I can see the status bar

Chapter 994 D-day (5)
Sun Lien has always firmly believed that he signed the request to come to the front line to save people.But now... before he even entered the red zone, he sent away a comrade-in-arms.Such mental pressure is enormous.

After returning to North Fifth District with Yuan Ping'an and Xu Yourong, Sun Li'en met his colleagues.They are racing against time to take over the wards.

"Let's go in first." The doctors in the second group volunteered. The third version of the diagnosis and treatment plan was just released yesterday morning, and they were familiar with it on the way.At the same time, they also have a very strong reason to support, "The patients and medical staff here are all from Yunhe, so we can communicate better if we go in first."

"After entering, take care to protect yourself." Sun Li'en nodded, and then looked at the group of doctors who were older than him, feeling full of worry in his heart. "Pay attention to communication, and also pay attention to the situation of other colleagues. If you have any problems, withdraw as soon as possible, and don't hold on in the polluted area."

From the perspective of the yellow zone, the layout should be the core key of the entire North Fifth District. Data from 48 hospital beds is projected on four giant televisions.This is a duty center set up according to the design of the ICU.After putting on all the protection in the yellow zone, the doctors can enter the red zone of the ward separated by three doors to work.

The doctors in the second group were almost dressed. Sun Lien picked up the walkie-talkie from the stage and said, "I am the National Emergency Medical Team of Song'an Province. I am ordered by my superiors to take over your department. Please pay attention to the medical staff who are working. Ministry staff will come in to take over your duties. Please hand over to the medical staff who are coming."

"Director Qi just went out." A voice came from the walkie-talkie, and it was a young woman, "Have you told him?"

"...I said it." Sun Lien's throat choked up, and then repeated, "I said it."

"That's good." The female voice on the intercom sounded much happier, "Director Qi has been looking forward to your coming. He was talking about it a week ago, saying that if you persist, support will come..."

Sun Lien didn't hear clearly what was said later.He slowly put down the walkie-talkie in his hand, and then put on the protective suit himself.

Rather than explaining what happened to these respectable colleagues, he would rather go into the red zone and wrestle with death himself.

"Wait until they come out... Let them go back to rest first." Sun Lien said to Xu Yourong and Zhou Ce who were on duty outside, "The matter of explanation... Wait, let Lao Zhang explain to them tomorrow."

"Today is New Year's Eve." Xu Yourong nodded and asked, "After we take over the ward, shall we let them rest?"

"Let them come back tomorrow afternoon." Sun Li'en nodded, "Tell them that the hardest days are over."

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Sun Lien's idea at the beginning was very simple. He felt that with his own status bar, he should be able to prevent these patients from changing from mild to normal, severe or even critical in advance.

But after passing through the warnings on the passage in the yellow zone one after another, and seeing the patient, Sun Lien found that his thoughts were too naive and naive.

At present, none of the 47 patients admitted to the North Fifth District is of the ordinary type. 32 are severe patients, and 93 are critical patients.All fifteen patients underwent tracheostomy and continued mechanical ventilation.However, their blood oxygen saturation level, heartbeat and blood pressure are not ideal, and the lowest one's current blood oxygen saturation is only [-]%.

Mechanical ventilation after tracheotomy has basically reached the peak of respiratory support that can be performed in the Department of Critical Care Medicine.If the disease progresses further and you want to keep the patient alive...the only option is ECMO.

At present, Sun Lien does not have an ECMO in his hands.

After seeing the patients, Sun Lien started the first emergency discussion meeting with his team members in the corridor of the red zone.

"We have all seen that the patients are very serious. Those fifteen patients who have undergone tracheostomy are now Dalei." Sun Lien lowered his voice in the corridor and said to his colleagues, "My thoughts are like this. For patients who have been cut, strengthen observation and supportive treatment. Pay attention to fine-grained management of their symptoms, strengthen anti-inflammatory treatment and enhance immunity. Patients without tracheostomy should actively observe changes in symptoms, and if there is a tendency to worsen, they must be inserted Tube or tracheotomy."

Although there is not much experience in treating severe and critically ill patients with pneumonia infected by the new coronavirus, there is one thing in common-it is important to do things first.

There is no question that it is easier to treat a mildly ill patient than a severely ill patient.The same critically ill patients who can be maintained simply by using ventilator support are also easier to treat than patients with multiple organ failure.

One of the keys to the treatment of this disease, which progresses rapidly and deteriorates rapidly, lies in "grabbing".Compete with disease for time, and death for human life.What the doctors want to fight is not just a war of annihilation, a total war.At the same time, it is also a war in which speed must be pursued, and the siege and interception must be completed quickly to wipe out all the enemies.

"It is very important for the patient's vital signs, especially the condition of other organs." Although it is known to everyone, Sun Lien continued to emphasize, "We already know that other organs with ACE2 receptors may be the new coronavirus The target of invasion. The development of regional pulmonary edema in the later stage will lead to severe hypoxemia and trigger ARDS (respiratory distress syndrome). And ARDS can also induce severe multi-organ failure. Therefore, we must find ways to take the patient's State control is before this step!"

Although that is the case, the actual operation...is far from being so easy.

Within 10 minutes after the meeting, Sun Lien organized two rescues.One of them was successful.

The sixth bed, that is, the patient who was intubated by Dr. Qi Jing before leaving the red zone, suddenly suffered from ventricular fibrillation.Sun Lien and Yuan Pingan took turns doing two sets of chest compressions, while Bruen did four sets alone.Ma Yongfang and others also rushed over to help, but they received 24 consecutive electric shocks, using a total of 40mg of epinephrine and 450mg of amiodarone...the rescue lasted for 45 minutes without any results—the heartbeat of the six beds started from the ventricular fibrillation. From that moment on, it never went back to normal.

45 minutes later, Sun Lien stopped the rescue and announced the time of death.

"On January 1, at 24:25 in the morning, the patient died after rescue efforts failed." Sun Lien, who seemed to be soaked in his own sweat, glanced at the time, then shook his head, "Record it."

A white sheet was placed over the face of the 65-year-old man.And all the doctors lowered their heads and quietly walked out of the room.

After entering the battlefield, no progress was made, but a patient was lost immediately... Such a heavy blow is almost unacceptable to the medical team.But Sun Li'en did not leave any time for his team members to be sad.He kept urging the doctors to complete the transfer of the patient's remains as soon as possible, and issued death certificates and records in accordance with the relevant procedures of the infectious disease hospital.

"Tell Lao Zhang, we still have a bed here." Sun Li'en said to Zhou Ce on the intercom, "Let them send new patients over as soon as possible... Doctor Zhou, please call the patient's family and explain the situation. "

Sun Li'en forced himself to cool down.Now Yunhe's medical resources have almost been exhausted, and he must use all the empty beds in his hands.Losing a patient is truly heartbreaking.But the sooner a new patient can be accepted, the more protection can be provided for another person's life.

The pace must be stepped up, and action must be taken now.

(End of this chapter)