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Written by: Zheng Cuibi
2021-01-13 08:02
Last update date: 2021-01-13 08:02
The new crown pneumonia epidemic hit Hong Kong, causing more than 9,000 people to be diagnosed. At the peak of the epidemic, more than 100 patients in public hospitals were in critical or severe condition. During the fourth wave of the epidemic, many patients' illnesses "climbed down" and turned sharply overnight. Urgent need to cut his throat to continue his life.
The medical staff of the anesthesiology department and operating room of Queen Elizabeth Hospital formed an "emergency team". Whenever a patient's condition deteriorates, they immediately put the first aid supplies into the "insertion tube" and drag their suitcases to the ward. Give first aid, intubate the throat, and do cardiopulmonary resuscitation to save lives.
Whenever I receive a call, I will try my best to prepare the supplies and arrive at the scene within 5 minutes. Chen Chongbin, a member of the "emergency team" and deputy consultant anesthesiologist, bluntly said that the work is racing against time. It's hard to predict!"
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The new crown pneumonia epidemic hit Hong Kong, causing more than 9,000 people to be diagnosed. At the peak of the epidemic, more than 100 patients in public hospitals were in critical or severe condition. During the fourth wave of the epidemic, many patients' illnesses "climbed down" and turned sharply overnight. Urgent need to cut his throat to continue his life.
(Photo by Zhang Haowei)
There are many drugs and equipment needed to intubate patients. Anesthesiologists are also familiar with how to give first aid. Therefore, more than ten years ago, the anesthesiologists and operating room assistants of the Yiyuan Hospital have formed a "central emergency team". Summoned, they will go to the wards, emergency rooms, outpatient clinics and other places to help the emergency.
In the new crown pneumonia epidemic, they also need to provide first aid for suspected and confirmed patients.
You don’t want to smell oxygen. A few minutes later, you need high-concentration oxygen. The test report has not come out, but if you wait, I have already called my helper.
Chen Chongbin, Associate Consultant of Anesthesiology Department
Chen Chongbin, a 35-year-old associate consultant in anesthesiology department, will never forget the first new crown patient he had contact with.
In February of this year, at the early stage of the epidemic’s invasion of Hong Kong, a female patient in her 60s was admitted to the Iraqi hospital. The hospital arranged for her to be tested. It was reported that her condition had deteriorated "in the water". A few minutes later, a high-concentration oxygen is needed, and the test report has not been issued, but I don’t have to wait, I have already called my helper."
Chen Chongbin saw that she had symptoms of pneumonia, breathing difficulties, lung films, blood test reports and other information seemed to imply that she was highly likely to be a confirmed case. Although he did not have any experience in dealing with the new coronavirus at the time, he was in danger. She was so critical, I didn't hesitate to put on the protective clothing, and went to help him get his throat."
Intubation is a nebulization procedure, which is a high-risk medical procedure. Although Chen Chongbin is "used to do it well," he can't help feeling uneasy after giving first aid to the first suspected COVID-19 patient.
(Photo by Zhang Haowei)
Intubation is a nebulization procedure, which is a high-risk medical procedure. Although Chen Chongbin is "used to do it well", he can't help but feel uneasy after completing the first aid. Help the patients first, but after finishing the work, I feel nervous.” He bluntly said that at the time, the medical profession did not know much about the new crown virus, and he was worried that he would be infected, even affecting his family, colleagues, and other patients.
A few hours later, the patient was confirmed to be diagnosed. Chen Chongbin did not dare to reveal a word to his family members. He was afraid that his family members would be worried. He did not tell the truth until he found out that he was not infected. He also had two or three weeks to avoid eating with his family and colleagues. Try to sit down and eat by yourself, and avoid close contact with colleagues."
Cen Keyi, an assistant anesthesiologist who participated in the "rescue", also said that when she was called, she kept thinking about how to wear protective clothing and how to wash her hands correctly. She was nervous, and she was even more afraid of bringing the virus home and spreading it to 4 The year-old daughter, who had been back home for 14 days, still did not dare to take off her mask, and tried to keep her distance away from her family.
Halfway through the meal, when calling our helper, I have to lower the chopsticks
Dr. Chen Chongbin
60 anesthesiologists and 40 operating room assistants will take turns on duty in the "emergency team". Their work is not only high-risk, but also counts against every second. Chen Chongbin said that medical care needs to be on duty 24 hours a day. Although there is no explicit stipulation, they are generally accepted. After being summoned in the ward, they will try their best to prepare the supplies and arrive at the scene within 5 minutes. "There are many times when we are needed, and it is so sudden, it is difficult to predict. When I am half of the meal, I call my helper. Lower the pair of chopsticks."
From February to October this year alone, 40 of the 600 confirmed patients in the Iraqi hospital had received intubation. During the fourth wave of the epidemic, there were many critically ill patients. He frankly said that he was as busy as the third wave. Insert three or four throats at night!" In addition to the new crown patients, there are other patients in the hospital who need their services. Chen Chongbin recalled that he had received three requests for help in half an hour and was preparing to help the first patient with a throat. When I received a second patient in need of first aid, I had to ask a colleague from the Intensive Care Department to help, "After a few minutes, help the first patient plug in the throat, prepare to write a document, and receive a third call. Low, don't write it down, go to the third patient to get a throat intubation."
Whenever a patient's condition deteriorates, the "emergency team" will immediately put the first aid supplies into the "insertion tube", drag the suitcase to the ward, give first aid, intubate the patient, and try to save lives.
(Photo by Zhang Haowei)
Saving lives is the goal of the "emergency team." After Chen Chongbin intubated the patient, he usually continued to follow up on the patient's condition. "Although we only bury ourselves in contact with the patient for a moment, we all want to understand the patient's story. I don’t have a good understanding of the disease. I want to know how the condition will develop afterwards.” He said that most intubation patients will eventually recover and be discharged from the hospital.
After being in contact with COVID-19 for nearly a year, he said that the medical care has accumulated a lot of experience, the psychological burden is lighter than before, and the thinking is more thoughtful. When the patient’s condition shows signs of deterioration, he has already intervened as soon as possible. When you are ready to start hyperoxia, consider intubation early, so as not to rush to intubation when the patient is in the worst and worst case, worrying that colleagues are eager to save others, there is a chance to make mistakes in the busy, or infection control is not done well, and there are loopholes ."
Cen Keyi said frankly that when he received the first call of a suspected COVID-19 patient, he kept thinking about how to wear protective clothing and how to wash his hands properly. He was nervous and was even more afraid of bringing the virus home and infecting his 4-year-old daughter.
(Photo by Zhang Haowei)
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