I can see the status bar
Chapter 1003 D+1 day (3)
Chapter 1003 D+1 day (3)
After returning to the hotel at three o'clock in the afternoon, Sun Li'en met Director Lu Zhimin who was about to go to the night shift.
"How were you yesterday?" Director Lu seemed to be in good spirits, but the other doctors were not as good as Director Lu—all of them looked listless, and they could tell they hadn't had a good rest.
"Yesterday was okay, not too busy." Director Lu rubbed his hands and said, "It was about two o'clock in the morning, and the seventh bed was rescued once."
Seven beds?Sun Li'en became nervous for a moment, it was Mr. Shen who he was in charge of treating. "How is it going?"
"Sudden ventricular fibrillation, but I snatched it back." Director Lu said, "I checked my blood gas, and the blood potassium is a little low. It's a big problem if the blood oxygen saturation doesn't go up."
"It can't go on like this." Sun Li'en was a little worried, "Do you have any other plans?"
"I have used everything that can be used now. I have used phlegm suction once every two hours, and I have used all the bronchodilator drugs." Director Lu shook his head and said helplessly, "Now if he wants to increase his blood oxygen level, he can only On ECMO."
Sun Li'en sighed, ECMO, he really doesn't have it now, "Well, I'll ask Dean Zhang to see if we can get one from another hospital..."
"It's useless for you to do it now." Director Lu shook his head and said, "ECMO needs a dedicated team to cooperate. Would you know how to use that thing for you? Anyway, I don't know."
This is a situation that Sun Lien did not expect. The Fourth Hospital must have even "distributed" the ECMO team when they came here this time.But... Obviously, this team is not currently in the fourth group.
"Anyway, I'll ask first." Sun Lien scratched his head, then walked aside and made a phone call.Anyway, if you can get ECMO, at least Mr. Shen may still have a chance.
Although Sun Li'en himself is very clear, just based on Mr. Shen's current age and vital signs, plus the underlying diseases of cerebral infarction, high blood pressure and type [-] diabetes...even if he is on ECMO, he may not be able to resist it until he is offline. .
Doctors, isn't that what they do?Living to death and wrestling with death have always been the work of doctors.
"ECMO, there should be another one now." The call came to Song Wen, and the first good news came to Sun Lien's ears, "I have just withdrawn an ECMO here, and it has accessories and a team. You now Do you need it? If you do, I'll ask the hospital to arrange a car to take you there immediately."
"Yes!" Sun Lien was afraid that if he agreed too late, this life-saving ECMO would be taken up by someone else, "I have a patient here who is in danger, so we need to use this!"
"I organized an ECMO team, but there may not be enough people now." Song Wen said with some headaches, "There is a shortage of nurses here, and ECMO in vitro nurses are on duty in the red zone."
"In vitro nurse?" Sun Lien was taken aback, "Where can I find this?"
"You have to find someone who has experience in extracorporeal circulation technology. You can either borrow it from the ECMO team of other hospitals in Yunhe, or find it from the surgical nurses who came to support you. It is best to go to ECMO, so it will be faster. If you come from our nurses If you are looking for it, then you have to find someone who is young and quick to learn.”
"I'll ask Lao Zhang, and then call the comrades in the Yunhe Health and Health Commission to ask." Sun Lien was at a loss, and it would be basically useless to ask him to find someone.But fortunately, there are still some native Yunhe people in the four groups, and Sun Li'en still has a chance to try.
"Among the nurses we came here... let me ask." Song Wen also knew that it would be useless for Sun Lien to do this kind of thing.But she also has more things to do, and it is impossible to devote all her energy to this kind of thing.
Sun Li'en originally planned to take a nap after returning, but now it seems... the matter of the nap is completely gone.If things go on like this, it will be a problem whether they can eat dinner or not.
Of course, eating is not a big deal now. The real big deal is whether we can find a suitable surgical nurse and install ECMO on Mr. Shen.
·
·
·
The ECMO equipment departed from Beihu Hospital, where Dean Song works, and arrived at Yunhe Infectious Disease Hospital at about 10:[-] pm.Those who come to Yunhe Infectious Disease Hospital with the car must also have an ECMO director and an ECMO coordinator.
The anesthesia and blood transfusion treatment during the ECMO operation were all handled by the existing strength of the Yunhe Infectious Disease Hospital—the so-called existing strength means that the doctors in the four groups can handle it by themselves.
Sun Lien first called for help, and asked everywhere if there was any ECMO bedside nurse who could call, but when the phone became hot and his head became dizzy, Dean Song called Sun Lien again.
"You don't need to ask, I'm looking for a Master." On the other end of the phone, Song Wen's voice sounded a little dissatisfied, "You know who is right for you, so why don't you say anything?"
"Ah?" Sun Li'en was taken aback, "Who am I looking for?"
"Your partner." Song Wen said angrily, "Didn't she receive ECMO extracorporeal circulation training when she was studying in the UK? Don't you know?"
Sun Lien, who was scolded by his headmaster, was even more dizzy.He really didn't know that Hu Jia had received ECMO training.
Hu Jia is currently stationed in He'an Hospital with Liu Pingchuan's second group.The current job of the second group is to take over the intensive care unit of this hospital in charge of the reorganization system.
He'an Hospital is an old hospital that is being remodeled, and their newly remodeled intensive care unit is expected to be put into use in March this year.As a result, as soon as the epidemic came, this hospital was directly listed as a designated hospital for treating patients infected with the new coronavirus.But the intensive care unit has not even been recruited, let alone put into use immediately-according to the original design, the intensive care unit of this hospital will not be officially put into use until almost June.
Liu Pingchuan led a team to reorganize and take over the intensive care unit, so that the intensive care unit, which had just been renovated and didn't even have a full bed, could be put into use immediately.
"Also, there is a shortage of people on my side." Song Wen continued to be dissatisfied with Sun Lien, "I will not assign you an ECMO coordinator. You ask Zhong Jiguo to do this—he also leads the ECMO team at the Children's Hospital .The coordinator asked him to come and cum."
Sun Li'en blinked, he didn't expect this.He co-authored Dean Song and supported him with a doctor, plus an ECMO and consumables?
"So who came here with the ECMO machine?" Sun Lien asked, "Dr. Zhong has experience in the ECMO team, but he is a doctor in pediatric internal medicine. Can you let him do ECMO treatment?"
"The director of ECMO is Jiang Yanming. You have met him before." Song Wen replied, "The director of ECMO must be a critical care or cardiothoracic surgeon, and pediatrics is also available. The one who is eligible now is Jiang Yanming. That is the patient you have in hand." Good luck - ECMO is generally not considered over the age of 75, and patients over the age of 75 basically cannot get off the machine."
Dr. Jiang is not in good health, so it is not appropriate for him to work in the red zone for a long time.But as the director of ECMO, he is still very competent-he only needs to be on standby in the yellow zone or even the green zone, and then prepare to enter the red zone for ECMO treatment or adjust parameters.
"The equipment and people are already on the way, and I'll let them go directly to the hospital." Dean Song hung up the phone after finishing the arrangements, "You go over there now and keep watch - you will do the coordination work in the middle. "
(End of this chapter)
After returning to the hotel at three o'clock in the afternoon, Sun Li'en met Director Lu Zhimin who was about to go to the night shift.
"How were you yesterday?" Director Lu seemed to be in good spirits, but the other doctors were not as good as Director Lu—all of them looked listless, and they could tell they hadn't had a good rest.
"Yesterday was okay, not too busy." Director Lu rubbed his hands and said, "It was about two o'clock in the morning, and the seventh bed was rescued once."
Seven beds?Sun Li'en became nervous for a moment, it was Mr. Shen who he was in charge of treating. "How is it going?"
"Sudden ventricular fibrillation, but I snatched it back." Director Lu said, "I checked my blood gas, and the blood potassium is a little low. It's a big problem if the blood oxygen saturation doesn't go up."
"It can't go on like this." Sun Li'en was a little worried, "Do you have any other plans?"
"I have used everything that can be used now. I have used phlegm suction once every two hours, and I have used all the bronchodilator drugs." Director Lu shook his head and said helplessly, "Now if he wants to increase his blood oxygen level, he can only On ECMO."
Sun Li'en sighed, ECMO, he really doesn't have it now, "Well, I'll ask Dean Zhang to see if we can get one from another hospital..."
"It's useless for you to do it now." Director Lu shook his head and said, "ECMO needs a dedicated team to cooperate. Would you know how to use that thing for you? Anyway, I don't know."
This is a situation that Sun Lien did not expect. The Fourth Hospital must have even "distributed" the ECMO team when they came here this time.But... Obviously, this team is not currently in the fourth group.
"Anyway, I'll ask first." Sun Lien scratched his head, then walked aside and made a phone call.Anyway, if you can get ECMO, at least Mr. Shen may still have a chance.
Although Sun Li'en himself is very clear, just based on Mr. Shen's current age and vital signs, plus the underlying diseases of cerebral infarction, high blood pressure and type [-] diabetes...even if he is on ECMO, he may not be able to resist it until he is offline. .
Doctors, isn't that what they do?Living to death and wrestling with death have always been the work of doctors.
"ECMO, there should be another one now." The call came to Song Wen, and the first good news came to Sun Lien's ears, "I have just withdrawn an ECMO here, and it has accessories and a team. You now Do you need it? If you do, I'll ask the hospital to arrange a car to take you there immediately."
"Yes!" Sun Lien was afraid that if he agreed too late, this life-saving ECMO would be taken up by someone else, "I have a patient here who is in danger, so we need to use this!"
"I organized an ECMO team, but there may not be enough people now." Song Wen said with some headaches, "There is a shortage of nurses here, and ECMO in vitro nurses are on duty in the red zone."
"In vitro nurse?" Sun Lien was taken aback, "Where can I find this?"
"You have to find someone who has experience in extracorporeal circulation technology. You can either borrow it from the ECMO team of other hospitals in Yunhe, or find it from the surgical nurses who came to support you. It is best to go to ECMO, so it will be faster. If you come from our nurses If you are looking for it, then you have to find someone who is young and quick to learn.”
"I'll ask Lao Zhang, and then call the comrades in the Yunhe Health and Health Commission to ask." Sun Lien was at a loss, and it would be basically useless to ask him to find someone.But fortunately, there are still some native Yunhe people in the four groups, and Sun Li'en still has a chance to try.
"Among the nurses we came here... let me ask." Song Wen also knew that it would be useless for Sun Lien to do this kind of thing.But she also has more things to do, and it is impossible to devote all her energy to this kind of thing.
Sun Li'en originally planned to take a nap after returning, but now it seems... the matter of the nap is completely gone.If things go on like this, it will be a problem whether they can eat dinner or not.
Of course, eating is not a big deal now. The real big deal is whether we can find a suitable surgical nurse and install ECMO on Mr. Shen.
·
·
·
The ECMO equipment departed from Beihu Hospital, where Dean Song works, and arrived at Yunhe Infectious Disease Hospital at about 10:[-] pm.Those who come to Yunhe Infectious Disease Hospital with the car must also have an ECMO director and an ECMO coordinator.
The anesthesia and blood transfusion treatment during the ECMO operation were all handled by the existing strength of the Yunhe Infectious Disease Hospital—the so-called existing strength means that the doctors in the four groups can handle it by themselves.
Sun Lien first called for help, and asked everywhere if there was any ECMO bedside nurse who could call, but when the phone became hot and his head became dizzy, Dean Song called Sun Lien again.
"You don't need to ask, I'm looking for a Master." On the other end of the phone, Song Wen's voice sounded a little dissatisfied, "You know who is right for you, so why don't you say anything?"
"Ah?" Sun Li'en was taken aback, "Who am I looking for?"
"Your partner." Song Wen said angrily, "Didn't she receive ECMO extracorporeal circulation training when she was studying in the UK? Don't you know?"
Sun Lien, who was scolded by his headmaster, was even more dizzy.He really didn't know that Hu Jia had received ECMO training.
Hu Jia is currently stationed in He'an Hospital with Liu Pingchuan's second group.The current job of the second group is to take over the intensive care unit of this hospital in charge of the reorganization system.
He'an Hospital is an old hospital that is being remodeled, and their newly remodeled intensive care unit is expected to be put into use in March this year.As a result, as soon as the epidemic came, this hospital was directly listed as a designated hospital for treating patients infected with the new coronavirus.But the intensive care unit has not even been recruited, let alone put into use immediately-according to the original design, the intensive care unit of this hospital will not be officially put into use until almost June.
Liu Pingchuan led a team to reorganize and take over the intensive care unit, so that the intensive care unit, which had just been renovated and didn't even have a full bed, could be put into use immediately.
"Also, there is a shortage of people on my side." Song Wen continued to be dissatisfied with Sun Lien, "I will not assign you an ECMO coordinator. You ask Zhong Jiguo to do this—he also leads the ECMO team at the Children's Hospital .The coordinator asked him to come and cum."
Sun Li'en blinked, he didn't expect this.He co-authored Dean Song and supported him with a doctor, plus an ECMO and consumables?
"So who came here with the ECMO machine?" Sun Lien asked, "Dr. Zhong has experience in the ECMO team, but he is a doctor in pediatric internal medicine. Can you let him do ECMO treatment?"
"The director of ECMO is Jiang Yanming. You have met him before." Song Wen replied, "The director of ECMO must be a critical care or cardiothoracic surgeon, and pediatrics is also available. The one who is eligible now is Jiang Yanming. That is the patient you have in hand." Good luck - ECMO is generally not considered over the age of 75, and patients over the age of 75 basically cannot get off the machine."
Dr. Jiang is not in good health, so it is not appropriate for him to work in the red zone for a long time.But as the director of ECMO, he is still very competent-he only needs to be on standby in the yellow zone or even the green zone, and then prepare to enter the red zone for ECMO treatment or adjust parameters.
"The equipment and people are already on the way, and I'll let them go directly to the hospital." Dean Song hung up the phone after finishing the arrangements, "You go over there now and keep watch - you will do the coordination work in the middle. "
(End of this chapter)
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