Introduction
Dr. know you in this way.
Source: YimaitongAuthor: Su Mu
This article is published with the authorization of the author, and please do not reprint without authorization.
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On the evening of April 20, the WeChat public account of the “Department of Anesthesiology of the Second Hospital of Shenzhen” said: < /span>
April 20, 2022, a day that made all the colleagues in the Department of Anesthesiology of the Second Hospital extremely sad. Our good colleague, Dr. Pan Chuanlong, has fallen to the post where he worked day and night.
Public image source of Department of Anesthesiology, Shenzhen Second Hospital Screenshot of No.
The 41-year-old loves fitness and plays basketball, and performs push-ups and planks for colleagues in the operating room Supports, pull-ups, and sometimes pecs.
is such a handsome and optimistic anesthesiologist who left us unexpectedly, which is unacceptable.
In recent years, the sudden death of young anesthesiologists in my country has occurred frequently. From 1966 to 2015our country A total of 29 sudden deaths of doctors were publicly reported, of which 14 were anesthesiologists, and their average age was only 35 years old.
To this day, the news of the death of the anesthesiologist has not only not relieved at all, but has become more serious. According to incomplete statistics:
On January 9, 2017, a 28-year-old anesthesiologist in Shihezi People’s Hospital died suddenly ;
On March 26, 2017, a 25-year-old anesthesiologist in a hospital in Jiangyin died suddenly;
June 2017 On the 28th, a 26-year-old resident physician in the Department of Anesthesiology, Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, died suddenly;
November 1, 2019, Ruijin Affiliated to Shanghai Jiaotong University School of Medicine The 30-year-old anesthesiologist at the hospital died of cardiac arrest.
Even the anesthesiologist “jokingly” has such a dialogue:
“Director, I’m not married yet, I can’t die, you must keep me safe and stay close.”
“Don’t worry, I can’t let you die even if I die. The sudden death rate of anesthesiologists is higher than that of patients on the operating table every year!”
Source: Weibo screenshot
Such self-deprecation is so sad!
As for why the death rate of anesthesiologists is so high, we also need to focus on the fatigue of Chinese anesthesiologists Phenomenal —
01
Poor career recognition and reduced happiness
If you were to ask everyone’s impression of an anesthesiologist, nine out of ten would say: Isn’t it just an “injection” before surgery? !
If surgery is not required, many people would not even think about the existence of anesthesia, Some patients also forget that they had undergone anesthesia during the operation after the operation.
There will be a chain of contempt even among fellow doctors, and some surgeons will call them “anesthesiologists” intentionally or unintentionally .
The term “anesthesiologist” is a sensitive word for the anesthesiologist community because they I care more about the huge difference between “doctor” and “technician”.
In fact, anesthesiologists have an irreplaceable role. For example:
Whenever there is a new crown patient who needs emergency care They are always the first doctors to step up when emergency endotracheal intubation is required.
Imagine that when an anesthesiologist intubates a patient, there will be a lot of aerosols and contamination The small particles are ejected, and sometimes they operate with a video laryngoscope, which is less than 10 cm from the patient’s head.
And this process takes 10-20 minutes, which is not only very work-intensive, but also has a very high risk of infection.
These anesthesiologists are often referred to as “intubation teams” during the epidemic.
In daily work outside the epidemic, anesthesiologists don’t pay any less than other doctors, let’s take a look at them
“This night shift is the tenth operation, and I can’t do it anymore.”< /span>
Source: Weibo Screenshot
“I have been working for 21 hours without stopping, and I really feel the pain behind the breastbone.”
Source: Weibo Screenshot
“I’ve been working without a break for 18 hours, and now I’m walking.”
Source: Weibo Screenshot
< span> “The newly recruited senior posted on the Moments that he had worked for 33 consecutive days. ”
Image source /p>
All of the above statements have one thing in common, and that is “long and labor-intensive working hours”.
Once, someone surveyed 626 anesthesiologists in more than 20 provinces and the results showed: p>
1.93.5% of the directors of anesthesiology department said that there is excessive fatigue among the doctors in the undergraduate department, and even as high as 17.7% said that all the doctors in the undergraduate department Anesthesiologists are overtired;
2. Each anesthesiologist completes 3-4 operating tables every day on average, accounting for 57.5%, and completes 5 or more operating tables per day. Accounted for 22.9%, of which 2.8% said that the average number of operations performed per day was 9 or more; 16.3%, 4 times a month, 27.5%, an average of 5 times a month, 22.7%, and 6 times a month or more, accounting for 1/3.
This kind of work intensity, it is estimated that many anesthesiologists are self-numb.
< /p>
Even so, most people still ignore them, and even anesthesiology departments in many hospitals are still designated as medical technology departments.
02
Staff shortages cause chronic fatigue
Why are anesthesiologists so tired? In the final analysis, there is a shortage of staff!
In August 2018, 7 departments including the National Health Commission formulated the “Opinions on Strengthening and Improving Anesthesia Medical Services”, proposing that by 2020, the number of anesthesiologists should increase to 90,000, or anesthesiologists per 100,000 population By 2030, the number of anesthesiologists will increase to 140,000, nearly 10 per 100,000 population.
The number of anesthesiologists per 10,000 people in the US is 3, and the UK is 2.8. According to British and American standards, China should be equipped with 310,000 anesthesiologists, and the proportion of operations in China far exceeds that of Europe and the United States, and the number should be larger.
In other words, Currently, there is a shortage of more than 200,000 anesthesiologists in China.
After Dr. Xiaolong passed away, someone pulled out his former circle of friends and wrote:
“There are 100,000 anesthesiologists in China, and 16 anesthesiologists died at work last year. In the first four months of this year, 4, and the mortality rate is close to 2 in 10,000.”
Wonderful Review
➤ Reluctant to pick up his wife for fear of contracting the new crown Go home for divorce! I was quarantined at the blind date’s home for a month! Under the epidemic, who is not a big resentment
➤ Once the epidemic prevention and control “lays down”, what will the hospital and medical staff experience?
➤ The real-name report of the doctor’s husband cheating on domestic violence and receiving kickbacks, the doctor responded: The ex-wife cheated first! TV dramas dare not act like this…
➤ A 1.5-year-old boy died of a fever for 2 days, and his parents claimed 940,000 yuan from 3 hospitals
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