Since the army supported Hubei medical team to enter the Guanggu hospital area of Hubei maternal and child health care hospital, it has collected party members and experts with rich clinical experience from the whole hospital, set up a rescue commando team for critically ill patients, and participated in the rescue guidance and emergency response of critically ill patients in the whole hospital. Intubation, rescue, puncture, ECMO and other urgent and dangerous tasks are often in front of them. The reporters follow the commando into the red zone and fight with the God of death at close range.
A patient’s condition suddenly worsened
On duty members of the commando for the treatment of critically ill patients
Come to the scene quickly
Emergency rescue, close to you, close to the virus
Lu Zhijie, a member of the commando team for the treatment of critical patients in Guanggu District of Hubei maternal and child health care hospital: I was a little nervous about the patient’s heart rate of 145 and oxygen saturation of 76.
Lu Zhijie: this patient needs emergency intubation. We put on protective clothing, put on positive pressure ventilation mask and then enter the infection ward. At the same time, we inform them to prepare first-aid drugs, anesthetics and consumables.
Liu Xiaoyu, CCTV reporter: because today’s rescue needs to lean down in front of the patient and face the open airway, so we now wear a positive pressure ventilation head cover on the basis of protective clothing, which can effectively protect the patient in close contact.
In the face of high concentration of virus, life and death are instantaneous
Looking at the oxygen saturation, Lu Zhijie found that the patient’s blood pressure and oxygen saturation had no value and was ready to intubate at any time. However, the intubation time of critical patients must be grasped well. The time is a little slow, and the patient is prone to cardiac arrest due to lack of oxygen.
After inhaling sputum for the patient, Lu decided to start intubation.
Lu Zhijie: as soon as I put the mask on, the laryngoscope opened, and I wanted to send the pipe in. But when I saw the screen, I could see nothing. There was a lot of thick phlegm stuck together in the throat of the patient.
Although the sputum has been inhaled once, at the moment when the airway is opened, the patient has a large amount of thick sputum, and at this moment, due to lack of oxygen, the patient’s heart rate begins to drop rapidly.
Lu Zhijie: put it in front of me at this time. What should I do? Life is in this moment, I think it’s necessary to insert this pipe to solve his lack of oxygen, so as to save his life.
Lu Zhijie decided to inhale sputum, intubate the patient again, open the mouth, face to face with the high concentration virus, and the distance between Lu Zhijie and the patient face to face was less than 10 cm.
Lu Zhijie: as a doctor, I will never consider how dangerous I am. What if the patient’s pipe doesn’t plug in? How can I help you? If you really go to the battlefield and get to the ward, don’t think about these problems. How to insert the tube as soon as possible, can put him on the ventilator, save lives is what you have to do.
Lu Zhijie: when the oxygen is available, he has a point in his heart. He immediately goes to the bedside of the patient to defibrillate him. Turn around and see that the patient’s monitor has P wave. There is sinus rhythm. There are more and more sinus rhythm. More and more sinus rhythm. The patient’s heartbeat is back.
At present, the emergency team for critical patients
The hospital has completed more than 30 emergency treatment tasks
There are 25 critical patients in the hospital
Transfer from ICU to general ward
38 critical patients
Be successfully cured