Caption: Photo courtesy of Shanghai Changzheng Hospital for child plaster treatment
A 7-year-old girl was sent to Shanghai Changzheng Hospital (The Second Affiliated Hospital of Naval Military Medical University) for treatment due to dislocation of the atlantoaxial joint. When she entered the stage of plaster treatment, the ward unexpectedly became a fully enclosed management area. At this time, if the treatment is not timely, the child will be paralyzed or even life-threatening…
1 day, 2 days… 6 days, 7 days, as the isolation time passes day by day , The mood of patients in the fully closed management area on the fifth floor of the Department of Orthopedics fluctuated, and contradictions appeared. During the closed-loop management period, Shanghai Changzheng Hospital encountered many “troubles”. How to keep each link comfortable has tested the hospital’s emergency response capabilities.
The technician enters the risk area to cast a cast for the child
Recently, a 7-year-old girl Dislocation of the atlantoaxial joint due to transverse ligament laxity was sent to Changzheng Hospital by 120. The doctor’s examination found that the child’s neck was unable to move at that time, his head was turned to one side, and the neck was in severe pain and kept crying. If not treated in time, torticollis will worsen, and there is a risk of strabismus, numbness, weakness, and even death from paralysis.
The injury was urgent, and the little girl was admitted to the hospital immediately. Zhou Xuhui, director of the Spinal Deformity Ward of the Orthopedic Department of Changzheng Hospital, and Wang Ce, the deputy director, developed a comprehensive treatment plan after reading the patient’s examination data: firstly, occipital-maxillary traction was performed to adjust the child’s body to the best state, and do plaster treatment. Prepare. After a week of traction treatment, the little girl’s atlantoaxial dislocation was corrected and her neck no longer hurts. At this time, a head, neck and chest plaster was placed on her, and she could move down the ground.
But unexpectedly, due to the impact of the epidemic, the ward where the child lives has become a fully enclosed area – which means that the gypsum technician enters the ward to perform gypsum treatment for the patient. It is very large; on the other hand, the patient is exposed to the upper body during the treatment without any protective measures. At this time, because the patient was young and had been in bed for a long time and could not get out of bed, his mood was obviously affected, and he did not cooperate with the treatment. After thorough communication, the treatment team decided to enter the ward to perform head, neck and chest plaster immobilization for the child.
The team has determined the treatment plan and protection plan. At the same time of treatment, they will try their best to protect the gypsum technician Huang Zhen, and do a good job in killing the whole process. After everything was ready, Huang Zhen entered the orthopaedic spinal deformity ward wearing an isolation suit. Due to wearing a bulky isolation suit, the sweat and mist condensed on the mask, Huang Zhen originally only needed 30 minutes of operation, but it took a whole hour.
In the end, the plaster was successfully completed. It’s time to go to the ground, and the child showed a long-lost smile.
Collect 37 “mindful things” to relieve anxiety
With the time of closed-loop management The number of patients in the closed management area on the fifth floor of the Orthopedics Department of Shanghai Changzheng Hospital is increasing day by day, and the patients’ emotions are fluctuating and contradictions appear. How to quickly stabilize the patient’s emotions has become a difficult problem for medical staff.
The temporary party branch on the fifth floor of the Department of Orthopaedics had an urgent discussion. The ward made a questionnaire and distributed it to every patient and their family members to collect information about the problems that everyone encountered now. Difficulties and problems that need to be solved; strive to do a good job of comforting and explaining one-on-one, solve the difficulties encountered by patients, and relieve anxiety.
Finally, 37 difficulties and problems reported by family members and patients were collected. The hospital divides the problems raised by the patients into two categories: those that the ward can communicate and solve for the patients immediately, and those that cannot be resolved and confirmed to be reported to the hospital in a timely manner, asking the hospital to coordinate and solve them. “We changed the daily delivery time from two times to four times; at the same time, we contacted the nutrition department to improve the meals of patients and their families.” Deputy Director Wang Ce said. Thanks to the efforts of all the medical staff, the nervousness and anxiety of the family members and patients have been relieved, and the ward has returned to its former calm.
For the sake of the patients, the doctors in the ward are doing everything they can – a patient with severe scoliosis came to Shanghai from Hunan to seek medical treatment. After waiting outside the hospital for a week, he finally There are beds. Unexpectedly, when he completed the hospitalization procedures and waited for the previous patient to be discharged, the ward was suddenly closed due to the epidemic. The patient was unable to rest normally and was in unbearable pain. Dr. Wu Jinhui saw this scene and silently gave him his bed. “Patients come to our hospital because of their trust in us. We need to make them feel at home here.”
Xinmin Evening News reporter Gaoyang correspondent Wang Genhua< /p>