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Written by: Chen Qianting
2020-03-19 07:00
Last updated: 2020-03-19 07:00At the heart of the new type of coronavirus pneumonia, Wuhan, on the 42nd, the local Hong Kong people finally looked forward to charter flights to the government in early March. The four medical staff interviewed on this day were members who returned to Hong Kong with the stranded people. Outsiders may have labeled the Hong Kong people in Wuhan as high risk, but for them who travel through the hospital daily, the risks of getting on the machine are not far from the risks faced by working on weekdays.
"If you are a team, you are expected to come out of the team." The "Team" mentioned by the interviewed nurse refers to the emergency operation medical team outside the Hospital Authority. For everyone, the current task is to smoothly return Hong Kong people, but there are Doctors admit that they did not expect to be physically challenged. They stopped eating and drinking for more than 20 hours from the moment they set off to Wuhan, in order to avoid removing protective clothing, worrying about increasing the risk of infection, and avoid wasting equipment. For a charter flight to Wuhan to pick up people next Tuesday (24th), their tips for the medical treatment of the off-air flight are as follows: "Go to Wuhan for the journey, you need to eat before you leave the cabin."
▼ On March 4th, the first two charter flights of the Hong Kong Government in Wuhan.
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Huang Xidi, a consultant and nurse (trauma service) at the Queen Mary Hospital, believes that the Wuhan trip has learned from the experience of carrying the Hong Kong people of the Japanese Diamond Princess, and has prepared more beforehand. (Photo by Ou Jiale)
The HA's overseas emergency operation medical team will recruit qualified medical staff to join the team every year. Generally, it is medical staff with emergency department experience. It will be edited to “depart from” to cope with overseas emergencies. The Queen Mary Hospital consultant who has previous experience of departing Huang Xidi, a nurse (trauma service), participated in the charter flight of Hong Kong people from Japan Diamond Princess on February 18 and the return of Hong Kong people to Wuhan on March 4 to meet the medical needs of the aircraft.
"As long as Hong Kong people need a nurse in Hong Kong, I am a nurse, I am okay"
She pointed out that the risk of infection faced by charter flight support is similar to that of working in the emergency department, and she admitted that when she joined the team, she would not have predicted that an outbreak would occur this year, but she had "preliminarily asked to be a team" when she joined an overseas medical team. There is no unnecessary struggle. "As long as Hong Kong people need Hong Kong nurses, I will be a nurse myself, and I will be okay." The difference between charter flights between Japan and Wuhan is that in Japan, there is no previous car to learn from, the medical care is not clear about the medical records of the local Hong Kong people, and the preparation of medical supplies depends on the discussion between the medical care, and Wuhan has learned from the experience beforehand. I can learn about the medical records of the detainees, and I can prepare or dispense useful medicines.
Xiao Yuezhong, a consultant doctor in the emergency department of Ruttonjee and Deng Zhaojian Hospitals, said that in the past, it was more necessary to deal with trauma, and this operation needed to prevent infection. (Photo by Ou Jiale)
Xiao Yuezhong, a consultant doctor in the emergency department of Ruttonjee and Deng Zhaojian Hospital, who also has "out of the team" experience, believes that in the past, overseas accidents, such as traffic accidents, were mostly caused by trauma, and the number of injured was relatively small. There are more than ten people, and the medical team is responsible for coordinated work. However, the number of people returning from Hong Kong this time is hundreds. In addition, some of them may be at risk of infectious diseases. More personal protection preparations are needed, and the medical needs of the citizens they care for must be understood first.
Regarding the trip to Wuhan, he thought that "there was no surprise". He also had to deal with different patients in the A & E department. His family members were medical care and they also supported his decision.
Liu Zhanhao, deputy consultant doctor of obstetrics and gynecology at Guanghua Hospital, said that during the period of support in Wuhan, she must not eat or drink for more than 20 hours, but she is still satisfied with her efforts to fight the epidemic. (Photo by Ou Jiale)
Pregnancy is near full term for pregnant women who need emergency childbirth preparations
The first four flights chartered 469 people back to Hong Kong, of which 14 were pregnant women. This is why Liu Zhanhao, deputy consultant doctor of obstetrics and gynecology at Guanghua Hospital, joined the medical team. Liu Zhanhao bluntly stated that the obstetrics and gynecology department was not a regular member of the overseas medical team, nor was it the forefront of fighting the epidemic, but participating in the operation brought him a sense of satisfaction and felt that he had made a contribution in the fight against epidemics. He smiled and said that when he returned to Hong Kong, his colleague created a banner "Comrade Zhanhao welcomes return", and he felt the support of his colleagues in his decision.
Among the 14 pregnant women, there were early pregnancy and late pregnancy, and the one closest to the basin had been pregnant for 36 weeks. Liu Zhanhao revealed that the most worrying thing was that they did not go to the hospital for regular prenatal examinations because they were afraid of being infected. Pregnant women are already at high risk, so more preparations are needed before departure, such as coping with equipment in case someone needs to deliver on the plane. If there are complications in the production process such as postpartum bleeding, there are also obstetric hemostatic drugs. Fortunately, all pregnant women were in good condition and arrived safely in Hong Kong.
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To reduce the risk of infection
The one-and-a-half-hour flight from Wuhan to Hong Kong does not seem long, but it adds a part to the risk of infection, making every detail more prudent. Xiao Yuezhong said that although the mission was "early flight to late flight", it was a major challenge to physical strength, and it was definitely not a "roaming river". The first two medical teams need to get up at 4 a.m. on the same day, prepare to leave for Wuhan, and start work after arriving in Wuhan at 10 a.m., and the second charter flight will take off at 8 a.m. on the next day. 1am.
Liu Zhanhao shared that he did n’t eat or drink from 4 in the morning until 2:30 in the next morning, and finally had a doll face down, just to reduce the risk of infection during leaving the team: "Every time you eat masks and drink water, you must remove the mask "Every time you let the entrance go, there is a risk." And if you need to go to the toilet because you drink too much water, you need to change the protective clothing, which will increase the risk and waste materials.
Next week, there will be medical staff to pick up Hong Kong people with charter flights to Wuhan. Everyone laughed and said, "The flight to Wuhan is clean, and you need to eat before you leave the cabin."
No one scrambled before landing for the largest overseas support in recent years
Cai Zhenxing, the consultant doctor of the A & E department of Queen Mary Hospital, revealed that she had participated in overseas support for the first time. I remember that the moment the plane landed at night, all Hong Kong people were happy and grateful, and they were all in order. "Take the sun" and "Thank you very much" most taught him to remember, "especially when it's hard, some people say thank you so much."
Gong Zemin, the co-ordinating director of the Major Accident Control Center of the Hospital Authority, said that overseas medical teams will recruit 2 doctors and 2 nurses in seven networks each year, and take turns to deal with emergencies, including emergency specialists, nurses and clinical psychology. He has been dispatched about 7 times in the past 15 years, including the South Asian tsunami, the Sichuan earthquake, and the Philippine hostage incident. However, this time the charter flight evacuated overseas Hong Kong people was the largest and required the most medical care. He described the previous action. Smooth, in the future will continue to send medical care with the regiment to help the people from Hong Kong and Hubei come back.
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