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War Is The Decisive Battle: The Shandong Medical Team'S "Step By Step Startling" In Huanggang.

2020/4/1 10:44:00 0

WarDecisive BattleStartling

At 22:30 on January 28th, the four floor of the South Tower of Huanggang Dabie Mountain Medical Center confirmed that the patient, Li Liang, holding his chest and medical record, shouted "save me quickly" and rushed into the new crown pneumonia isolation area that had just completed the killing. At this time, the time for the first time admitted to the Dabieshan medical center was half an hour. Zhang Tao was doing the final inspection in the ward. He and the medical staff had not yet enough time to put on protective clothing.

"The ward has been polluted, and everyone has the risk of being infected at any time." That thrilling scene, Zhang Tao has so far been vividly visible. After Li Liang was diagnosed, there were no beds in many hospitals. When he heard the news of the opening of the Dabie Mountain medical center, he could not attend to the medical regulations and rushed himself in for help.

Zhang Tao hurriedly asked Li Liang to lie on the sickbed and not to walk around. He stood up to the isolation gate of the polluted area and the working area, and shouted to the medical staff, "hurry to wear protective clothing." Zhang Tao did not leave the doorknob until the arrival of medical personnel who had made full protective measures.

This breathtaking scene took place in the first batch of medical teams of the first aid team in Shandong (hereinafter referred to as the "Shandong medical team"). Zhang Tao is the leader of the Shandong medical team.

After the outbreak of the epidemic in Wuhan, the number of infected persons closely associated with Wuhan personnel in Huanggang increased sharply and became the trend of "second Wuhan". At the critical juncture, the Shandong medical team went to Huanggang to rush into the Dabie Mountain medical center, opened up the first ward, treated critically ill patients, cured the first batch of new crown patients, and blocked the Huanggang epidemic "wind eye", which was known as the "sharp knife" medical team to reverse the dangerous situation in Huanggang.

From the beginning of the new year to Huanggang, Shandong medical team fought for 57 days in the region.

"To Hubei is very unexpected, to Huanggang is very unexpected, to see the situation is very unexpected, eventually into the Dabie Mountain Area Medical Center is also very unexpected." In March 31st, looking back at these days and nights, Zhang Tao was very sorry that this battle was fought down, and the Shandong medical team went through a series of battles, sniping battles, positional battles and annihilation wars.

In March 21st, Shandong's first batch of medical teams in Hubei received the full withdrawal. - respondents for map

Unexpectedly advancing into the Dabie Mountains

The Dabie Mountain Area Medical Center is located in the new area of Huanggang Central Hospital. It is located on the south side of Qi an avenue in the East New Area. It covers an area of 500 mu and plans 1500 beds. According to Huanggang Daily reported that the project started in February 2016, the main structure of the May 2017 cap. Huanggang originally planned to move the Huanggang Central Hospital to the Dabie Mountain medical center in May 2020. Before the outbreak of the new crown pneumonia, its main works, indoor and outdoor decoration and decoration were basically completed, and the electricity was just completed in January 26th.

The new crown has accelerated the pace of construction in the Dabie Mountain Area Medical Center.

Huanggang has a population of 7 million 500 thousand. As of January 27th, 154 cases of new crown pneumonia were diagnosed, 2 cases were discharged, 4 cases died, and more than 90% of them were concentrated in Huanggang city. According to CCTV, nearly 700 thousand people have returned from Wuhan to Huanggang. How many more people will be infected? Unknown. At this time, there are only 3 designated hospitals in the urban area of Huanggang, including Huanggang Central Hospital, Huimin hospital and Huanggang. The Huanggang municipal government has decided to add the new Dabie Mountain medical center to the new designated hospital for the new crown pneumonia patients and make it quickly activated.

In January 27th, after arriving in Huanggang, the Shandong medical team began to investigate in Huanggang Infectious Disease Hospital.

"The noon after coming is the most stressful moment." Zhang Tao still remember that at this time, Huanggang Infectious Disease Hospital's on-site investigation was not ideal. It is impossible to rebuild the clean area, let alone transform the original conference room into a critical ICU ward. If you lead the players to rush inside, according to the architectural layout, medical process and protection conditions of the Huanggang Infectious Disease Hospital, that is to make unnecessary sacrifices, and will surely get bogged down in the mire. Zhang Tao knows that everyone who is retrograde in Huanggang is not afraid of sacrifice, but he must not allow players to make unnecessary sacrifices.

At the moment of anxiety, Zhang Tao accidentally saw the news of the opening of the Dabie Mountain medical center. He immediately took out the map search location and found that it was directly in the Huangzhou District of the city of Huanggang. Zhang Tao rushed out of the room, and immediately cancelled the meeting plan for the distribution and scheduling of the Huanggang Infectious Disease Hospital.

Jia Xinhua, head of Shandong medical team medical team, was also a member of the inspection team. "It is drizzle that day. The Dabie Mountain medical center is still a construction site." They stepped onto the mud and entered the hospital area. Nevertheless, compared with the difficulty and curative effect of Huanggang Infectious Disease Hospital, there are at least three districts and two channels in the Dabie Mountain medical center.

Analysis of the situation in Huanggang at that time: the outbreak of the epidemic, the run of medical resources and hardware and software. Under the bad situation of the situation, the trend of epidemic spreading is difficult to change, and each system lacks the experience of infectious disease prevention and control, and the operation is out of order.

"Break the Convention, take the initiative to attack, with the fastest speed to the Dabie Mountain medical center to treat patients, will not get the treatment of patients as soon as possible, should receive all." Zhang Tao said, in order to quickly control the source of infection and cut off the transmission path. "It can relieve the pressure of other medical institutions and the Huanggang municipal government so as to truly treat patients." The Shandong medical team volunteered to Huanggang's epidemic prevention and control command to open up a new ward with the fastest speed. This proposal was fully supported by the Huanggang command.

"Sprint" stance starts

Immediately, Zhang Tao quickly adjusted the main direction of attack: to transform the unfinished site into a contagious ward with the conditions of admission, so as to solve the last mile problem of patients admitted to the hospital.

Around 19:30 that day, Zhang Tao took all the players into the Dabie Mountains. As early as SARS, Zhang Tao designed an infectious ward. After that, he transformed the general hospital and managed the operation room. All these knowledge and experiences were put into practice. They cooperate with local personnel, the incarnation engineer, the loader and the dustman, complete the establishment of three districts, two channels and other infrastructure transformation.

"The isolation of the nursing station was first made of transparent plastic boards, and the wind blows, and it will collapse immediately." Jia Xinhua said they used glass glue to reinforce the seal. The logo of each partition is not posted, and Jia Xinhua himself does it himself. "No red tape, red pen, red bag and hung up. There is no sign on the floor. Just print the printer and post it. The yellow plastic bags were cut into strips and taped to the floor to mark the ground.

After more than 30 hours, the original ward structure and facilities were re partitioned and reconstructed, and the ward facilities and necessary equipment were moved in, installed and adjusted. The Shandong medical team successfully reconstructed two wards in the Dabie Mountain medical center and opened 100 beds, including 12 severe beds. This is also the first real ICU ward in Huanggang.

The "speeding forward" Shandong team became the first medical ward in the Dabie Mountain medical center. Since then, Hunan's aid to Huanggang medical team and the follow-up medical teams in Shandong have also been stationed. The medical teams that have been helping Huanggang have opened up more than 400 beds, which has laid a solid foundation for Huanggang's "receivable collection" and has built a strategic "fortress" to reverse the epidemic situation in Huanggang.

War is the decisive battle.

According to plan, at 23:00 on January 28th, Dabie Mountain medical center will be formally treated patients. "The temperature was very low that day." Jia Xinhua recalled that at that time, all the units in Huanggang were also very busy, and many demands could not be put in place according to the designated time. The team could only play a subjective initiative and self reliant.

On the afternoon of that afternoon, the team would take a net check and make the final preparations. "Half an hour clearing, half an hour killing, half hour protective clothing, half an hour to treat patients." Zhang Tao said that he was almost holding a stopwatch. Zhang Tao was unable to take care of his "guest" status. He was the leader of the local medical institutions. He was responsible for docking with the relevant personnel of the Shandong medical team. He proposed a transport plan for the patients, formulated transport measures and matters needing attention, so as to avoid problems in the process of patient transshipment.

After the sudden rush of Li Liang in the race against time, the players who were busy with the preparations were surprised again.

"The first 2 ambulances sent 1 patients to each vehicle." Jia Xinhua said, but when the third cars arrived, they were stunned. "There were 6 patients on one car, and they were carrying oxygen bags, and they couldn't even walk along the road, let alone take their belongings." Jia Xinhua hurriedly recalled that 6 patients were blocking the door at the moment, breathing along the side of the oxygen bag. The patient was in the state of hypoxia and heart failure, and the temporarily rebuilt Ward had limited treatment condition. If there was a problem, the rescue method could not keep up with the patient, so the patient was very dangerous. "We rushed forward to help them go to the ward, but even so, the patient still had to take two or three steps to stop. A patient was unable to walk, and the doctor moved into the ward.

But this is not the end. Fourth cars have 4 patients, fifth cars have 4 people, almost all are critically ill patients, "21 patients were treated at two o'clock in the morning, 48 people were treated at six o'clock in the morning, and all the beds were filled up on second days." Ren Hongsheng, the head of the Shandong medical team, recalled that the patients were basically transferred from the hospitals in Huanggang, and they were also the most serious and complicated patients after the outbreak of the epidemic in Huanggang. Most of them are combined with underlying diseases, and the progress of disease is fast. Ren Hongsheng made a census. At that time, the proportion of critically ill and critically ill patients in the ward was 40%.

The situation in the back was more critical. At two o'clock in the morning, severe ICU began to treat patients who had been transports. They used ventilator, but at this time the ventilator interface in the ward could not be changed. Ren Hongsheng could only arrange a serious doctor to hold the oxygen pipe with his hand and wait for the replacement of the German type joint.

In the 48 hours before receiving the patients in the Dabie Mountain medical center, Jia Xinhua did not close his eyes. "The first 24 hours to rebuild the ward and treat patients." Jia Xinhua recalled that the second 24 hours were busy as "operator".

"Because the sick number is too much, and there has been group anxiety and panic." Jia Xinhua said, when all the patients said to the medical staff, "give me treatment first, help me quickly!" They always want to talk with the medical staff more often, and the same words will be repeated many times; if they do not see the medical staff, they will start shouting or calling the medical staff, only the medical staff will stay at home to feel at ease. However, the medical staff were also divided into two parts, and they could only shuttle around the sick area, and they had been turning all the time.

Jia Xinhua answered the phone from a nurse on duty, as well as from patients and family members. What is more urgent is that in the face of the comfort of the medical staff, the patients can not hear them at all. Their minds are filled with the horror of the disease and the fear of death.

A more than 40 year old female patient was a mild and severe patient. She was passed on to her husband after being diagnosed. Her husband's disease progressed rapidly and died soon. This brought her great psychological pressure. After being admitted into the hospital, the female patient was very negative. He told his relatives and friends that he was unhappy and feverish, and was about to die. "Her family members kept calling me for help." Jia Xinhua said, when other patients and family members had not broken the phone, two mobile phones were often explode.

This is also a test of fatigue and resistance for physical strength and energy of medical personnel.

In the ward of the Shandong medical team, "the patients are too heavy to be able to get out of bed, let alone do other activities." Jia Xinhua said that some patients still need to adjust their plans constantly according to the results of their examinations. Medical staff can not rest at all for 6 hours on duty. Compared with the common wards, the players are more energy consuming and physical.

Early prevention and control potential

For Huanggang, which is beyond the spotlight, these surprises seem easy to understand. The awareness and measures to prevent and control the epidemic in the early stage of the city are relatively insufficient.

At 23:40 on January 25th, the Shandong medical team arrived at Wuhan Tianhe Airport by plane. Huanggang sends 4 buses and 1 trucks to pick up planes. In the early morning, the sky was drizzled with drizzle. The temperature was very low and the cold air was coming. Zhang Tao knew that all the details of the epidemic area had to be done.

"After getting on the train, there was no smell of killing in the car." Zhang Tao, who has had many years of experience in the prevention and control of infectious diseases, is very clear. In the face of respiratory infectious diseases, it is the most basic requirement to control the source of infection and cut off the transmission path. Zhang Tao immediately told all drivers to keep the ventilation inside the vehicle to reduce the risk of cross infection.

After more than two hours' drive, the Shandong medical team arrived in Huanggang. Before the rest, the team leader of the medical team immediately met. The meeting decided to immediately request the Party committee of Shandong Wei Jian to set up a temporary Party branch, set up work WeChat group and work discipline, clear the sense of hospital protection and life discipline. At this point, the hour hand has pointed to 5:30 in the morning.

On the next day, he assigned tasks and set up temporary party branches, while training and understanding the local prevention and control situation in Huanggang. At this time, there were medical staff infected in Huanggang, but the hotels that the medical team stayed in had no protection and elimination measures. Zhang Tao had a heavy feeling, and immediately asked the hospital feeling group. Under the condition that the air supply system of the fresh air system of the hotel was not clear, all rooms were not allowed to turn on the air conditioner, open windows and doors as far as possible, and maintain the necessary air flow.

After the operation of the Dabie Mountain medical center, the Shandong medical team worked out the work process of prevention, treatment and nursing. Zhang Tao asked all the members to be strictly implemented according to the militarization management, and it was not negotiable. This ensured that the medical staff of Shandong medical team had zero infection throughout the whole process.

At this time, the Huanggang municipal government has also upgraded the implementation of prevention and control measures. From the prevention and treatment of the two lines, we should carry out prevention and control in accordance with the principle of "fully receiving, not missing one person". We should start treatment according to the requirements of increasing cure rate and reducing mortality rate, and the overall transfer and dispatching of cities will be more scientific and effective.

All-out treatment

After the opening of the Dabie Mountain medical center, the data also quickly verified the early Shandong medical team's judgement of Huanggang's epidemic situation.

In January 28th, the number of newly diagnosed patients in Huanggang exceeded two digits, reaching 111 people, totaling 324 people. In addition to the Huangzhou District, the data of Hong'an, Xishui, Qichun and other counties increased sharply. At the same time, the number of confirmed cases increased sharply with the implementation of the government's series of prevention and control measures and the follow-up of detection ability. In January 29th, 172 new people were added, totaling 496 cases; in February 1st, a breakthrough of 200 was achieved, reaching 276 cases, and the total number of confirmed patients reached 1002. On the evening of January 29th, at the news conference held in Hubei Province, Wang Xiaodong, deputy secretary of the Hubei provincial Party committee and governor of the provincial Party committee, said that Huanggang must not be allowed to become the second Wuhan.

Before taking the risk of taking over the Dabie Mountain medical center, Zhang Tao has made clear the train of thought for Huanggang: opening wards, rescuing patients, protecting hospitals and protecting materials. The mode of medical treatment includes concentrating resources and technical force, setting up a multidisciplinary and specialized medical group composed of experts from severe, respiratory, nursing and hospital senses. Under the premise of meeting the requirements of national diagnosis and treatment, combined with clinical experience, we have continuously optimized and perfected the rules for localization and individualization, and formulated the "Shandong province" which contains more than 20 clinical operation norms and processes. The working manual of medical and health teams should focus on strengthening the treatment of severe cases, giving full play to the characteristics of traditional Chinese medicine, emphasizing the combination of prevention and treatment and humanistic care. "Only standardized, unified and standardized implementation of all standards can ensure the cure train of thought and effect of treatment."

The rule is not enough. To alleviate the mass panic like Li Liang, "the most effective way is to cure the curative effect." The only way to relieve anxiety is to feel that clinical symptoms are relieved. With this in mind, Jia Xinhua and his team discussed how to integrate traditional Chinese medicine with western medicine, and to treat patients with one person and one strategy.

A week or so, the female patients and their family members never called Jia Xinhua again. "Because her clinical symptoms have been relieved, she has seen the effect and anxiety relieves". Jia Xinhua said that in the ward they managed, the penetration rate of Chinese medicine reached over 90%. Basically, the patients had obvious symptoms relieved on the 2-3 day. It was also the curative effect that made these patients calm down gradually, and the treatment work began to proceed in an orderly way.

Predicament breakthrough

In the early days of the outbreak, medical supplies in the whole country were in short supply, and the Shandong medical team was faced with the same problem.

In the case of emergency assembly, the Shandong medical team brought only 478 medical protective clothing, 296 anti penetration protective clothing, 397 1621AF impact protective eye shields, a medical protective screen, 2985 N95 respirators, 15689 disposable latex gloves, and some proprietary medicines to the Huanggang medical team. This can not satisfy the operation cost of the 100 beds, but Huanggang is also in a shortage of materials and unable to help.

The medical team started to raise itself. Shandong medical team liaison officer Yan Jun remembers, "at that time, I could receive hundreds of calls every day." Nearby colleagues, friends, strangers who have never known each other, or donations or donations, and Shandong's reinforcements as the rear area greatly replenish the material shortage at that time.

    The temporary support branch of the Shandong medical team set up a material support group. The medical supplies collected by the medical team were collected and put into storage, and the overall planning and utilization were carried out. In order to protect the supply of medical materials under the emergency condition of the team, the material allocation mechanism for "planned supply and responsible use" was established, and the basic daily dosage of the medical protective materials was accurately calculated, and the warning line was drawn up to improve the materials. Supply support capability. The unified deployment and supply guarantee mechanism for medical materials has gradually matured, relieving the pressure of first-line materials, creating a "Iron Army" from the "semi militarization" management mode of Shandong medical treatment, nursing, logistics support and so on, which has been approved by the national health and Health Commission and promoted on the front-line of anti epidemic.

Win first battle

In February 4th, Liu Meng, 21, was discharged from hospital. She was the first patient in the Dabie Mountain medical center. Since then, since February 6th, the Shandong medical team needs to issue a discharge certificate every day. When the peak is reached, more than 20 patients are discharged on a single day. "That's when the pressure for treatment becomes smaller." After so many days and nights, Jia Xinhua began to notice his physical exhaustion.

Huanggang has been relieved. In February 14th, the number of newly diagnosed cases in Huanggang dropped to 26, and gradually dropped from the previous three digits to two figures until new zero. In March 18th, on the fifty-fourth day of the Shandong medical team's stay in Huanggang, the last 2 patients in the Dabie Mountain medical center were transferred to other designated medical institutions. The Dabie Mountain medical center was officially cleared, and the Shandong medical team completed its mission. As the main battlefield to help Huanggang medical teams fight the new crown pneumonia epidemic, the opening of Dabie Mountain medical center has become the key to reverse the epidemic situation in Huanggang.

(interview with character requirements, Li Liang and Liu Meng as aliases)


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