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Written by: Zheng Cuibi
2021-01-13 08:02
Last update date: 2021-01-13 08:02
The "Central Emergency Team", composed of medical staff from the anesthesiology department and operating room of Queen Elizabeth Hospital, was ordered for 24 hours and would be dispatched to rescue people as soon as they received an emergency call.
Every time they "charge into battle," they bring the same extraordinary suitcase, which hides the universe, filled with pipes, anesthetics, first aid supplies, and protective equipment. It is their "treasure bag."
Due to the strong contagious nature of the new coronary pneumonia, the "emergency team" also switched to some new equipment, trying to keep a distance from the patient to avoid cross-infection, including lens-attached laryngoscopes and carbon dioxide detectors.
Related reading: The "emergency team" of the Iraqi hospital's medical and nursing team dragged and shuttled to the ward to continue the life of the critical new crown patient
Cen Keyi, assistant of the Department of Anesthesiology of the Iraqi Hospital, said that there are three spare "intubation pipes" in the operating room, which store most of the first aid supplies and the equipment required for intubation, including air hoses, syringes, auxiliary throats, protective equipment, Sterile gloves, etc.
However, because some refrigerated anesthetics cannot be put in the suitcase in advance, and some equipment must be determined according to the patient's condition, so whenever she receives a call from the ward doctors, she will immediately count the materials needed for the "expedition".
Chen Chongbin said with a smile, because there are many "households", it is more convenient to carry it in a suitcase.
(Photo by Zhang Haowei)
Chen Chongbin, an associate consultant in the Department of Anesthesiology, explained that some patients have difficulty intubating, such as those who are obese or have loose teeth, or those who have undergone neck surgery or electrotherapy. They will switch to fiber laryngoscopes. "Know the patient’s cause before intubation. The bleating situation has become critical, the need to intubate the throat, and the patient's physical condition at the time all affect our use of the bleating instrument to intubate the throat, and the same dose of the type of anesthetic."
Chen Chongbin said with a smile, because there are a lot of "households", it is more convenient to carry it in a suitcase. "We feel that we need to bring a lot of equipment, and be prepared to set off first.... If a colleague drags it away, it will not be too hard."
In response to the new crown pneumonia epidemic, the "emergency team" switched to more disposable tools, including the inner blades of the laryngoscope that will be placed in the patient's mouth, which are disposable, so that the doctors who clean the equipment may not be infected.
In addition, in the past, when doctors and nurses used traditional laryngoscopes to intubate patients, they needed to observe the position of the vocal cords and trachea with the naked eye, and then put the rubber hose into the air intake tube, which was only half an arm away from the patient; but now it is switched to use A laryngoscope with a lens can keep the distance of one arm from the patient, "enlarge the picture inside the patient’s mouth, (medical nurses) can watch the magnified picture, don’t "coax" it to bury it, and keep a distance from the patient’s mouth ."
Chen Chongbin continued that due to the close position of the trachea and esophagus, in some cases, it may be "in the wrong position." After intubation, you need to use the earpiece to listen to the sound of the lungs. "Listen to the sound of the next lung and whether there is air coming in. It can be determined that the larynx is connected to the trachea, not the esophagus."
However, nowadays, a disposable carbon dioxide detector is used, and doctors and nurses only need to observe the color of the instrument to replace listening to the lungs.
He pointed out that the hospital had already purchased this type of equipment, but it was only used on some patients. In response to the epidemic, it was immediately switched to use in January and February. "Because of the fear of flying or nebulized viruses, the patient’s mouth will be released. The environment, or through the eyes, nose, or mouth."
The "emergency team" also pays great attention to infection control. Chen Chongbin said that in the past, it took about 10 minutes to complete an "outside service", but now they spend more time wearing and taking off protective equipment, which takes about 20 to 30 minutes in total. The order of dressing and removing the shirt will be done carefully and slowly, hoping to be seamless, and try to avoid loopholes, so the preparation before and after will be patient."
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