Hubei Province to improve the deployment and implementation of medical treatment to minimize the incidence of serious cases of basic diseases combined with new crown infections

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December 24 from the provincial new crown pneumonia epidemic prevention and control command learned that the province has been the prevention and treatment of underlying diseases combined with new crown infection patients may appear serious medical treatment resources to prepare and deploy to minimize the incidence of new crown pneumonia and underlying diseases combined with new crown infection serious illness.

According to statistics, up to now, the province has opened 1885 fever clinics (clinics); 175 designated and sub-designated hospitals, with a total of 70,864 beds for rescue and treatment. The province’s medical institutions above the second level have a total of 9,417 critical care beds, 4,910 critical care physicians and 12,930 professional nurses. since December, the province’s medical institutions above the second level have added 2,232 critical care beds, 3,932 convertible ICU beds in reserve, 3,663 new critical care physicians and 8,720 nurses in reserve. In addition, the provincial treasury has arranged 438 million yuan to support the construction of critical care medicine bed transformation.

It is understood that the province has deployed various types of medical institutions at all levels to strengthen the training of medical personnel, and constantly standardize the work of emergency and fever outpatient clinics, strengthen the observation of the condition of key groups of inpatients such as the elderly, children and patients with chronic underlying diseases, and should be given timely and effective treatment when there are warning signs of serious illness. Primary health care services are required to strengthen the guidance and management of medication for newly coronavirus-infected patients in home isolation, insist on early intervention, early prognosis and early treatment, move the gate forward to prevent minor illnesses from developing into serious illnesses, promptly identify risk factors for disease progression and guide patients to medical institutions. At the same time, the role of Chinese medicine is given full play to actively reduce and delay the development of minor illnesses into serious or critical illnesses.

To further implement refined treatment for critically ill patients, each city (state) concentrated experts in respiratory, critical care, Chinese medicine, hospitalization, cardiovascular, neurology, nephrology and other specialties to form expert groups for the treatment of critically ill patients with different diseases, improve the multidisciplinary comprehensive diagnosis and treatment system and the discussion and consultation system for difficult cases, and implement stratified and classified treatment for light, common, heavy and critical patients. After evaluation by the expert group, patients with new coronary pneumonia and underlying diseases combined with new coronary infection are admitted to the corresponding intensive care wards according to the evaluation results, so as to “treat as many as possible”. For patients with severe and critical illnesses, we formulate “personalized” treatment plans according to their individual conditions, and promptly evaluate treatment effects and adjust treatment plans to achieve “precise” treatment.

In addition, we strengthen the remote consultation and traveling medical treatment for critically ill patients. The provincial hospital will strengthen the guidance for the treatment of critically ill patients in medical associations and trust hospitals by means of remote consultation; the expert group of each city (state) will grasp the condition of critically ill patients treated in county hospitals in real time and send experts to participate in the treatment of critically ill patients in the field according to the demand and actual situation; the county hospitals will contact the higher hospitals through the remote consultation platform in time to implement the consultation of critically ill patients in the hospital. The opinion. It is reported that the provincial health and health commission will organize provincial experts to carry out rounds in different areas, to the cities (states) and key counties (cities) to carry out rounds to guide the treatment of seriously ill patients, to help improve the cure rate and reduce the mortality rate; the cities (states), counties (cities) with reference to the form of provincial rounds, stratified to establish a tour medical work mechanism, integration of medical resources, improve the level of treatment.

The province requires the municipal (state) health and wellness committee to improve the assessment and referral mechanism for critically ill patients, establish an efficient referral process, scientifically deploy transfer vehicles, emergency equipment and medical personnel, for critically ill patients treated in county-level medical institutions, such as those in critical condition, beyond the county’s treatment capacity or for other special reasons requiring inter-hospital referral, the municipal medical treatment expert group will consult and assess and confirm the referral, municipal treatment Hospitals are ready to receive, should be transferred as much as possible.