It is also a Class A infectious disease, and the plague is far more terrifying than cholera. Under the conditions of sewage treatment and tap water supply in modern cities, the only way for cholera to spread is that flies contaminate food. It can be said that in a city with perfect infrastructure,
In modern cities, the possibility of large-scale cholera outbreaks is basically gone.
But plague, especially pneumonic plague, is different. Any disease that can be transmitted through the air is inherently "terrorist". And the transmission routes and common symptoms of these terrifying diseases have made respiratory physicians the first to bear the brunt.
Dealing with doctors. They understand this fear better than doctors in other departments.
Director Huang Wenhui really wanted to show her fearless spirit, just like Professor Hou back then. She faced the fear of life and death while joking and talking. But she couldn't do it.
How could she not be afraid? On the way to the emergency room, Director Huang clearly felt that her legs were a little weak and her heart was beating wildly. She kept comforting herself in her heart that it was just pneumonic plague. Use N95.
Masks can effectively prevent...it doesn't matter!
Then this psychological construction collapsed instantly after Director Huang saw several P4 protective clothing provided by the hospital.
Sun Lien did not wear protective clothing. He put on a full set of protective equipment as required by the guidelines, and began to transport the patient together with the "biochemical soldiers" of the hospital. Before the transport, he also took time to go to the small conference room to talk to Dr. Pascal.
He also greeted the newly arrived Dr. Brun and instructed the two of them to prepare for cleaning and isolation.
Although I feel that Dr. Bruun encountered such a thing when he first came here, it is really unlucky, but no step should be taken. These seemingly inhumane and extremely troublesome rules and steps are all based on the efforts of countless people.
Even the valuable experience gained from life must not be ignored just to save trouble.
The first person to be transported into the negative pressure isolation cabin was Tang Xingde. His condition was the worst among the three. With the assistance of pure oxygen input from the ventilator, his blood oxygen saturation was only about 92%. And the blood
When the oxygen saturation is low, the heart rate must increase to compensate for the insufficient oxygen content. The accumulation of lactic acid under the endocardium will soon lead to myocardial depression. As for when myocardial depression will occur, it all depends on the luck of the medical staff.
.
Things like negative pressure transfer warehouses look scary. The transparent coffin placed on the bed is the first impression most ordinary people have when seeing the transfer warehouse. Combined with the P4 protective suits worn by the three people in the upper hospital office, the transfer scene is vivid
It became the filming scene of Resident Evil. Of course, in the movie, these people wearing protective suits would be bitten to death by zombies in a few minutes to create a tense atmosphere.
What caught Sun Lien's attention was a female doctor who entered the emergency room with the hospital's infection control office. She was not tall and seemed very nervous. If her badge hadn't stated that she was a respiratory physician, Sun Lien would have
One might even think that she is an intern who has gone to the wrong room. Dr. Huang, whose face is mostly covered by a mask, is really not easy to judge her age.
"Are you Sun Li'en?" After luckily transferring Tang Xingde, Dr. Huang seemed to have eased a lot of tension. She began to talk to Sun Li'en, "I've heard of you. You were the one who discovered Xiao Li's misdiagnosis.
Right?"
Sun Lien was surprised that Dr. Huang was still mentally strong enough to chat in this state, and then he nodded and said, "Yes."
In order to relieve his nervousness, Director Huang Wenhui decided to chat with the young man in front of him who seemed to be the first-diagnosis doctor. But what he didn't expect was that this young doctor was the one who had previously found out that his attending doctor had missed the diagnosis.
That Sun Lien.
Director Huang Wenhui actually doesn't have a good impression of Sun Li'en. It can even be said that he is a little disgusted with this young doctor. After all, he was the one who discovered the missed diagnosis and forced Xiao Li to undergo scrutiny. The young doctor suddenly suffered from this kind of experience, and his self-confidence was damaged.
It is inevitable that he has to take time out from his busy work to care about the psychological problems of his doctors, which really makes Director Huang a little annoyed.
But this kind of anger... suddenly disappeared in the current environment. Everyone has to face the hardships of patients with pneumonic plague. Director Huang has experienced the storm of SARS. Although it is unavoidable to be frightened, he still has more confidence than Sun Lien.
of.
Sun Lien didn't feel anything particularly scary at all. Instead, he looked up at the patient's status bar from time to time to ensure that he could grasp the patient's condition changes in the shortest possible time. As for the status bar, he had a warning on his face...
A warning is a warning. Anyway, I'm wearing a mask, so it won't be a big problem.
The transfer of Hou Huiying and Tang Wen was completed quickly. This time was different from the previous one. Because they were reminded by the emergency department in advance, the hospital office established the airtight door and the positive pressure of P4 protective clothing before entering the rescue room.
Air supply system. Although it is difficult to move because of the pig tail on my body, at least I don’t have to worry about the limit of air supply time. After completing the transfer, the staff of the hospital’s infectious disease department unceremoniously blasted Sun Lien and others out of the air supply system.
Then he took out the cotton ball stained with benzalkonium bromide and began to wipe the three people's bodies with long stainless steel tweezers.
Disinfecting the patient's whole body with 0.1% benzalkonium bromide should actually be the first step in receiving the patient. However, the situation could not keep up with the change. All three people were sent to the hospital by ambulance. And they were in critical condition.
Where is the time to remove all the clothes of the three people, disinfect them, and finally send them to the ward? However, there is still work to be done to fix the problem. Now, after removing all the clothes of the three people and disinfecting them, at least we can prevent them from carrying Yersinia pestis.
The fleas bit them again. At the same time, intensively burning the clothes of the three people could also effectively control the continued spread of the germs.
As for Sun Lien, who was kicked out, he continued chatting with Director Huang Wenhui.
"The missed diagnosis you found is really impressive." All three patients were sent to the clean room, which calmed Huang Wenhui's panic a lot. "I have organized a study discussion in the department, and they did
He is also too lazy and not sensitive enough to other diseases."
Sun Lien replied sheepishly, "Actually... I'm really lucky." In the previous diagnosis, the reason why Sun Lien was able to detect the missed diagnosis was indeed mostly due to luck. After all, he not only saw a lot of things during this time
Many patients suffer from immune system diseases, and their diagnostic team also includes Dr. Pascal, an expert on immunity. This keeps Sun Lien's sensitivity to immune diseases at a relatively high level. Moreover, Cao Jianguo is also Dr. Cao Yanhua.
Not only would the relative not be dissatisfied if they did more checks, they would feel that Sun Lien was reliable. In addition, at that time, Sun Lien was still practicing case sketching. Several factors came together to enable him to detect systemic
The presence of sclerosis.
"Luck? Luck is also a part of strength." Director Huang was a little unimpressed by Sun Lien's self-effacement. She even accidentally said the famous saying of a shameless ninja, "Why doesn't Xiao Li have this kind of luck? The chance is
It’s for those who are prepared. If your own level is not good enough, even if you have luck, you won’t be able to catch it.”
Director Huang Wenhui's attitude towards Sun Lien was quite good, at least he had no intention of raising an army to hold him accountable.
"Doctor Sun, the number of the Centers for Disease Control and Prevention." While they were still chatting, Xu Yourong called out to Sun Li'en.
"I'm Sun Lien." Sun Lien nodded towards Director Huang, then walked to the nurse station and answered the phone.
"Dr. Sun, this is the Centers for Disease Control and Prevention." The voice on the phone sounded a little anxious, "The expert team from the province has arrived at our place. We will set off with the expert team and will arrive at your hospital in about twenty minutes.
."
Sun Lien was overjoyed. Experts from the treatment team came, and maybe the treatment work could be left to others. "That would be great..."
Before Sun Lien finished speaking, the staff over there asked anxiously, "How many sets of protective equipment do you have in the hospital? We can only transfer three sets of protective clothing now, and we are still in contact with other equipment."
"Uh..." Sun Lien was stunned, "I don't know about this either. Now the hospital has brought three sets of P4..."
"There are three sets, right?" The staff at the Centers for Disease Control and Prevention immediately relaxed a lot, "That's OK, we'll be there soon!" After saying that, he hung up the phone.
"The Centers for Disease Control and Prevention only has three sets of protective clothing?" Sun Lien hung up the phone and asked Xu Yourong with some confusion, "Shouldn't their family be quite wealthy? Why are they so poor?"