Jiang Dongpo (first from left in the front row).
After nearly three months of arduous battles, we have successfully completed the medical treatment of the diagnosed patients and have successively left Wuhan to complete the withdrawal. Recalling every bit of participating in the fight against epidemics, I asked myself many times in my heart: What faith and spirit did I adhere to until the end? I think it is the military's mission, and the great love of military doctors.
The narrow road meets the brave and wins, the harder the more forward. After we arrived at the Taikang Tongji Hospital in Wuhan, we made every effort to build a war-time infection ICU ward. The hardship and hardship can be imagined. But everyone went to one place and twisted into a rope to complete the task.
During the first week, I hardly rested every day, and leaned on the corner to squint. Patients are in urgent need of treatment. In front of the lives of the people, the potential in our bodies is stimulated, and it seems that they are more sleepy and hungry than before. But when the preparations were almost completed, my teammates and I felt sleepy and exhausted.
On February 20, the Department of Critical Care led by me began to take care of the first batch of critically ill patients, training, rounds, consultations ... I was spinning like a gyro every day. We are a newly formed ICU, worried that some links are not yet perfect, worried about the sudden change of the condition of critically ill patients, worried ... I have not dared to return to the dormitory for three consecutive days. Heaven is rewarding, and when the patient's condition is gradually improving, I can finally return to the station with confidence. It was early in the morning to board the bus and drive across the Wuhan Yangtze River Bridge.
The Department of Critical Care is a high-risk zone where the virus epidemic is the craziest and the threat of death is the most serious. The patient's condition changes rapidly. The first second may be calm and calm, and the second second will fall into the abyss. The time left for the doctor to analyze and judge is often measured in seconds. I set a good example silently, charge ahead, I encourage team members: "As long as I am, you do not have to be afraid."
On February 23, at three o'clock in the morning, the telephone bell rang in the temporary duty room. The voice of Kang Jun in the earpiece came: "Director Jiang, the doctor on duty in the" Red Zone "reported that the current 9-bed noninvasive ventilator's oxygen concentration is 80%, the blood oxygen saturation is gradually decreasing, the fluctuation is within 60%, and extreme respiratory distress , Lactic acid increased, the situation is critical! "I tried to calm down and immediately ordered:" Increase the oxygen flow to 100%, keep the airway open, prepare for tracheal intubation, we will go in immediately! "
The medical staff and I immediately put on protective clothing and entered the "red zone" for rescue. I combined the patient's symptoms and related auxiliary examinations to determine that the patient had sepsis and acute respiratory failure. The most urgent task is to quickly place the tube through the nasal cavity and perform invasive machinery. Ventilation. The usual operation is usually a dangerous move. A large amount of virus will be ejected from the patient's mouth during the intubation process, and the risk of infection increases dramatically. But the patient's oxygen and index were too low to support for a few hours. In order to fight for time with death, I immediately asked the team members to push the patient into the negative pressure ward to reduce the risk of infection.
After confirming that all the conditions are met, I lifted the patient's jaw, probed the bronchoscope through the nasal cavity at the fastest speed, cleared the field of vision, placed the tracheal tube into the glottis, adjusted the depth, and inflated the bladder. Fortunately, the blood oxygen saturation began to pick up, and the team members breathed a sigh of relief. Adjust the parameters, prone position ventilation, the patient was successfully treated! I entered the buffer room and took off my protective suit and goggles covered with water mist several times. The pressure marks on my face were clearly visible.
From the first day of the medical team selection, I developed a detailed intensive training plan, from intensive care to the diagnosis and treatment of new coronary pneumonia, and insisted on teaching the team members every day. I know very well that only the entire team is gradually mastering the expertise in the treatment of critically ill patients in order to gain time for patients with new coronary pneumonia during the race against death.
In the "red zone" rounds, nurses are often seen ventilating the patient in the prone position. It is said that three points of treatment, seven points of care, and in our ICU, it is two points of treatment, seven points of care, plus three points of care, with twelve points of effort to treat critically ill patients.
A patient who was successfully rescued gradually became stable, because the trachea was stuck and he could not speak. The patient could only slowly extend his hand to thank us. I clenched his hand to encourage him, passing on the warmth and energy to the patient, and what I felt was trust and responsibility.
The narrow road meets the brave and wins, the harder the more forward. The intensive care unit where my comrades and I have achieved the record of the largest number of critically ill patients, the highest rescue success rate, and the lowest mortality rate in Wuhan Taikang Tongji Hospital, and created many first cases in Wuhan Taikang Tongji Hospital: the first tracheal intubation , The first case of prone ventilation, the first case of CRRT ... We are a backbone medical team that is always ready for combat!
Today, familiar Wuhan is slowly returning. I believe that after this battle, Wuhan will have a better tomorrow and the motherland ’s future will be more brilliant.