I can see the status bar

Chapter 381 Preparation
P4-level protective clothing is not very expensive, at least for the Center for Disease Control, which should be rich and powerful, more than 8000 sets of P4-level protective clothing are really not unaffordable.

But protective clothing has a shelf life.From opening to discontinuation of use, the shelf life of a set of protective clothing is about one year.If it weren't for the fact that Ningyuan Medical College has its own P4 laboratory, the Ningyuan City Center for Disease Control and Prevention would never have thought about purchasing this level of positive pressure protective clothing for itself. This thing needs to be tested to put it on and take it off. What are you buying it for?With extra funds, wouldn’t it be good to upgrade the central laboratory of the CDC?

Therefore, when it was informed that there were three cases of pneumonic plague outbreaks, the CDC’s first reaction was to activate the three sets of protective clothing in the inventory, and at the same time called the P4 laboratory of Ningyuan Medical College—are you doing this? A biospill?
Yersinia pestis is a pathogen studied in P3 laboratories, and its research does not necessarily require P4 safety standards.But the P4 research room can carry out research on Yersinia pestis.Ningyuan is not a natural epidemic area of ​​plague. It is the first time that the CDC has received a report of plague cases since its establishment. They subconsciously suspected the P4 laboratory in their jurisdiction.

The staff of the CDC had a cold heart before calling.That's a P4 level laboratory!If the plague can get out, who knows what else they'll get out.If a disease like Ebola breaks out in a big city like Ningyuan with a population of nearly [-] million... that would be a nightmare.

Fortunately, nightmares only exist in their imaginations.The P4 laboratory of Ningyuan Medical College stated that there is no Yersinia pestis in their laboratory.This ruled out the possibility of leakage from the root cause.After the phone call, all the staff members of the CDC breathed a sigh of relief, but yes, as far as the P4 security level laboratory is set up, even if they want to deliberately leak pathogens from the laboratory, it is impossible.There are seven optically interlocked airtight doors in this level of security laboratory. As long as one door is open, it is absolutely impossible for the other six airtight doors to be opened.Coupled with the highest level of monitoring and multiple thorough chemical washings, instead of suspecting that the P4 laboratory has leaked Yersinia pestis, it is better to suspect that a Himalayan marmot suffering from plague has traveled thousands of miles from Xihai Province to Ningyuan.This possibility is slightly greater.

At present, the Municipal Center for Disease Control and Prevention only has three sets of P4-level protective clothing, but there are four sets in the fourth hospital, and the college also promises to fully support it. In order to prevent the spread of the epidemic and protect the health of medical staff, all use P4 protective clothing It became the safest choice to enter the Fourth Hospital after serving.After the report of Class A infectious diseases, there is still a lot of work to be done by the Municipal Center for Disease Control and Prevention.For example, resource allocation, such as docking with the Provincial Center for Disease Control and Prevention, and overall consideration of whether it is necessary to ask for help from the National Center for Disease Control and Prevention and the National Health and Medical Commission—it is a rule to report a Class A infectious disease within two hours of discovery, and whether the National Health and Medical Commission will Sending an expert team to provide support and guidance depends on considerations of the epidemic situation and public opinion.At the same time, local needs are also an important consideration. ···Sun Lien and others are still wearing standard protective clothing. The staff of the hospital office are urgently erecting a positive pressure breathing circuit, and the mobile high-efficiency air filter transferred from the college is being installed. In order to ensure the operation of the filter, The hospital office also specially transferred two diesel generators to assist.At the same time, a storage and processing center was established to collect and process the excrement of plague patients and medical waste.

The trouble with plague lies in the various routes of infection, and pneumonic plague patients are particularly thorough.In addition to the aerosols produced by their breathing, plague can be transmitted by patients' feces, urine, vomit, sputum and blood, etc.In order to prevent transmission, hospitals need to use a large amount of disinfectants to disinfect and inactivate these medical and domestic wastes of patients.For solid feces, it is even necessary to add 20% bleach powder emulsion into it, mix it well and then act for two hours to disinfect it.

If there is an Englishman around, this is a job that suits him or her very well.

Before entering the clean room, all Sun Lien could do was to let go of his mind and think about it, to distract himself.

He is also afraid.

The plague is the Black Death. Sun Lien has some preliminary concepts about how terrible this disease is that has ravaged the world for thousands of years and caused the extinction of residents in countless cities.

The short incubation time for pneumonic plague from infection to onset is unbelievable.The fastest recorded onset of pneumonic plague was 30 minutes—from contact with a patient to onset, it was only 30 minutes.After onset, the patient's condition begins to deteriorate rapidly and he dies within about three days.From a certain point of view, pneumonic plague can even compete with Ebola virus.It's just that the pathogens of plague are bacteria, and many antibiotics have good effects on plague, so it's not as scary as viral infectious diseases.

"Okay, let's gather together." Sun Lien was thinking wildly, and Huang Wenhui, the director of the Department of Respiratory Medicine, had already issued instructions to the surrounding medical staff, "Preventively take ciprofloxacin capsules every twelve hours. "

In addition to using corresponding protective equipment, medical staff also need oral antibiotics for preventive treatment.Among the four preventive drugs recommended in the domestic diagnosis and treatment guidelines, the dosage of tetracycline and compound sulfamethoxazole tablets is relatively large, while doxycycline has obvious liver toxicity, so Director Huang Wenhui chose to let everyone take cyclocycline orally. Profloxacin for preventive treatment - anyway, the pharmacy in the hospital can easily provide drugs. Since they are all considered as "labor insurance products", it is natural to choose the one that is less harmful to the medical staff.

"I'll go in with you." Watching Sun Li'en and others swallow the capsules, Director Huang himself swallowed two capsules and put on the mask again, "The laying of the clean room is still underway, and time waits for no one. I will discuss with the hospital, at least let me go in to see the patient's condition first - ask the imaging department to push a bed X-ray, they must not go to the CT room in this situation, and having a chest X-ray is better than not having it. "

Sun Li'en nodded, then said, "I'll go in with you."

This time, Sun Li'en really didn't feel puffed up, but made a decision after thorough consideration.In the entire treatment group, he is the most suitable person to enter the clean room. First of all, under the first-diagnosis responsibility system, there must be a doctor in the treatment group to take over the three patients; Compared with the other doctors in the group, Sun Lien's ability to deal with emergencies is obviously better and more comprehensive; third, with the assistance of the director of the Department of Respiratory Medicine, Sun Lien Pei's identity is actually more suitable for helping others; the last point, he has a status bar to use.

With the status bar, he can monitor the changes in the patient's condition at the fastest speed, and can actually apply these changes in actual treatment.For patients with pneumonic plague, even if there is just a little more help, the result may be two completely different extremes-from death to life.

The most important thing is that Sun Li'en has learned to be good.He has experienced the horror of medical occupational exposure and nosocomial infection more deeply than other emergency doctors present.He himself was quarantined for seven days, and his director was sent to Africa. His cousin is still hospitalized in the PICU, and it seems that his life is barely saved.

Be brave because you are afraid.Sun Li'en squeezed his fist, and said firmly to Director Huang Wenhui, "I'll go in with you."

"Aren't you afraid?" Director Huang looked at Sun Li'en's face, and suddenly asked with a smile, "It's the plague inside, are you not married yet?"

"My girlfriend is studying in England." Sun Li'en almost gave himself a flag, but fortunately, he held back. "As for the plague... I'm not afraid of losing face, of course I'm afraid. But what's the use of being afraid? Can the patient get better if I'm afraid?" He looked at Huang Wenhui and said seriously, "I'm an emergency doctor, and my job is to use all means. Stabilizing patients and then referring them to your specialist for further treatment. That is my profession."

After a while, Director Huang laughed, very unrestrainedly. She raised her hand, reached Sun Lien's shoulder with some difficulty, then patted hard, and praised in Cantonese, "Good boy! I see Hello!"

(End of this chapter)