have been recovering under the careful treatment of medical staff.

　　With the arrival of the peak period of the new coronavirus infection, the hospital ushered in the peak of emergency and severe treatment.

The First Affiliated Hospital of Jinan University held a special online medical dispatch meeting every night to strengthen personnel strength and medical treatment equipment allocation. At the same time, the hospital established a "Multidisciplinary Rescue Expert Group for Severely Ill Patients with Combined COVID-19 Infection" to ensure the treatment of critically ill patients.

　　In order to alleviate the emergency pressure, the First Affiliated Hospital of Jinan University increased the number of consulting rooms and beds through the reconstruction of the site, capacity expansion, and mobile prefabricated rooms, and added ventilators, sputum suction machines, infusion pumps, monitors and other equipment.

At the same time, further open up the admission channel between the emergency department and the inpatient department, timely interdisciplinary treatment and scientific classification, while relieving the pressure of diagnosis and treatment, allocate medical, nursing, equipment, medicine and other resources, and provide medical resources for emergency critically ill patients.

Reinforced medical staff from various departments are responsible for the diagnosis and treatment of non-severe emergency patients, and the release of emergency doctors is responsible for the treatment of emergency severe patients.

　　The hospital's critical care resources are operating at a high level. In addition to the neonatal NICU, the central ICU and various specialized ICUs have been included in the comprehensive ICU platform. The number of comprehensive ICU beds in the hospital has increased from 31 to 81, and the beds in the renal surgery and respiratory departments have continued to be transformed; the nursing department is coordinating Nursing resources of the whole hospital, reinforcement of ICU, emergency department, dialysis and other departments.

At the same time, organize training on the use of ventilators in the hospital to improve the hospital's ventilator treatment capabilities.

Cardiology and other specialized ICUs are included in the overall management. Photo courtesy of the First Affiliated Hospital of Jinan University

　　On December 21, the new crown clinic of the First Affiliated Hospital of Jinan University officially opened.

On the premise of regional diagnosis and treatment, as a supplementary force for fever clinics, the new crown clinic is located on the 2nd floor of Building 15, an independent building, and adopts the form of on-site registration.

At present, there are 9 permanent consultation rooms and 8 convertible consultation rooms, integrating registration, payment, inspection, inspection, debridement and dressing change, etc., which can meet the daily medical needs of positive patients and divert the pressure of emergency treatment.

At the same time, the hospital admission channels for fever clinics have been expanded, and critically ill patients can be transferred to specialized intensive care beds or emergency critical care beds for treatment, realizing the linkage between pre-hospital, hospital, and post-hospital, and focusing on supporting ICU and emergency departments.

　　In order to actively cope with the coming peak of urgent and critically ill patients, the Sixth Affiliated Hospital of Sun Yat-sen University has further refined its work to ensure the medical needs of the elderly, young children and high-risk groups with underlying diseases.

　　In order to enhance the hospital’s ability to treat acute and critically ill patients with new coronary pneumonia, in addition to making good use of about 100 beds in the Department of Respiratory and Critical Care Medicine, ICU, and Cardiovascular Medicine (including CCU), the No. 1 Affiliated Hospital of Sun Yat-sen University The Sixth Hospital has prepared to change the current ward of the Rehabilitation Medicine Center and the Department of Radiation Therapy to the second ward of the Department of Respiratory and Critical Care Medicine (about 50 beds).

Photo courtesy of the First Affiliated Hospital of Jinan University after the expansion of the emergency department

　　Wen Weiping, dean of the Sixth Affiliated Hospital of Sun Yat-sen University, said that the treatment of critically ill patients is the most urgent task of the hospital at present and in the future, and all departments of the hospital must continuously improve their own specialties in the treatment of acute and critical patients with new coronary pneumonia. The ability and level of the hospital, and make preparations to fully support the severe treatment in the hospital.

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