Source: Beijing Yanqing Hospital of Traditional Chinese Medicine
On the morning of June 26, multiple departments of Beijing Yanqing Hospital of Traditional Chinese Medicine cooperated and saved successfully the elder man with septic shock.
The patient, male, 78-year-old, was wheeled into the Emergency Department by his family at 7 am. The patient was suffering from dyspnea with poor consciousness. The patient's family reflected that his suffocation had worsened for 1.5 hours this morning and he had nausea and vomiting for 4 days. Based on his rich clinical experience, He Hongjie, the deputy chief physician, realized that the patient was in a critical condition. After epidemiological investigation, he and the nurse on duty immediately placed the patient in the emergency room for treatment, gave electrocardiogram monitoring, oxygen inhalation, opened vein access, relieved asthma, achieved to spasmolysis, performed fluid expansion, and improved all laboratory tests.
At 7:20, the patient became agitated, and the blood pressure gradually dropped to 94/70mmhg, and the blood oxygen dropped to 87% under the state of oxygen inhalation. Wei Pengcao, the second-level attending physician, and Zhang Haijun, the third-level chief physician, were urgently required to jointly guide the rescue. Based on medical history of the patient, laboratory tests and rich clinical experience, they used the non-invasive ventilator to assist ventilation and anti-infection drug treatment, considering the postoperative infection of the patient with lung cancer. But the dyspnea of the patient constantly aggravated, blood pressure and blood oxygen continued to drop and threatened the life. Zhang Haijun, the director of the Respiratory Department, directed to get the patient intubated immediately.
Time is life. After communicating with their families, medical staff contacted the operating room for endotracheal intubation, informed nurses to prepare for catheterization, contacted the Radiology Department and the Ultrasound Department, improved bedside chest radiograph and cardiac ultrasound examination. Director Xu Yizhong of the Anesthesiology Department promptly got to the position, successfully completed endotracheal intubation, carried out assisted ventilation by invasive ventilator, the staff of the Radiology Department and Ultrasound Department were quickly in place with equipment to complete bedside examination. Drug support, fluid expansion, catheterization, bedside chest radiograph and echocardiography check...Time is pressing, each department cooperated and carried out the treatment skillfully and orderly. Eventually, the patient's vital signs gradually stabilized.
At the same time, Li Yueming, the deputy director of the Emergency Department, actively coordinated with the team members to come to the post ahead of time, and informed 120 personnel to be ready to participate in the rescue support. Head Nurse Yan Hongying was responsible for organizing, coordinating and supervising the implementation of doctors' orders in the rescue process. The nursing team in the Emergency Department was racing against the time to carry out the rescue work tightly.
The epidemic was ongoing. All departments of Beijing Yanqing Hospital of Traditional Chinese Medicine adhered to the service philosophy of "people-oriented and patient-centered", when one department was in trouble, other departments came to support. While keeping the epidemic under normal control, all departments were racing against time to actively treat it. The improvement and the stability of patient condition is the best reward to the hard work of medical staff!
