One of the 10 patients is in critical condition, only two of the other nine have shadows in both lungs, and the others only have shadows in one lung. As long as oxygen is provided, there is no good treatment method at this time.
The critically ill patient was already somewhat confused and his blood oxygen level was declining.
Wang Mo and Director Liu are rescuing him.
"0.5 ml of adrenaline."
"Director Liu, the effectiveness of the non-invasive ventilator is decreasing at this time. Do you want to incise the trachea?" Wang Mo
Director Liu looked around. In this environment, cutting the trachea would cause secondary infection of the patient, but there was no other way except this, unless he was given an extracorporeal membrane oxygenation machine at this time.
However, Tongji Hospital originally only had two units of this equipment, and they were already being used on patients at this time, while the equipment at the Beijing General Hospital was not yet on the plane.
Director Liu said helplessly: "Get ready to cut the trachea."
So Wang Mo carefully cut open the trachea. Under the tiny wound, Wang Mo peeled off the layers layer by layer. Finally, he made a small opening between the tube rings, inserted the assisted breathing tube, and then connected it to the breathing tube.
machine.
After about a few minutes, the nurse said excitedly: "The blood oxygen is rising."
Director Liu was watching Wang Mo's operation the whole time. Seeing Wang Mo's smooth completion, he said: "Your skills are really inherited from Lao Zhao."
"Director Liu, thank you for your praise. What I'm worried about now is whether he can survive until the arrival of our extracorporeal membrane oxygenation machine. This is a contaminated area and can easily cause secondary infections." Wang Mo
Director Liu sighed and said: "I didn't expect to encounter 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 to accept fate.
."
"Okay, Director Liu, I have actually been studying SARS cases for half a year before this. Now after reading these ten medical records, I have some opinions about this new coronavirus." Wang Mo
After hearing this, Director Liu said in surprise: "Really? I understand. Now is not the time to talk. You can wait until the regular work meeting in the evening to talk about it and let everyone brainstorm."
"Okay"
Next, Wang Mo intubated the two patients with shadows on both lungs and put them on non-invasive ventilators, temporarily stabilizing their condition. As for the other patients, there was no effective way and they could only give them transfusions.
Some immunity-boosting liquids can help you get through it on your own.
In the afternoon, Wang Mo was checking other patients. At this time, the patient who had the tube removed in the morning developed symptoms of shortness of breath and low blood oxygen.
After Wang Mo passed by, he saw that the patient's face looked a little strange due to shortness of breath, and his heart had stopped beating due to insufficient oxygen supply.
"Inject 1 ml of adrenaline and prepare for defibrillation." Wang Mo
"Defibrillation ready"
Wang Mo performed electric defibrillation on the patient again and again, but the patient's heart showed no response.
Excessive electric defibrillation is also not advisable. Wang Mo can only use his hands to press and rescue.
The nurse next to me saw it for several minutes, but there was still a straight line on the patient's electrocardiogram, and at this time the ventilator indicated that the patient's organs had stopped working.
After rescuing the patient for nearly 10 minutes, Wang Mo could only step aside tiredly. The nurse next to him was already recording the patient's time of death and previous symptoms.
Wang Mo watched as several nurses packed up the body and pushed it out of the ward. He retreated to the wall and leaned against it in despair.
Although doctors are used to seeing life and death, the feeling of not being able to deal with the disease made Wang Mo feel uncomfortable in his strong heart.
After having dinner in the lounge in the evening, several doctors, two head nurses and the nurse supervisor held a meeting in a simple office.
When everyone arrived, Director Liu said: "Today is our first regular meeting. We have been working for a day. Let us know what you think!"
"Let me tell you first, Director Liu, we are still short of people. Although we have temporarily rotated, the manpower is still enough, but today is only the first day, and there will be many more days in the future." The head nurse said first.
"Also, we now have critical, severe, and common diseases in the same ward, which will cause secondary infection." Dr. Zhang
"Yes, we also need ventilators and extracorporeal membrane oxygenation machines. Now the condition of these patients is gradually deteriorating, but we can only lower their body temperature and relieve their cough, but treating the symptoms does not cure the root cause. In fact, their internal
It's getting worse every minute," another doctor said.
Everyone talked about their feelings at the end of the day. This is a very intuitive feeling and opinion.
Director Liu saw that Wang Mo was silent, so he asked: "Dr. Wang, what do you think?"
Wang Mo looked at the wet hair of several people in the room and the 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 to complete it alone.
"Then let me talk about some of my opinions. First, let me talk about what Dr. Zhang just said. I think this is the best solution for us at present. People with different diseases should be managed separately." Wang Mo
Before Wang Mo could finish speaking, Dr. Zhang retorted: "But first of all, we don't have that many manpower, and secondly, we don't have that big of a place."
"Listen to me, today's patients can be divided into four stages. The first stage is when the symptoms have just occurred, a slight high fever or cough, but the lung image is still normal. The second stage is when the lung image shows lesions.
The third one is a patient with severe bilateral lung shadows, and the fourth one is a patient with breathing difficulties or coma." Wang Mo
Everyone agrees with Wang Mo's statement, and they also classify it this way at this time.
"The largest number of people with mild symptoms now are people with mild symptoms, and many people are quarantined at home, so can some large venues, such as convention and exhibition centers, gymnasiums and other places be requisitioned and transformed into places suitable for mild illnesses, and managed here?
Medical workers do not need to be very professional respiratory or virus experts, other departments can also do it, and it is much safer than here, and it will not cause critically ill patients to infect them, and mild patients cannot be seen.
Even with these serious illnesses, I feel confident." Wang Mo
Wang Mo's words made everyone else in the conference room shine.
Director Liu took over and said: "This is a good idea. I will go to the director of Tongji Hospital soon and tell him about this idea. It is best for the government to take charge of this transformation work."