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Chapter 998 D-day (9)

This chapter is the 13th chapter updated for the lord Xingyun Ruoyu, finally paying off the debt...

The main content of the emergency meeting is to collect opinions from the doctors who came to support, and to inform everyone of the current overall income and expenditure situation.

In addition, Yunhe's local experts and doctors will sort out, summarize and discuss the death cases seen so far together with the doctors who came to support.

Case discussion of such patients is an important way for doctors to quickly share information and learn from successful coping experiences.Sun Lien, as the leader of the fourth group of the National Emergency Medical Team of Song'an Province, also needs to attend the meeting.

Speaking of this, Sun Li'en personally...is not very confident in "attending the meeting with pleasure".On the second day after arriving in Yunhe City, his treatment team took over the ward on the first day and sent away one patient—two other patients passed away unfortunately before they entered the group. With 48 beds, three patients died a day after rescue failed.This result is really unattainable.

All in all, hold the mentality of learning.Sun Li'en sighed helplessly. He couldn't get his grades right, so he had to go to this meeting. Only by learning all the skills of these experts can he lead his team to reduce the death rate of patients.

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"This meeting is highly valued by the leaders of the Municipal Party Committee and the Provincial Party Committee..." Similar to other meeting modes, the host always conveyed the instructions and instructions of the relevant leaders on the stage at the beginning.However, this very routine operation immediately ushered in everyone's opposition.

"I don't have time to do that right now." Dean Song walked directly to the podium and said to the staff of the Provincial Health Commission, "We have more than a dozen patients who need to be discussed, and everyone will continue to enter the red zone tomorrow. We There is no time to do these retreat things—we have only one request to the comrades of the Health and Medical Commission, please fully cooperate with our work and ensure the supply of materials."

Although she is the most handsome middle-aged woman in the world, Dean Song usually doesn't speak like this.Sun Li'en looked a little worried in the audience, and Song Wenhui's last sentence, "Must ensure the supply of supplies" was definitely not a whim - there must have been a problem with the supplies of the Yunhe Beihu Hospital she supported.

"I can understand the lack of supplies in your other departments." Song Wen directly complained to the staff of the Health and Medical Commission on the stage, "But I asked you to help solve the problem of adult diapers this morning, but at night you gave them I called and said I couldn’t buy it, and I had to figure out a way for myself—if I can handle everything, what do I need you for?!”

"Dean Song, most of the shops in the city are closed now, and it is indeed difficult for us to prepare these things..." The staff of the Health and Medical Commission had an unhappy expression on their faces, but she still tried to explain, "We have I have contacted the big supermarket, and the supplies you want will be delivered the day after tomorrow..."

"Very well, thank you for your hard work." Song Wen nodded, then unceremoniously picked up his laptop and said, "Now, please help me connect the connection on the projector." She said to these few The staff member of the Health and Medical Commission said, "If you think the instructions are important, you can wait for us to discuss the cases before delivering them. The instructions of the central government are very clear-putting people's lives and health first. The first one."

After the computer was connected, Song Wen began to share the case at hand with the doctors in the audience.

"We can see that among the six cases that died recently, five were male." Song Wen briefly introduced the patient's situation, and then said, "The average age of death was 72 years old, and the youngest deceased was also 59 years old. Six All patients had underlying diseases, mainly hypertension and diabetes."

"I believe that the information in everyone's hands is similar - the dead patients are mainly male patients, older and have underlying diseases." Song Wen said to many doctors in the audience, "This situation should not be a coincidence, but It's an inevitability."

"The study of the mechanism can only be handed over to these colleagues in the rear. My idea is that such a rule is meaningful at least at the current stage." Liu Pingchuan in the audience added, "We should treat the older, Male patients with underlying diseases are given more attention."

"I suggest that everyone should pay more attention, especially the monitoring of lactic acid levels in patients." Director Huang Wenhui proposed a test item that Sun Lien hadn't noticed before. The levels were not high. But before death, the lactic acid levels in both cases rose by at least three times. High blood lactic acid indicates tissue cell hypoxia and hypoperfusion, and real-time detection of lactic acid levels has positive significance for the patient's prognosis and disease severity .”

"If a patient is found to have a persistently elevated lactic acid level, what should I do?" Sun Lien is not very interested in discovering new monitoring indicators, and he is more concerned about how to treat such patients. "These patients first had severe hypoxemia. Hypoxemia triggered ARDS, which then led to type [-] respiratory failure. Now under our intervention, the onset time of ARDS and type [-] respiratory failure has been delayed a lot. But This overlaps with the onset time of acute damage to other organs—once a patient develops respiratory failure, we also need to deal with a series of problems such as myocardial injury caused by hypoxia, acute liver and kidney injury, and so on."

"The new coronavirus will cause an overreaction of the immune system, and the damage to other organs is not just due to lack of oxygen." Song Wen disagreed with Sun Lien's judgment, "Looking at it now, there are at least three possible causes of damage to other organs. The virus Attacking cells in organs through ACE2 receptors, abnormal immune response, long-term refractory hypoxemia. It cannot be simply considered that other organ damage is only due to hypoxemia-the blood oxygen level of many patients before the condition suddenly deteriorates Not too low, and hypoxic damage alone cannot explain their rapid deterioration."

The discussion was in full swing, and a large number of doctors from the medical team gathered outside the meeting room.After a day of baptism in the red zone, most doctors have begun to realize that the impact of the new coronavirus infection is far more serious than they imagined.The director and experts held disease seminars and death reviews. If other doctors could attend, they might be able to be more confident in their future work.

"You don't go to the Spring Festival Gala at night, what are you doing here?" A lot of medical staff gathered at the door, and all the participants—especially Song Wen—knew about this.Seeing that there were more and more people outside, Song Wen was a little worried that there might be an accident if the crowd continued, so he shouted to the door, "Don't you have to go to work tomorrow? Go back and rest."

"Dean Song, we plan to sit in on the discussion." Bruen has always been used to being "free and undisciplined". He was the first to dissatisfied with Song Wenhong's behavior. "Now that everyone has time, let's sit in on the discussion. It’s more efficient to concentrate on learning.”

"Then put on all the masks." Song Wen nodded, waved towards Old Bu, and then pointed to a large number of empty seats in the conference room and said, "If you want to listen, come in and sit and listen, and hide outside." What does it look like sneakily?"

(End of this chapter)