Zhou Ce and Liu Tangchun's swagger to attract firepower was effective. At least Sun Lien quickly completed the precharging and connection work of the dialysis machine.
"Okay, okay, let's take a rest." The old and cunning Liu Tangchun watched Sun Lien finish his work and waved his hand to stop Zhou Ce from talking, "If we continue talking, we will be torn alive by the nurses."
"I've wanted to tear your mouth out for a long time." Hu Jing came over in a nurse's uniform, stepped forward and took Hu Jia's hand. The head nurse said dissatisfiedly to Liu Tangchun, "You are so old, what you said
Why are you so mean?"
"If what I said was not harsh, Hu Jia would have rushed in a long time ago." Liu Tangchun spread his hands and said, "I have no choice but to understand. Long live your understanding."
Hu Jing pulled her niece behind her and warned the troubled little girl with her eyes. She turned to Liu Tangchun and said, "Director Liu, according to regulations, the care of such patients should be assigned by the nursing department.
Conditions, and voluntary nurses will implement it." Hu Jing said, "I am the head nurse of our department, married with children, and also a party member. So I should do the nursing first, and then wait for the nursing department to dispatch personnel to hand over the person."
She looked at Liu Tangchun and asked in a loud voice, "Do you have any objection?"
"No objection." Liu Tangchun shook his head, and then asked, "But... Xiao Sun is doing well now, so it's not your turn for the time being, right? Otherwise, we'll wait a little longer, and we'll treat the patient as soon as the preliminary test results come out."
Just transfer it to a designated hospital. This can also reduce the risk of exposure..."
"Teacher Liu, the patient may not be able to be transferred in this condition." Sun Lien interrupted Liu Tangchun's speech, "The ventilator basically has no room for parameter adjustment, but her blood oxygen saturation still cannot go up."
Wu Fenmei's condition is complex and extremely dangerous. H7N9 avian influenza caused severe pneumonia and high fever. Severe pneumonia triggered systemic inflammatory response syndrome (SIRS). The three main complications of systemic inflammatory response syndrome are shock, DIAC, and organ disease.
The exhaustion has already appeared. If the police found the patient's family members, I'm afraid the emergency room would have issued several critical illness notices by now.
Yes, it has been more than two hours since Wu Fenmei was admitted to the hospital, and her family members have not been found yet. All the rescue measures in the rescue room so far have been carried out with the authorization of the fourth-level emergency response mechanism and the medical department. The hospital and
The doctors are all jointly bearing huge pressure and risks. If Wu Fenmei is not rescued, and the family members are the kind of bastards who are looking for money. In the next period of time, I am afraid that the Fourth Central Hospital will be harassed by the doctors again.
Have a good time.
That's why Liu Tangchun has been thinking about transferring Wu Fenmei to a designated hospital for treatment. On the one hand, he has to consider the negative impact of the closure of the emergency room of the Fourth Central Hospital. On the other hand, he also needs to avoid as much as possible for his medical staff.
Risk. Whether this risk comes from the disease itself or another incurable problem.
"Let's observe it first." Liu Tangchun looked a little ugly. Patients with such serious and complex conditions should be handled by the ICU. They are more experienced in life support and critical care. But now the only person who can directly contact the patient is Sun Lien.
The guys in the college's office said that they didn't "borrow" the equipment needed to refill those compressed gas bottles. They had to borrow it from the college's Level 4 Biological Laboratory. The most optimistic estimate is that it would also require
It takes about an hour to complete the inflation work.
"Director Liu..." Old Wu, the policeman stationed at the hospital, also came. He said to Liu Tangchun, "The patient's identity has been found."
"Oh? Finally there is good news." Liu Tangchun raised his eyebrows and asked, "Are the family members here?"
"Family members...can't come." Lao Wu said with a sad face, "The person who was admitted to the second hospital with suspected bird flu was her wife. The old couple have no children, and the nearest relative is working in Shanghai. She has to come back tomorrow afternoon.
"
When Sun Lien heard these words, he suddenly felt a cold sweat break out from his back.
He is not a foolhardy person. The reason why Sun Lien dared to come to see patients wearing a mask was because so far, there have been no reports of human-to-human transmission of highly pathogenic avian influenza.
Some types of human influenza can be transmitted to poultry and pigs at the same time, and spread between pigs and poultry, causing the virus to mutate rapidly. During the mutation process, low-pathogenic poultry typed as h7n9 appeared in the poultry population.
Influenza. This type of avian influenza is not too severe for birds, but it has a very high fatality rate for humans. According to general statistics, the mortality rate of patients infected with h7n9 avian influenza is as high as 30~60%.
According to a 13-year virus traceability investigation by Sun Yat-sen University, the h7n9 avian influenza virus genes that are occasionally spread in China come from wild bird populations in Zhejiang, Jiangsu, Shanghai and South Korea. This mutation spread latent after wild birds came into contact with poultry.
And it has become a strain that is highly pathogenic to humans.
But perhaps because of the nature of the virus, this strain has a very weak ability to spread among people. Although there are occasional reports of family members co-infecting each other, it is still not confirmed that h7n9 avian influenza can be transmitted from person to person as reported in the report.
In reports of family members suffering from the disease together, the patients all had a history of exposure to poultry.
The virus research report of Sun Yat-sen University also supports this view. According to the experience gained from studying h5n1 avian influenza, in order for the avian influenza virus to achieve "droplet transmission" conditions, it requires three combinations of mutations at the ha key amino acid site.
Among the h7n9 viruses they isolated, there are only two types of h7n9 viruses that mutate at this key amino acid point. In other words, from the perspective of the virus structure, the h7n9 virus does not yet have the possibility of droplet transmission.
This is the reason why Sun Lien boldly entered the clean room. h7n9 cannot be transmitted from person to person, or the ability to spread among people is very weak. When other doctors were still unable to determine what kind of disease the patient had, Sun Lien already knew that she was flying
Infected with an avian influenza virus that has very weak droplet transmissibility.
But now, Sun Lien suddenly thought of a very dangerous possibility.
The virus mutates. The patient's family has no children, and the old couple who live together day and night become sick almost at the same time. This has to make Sun Lien start to worry. If... the virus really mutates, then it is possible that it can be transmitted through the air.
No wonder the status bar uses such an obvious prompt to warn myself!
"Report this situation to the CDC immediately." Liu Tangchun immediately made up his mind. "Inform the Second Hospital of the situation and ask them to raise the level of protection. Call the municipal party committee and government and ask them to raise the level of the emergency response mechanism immediately..." Liu Tangchun took a look.
His own department, as well as surrounding medical staff, "contact affiliated hospitals and ask them to accept patients with stable vital signs. Contact critical care medicine and ask them to vacate the negative pressure ICU and transfer all patients who cannot be transported."
Hu Jing's face was as dark as water. She had already heard what Liu Tangchun wanted to do. While listening, she took out her mobile phone and pressed quickly on the screen.
"Contact the medical department..." Liu Tangchun sighed deeply, "announced the closure of the emergency department. All emergency medical staff are under quarantine and observation. No one is allowed to leave the hospital without permission from the director and superior departments!"