Chinanews.com, Beijing, December 29th (Reporter Du Yan) "There is an urgent and critically ill patient on Beiyuan Road, please go to the nearest ambulance team quickly." Please go over to the nearby non-emergency team"... The phone rings one after another, urging the staff of the emergency center to "pick up" the call for help and "send out" the ambulance.
Recently, the number of people infected with the new coronavirus in Beijing has increased rapidly, especially the number of elderly patients and patients with underlying diseases has increased significantly.
The 120 emergency call known as the "lifeline" has been running at a high level for days.
On the 29th, the reporter came to the emergency medical rescue center in Chaoyang District, Beijing. The dispatch hall was divided into emergency reception seats and non-emergency reception seats.
According to Chen Kun, secretary and director of the Beijing Chaoyang District Emergency Medical Rescue Center, the dozen or so people in the emergency reception area are mainly responsible for verifying the information of critically ill patients sent by the Beijing Emergency Center, and then dispatching cars as quickly as possible.
Another group of non-emergency receptionists will communicate with patients or family members to understand the patient's condition and needs in more detail, and transfer the task of dispatching cars to the "love car team" formed by various streets and towns to serve the public according to the situation. Undertake the medical needs of people who are transferred to hospitals or the elderly to solve the transportation-based medical needs, and strive to allocate the resources of rescue ambulances to the patients who need them most.
Beijing Chaoyang District Emergency Medical Rescue Center.
Photo by China News Agency reporter Zhao Wenyu
The reporter learned that Beijing has continued to deepen the construction of the pre-hospital medical emergency system in recent years, and established the principles of unified planning and layout, unified command and dispatch, unified service standards, unified supervision and management, unified guarantee standards, and unified performance assessment.
In the past, each district did not directly participate in the dispatching of emergency vehicles.
Due to the recent increase in the number of orders dispatched in the city, the Beijing Emergency Center will transfer the received 120 help information to Chaoyang District, and the District Emergency Medical Rescue Center will immediately sort out the information and classify and dispatch orders based on the patient's condition.
"Emergency is in every second, saving lives on the verge of life and death, and fighting for every second for life." Chen Kun said that at present, the center has expanded its capacity to answer and dispatch seats to shorten the waiting time for people to call.
On the basis of the original 8 dispatch seats, 20 dispatch seats have been added to shorten the waiting time for people to call.
At the same time, the number of emergency vehicle teams has been increased to 316, and the number of personnel has increased to 1,265, which can ensure the normal operation of 104 vehicle teams every day, and provide training for relevant staff and upgrade and debug the system.
"Thousands of medical staff have been distributed in four centralized locations in the near future, waiting for unified dispatch at any time, so as to maximize the efficiency of pre-hospital emergency services." He said.
According to Chen Kun, in the past week, Chaoyang District has dispatched more than 1,000 ambulance trips every day.
About one-third of the patients are critically ill patients, mostly elderly people with underlying diseases and limited mobility, and these people can often only solve their medical problems by using pre-hospital emergency resources.
"Let the first aid needs, especially the urgent and critical needs, be 100% met." Chen Kun said that although some patients still have to wait after calling 120, the center can realize the "daily clearing" of emergency dispatch orders.
Beijing Chaoyang District Emergency Medical Rescue Center.
Photo by China News Agency reporter Zhao Wenyu
At about 11:30, Jia Liqi, an emergency doctor at the Chaoyang District Emergency Medical Rescue Center, received the task. It was an 80-year-old patient. The family members found that the old man's blood oxygen saturation was low and his consciousness had deteriorated, so he called 120.
Jia Liqi and his team members immediately rushed from the house to the ambulance.
Each ambulance is "standardly equipped" with doctors, nurses, drivers, and stretcher workers. They have all received first aid training, and they are the "best partners" in the process of transporting patients from home to the hospital.
Similar to the emergency situation at this moment, Jia Liqi has dealt with many cases this month.
She said that at present, each train group works 24 hours, and generally dispatches more than ten trips, and at most it reaches 18 trips.
Jia Liqi, who has 11 years of working experience, is the first pre-hospital first aid "Chaoyang Craftsman" in Chaoyang District, and the tracheal intubation time is basically controlled within 8 seconds.
"Even in a dangerous situation, we never back down. Although many tasks are late at night, we never complain." Jia Liqi said that he can understand the situation of patients and their families during the emergency.
When they arrive at the scene, they will patiently appease the patients and their families.
When the patient's condition is critical, the family members will be fully informed of the relevant situation and dealt with in a timely manner to minimize the patient's pain and try their best to save every life.
Race against time and relay for life.
She said that even if the patient is far away, they should arrive as soon as possible.
On this trip, after the 120 ambulance came to the door, Jia Liqi immediately checked the old man's blood pressure and blood oxygen saturation, and then established a venous access for the old man to help boost the blood pressure.
At the same time, measures to inhale oxygen through masks were adopted to increase the blood oxygen saturation of the elderly.
Subsequently, the old man was carried on a stretcher bed and sent to an ambulance.
"Auntie, I'll turn on the warm air for you, and we'll warm up in a while." "Now the old man's blood oxygen saturation has reached 91% (generally, the normal arterial oxygen saturation is 95%-100%), systolic blood pressure 127mmHg, diastolic blood pressure 57mmHg." "Cold stomach? I'll cover you with a little vest." "Does the old man have a fever all the time? Is he coughing?" "Do you have coronary heart disease or diabetes?" "Don't worry, I will definitely choose the fastest route." … On the way, Jia Liqi always paid attention to the changes in the patient's condition, and kept asking the family members about the patient's past medical history and recent situation, so that the hospital could prepare in advance.
10 minutes later, the vehicle arrived at the hospital.
She trotted all the way to the hospital to explain the patient's condition to the doctor receiving the hospital, and told the first aid measures that had been taken and the drugs that had been used.
Seeing the patient being pushed into the hospital, she slowed down her pace and speech.
She said that the pre-hospital emergency doctors may not be able to do so much, but they will try their best to send patients to the hospital safely in the shortest possible time, which buys time for subsequent treatment.
Beijing strives to protect health, prevent severe illnesses, and reduce illness and death. Emergency centers are required to increase telephone answering personnel and expand platform dispatching capabilities. The city's emergency stations and train crews should be fully open to ensure smooth emergency transportation, further integrate resources, and effectively improve emergency transportation capabilities. .
On the way back from the hospital, Jia Liqi and the crew began to sort out the patient's medical records.
She said that the most important thing at present is to replenish the medical consumables on the ambulance and be ready for the next emergency call at any time. "Respond to the call as soon as possible, try to get as many people as possible, and win treatment time for every patient without stopping." (End) )