China News Service, Shanghai, April 25 (Reporter Chen Jing) Under the prevention and control of the new crown pneumonia epidemic, medical services are still the “rigid needs” of the people. Emergency first aid has opened up the life channel of critically ill patients and ensured that patients with chronic diseases continue to standardize medication. At present, medical institutions in Shanghai are making unremitting efforts to protect the health of the public.
Under the city’s lockdown, medical staff have never stopped working hard to treat critically ill patients. Huang Laobo, a 73-year-old lung cancer patient, is facing the danger of suffocation at any time due to the deterioration of his disease and his airway is severely narrowed! The reporter learned on the 25th that the Shanghai Chest Hospital urgently activated the emergency green channel, and the respiratory endoscopy center, the emergency department, and the anesthesiology team cooperated with multiple departments to quickly and successfully perform emergency bronchoscopy intervention for it, and the “blockage” was removed. The old man’s life channel has been reopened!
The hospital has taken a series of measures to ensure that the medication for chronic and common diseases patients who are inconvenient to travel is “unstopped”. Photo courtesy of Renji Hospital
It is reported that 1 month ago, Mr. Huang had undergone related treatment and installed a tracheal stent in a foreign hospital. However, the tumor progressed too fast. The old man had severe asthma and difficulty breathing. He could not even eat, drink, or lie down. His condition was very critical. Dr. Zhang Liang from the Emergency Department of Shanghai Chest Hospital told reporters on the same day: “The patient’s airway is completely blocked! He may suffocate at any time and must be treated immediately!” Sun Jiayuan, director of the Respiratory Endoscopy Center, said: “The patient is in critical condition. According to the epidemic prevention and control plan, Start emergency surgery immediately!” He quickly organized the team to formulate a treatment plan and decided to perform emergency bronchoscopy surgery to open the airway for the patient. In the independent rescue room of the emergency department, the medical staff involved in the rescue all wore “big white”.
It is reported that during the operation, the doctors found that the situation during the operation was more difficult than the results of chest CT! The stent previously placed by the patient has been severely displaced under the extrusion of the tumor tissue, “horizontal” above the carina, blocking the breathing passage! With excellent respiratory endoscopic technology, the surgical team took out the stent for the patient, and also “cleaned up” the large and small tumor tissue in the trachea and upper right lung, opening up the airway for the patient to the greatest extent! Postoperative re-examination showed that the oxygen saturation of the elderly had returned to normal levels, and the function of the right lung had also recovered and expanded. This emergency operation not only saved the old man’s life, but also laid a good foundation for his follow-up anti-cancer treatment.
Myocardial infarction is an acute and critical illness in cardiovascular disease. There has always been a saying that “time is the heart muscle, and the heart muscle is life”. The shorter the treatment time, the better the effect and the better the prognosis of the patient. In Shanghai No. 10 People’s Hospital, three patients with myocardial infarction in urgent need of rescue were treated in a few hours a night. From the emergency room to the CCU ward (coronary heart disease intensive care unit), the doctors and nurses reviewed the electrocardiogram and myocardial markers, and formulated a follow-up treatment plan overnight… The next day after admission, the three patients underwent coronary interventional surgery in sequence. The doctors and nurses wore heavy lead clothing and protective clothing. The doctors and nurses quickly opened the patient’s infarcted blood vessel and successfully implanted the stent. The patient’s electrocardiogram and myocardial markers improved significantly after surgery. The Shanghai Tenth People’s Hospital told reporters that in the past three days, through this tacit relay run, the cardiology team has successfully completed 8 cases of acute myocardial infarction interventional operations, and the patients are now out of danger.
In medical treatment, in addition to quickly regaining the patient’s life from the “death”, for chronically ill patients, the drug cannot be stopped. In the past two days, the two “dispensing service WeChat groups” jointly established by the hospital, the street and the community in the east and west hospitals of Renji Hospital have been ringing non-stop, asking questions from time to time, and the staff will always give timely answers. Through a series of measures, the hospital strives to ensure that the medication of patients with chronic and common diseases who are inconvenient to travel is “continuously archived”.
Under the lockdown of the epidemic, for many patients with chronic and common diseases, what should they do if they run out of medicines? Where can I get the medicine? Who will help with dispensing the medicine? are the topics they care most about. Renji Hospital told reporters on the 25th that the hospital connects the streets and communities, establishes a network of hospitals, streets, neighborhood committees, and volunteers to provide drug consultation; it also opens a “volunteer dispensing window” in the outpatient clinic to arrange staff and implement dispensing. Services to meet the needs of the general community for dispensing medicines. “The staff of our special window will guide volunteers to prescribe medicine in the corresponding department and pick up medicine at the pharmacy window according to the specific situation of the substitute medicine, which speeds up the ‘point-to-point’ connection, optimizes the process and saves time.” Renji Zhang Binyuan, director of the hospital’s door office, said.
Because different patients have different needs for medicines, it is necessary to communicate in advance whether the medicines prepared by the hospital can fully meet the needs of patients, and whether patients accept medicines with the same efficacy but different manufacturers. Pharmacist Li Lin, the head of the pharmacy in the West Campus, carefully reminded the community in the WeChat group to prepare a list of medicines in advance: “Teachers from the neighborhood committee, please make a list of the medicines that each patient wants to prepare, and our staff will check it. Then, the pharmacy department will match and check the name of the drug, manufacturer, dosage, inventory, etc., and upgrade the “private version of the drug list” to a clear and accurate “medicine list”. Prescription-level medication list”, and then fed back to the community and volunteers.
The staff of Renji Hospital West Hospital Joint Office will also remind volunteers in real time to avoid the peak flow of people and come to the hospital to dispense medicines according to the actual situation of the outpatient flow. Advance communication within the WeChat group allows the community to keep abreast of hospital information and makes the dispensing more targeted.