Going all out to treat critically ill patients——Xinhua News Agency reporters directly hit the front line of critically ill patients

　　Xinhua News Agency, Beijing, December 31,

　　Xinhua News Agency reporter

　　With the increase in the number of people infected with the new coronavirus, some places have ushered in the peak of critical care, and the pressure on the ICU has soared. The treatment of critically ill patients has become the "top priority" of current work.

　　Overall planning and deployment of medical resources, expansion of critically ill beds in hospitals, and medical staff working around the clock... For the past few days, medical staff have raced against time to save lives and spare no effort to treat critically ill patients.

Xinhua News Agency reporters visited many hospitals in Beijing, Heilongjiang, Shanxi and other places.

Expansion of beds to treat every critically ill patient

　　In Harbin in winter, the wind blows.

In the First Affiliated Hospital of Harbin Medical University, from the emergency department to the ICU, the medical staff are rushing and busy.

Over the past few days, the number of critically ill patients here has reached more than 140.

　　"In the face of a sharp increase in patients and a reduction in the number of medical staff, we faced up to the difficulties and tried every means to allocate resources. Many doctors went to work with illnesses, just to treat every critically ill patient with all their strength." Yu Kaijiang, director of the hospital, said that the hospital will The original 132 beds in the Department of Medicine were urgently expanded to 143, ventilators were dispatched in multiple ways, and 60 experienced nurses worked in shifts.

　　With the optimization and adjustment of epidemic prevention and control measures, the main battlefield of prevention and control in the new stage has gradually shifted to medical treatment.

The National Health and Medical Commission has repeatedly emphasized that medical institutions are required to strictly implement the first-diagnosis responsibility system and the emergency and critical care system, and must not shirk or refuse medical treatment for patients infected with the new coronavirus for any reason, so as to meet the medical needs of patients.

　　Recently, the demand for diagnosis and treatment of fever clinics has increased rapidly, and the contradiction between supply and demand has become more prominent.

The National Health and Medical Commission has adopted a series of measures to meet the needs of patients for diagnosis and treatment.

　　"Admitting and treating patients is our top priority." At present, the number of emergency departments in Peking Union Medical College Hospital, Peking University Hospital, People's Hospital, China-Japan Friendship Hospital, and Chaoyang Hospital has doubled. Continue to carry out theoretical and practical training for professional medical staff in severe cases to ensure that they can be quickly "topped" when the demand for severe cases increases.

　　The number of beds in the Department of Critical Care Medicine of Shanxi Bethune Hospital has increased from 30 to 54; Beijing Chaoyang Hospital has established a comprehensive treatment ward, and has admitted and treated more than 500 severe patients; the First Affiliated Hospital of Harbin Medical University treats patients with stable conditions as soon as possible according to the results of comprehensive diagnosis and treatment. Transfer out of intensive care beds to speed up the turnover of intensive care beds.

　　Jiao Yahui, director of the Department of Medical Affairs of the National Health and Health Commission, said that some provinces that are experiencing the peak of critical care are further expanding and transforming designated hospitals and sub-designated hospitals, increasing critical care resources in secondary medical institutions, and focusing on expanding critical care resources in tertiary hospitals. Do our best to meet the needs of more critically ill patients.

　　Du Bin, vice president of Peking Union Medical College Hospital and other critical care experts, said that as medical workers in the intensive care department, we all have a firm belief-never give up.

During the treatment process, early identification and early treatment of patients at risk of severe illness are crucial.

We must use critical care resources on those most in need, and better protect people's lives and health.

Every second counts, just to get through the dangerous period as soon as possible

　　The emergency department, which races against time to save lives, is another "important place" for current medical treatment.

　　"Treat me immediately, fast!" After being infected with the new coronavirus, a Harbin citizen developed symptoms such as palpitation, shortness of breath, and dyspnea, which quickly developed into cardiogenic shock, which was life-threatening.

At the critical moment, the Second Affiliated Hospital of Harbin Medical University immediately opened a green channel. Yu Bo, director of the Cardiology Department, and his team immediately carried out rapid diagnosis and treatment, and used ECMO machines to replace the cardiopulmonary function for patients, and finally passed the critical period.

　　"The new crown is superimposed with myocarditis, and the disease is progressing rapidly. If you rescue it a minute earlier, you will have more hope." Yu Bo said that in the face of a continuous increase in patients, medical staff have been fighting all night. Their greatest wish is to save the patient from danger and stabilize the condition as soon as possible.

　　In the face of severe challenges, medical staff work day and night, sticking to the front line of critical care.

　　The monitoring and treatment equipment in front of the hospital bed beeps from time to time.

Record patient information, check vital signs, adjust ventilator parameters, turn them over, expel sputum, and adjust fluid rehydration speed... In the Department of Critical Care Medicine of Shanxi Bethune Hospital, medical staff are busy in an intense and orderly manner.

　　"We are not fighting alone. With the strong backing of the hospital, we will definitely be able to get through difficult times." Wu Wenjing, the head nurse of the hospital's intensive care department, said that all medical staff are on standby 24 hours a day, and the ward is operating at full capacity, protecting lives until the end. A line of defense.

　　In order to maximize the treatment of severe cases, the First Affiliated Hospital of Harbin Medical University has gathered experts from multiple disciplines including severe cases, respiratory, infection, and cardiology to form a consultation expert group to conduct comprehensive diagnosis and treatment of critically ill patients every day to prevent transformation into critically ill patients.

　　The gate is moved forward to resolve the peak to the greatest extent

　　In order to further improve the work of diagnosis, treatment and triage of patients, medical institutions at all levels are taking action to play a good role in guaranteeing the treatment of severe cases.

　　"We launched a general mobilization to move the risk threshold forward as much as possible." Sun Wanxin, deputy director of the People's Hospital of Yanshou County, Harbin City, Heilongjiang Province, said that the local organization organized township cadres, village cadres, village doctors, etc. Risk groups are managed on a grid basis, and their health is monitored through WeChat and telephone every day. Once there is a risk of severe illness, they will immediately contact the hospital, and severe patients will be referred to the tertiary hospital in a timely manner.

　　Open more clinics and expand the waiting area; while pre-screening and triaging patients, triage management is carried out according to the severity of patients' disease, focusing on the treatment of severe patients... At present, fever clinics (outpatient clinics) in township health centers and community health service centers across the country account for The ratio of 45% and the construction of fever sentinel points with pre-screening and triage functions accounted for 52%.

　　"In the past, we asked doctors to reply within 48 hours, but now they reply within 10 minutes. The number of consultations has increased from more than 20 a day to more than 100." Outpatient clinics, fever clinics and other services can achieve non-contact medical consultations, which will help reduce the peak of offline medical consultations.

　　In order to further respond to the medical needs of patients with seasonal influenza and new coronavirus infections, Beijing and other places have used vacant shelter hospitals or gymnasiums, exhibition halls and other venues to set up simple fever clinics to provide citizens with services such as diagnosis and treatment and prescribing medicines. Pressure on institutional fever clinics.

(Reporters Yang Siqi, Dong Ruifeng, Xia Ke, Ma Xiaoyuan)