The world of film and television started from that year in a hurry

Chapter 150 The First Regular Meeting

One of the 10 patients is critically ill, and the other nine patients only have shadows in both lungs, and the rest only have shadows in a single lung. As long as oxygen is provided, there is no good treatment at this time.

The critically ill patient was already a little confused at this time, and his blood oxygen level was dropping.

Wang Mo and Director Liu are resuscitating him.

"0.5 milliliters of epinephrine."

"Director Liu, the effect of the non-invasive ventilator is decreasing at this time, do you want to cut the trachea?" Wang Mo

Director Liu looked around, in this environment, incision of the trachea would cause secondary infection of the patient, but at this time there is no other way except to give him an extracorporeal membrane oxygenation machine at this time.

However, Tongji Hospital originally only had two sets of this equipment, and they have already been used on patients at this time, and it is not known whether the equipment in Beijing General Hospital is on the plane at this time.

Director Liu said helplessly, "We are going to cut the trachea."

So Wang Mo carefully cut the trachea. Under the tiny wound, Wang Mo peeled off layer by layer, and finally cut a small opening between the tube rings, inserted the assisted breathing tube, and then connected it to the breathing tube. machine.

After a few minutes, the nurse said excitedly, "The blood oxygen is rising."

Director Liu watched Wang Mo's operation from the sidelines the whole time. Seeing Wang Mo's smooth completion, he said, "Your skills are truly passed down by Old Zhao."

"Director Liu, you're too proud. What I'm worried about now is whether he can last until the arrival of our extracorporeal membrane oxygenation machine. This place is already a polluted area, and it is easy to cause secondary infection." Wang Mo

Director Liu sighed and said: "I didn't expect to meet such a difficult patient on the first day. I will go to Beijing to urge him to take measures to prevent infection. Now we can only do our best and obey the destiny." .”

"Okay, Director Liu, I actually studied the SARS cases for half a year before this. Now that I have read these ten medical records, I have some opinions on this new crown." Wang Mo

After hearing this, Director Liu said in surprise: "Really, I understand. Now is not the time to talk. You can talk about it at the regular work meeting in the evening. Let's brainstorm."

"Ok"

Next, Wang Mo intubated the two patients with shadows in both lungs one by one, put them on a non-invasive ventilator, and temporarily stabilized their condition. Some liquids that improve immunity can survive by themselves.

In the afternoon, Wang Mo was examining other patients. At this time, the patient who had the tube cut in the morning showed symptoms of shortness of breath and decreased blood oxygen.

After Wang Mo passed by, he could already see that the patient's expression was not right because of shortness of breath, and the heart had already stopped beating due to insufficient oxygen supply. .

"Inject 1ml of epinephrine and prepare for defibrillation." Wang Mo

"Defibrillation ready"

Wang Mo defibrillated the patient again and again, but the patient's heart did not respond.

Excessive electrical defibrillation is also not advisable. Wang Mo can only rescue him one by one by pressing with both hands.

The nurse next to him saw it for several minutes, but the patient's electrocardiogram was still a straight line, and the ventilator indicated that the patient's organs had stopped working.

After nearly 10 minutes of rescue work, Wang Mo could only retreat to the side tiredly. The nurse next to him was already recording the patient's death time and previous symptoms.

Wang Mo watched several nurses pack up the corpse and push it out of the ward. He retreated to the wall and leaned decadently.

Although doctors are used to seeing life and death, this feeling of being unable to deal with the disease makes Wang Mo's strong heart feel uncomfortable for a while.

After dinner in the lounge at night, several doctors, two head nurses and nurse supervisors held a meeting in a simple office.

When everyone arrived, Director Liu said: "Today is our first regular meeting, and we have worked for a whole day, so let us know what you think!"

"Let me tell you first, Director Liu, we are still short of people. Although we are temporarily rotated, we still have enough manpower, but today is only the first day, and the days to come will be longer." The head nurse said first.

"Also, we are now in the same ward area for critical illness, severe illness, and common illness, which will cause secondary infection." Dr. Zhang
"Yes, we also need a ventilator and an extracorporeal membrane oxygenation machine. Now these patients are gradually deteriorating, but we can only lower their body temperature and relieve their cough, but they do not cure the symptoms. It's getting worse by the minute," said another doctor.

Everyone talked about their own feelings at the end of the day. This is a very intuitive feeling and opinion.

Director Liu saw that Wang Mo didn't speak, so he asked, "Doctor Wang, what's your opinion?"

Wang Mo looked at the wet hair of several people in the room at this time, and the strangle marks on their faces after wearing masks for a day.

He felt that he should do something, and his mission required him to save 100 people. To achieve this goal in just a few months, it was impossible for him alone.

"Then let me talk about some of my views. Let me talk about what Dr. Zhang said just now. I think this is the best solution for us at present. People with different diseases should be managed separately." Wang Mo

Before Wang Mo finished speaking, Dr. Zhang retorted: "But we don't have that many people first, and we don't have that big space second."

"After listening to me, the current patients can be divided into four stages. The first stage is that they just have this symptom, a slight high fever or cough, but the lung image is still normal. The second stage is that the lung image has lesions. Three are patients with severe double lung shadows, and the fourth is patients with breathing disorders or coma." Wang Mo

Everyone agrees with Wang Mo's statement, and they are also classified in this way at this time.

"Now the most people are people with mild symptoms, and many people are isolated at home, so can some large venues, such as convention centers, gymnasiums, etc. be requisitioned and transformed into places suitable for mild symptoms, and manage the people here? Medical workers don't need very professional respiratory or virus experts, other departments can also do it, and it's much safer than here, and it won't cause critical patients to infect them, and mild patients can't see it These serious illnesses also have some confidence in my heart." Wang Mo

Wang Mo's words made everyone else in the meeting room shine.

Director Liu took the words and said: "This idea is good. I will go to the director of Tongji Hospital in a while and talk to him about this idea. It is best for the government to take charge of this transformation work."

(End of this chapter)