(Fighting against New Crown Pneumonia) Yan Jing, Secretary of the Party Committee of Zhejiang Hospital: "Thinking and Changing" under the "Epidemic Test"

  China News Network, Hangzhou, June 21 (strictly Zhang Yuhuan) With the prevention and control of the new coronary pneumonia epidemic entering "normalization", China's economic and social development is back on track. But for the Chinese medical community, the thinking and changes brought about by this epidemic exam seem to have just begun.

  Yan Jing is the deputy director of the Critical Medicine Branch of the Chinese Medical Association and the secretary of the Party Committee of Zhejiang Hospital. The continuous change of identity between epidemic situations has promoted his "thinking and changing".

Yan Jing examines the patient. Photo courtesy of Zhejiang Hospital

  As the secretary of the Party committee of the hospital, he needs to "deploy troops" and dispatch elite troops to Hubei for support in the shortest possible time, and do a good job of "Long Everyone" to protect the materials and equipment in front of him; To think about how to reengineer hospital processes to maximize convenience and convenience; as an authoritative expert in the field of critical care medicine in China, after observation, he proposed to reassess the value of the "main force" of critical care medicine, in the future to train and reserve more critical medicine talents.

  "The epidemic forced the medical profession to think about the future." In Yan Jing's opinion, it is a long-term way to vomit and renew.

Supporting Hubei: reflecting the high quality of Chinese medical workers

  "At this time, medical staff should be on the front line, there is no two words." Yan Jing said that the medical forces from all over China gathered in Hubei to participate in the anti-epidemic.

  After the outbreak, the Zhejiang Hospital also dispatched a number of team members to support Hubei. Song Baishan, the deputy director of the hospital, served as the leader of the second batch of medical teams in Zhejiang Province. During the period, he also assisted Hubei's anti-epidemic through multiple connections.

  "A lot of young medical staff are wearing protective clothing for the first time." Yan Jing admitted that the new corona virus was fierce. For many medical staff, they had no idea at first, but they did not look back.

The Sandun Campus of Zhejiang Hospital. Photo courtesy of Zhejiang Hospital

  For example, Shen Xin, the leader of the critical care group and the head nurse of the ICU of Zhejiang Hospital, has been working in Wuhan for more than 50 days. Every day, he faces the patients with open airways and releases droplets and aerosol viruses in the environment; Zhejiang Hospital ICU (First) Deputy In the absence of intubation protection, the chief physician Hu Weihang took the risk of being infected to intubate the patient, known as the "intubation daredevil"...

  The hardship on the front line is also reflected in the lack of relief supplies in the early days. "I called Dean Song almost every day and asked him what he still lacked, but I didn’t expect Lao Song to say, "If only a few ventilator can come," because with the ventilator, the mortality rate will drop a lot. ."

  Yan Jinghe and his team tried their best to raise 5 ventilators to Wuhan, and solved the "urgent need" on the front line.

Medical staff in the isolation ward of Zhejiang Hospital gave a high-five. Photo by Li Chenyun

  "It is in this situation that medical personnel are in the most dangerous places, which also reflects the overall high quality and strong responsibility of Chinese medical personnel." Yan Jing said.

Prevention and control in the hospital: the needs of the people force the hospital process reengineering

  At the beginning of the outbreak, how to carry out prevention and control in the hospital in a holistic and scientific manner is very important to combat epidemics.

  "Since the beginning of January, we have begun to build a joint defense and joint control mechanism in the hospital and implement closed-loop management. This emergency team involves all aspects, which is equivalent to resetting a version of the scheduling system. Under the 24-hour shift system, everyone is 24 hours. Stand by." Yan Jing said.

  During the epidemic, a total of 6 patients with new coronary pneumonia were diagnosed in Zhejiang Hospital. The hospital devoted a whole floor to the isolation ward. It is the subject of Yan Jing and the team's continuous refinement to prevent and control and ensure normal medical care.

  "The hospital is a ever-changing place, and all the'possible' need to be considered in the epidemic." Yan Jing said that the "key little thing" of optimizing the medical treatment process has long been explored by Zhejiang Hospital.

  "In the past, when people went to see a doctor, if they involved different departments, it might take three or four days to complete all the numbers. So we innovated the "diagnosis and treatment center system" and concentrated the consultation area and the doctors together, and experts from related departments met at any time. Communicate the condition and realize one-stop standardized treatment."

Medical personnel in and out of the isolation area of ​​Zhejiang Hospital communicate. Photo by Li Chenyun

  Yan Jing believes that the most important value of this model is to break through the traditional diagnosis and treatment of "patients turn around doctors" pattern, and realize that "doctors turn around patients, technology turns around diseases".

  Although the outpatient income of the Zhejiang Hospital has decreased a lot over the year, the patients have been spared the trouble of traveling between the various departments, and have truly achieved "at most one run" of medical treatment.

  At the same time, as the first batch of hospitals to launch Internet diagnosis and treatment in Zhejiang, Zhejiang Hospital also perfected smart medical measures such as pre-diagnosis robots, electronic escort, and Internet dispensing during the epidemic to further facilitate the people and stay close to modern medical management.

Disciplinary observation: Reassess the value of "main force" in critical medicine

  "Critical medicine is the last hurdle." Yan Jingru commented on this subject in which he has been engaged in research for more than thirty years.

  There are approximately 20,000 severe and critically ill patients nationwide in New Coronary Pneumonia, which can be said to be a major examination related to life and death in China's intensive care discipline.

  Yan Jing was gratified that about 2/3 of the more than 3,000 national ICU doctors who supported Hubei had received standardized training in critical medicine organized by the Chinese Medical Association. They became a new force in this battle.

  In 2009, the Chinese Medical Association launched the first nationwide specialty training-qualification training for specialty in critical care medicine. As the deputy director of the Critical Medicine Branch of the Chinese Medical Association, Yan Jing is also one of the initiators of this system training.

  "In the SARS period in 2003, there were probably only 20,000 critical care physicians across the country, and many county-level hospitals in western provinces did not have ICU wards. There are hundreds of thousands of people in a county, and the consequences of an emergency are unimaginable." Yan Jing admitted frankly. Medicine can play a role in this outbreak, and it is inseparable from the nationwide standardized training started 11 years ago.

  During the epidemic, Yan Jing had to communicate with his intensive care counterparts throughout the country almost every day. For example, his old friend, Peng Zhiyong, director of the ICU at Wuhan University Central South Hospital, charged during the epidemic. "He worked nearly 12 hours almost every day, led the team to renovate the ICU ward according to the highest standards, decisively and timely intubation or extracorporeal membrane lung support therapy (ECMO) for patients, greatly reducing the mortality rate."

  "How to do the standard rescue of critically ill and critically ill patients, when to use what equipment and technology, this needs the support of a set of standard system." Yan Jing said.

  Under large-scale training, subject development has entered an unprecedented "fast lane". Yan Jing said frankly that after experiencing the epidemic, the role of "main force" in critical medicine should be reviewed. He proposed that China should also increase the training of grassroots critical care medical personnel, and at the same time truly realize the full coverage of ICUs in hospitals above the second level in the country.

  On this subject, Yan Jing also recently communicated with doctors in countries and regions along the “Belt and Road”. In his view, how to make the “last gateway” hold the bottom line of life is a never ending exploration. (Finish)