Behind the death of a baby who was refused a diagnosis – the scapegoat doctor under the distribution mechanism

Recently, a video about the death of a one-and-a-half-year-old baby in Suining, Jiangsu Province, after being rejected for diagnosis due to no nucleic acid certificate, has been circulating on the Internet.

span>The content is roughly as follows: On the evening of April 29th, the child, Shi, swallowed a foreign body and stuck in his throat. His family then dialed 120 to go to Suining County People’s Hospital for treatment. After arriving at the emergency department The hospital asked him to do the nucleic acid first, and the doctor said that he needed to wait for the nucleic acid result before treatment., during the waiting period of nearly seven or eight hours The child was not rescued, and the parents had no choice but to hook up the child with an oxygen inhaler. After getting the test order, the hospital sent them to Xuzhou, but it was too late.

The reason why this video is firmly in the hot search is because of several “rejected for lack of nucleic acid” The clear words just ignited the anger of countless netizens, and finally made hospitals, doctors, and even the National Health Commission take the blame!

So, is that really the case?

On May 5th, the survey results showed that after the Suining County People’s Hospital received treatment, < span>In the absence of nucleic acid test results, emergency treatment was performed and a referral form was issued in a timely manner; during the period, at 20:00 on April 29 Nucleic acid sampling was performed on the child and his aunt at 22 points. During the process of consultation, admission and referral, neither Suining County People’s Hospital nor Xuzhou New Health Hospital required them to provide nucleic acid testing. Results.

Finally, according to the investigation results, the involved unit and relevant responsible persons were dealt with seriously:

1. Due to the lack of implementation of the responsibility system for the first diagnosis, the patient should be informed of the possible serious consequences of the child’s condition. In place, the referral connection is not in place, the patient’s condition is not in place to the receiving hospital, and the receiving doctor Zheng Mouxiang suspends his practice activities and conducts further investigation;

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2. Zhang Tao, president of Suining County People’s Hospital, was removed from positions inside and outside the party;

3. Wang Yanlong, Secretary of the Party Committee of Suining County Health and Health Commission, was warned and punished by the party ;

4. Ning County People’s Hospital was downgraded.

It does not mean that the patient cannot question and hold the doctor accountable, but respect medicine, evidence, Focusing on cause and effect, this should be a minimum consensus and bottom line for resolving medical disputes.

 

The profession of a doctor is a lifelong prudence, like walking on thin ice. Every sentence may be over-interpreted, every operation has risks, and 1% of the risks may become 100% of medical disputes. Life is paramount, and doctors are benevolent. We need an objective and healthy atmosphere for public opinion, not a vent for emotions.

In addition, here to remind everyone that there are many cases of tracheal foreign bodies that have lost their lives due to delays in the best time for rescue, and patients who have been suffocated for too long will leave serious injuries even if they are rescued. On-site first aid for tracheal foreign bodies is very important.

 

Heimlich Maneuver: First remove vomit and food debris from the nose and mouth.

1. The rescuer stands behind the patient, wraps his arms around the patient’s waist and abdomen, makes a fist with his right hand, and uses his thumb to Withstand the midpoint of the line between the heart and the navel, cover the left hand on the right hand (see Figure 1), and squeeze the upper abdomen violently upwards and inwards. , but care should be taken not to squeeze the sides of the midline. (See Figure 2)

Figure 2

 

2. During standing rescue, the rescuer stands behind the patient and places one arm around the patient’s chest to support In the patient, the root of the other palm is slapped four times in a row on the spine between the two interblades to facilitate the expulsion of the foreign body. For bedridden patients, ask the patient to bend his knees and face the rescuer, while the rescuer presses the patient’s chest with the knees and thighs, and slaps the spine between the two shoulder blades with the base of the palm four times in a row to expel the foreign body.

3. Children’s first aid method: ① Buckle the back method: let the child lie on the rescuer’s lap with his head facing Down, hold up its chest, buckle its back 4 times, so that the child coughs up the foreign body (Figure 3). ② Lift the child upside down, lift both feet, head down, press the abdomen, pat the back for a few minutes, and cough up the foreign body (Figure 4). ③Stomach squeezing method: The rescuer hugs the waist of the child, presses the upper part with the index finger, middle finger, and ring finger of both hands, squeezes it back and up, and relaxes after pressing, repeating and rhythmically, to form an impact airflow, The foreign body is flushed out.

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Source: Tencent News, JAC Medicine, Nursing of Li Huili Hospital Affiliated to Ningbo University

Editor: Youyu span>

Review: catherine

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