I can see the status bar

Chapter 1032 D+4 day (7)

Sun Lien chatted with Mei Yingxu on the phone for almost half an hour before he basically finished relaying what he felt was the most important experience.

These contents are basically some of the experiences that Sun Lien has accumulated in the past few days.There is also a consensus among the leading experts of several medical teams in several recent seminars.Of course, the most critical core factors are only two.

With thousands of people and thousands of strategies, the gate will move forward.

"To treat such patients, it is not enough to rely solely on doctors from the intensive care department or respiratory medicine department." Before ending the conversation, Sun Lien said seriously to Mei Ying, "It is necessary to integrate multiple disciplines and concentrate the strength of the whole hospital on daily research and analysis of cases. Judgment. Patients must be treated in a timely manner and monitored. We have encountered many similar patients. At the beginning, there was no problem with people, and the blood oxygen saturation was fine. But the heart stopped beating as soon as the catheter was intubated. The physical potential of such a patient is basically exhausted, and once the jump stops, it is difficult to get it back."

"Okay, okay." After about ten seconds, Meiying responded, "I have written down this situation, and I will notify other colleagues after this call." She paused, " We strive to complete the evacuation of hospitalized patients within today."

It is very difficult to "evacuate" patients who are hospitalized.But no matter how difficult it is, what should be done must be done.In any case, hospitalized patients should not be exposed to the risk of nosocomial infection.

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At three o'clock in the afternoon, Sun Li'en led the team and set off for the night shift.In the process of leading the team, he clearly felt that his colleagues seemed to be in a bad mental state.

You don't need to think about it, you know, it's all due to exhaustion—everyone has not had a day's rest in Yunhe for four days.And going to work is still in the anti-human order of small night-big night-day shift.One small night shift has a slightly shorter time, and the other two shifts add up to [-] hours.The effect of using the night shift as a break and adjustment is not very good.In addition, since they took over the North Fifth District, there has not been a single patient who has recovered and been discharged, and everyone's morale is indeed relatively low.

You have to figure out a way.Sun Li'en frowned and began to think. The current manpower is indeed insufficient. More than 100 people take turns to take care of 48 critically ill patients. The manpower is really too tight.Three directors lead three classes, which is also the most suitable plan at present-we can't let the deputy chief physician lead the team, right?

But if this continues, the young doctors and nurses may be able to survive for a few more days.Director Lu Zhimin and Professor Li Chengping may not be able to survive.In fact, these two will no longer stay in the red zone with the team.Unless there are any particularly urgent or troublesome patients, these two basically stay in the monitoring room in the yellow zone, and then use the walkie-talkie to remotely command their colleagues in the red zone.

Some medical staff who are not in good health or feel that they may not be able to hold on will also communicate with the group and stay in the yellow zone first.When some colleagues in the red zone are ready to leave the cabin due to physical reasons, they will put on protective clothing and go in to take over.

All the doctors who came to Yunhe this time signed up voluntarily.Regardless of gains and losses, regardless of personal interests, everyone chose to come to the front line during the most tense stage of the epidemic and the initial stage of research. Of course, it is impossible to do something like "work without effort".But the number of doctors stationed in the yellow zone is increasing every day, and Sun Li'en has begun to feel something bad.

If this goes on like this, I'm afraid that the doctors in Ning Yuan who came to support them will have problems before the patients in the fifth district of the North are discharged.

"Let's make a new regulation today and see the effect first." After arriving at the Yunhe City Infectious Disease Hospital, Sun Lien did not bring the members of the group into the hospital immediately.Instead, he announced his decision at the door, "All the doctors and nurses were divided into two groups by lottery. The first group went directly to the red zone, and came out after three hours of work to assist in the yellow zone. The second group went in and replaced, the same three out in an hour."

It's impossible to expect everyone to work six or even nine hours in the red zone.Even if you stay young, the fatigue of working with N95 for a long time will accumulate.The second batch and the third batch of medical teams are continuously rushing to help Yunhe, but it is hard to say when someone will come to support the North Fifth District - the main destination of the current medical team is still the newly remodeled hospital ward.The infectious disease hospital is currently the most important base, where the pressure is the greatest and the patients are in the most serious condition.Judging from the current state of "fatigue" with different shades of colors hanging on the top of everyone's head... If we continue with the original schedule, less than half of the doctors will start to get sick within a week.

"Nurses have relatively heavy work tasks, and we doctors can still give instructions outside, but the specific medical procedures inside basically have to be handled by nurses." Sun Lien said at this temporary small meeting, "So I ask, nurses We draw lots in three groups, and each group works for two hours. Male nurses under the age of 30 can return to the red zone after three hours, but female nurses and those over the age of 30 must strictly follow a two-hour shift.”

"I won't change it." Hu Jia raised her hand to ask to speak, and she said after getting Sun Li'en's approval, "It is normal for surgical nurses to stand in the operating room for six or seven hours at a stretch. And if I am like other nurses Shorter working hours . . . the effect is not good."

Sun Li'en originally wanted to refuse Hu Jia's request, but seeing his girlfriend's firm eyes, he finally chose to compromise, "You...you can do it. But pay attention to your physical condition, and come out if you feel uncomfortable."

As a nurse who just joined the group, Hu Jia is Sun Lien's fiancée.If she also shortened her working hours, it might give other people the idea that "Sun Lien's adjustment is to make his fiancée easier".Hu Jia is very aware of this, so she took the initiative to ask her to maintain her original working hours.

Sun Li'en agreed, partly because he didn't dare to ignore Hu Jia's kindness.On the other hand, it was because he really couldn't beat his fiancée.

After the meeting, everyone entered Yunhe City Infectious Disease Hospital to go upstairs, but Zhou Ce sneaked over, held his mobile phone and said in a low voice, "Director Sun, I saw a message in the circle of friends today. I thought maybe we could take a look at it.”

Zhou Ce's mobile phone displayed a circle of friends, and the content was a screenshot sent by one of his old classmates.

Sun Li'en took Zhou Ce's phone and looked at it carefully, then raised his eyebrows.

According to the screenshot, academician Li Lanjuan proposed a new treatment direction - to protect the intestinal microbial status of patients and use large doses of intestinal microecological preparations.

This large dose refers to more than ten times the normal dose.

"Although this plan seems a bit inexplicable, but I studied it at noon, and it really makes sense." Zhou Ce said seriously, "The level of academicians is indeed very high-I personally feel that this direction is mainly towards adjustment. immune system, and protection against acute gastrointestinal injury (AGI)."

After reading the general description, Sun Lien returned the phone to Zhou Ce, "This... I really haven't paid much attention to it." He said seriously, "The intestinal mucosal epithelium has ACE2 receptors. If the patient's There is already a new type of coronavirus in the blood, so it may indeed cause damage to the epithelial tissue of the intestinal mucosa.” He said while sorting out his thoughts, “Using large doses of intestinal microbial ecological preparations is definitely no problem in this direction. The microecology has been adjusted. On the one hand, it can reduce the damage of the intestinal mucosal epithelium and prevent acute gastrointestinal injury. On the other hand, it can also relieve the diarrhea caused by the infection of the new coronavirus in patients. Reduce the loss of water and sodium and potassium... ...this formulation is very important!"

At the end, Sun Lien regained his energy, "Come on, let's go in and check on the patient's condition. If there is a serious digestive tract problem, we have to deal with it now!"

(End of this chapter)