Response to Novel Coronavirus Infection丨Reporters stay in West China Hospital: deployment and expansion to meet the peak of severe cases

　　West China Hospital of Sichuan University is a critical and severe diagnosis and treatment center deployed by the National Health and Medical Commission in Southwest China.

As a bottom-up hospital, West China Hospital has been facing the peak of severe cases of the new crown since the middle of last month. The emergency department bears the brunt of receiving severe patients from all over the world.

Huaxi faces the peak of severe cases and the emergency department bears the brunt

　　Located in the main campus of West China Hospital in the center of Chengdu, during this period, the number of emergency department visits has continued to rise, from more than 300 people per day to an average of 700 to 800 people per day, and thousands of people can see a doctor a day at peak times .

Tang Shiyuan, Deputy Chief Physician of the Emergency Department of West China Hospital:

We will divide patients into four levels: first, second, third, and fourth.

For example, the patient has no breathing and heartbeat, which belongs to the first grade; some patients may have some signs of hypoxia, such as a little low oxygen saturation, low or high blood pressure, which is a critical situation, which is the second grade.

In order to separate severe patients from mild patients, we only keep the triage of first and second level patients here, and adjust the triage of third and fourth level patients to another area.

Our job is to screen out critical and serious patients first and send them in.

　　Such preparatory measures for zoning quickly played a role when patients came one after another.

As a critical and severe diagnosis and treatment center deployed by the National Health and Medical Commission in the southwest region, there are continuous patients who are referred from all over Sichuan or come to the emergency department on their own.

　　In the evening, a 78-year-old man was sent to West China Hospital by his family from Deyang, Sichuan.

Elderly patients with new coronavirus infection and underlying diseases.

　　After understanding the condition, Director Cao Yu led the doctors and nurses in the emergency department to give the old man a preliminary examination and emergency oxygen therapy. The blood oxygen saturation of the old man gradually recovered to above 95.

The next day, the old man was transferred to the intensive care unit for further monitoring and treatment.

Currently, the old man's condition has stabilized.

　　During this period, the number of elderly people sent to the emergency department continued to increase. In addition to those sent by their family members for medical treatment, some were sent by grass-roots hospitals through a hierarchical diagnosis and treatment platform.

The People's Hospital of Jintang County, Chengdu sent a 78-year-old man with severe COVID-19.

　　After examination, the old man had underlying diseases such as heart disease and liver cirrhosis, and had hypoxemia.

After the basic rescue in the emergency department, the old man was transferred to the new crown comprehensive ward that night and was treated systematically for basic diseases and new lung infections, and his condition has stabilized.

　　As time goes by, more and more patients are classified as grade 1 or grade 2 and need to be observed.

The emergency room, which originally had only 46 beds, has now expanded to 91.

Hundreds of doctors and nurses drawn from the whole hospital are on duty here in shifts.

　　Both Yuan Zhongxin and Lai Jie are post-90s doctors and nurses. In the emergency department of West China Hospital, more than half of the doctors and nurses are post-90s who are similar in age to them.

Lai Jie, who was born in 1996, has worked in the emergency department for more than three years and has accumulated rich experience in rescuing critically ill patients.

Just ten days ago, she was also infected with the new crown virus. In order not to affect the treatment of patients and the safety of other colleagues, she was quarantined at home as required.

However, in just a few days, more than 80% of the doctors and nurses in the emergency department were infected one after another.

In order for the emergency department to function normally, Lai Jie took the initiative to return to work two days after the infection, when her discomfort symptoms eased.

Lai Jie, a nurse in the emergency department of West China Hospital:

I returned to work without re-fever.

Our leader told us that if you feel that your physical condition is not enough to support your work and take care of patients, you do not need to return to work.

We have to protect ourselves and patients, two-way protection, to ensure the safety of both parties before we return to work.

　　Almost all the doctors and nurses who were infected in the emergency department chose to return to work in time after the discomfort was relieved, just like nurse Lai Jie.

In the past two weeks, they have recovered one after another, which made Cao Yu, director of the emergency department, heave a sigh of relief.

In her view, as the first pass to fight against the peak of severe cases, this guarantees the rescue, diagnosis and treatment of critically ill patients.

Cao Yu, Director of the Emergency Department of West China Hospital:

This young team has very strong experience in rescuing critically ill patients, so this time they are all rushing to the front line. They can stand up all the time, and they can deal with various situations and pressures well, so I think they have done a very good job.

The whole hospital deploys and expands the medical and surgical departments to overcome difficulties

　　In order to ensure smooth access to critically ill patients in the emergency department, West China Hospital has deployed medical resources throughout the hospital to speed up the evacuation and reception of critically ill patients initially treated by the emergency department.

At special moments, medical workers launched a relay to rescue severe cases and went all out to protect lives.

　　With the arrival of the peak, while the emergency department is busy receiving patients, other departments are stepping up to renovate the wards.

Wu Hong, vice president of West China Hospital:

For the treatment of critically ill patients, we mainly upgrade the wards and improve the oxygen supply conditions.

In the past, only 6 ventilators could be used on this floor, but now after renovation, we can provide 73 ventilators on this floor.

　　Like this, except for the emergency necessary treatment wards, the surgery department of West China Hospital has taken out the rest to receive critically ill patients one after another.

At present, 27 comprehensive wards have been coordinated and established, and nearly 3,000 beds have been allocated for the treatment of patients with new crowns.

The comprehensive ward established by the biliary tract surgery department is one of them. A small number of inpatients in the department were transferred and merged to other departments, freeing up all 72 beds for the treatment of patients with new crowns.

　　Li Fuyu, Director of Biliary Tract Surgery, led the whole department and cooperated with the Department of Respiratory Medicine to undertake the diagnosis and treatment of patients admitted here.

　　Under the careful diagnosis and treatment of doctors and nurses, the condition of the patients here has improved.

Li Fuyu, director of biliary surgery at West China Hospital:

Many surgical departments have experienced the test of fighting the epidemic.

Cooperate with internal medicine to straighten out the procedures, and now slowly transfer to the routine treatment process, and try our best to make them recover.

　　Surgical experts like Li Fuyu, while undertaking the work of surgery, are also engaged in the battle against the peak of the new crown infection.

Huang Yidong, the deputy director of Pediatric Surgery, had just finished an operation in the department in the morning, and in the afternoon, he was treating patients in the fever clinic as a general practitioner.

Huang Yidong received more than 20 patients this afternoon.

　　During this period, the average daily number of fever clinics has surged from more than 60 in the past to more than 200, and at the peak, nearly 600 people came to see a doctor a day.

Huang Yidong, Deputy Director of Pediatric Surgery, West China Hospital:

We have all undergone special training. Three years ago, when Wuhan was most difficult, we sent many doctors to Wuhan. At that time, our surgeons also came to the fever clinic, so this Once again.

　　For more than half a month, through the deployment of hospital resources to expand the capacity of admission and coordinated diagnosis and treatment, internal medicine doctors and nurses have more energy to treat critically ill or even extremely critically ill patients, effectively reducing the mortality rate.

Some patients have gradually recovered and are ready to be discharged.

Patient Xu Shaorong:

I was out of breath at the time, and felt that I was dying. After a few days, the doctors and nurses in Huaxi were very conscientious, and now I feel that there is nothing wrong with me.

I would like to thank the doctors and nurses, they are also sick, have a fever and cough, they are treating us and working for us.

　　According to a survey by the Sichuan Provincial Center for Disease Control and Prevention, the peak of infection incidence in Sichuan Province has gradually passed, and it is currently in a critical period of preventing severe illness and reducing illness and death.

Wu Hong, vice president of Huaxi Hospital:

Throughout Sichuan, people place their hopes in Huaxi for the treatment of critically ill patients, because Huaxi is the national team, and Huaxi is the most critical part of the entire Southwest.

We feel that everyone can overcome the epidemic, especially the treatment of critically ill patients.

It should be said that through these two weeks, the lives of patients have been protected, and the success rate of rescue of critically ill patients is relatively high. I feel relatively confident in this regard.

The epidemic is the charge. The epidemic allows us to fight, and we have the invincible power.

　　(CCTV news client headquarter CCTV reporter Liu Feng Chen Weikui)