The first wave of new crown infection peak impact of the hospital: some departments "Yang" 80%, but still holding on

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“The impression is that the last time a high fever was not returned was when I was pampered by my mom and dad to drink Merlin, but now I can only take care of myself alone …… dragging the body as if it had been rolled by a tractor to value the big night, all hot and can not breathe, but all the brothers and sisters around me are working with the disease, I know that nothing I know that nothing can beat us ……,” said Dr. Zhan Qiao, a rotating doctor at Jiangsu Provincial People’s Hospital, at 21:45 on December 20, who released such a circle of friends.

This 1994-born “newbie” is still on rotation, and in the first wave of the massive impact of new coronary infections, she volunteered to return to the infection department and support the fever clinic. The young girl who has just started her job is not the only one who is gritting her teeth and persevering.

In December 2022, after the release of the “New Ten Rules” to optimize the implementation of the prevention and control of the new coronary pneumonia epidemic, the three-year tug-of-war with the new coronary virus came to the moment of general attack, the Xinjing News reporter learned from the Jiangsu Provincial People’s Hospital. The sudden increase in the number of outpatient clinics met with inexorable attrition, with anxious and distressed patients on one side, and a steady and exhausted medical staff on the other. Before the “dawn”, they once again became the first “breakwater” to stop the epidemic, all dressed in white.

The first wave of infection came earlier and harder than expected

Anxious patients waited in front of the resuscitation room, and the radio shouted “the family of such-and-such patient please come to the interview room”; some patients’ family members took the registration form and anxiously walked through the queue waiting for the doctor to see the results; sitting in front of the consultation desk of the emergency room, the doctor could not help coughing while asking questions, but because of the face screen and N95 mask, they could not drink for several hours. On a sip of water ……

This is the rescue room of Jiangsu Provincial People’s Hospital at 4:00 a.m., and one of the front lines to withstand the massive impact of the first wave of new crown infections. Although it has been prepared, but the optimal implementation of the new pneumonia epidemic prevention and control of the first wave of infection after the release of the “new ten”, than expected to come earlier, more violent.

The staff is turning the patient in the emergency rescue room.

“To be honest, the normal work rhythm of the entire emergency clinic has been completely disrupted long ago. The biggest difficulty is that medical staff keep falling down while patients keep pouring in, and that feeling of powerlessness of watching the circle shrink and having fewer and fewer comrades around is actually very anxiety-provoking.” Chen Xufeng, director of the emergency medicine center at Jiangsu Provincial People’s Hospital, said.

The resuscitation room was originally well-staffed, with each of the two directors leading 1 medical group, each with 8 to 10 young physicians. At the moment, the workload has increased by at least one-third compared to usual, but the team has been reduced by more than half, and the total number can only be maintained at about 10, and almost all of those on duty are “mildly positive patients”.

Even more stressful was the night shift. While the number of staff was decreasing, there were more than 40 critically ill patients to care for. During the day, the hospital struggles to evacuate patients, but at night, in just two or three hours, the resuscitation rooms are overcrowded again.

The emergency yellow zone consultation room, which is located across the door from the resuscitation room, is also running at high capacity, with a continuous influx of level II (requiring treatment within 10 minutes) and level III (requiring treatment within half an hour) patients, and a shift of about six hours, with a maximum of 40 or 50 patients with urgent conditions to be treated, resulting in much longer waiting times for ordinary level IV patients. Seeing a dozen square meters of internal medicine consultation room was crowded, surgeon Zhou Jinchun took the initiative to look at the internal medicine disease, “I never dreamed that one day I would see so many patients with colds and fever!”

“The emergency observation room, the first ward and the second ward are strategically contracted, patients are only out but not in, and medical and nursing forces are drawn to the front line of emergency medicine as soon as possible to fully support the brothers and sisters on the front line as soon as possible.” Emergency EICU (Emergency Intensive Care Unit) is currently the inpatient unit fully guaranteed by the whole department. According to the requirement of director Chen Xufeng, EICU fully guarantees the follow-up treatment of critically ill patients treated in emergency green channel such as trauma, stroke and poisoning. Medical and nursing staffs are on duty with sickness, and still must try their best to ensure that all the critically ill patients in the green channel are admitted, and at the same time, they must strengthen protection and try their best to ensure that negative patients are not infected.

The “yang” more “yin” less, to the limit also have to grit their teeth to persist

The fever clinic of Jiangsu Provincial People’s Hospital is located on the west side of Building 1, which is managed locally by the Department of Infectious Diseases, and previously assumed the role of an important “sentinel” for the new crown epidemic, mainly treating and keeping patients with fever and epidemiological history. The number of consultations has increased ten to twenty times.” Zhu Chuanlong, director of the infection department, said.

In fact, the fever clinic was preparing for this “hard battle” even earlier, such as departmental coordination and optimizing the arrangement of medical and nursing forces. The hospital has also expanded 90 beds on the second and third floors of the fever clinic, and the ICU (Intensive Care Unit) of the infection department has been emptied, with all 11 beds used to treat critically ill patients with new coronary artery disease.

As the coordinator of the fever clinic, Zhu Chuanlong is also “Yang”. “The section medical nurses positive 70% to 80%, the symptoms are really heavy before taking leave, there are half in the insistence on work, I have to hold out even more.” The mute Zhu Chuanlong has to answer a hundred phone calls every day, and at 11 or 12 in the middle of the night he is still coordinating a bed for a 90-year-old man with a high fever. “(This old man) is obviously a high-risk group that can easily develop into a serious illness. Properly handling every such patient is the only way to reduce the pressure on the ICU.”

One antipyretic, one sleeping pill and one hypertension pill. After 12 p.m. at night, Zhu Chuanlong, who has been busy all day, swallows these three pills to get a little rest. His two children, wife, father-in-law, mother-in-law are also “Yang”, family members take care of each other, he chose to live away from home, “always running on the front line, a little more risk, and they are separated to avoid cross-infection.”

Outside the profession, health care is also an ordinary person who can be infected. They are also other people’s parents, lovers and children, many of whom finish fighting on the front line before they can make a phone call to their sick family members. From doctors to nurses, nursing staff, cleaning staff, security staff, and front-line staff to logistics staff, all hospital staff are at their posts, doing their part to fight the “epidemic” with enthusiasm and dedication.

At 1:00 a.m., medical staff in the fever ward are still busy.

The “war invitation” from Wuhan at a difficult time

Since the epidemic, as the last line of defense for life support, ICU has been full of new crown pneumonia critically ill patients.

On December 19, after finishing the last shift in the geriatric respiratory department, Zhan Qiao immediately reported to the ICU of the infection department. It was also on that day that Zhan Qiao found himself “Yang”. “The first time I saw it, I was able to see it. “The most common message I get from my parents these days is how to protect against the virus and how to increase nutrition. Zhan Qiao said. Fearing that they are worried, she always shields her parents and elders when she shares the frontline clinical situation in her circle of friends.

The company’s main goal is to provide the best possible service to its customers.

She wanted to lie down in the aisle of the transfer bed to rest, but the closed N95 but people can not catch their breath, so lie down, stand, walk, through a few hours, the next morning at 5:30, she had to drag as if a thousand pounds of body to continue to treat patients, “each step is like using up all the strength, but for the sake of the patient, and then pain must also persist. “

After dealing with blood gas and ventilator parameter adjustment, it was 7 o’clock in the morning, and colleagues from the next shift came to take over. “The condition is stable, symptomatic treatment, no special shift”, we will smile, say to each other a hard time, the baton passed to the next shift of medical staff.

Health care workers are busy and orderly.

Cao Quan, director of the ICU department, has not left his post since he returned from fighting the epidemic in Xinjiang. Despite the infection of the new crown, the room check and consultation are not delayed at all. “The 19 doctors in the department, positive has been 16, the symptoms of light has gradually returned to replace the symptoms of heavy personnel, doctors, nine people are currently on duty, six of them are working with the disease, but also to bear the same workload as before.” Cao Quan said.

Faced with the dilemma of manpower shortage, the ICU nurses also carried on with a strong effort. There are 73 nurses infected with the new crown, plus nine on maternity leave, accounting for 84 percent of the staff. More than 20 nurses returned to work immediately after being sick for only one or two days, and the 24 nurses who were not infected worked continuously from December 16 to 22 for one week without a day’s rest.

Seventy percent of the nurses in the ICU had participated in the fight against the epidemic in Wuhan, and the hardships and perseverance of those days are still vivid in our minds three years later. The challenges and difficulties we face today are no less than those at that time. Chief Nurse Liu Ying sent the photo of the petition with red fingerprints all over it to her colleagues again, “We overcame our fears a little bit then and persevered to the end, and we can definitely do the same this time.”