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Written by: Li Enci and Zheng Cuibi
2020-02-15 22:32
Last updated: 2020-02-15 22:36The outbreak of pneumonia in Wuhan caused by the new coronavirus continues. The Hospital Authority announced today (15th) that protective equipment in public hospitals, such as surgical masks and protective clothing, is only sufficient for one month. Medical personnel are urged to use the equipment according to guidelines. "Use it well", don't "use one square".
Some physicians have criticized the Hospital Authority for playing with language arts. "Did I use a lower level, you can get enough surgical masks for me?" He pointed out that most medical staff currently only get 3 surgical masks and 1 N95 per day. Masks, some medical staff are less assigned, "Many doctors have to buy masks by themselves!" He also pointed out that the general ward is not only ordinary patients, and some of them need to use a ventilator, need to sputum, and worry that the atomization procedure will be Create airborne risks.
The chairman of the Hong Kong Association of Public Medical Physicians, Ma Zhongyi, said that new coronaviruses are usually transmitted only by droplets. If medical personnel do not perform atomization procedures for confirmed patients, surgical masks should be used to effectively block the virus. But no matter what level of equipment, the shortage also exists, no wonder colleagues worry.
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Dr. He Wanxia, Chief Administrative Manager (Patient Safety and Risk Management) of the Hospital Authority, said that the Bureau currently has 18 million surgical masks, 2.2 million protective clothing, 1.1 million N95 masks, and 500,000 protective masks, which is enough for about one month of use.
Dr. Zhang Zifeng, the chief administrative manager (networked operation) of the Hospital Authority, called on employees to use equipment cautiously and reserve the equipment for front-line medical care who is in contact with "Wuhan pneumonia." Quote the right equipment ... if everyone uses a higher grade, I don't think it will be budgeted. "
Medical personnel entering the isolation ward need to wear N95 masks, eye protection, PPE blue waterproof protective clothing, disposable gloves and protective caps. (Profile picture)
Physician: The level of equipment has been continuously lowered, and there have been outbreaks in the hospital!
Some physicians have criticized the HA for playing with language arts. "It's not a question of using a higher grade, but it is not enough. I use a lower grade, using N95 and surgical masks. You can see that. Is there enough surgical masks for me? "He pointed out that most medical staff currently only receive 3 surgical masks and 1 N95 mask per day. Some medical staff are assigned a smaller number, which is seriously insufficient to meet the needs of work." Many doctors have to Buy your own mask! "
He pointed out that the general ward is not only for ordinary patients. Some of them also need to use ventilator and sputum. At the moment when N95 is insufficient, there are medical staffs who only carry surgical masks for these high-risk medical procedures. He is worried about other problems, "If all resources are allocated to deal with Wuhan pneumonia, there will be an outbreak of influenza in the ward, which is another risk. Most of the patients admitted to the hospital are seriously ill. If the equipment (level) is continuously lowered, it is easy to have The outbreak in the hospital! "He continued, saying that medical staff were more worried. If they wore low-standard protective equipment and contacted invisible patients with" Wuhan pneumonia ", the risk of infection was very high.
Hong Kong Public Medical Doctors Association Chairman Ma Zhongyi. (Profile picture / Photo by Luo Junhao)
Ma Zhongyi: Doctors worry about being infected by invisible patients
Hong Kong Public Medical Doctors Association Chairman Ma Zhongyi said that she spent a lot of time understanding the HA's protective equipment guidelines and the scientific rationale behind them. She said that she believes that the new coronavirus is generally transmitted only by droplets. If medical staff does not have the opportunity to perform aerosolization procedures such as throat insertion and sputum extraction for confirmed patients, surgical masks and hand hygiene should be used to block the virus. "Roughly reasonable and correct."
Ma Zhongyi continued that guidelines remain controversial. For example, medical staff working in the emergency department lobby and medical ward can only wear surgical masks, and many people have expressed concerns about being infected by invisible patients. Ma said he fully understands the concerns of colleagues. He has also learned from SARS and will be scared by the current infection situation in Wuhan Hospital. She continued that the HA announced the shortage of protective supplies from time to time. Many colleagues would "count down" for a month and worry that there would be no protective equipment at that time. Regardless of the level of equipment used by medical staff, the shortage would also exist. No wonder colleagues Worry.
Ma Zhongyi said that the guidelines stipulated that, whether in general wards or isolation wards, if medical personnel need to perform atomization procedures, they must wear a full set of protective clothing, including face masks, gloves and protective clothing. "If the hospital is carrying a full set, it is the hospital, and colleagues can consider refusing the atomization process."
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