It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience
On July 21, there was a rainstorm in Shencheng. The dull thunder accompanied by bean sized raindrops shrouded the city, and the lanes became slow and crowded. Emergency physician Sun Youti tightly grasped the command and dispatch terminal equipment, making repeated phone calls to the patient's family. "No one answered, we still need to try our best to contact the patient, confirm their symptoms in advance, and provide rescue as soon as possible."
Five minutes ago, he, along with the driver and accompanying nurse, rushed onto the 120 ambulance from under a water curtain like roof, carrying nearly 10 kilograms of first aid kit and electrocardiogram monitor. The mobile room is a place for them to take a nap in the afternoon. After a simple lunch, the work order prompt sounds.
This is a group of people who truly face the tense connection between the three words "life, death, and time". The temperature in the rain is not high, and there is air conditioning in the ambulance. However, Sun Youti, dressed in work clothes and a fluorescent yellow rainproof coat, is still sweating from his temples.
![It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience](https://a5qu.com/upload/images/2e56ac2a89cfb3b7d068ed0db0419cb5.jpeg)
The clothes on my body got wet and dry, dry and wet again - entering the scorching summer, this is the daily work of the white clad soldiers at the Shanghai Medical Emergency Center. Liberation Daily's Shangguan News reporter walked into the dispatch room, got into the ambulance, and listened to them talk about the meaning of life.
Don't forget to help the family members of patients in the rainstorm
The phone number that has been calling back is from the daughter of patient Mr. Wu. When the car rushed to the nursing home, she waited at the door with graying hair. "Sorry, the signal is not good here, I can't receive any messages." Mr. Wu, who is 91 years old, had a fever and vomited the day before. "His face is yellow, and he has had gallstones and epilepsy before, so he is worried." On the advice of the nursing home staff, she hoped to be sent to the emergency department of Shanghai Eighth People's Hospital for treatment nearby.
![It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience](https://a5qu.com/upload/images/dbd4d89e883982c640f4105fd7755bcf.jpeg)
Push the stretcher cart to the ward, measure vital signs such as heart rate, blood pressure, and body temperature for the patient, and open venous access and administer indwelling needles. The three of them calmly lifted Mr. Wu onto the stretcher and instructed his daughter to bring daily necessities, change laundry, and have a medical insurance card. "Now there is a medical insurance direct settlement function on the ambulance, which allows for direct card swiping and invoice printing, without the need for further reimbursement," Sun Youti patiently explained to Mr. Wu's daughter.
"Auntie, you get in the car first, be careful!" When we got back in the car, we didn't care to pull up our rainproof hats and raised our arms to block Mr. Wu's face. "It's easy to get wet on rainy days, and it's not convenient to hold an umbrella for a short distance." He sighed, "Shanghai's aging population is quite deep, and there are many families like this where both generations are elderly people. Therefore, in addition to constantly paying attention to the patient's condition, when there is spare time, they also lend a hand to their families."
In the quiet car, no one spoke for a while, and while trying to avoid traffic, the driver quickly and steadily delivered the patient to the destination. This is an ordinary day for Sun Youti. During his more than 10 years of life and death work, he has encountered more thrilling stories. During the epidemic, he always adhered to closed-loop transportation; For the past three years, he has spent every Spring Festival at his post, and the harsh winter and summer have been the peak of the most urgent need for assistance among citizens, as well as a challenge for those in urgent need. "After entering the high temperature, there were more patients with cardiovascular and cerebrovascular diseases, gastrointestinal diseases, unexplained fever, and elderly paralysis in bed." He still remembers that the nearly 40 degree high temperature pushed away a heat wave in the patient's room, "the elderly couldn't bear to turn on the air conditioning, and there were also many patients suffering from heatstroke." The scenes of climbing six or seven floors with heavy loads, collapse after cardiopulmonary resuscitation, and the scene of high-temperature car accidents lifting the injured off the ground to avoid secondary injuries were all recorded in his heart.
![It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience](https://a5qu.com/upload/images/8ea3b85e09cce3de6aca4d0a7ba865f6.jpeg)
Before being transferred to the city emergency center, Sun Youti worked at the South District 455 substation for many years. When I am busy with 12 hour shifts, I have no time to eat. "We cannot set a fixed time or place, and sometimes wearing work clothes for dine in can cause misunderstandings and complaints from citizens. We try to find people who are few and can pack." But after running for a long time, there is warmth and emotion in our hearts: those sudden 90 degree bows, small shop owners who prepare food in advance, a soft "thank you"... "I never thought of quitting midway, and being needed by citizens is the heavy value of this profession."
"The longer you work, the more you have a sense of awe."
"Time is life, and the bell is command." Returning to the command and dispatch hall of the city's medical emergency center, the constant calls and the roaring 120 ambulance alarms in the streets and alleys of Shencheng weave into a network of life protection. The real-time updated data and vehicle information on the big screen are clear at a glance. "Digital emergency" is changing the public's impression in the past - from transportation vehicles to important links in pre hospital emergency care. Shao Yun, deputy director of the communication department of the municipal medical emergency center, said that as of 14:35 on the same day, the center had received 4859 calls and 2080 trips, and the average emergency response time was 11:49 seconds. When extreme rainstorm weather and road conditions were greatly affected, the average emergency response time was still within the standard of "12 minutes".
![It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience](https://a5qu.com/upload/images/729b7e00d0454ed58e6700d848296edd.jpeg)
Sheng Jiali is one of the dispatchers. After answering the phone, she quickly typed the address reported by the patient's family and accurately located it on the map on the screen. "Let me confirm with you, is the number 'XX' on Wuding Road? The contact person is the phone number you dialed and needs to be sent to Huashan Hospital."
After receiving the positioning, the dispatching system will immediately display the emergency vehicles near the patient's positioning, and Sheng Jiali will quickly send out an order to the nearest emergency vehicle. On the map, the red and green vehicle logos represent working and waiting to be hit, respectively. Small annotations such as license plate number, station name, "Ren", "Hang", "Jie", etc. intuitively help dispatchers accurately dispatch orders in the first time.
"Just like driving, the longer the time, the more afraid she becomes, always holding a heart of awe." In 2009, Sheng Jiali entered the city's medical emergency center to work, "being old and learning old, especially meticulous. If we fill in a wrong word or number, it may delay a life." In October 2021, the center conducted training on the emergency priority grading scheduling system for more than 120 dispatchers. Through the study of common emergency case handling plans, dispatchers can guide patients' families or callers to self rescue and mutual rescue through the emergency priority grading scheduling system phone while dispatching emergency vehicles, filling the gap before the vehicles arrive at the scene, and improving the success of emergency rescue for critically ill patients. Rate.
![It is dry and wet, and the work clothes of emergency doctors on 120 vehicles are wet and dry. Summer medical experience series ③ Patients in rainstorm | Dispatch | Experience](https://a5qu.com/upload/images/38d2cdf3c96a0e0a75f2c76c47878dab.jpeg)
Two days ago, Sheng Jiali successfully guided pre hospital emergency treatment for a male patient who fainted in a certain hotel. "Please listen carefully and have the patient maintain a supine position, open the airway, and remove all items below their head." She continued to ask questions and help with a clear and composed tone. "Please confirm the patient's breathing status, observe his chest undulations, and count each undulation. I will count with you. 1, 2, 3..." Finally, the ambulance arrived, and the patient recovered.
This July, accompanied by the scorching summer, 71 pre hospital emergency physicians and emergency dispatchers from 32 medical schools across the country joined the city's emergency center as a group of fresh forces, shouldering the responsibility of entrusted lives. "With unwavering courage and down-to-earth professional competence, we hope that every phone call and every car trip can help patients rekindle the color of life," said Zhang Zhifeng, the director of the center.