"Speed ​​of Life and Death" fainted in the lobby of the community hospital, 17 minutes, 1870 compressions: Sunday afternoon

Release time:Jun 19, 2024 13:12 PM

In 30 minutes of life and death, from the community to the ambulance, and then to the regional medical center, a rescue operation was being urgently staged: On the afternoon of June 16, someone suddenly fell to the ground in the lobby of the Tianshan Road Community Health Service Center in Changning District. At this time, the outpatient service had ended.

At around 15:20, Mr. Wang, a resident of Pudong, was preparing to watch a movie with his friends nearby, but he felt uncomfortable in his stomach and wanted to check out the doctor at the nearby Tianshan Community Health Center.

At 15:25, Mr. Wang suddenly fainted at the elevator entrance on the first floor just after he entered the center. His companion shouted for help, and the security guard on duty, Master Peng, rushed to the scene immediately after hearing it and found that the resident was unconscious. "There are no outpatient clinics on Sunday afternoon!" In an emergency, he immediately rushed to the ward on the fourth floor. The ward nurse on duty, Liu Huili, immediately notified the chief doctor on duty, Wang Xin, and the ward doctor on duty, Zhu Xusheng.

At 15:28, two doctors arrived at the scene and found that the resident was not responding and determined that he had stopped breathing and his heart had stopped beating. In a hurry, Zhu Xusheng immediately called 120 and Wang Xin began to perform cardiopulmonary resuscitation.

At this time, ward nurses Niu Fangfang and Wu Huilin got off the elevator and found the danger, and immediately took the initiative to join the rescue team. Wu Huilin rushed to the rescue room to take out oxygen, rescue equipment and medicines; Niu Fangfang opened the patient's intravenous channel and injected adrenaline according to the doctor's instructions. During this period, Zhu Xusheng and Wang Xin took turns to perform chest compressions. After 17 minutes and 1,870 uninterrupted repetitions, they finally breathed a sigh of relief when they felt the pulse, which meant that Mr. Wang's heartbeat had recovered.

At around 15:42, the 120 ambulance arrived at the scene and the rescue was handed over to 120 for defibrillation.

At 15:55, Mr. Wang was transferred to Tongren Hospital for further rescue. At the same time, Wang Yuanxing, the chief of the medical department, contacted the chest pain center of Tongren Hospital and informed him of his condition, which was directly communicated to the chest pain center. After arriving at the hospital, Mr. Wang underwent coronary angiography and was diagnosed with acute anterior wall myocardial infarction. After the stent was implanted, he is still receiving follow-up treatment.

"During the rescue process, the community medical staff cooperated professionally and remained calm, which won precious time for the patient." As the doctor at the chest pain center said, with the continuous construction of regional medical alliances, the cooperation between community health service centers and regional medical centers has become increasingly close, so that family doctors are no longer just "health gatekeepers", but also "guardians of life" at critical moments.


"Speed ​​of Life and Death" fainted in the lobby of the community hospital, 17 minutes, 1870 compressions: Sunday afternoon
comment
We need "open science", a globally leading scientific and medical information service institution: technological achievements benefit humanity
We need "open science", a globally leading scientific and medical information service institution: technological achievements benefit humanity

"Every time I come to China, I am always inspired by China's commitment to innovation and investment in scientific research," said Bai Keshan, CEO of Elsevier, at today's 2023 Pujiang Innovation Forum plenary session report. She explained the important role of open collaboration in the scientific era, titled "The Power of Science - Open Science Era, Unleashing Unlimited Potential through Collaboration". As a leading global scientific information company, Elsevier has been serving the global scientific research community for over two centuries, providing services to academic institutions, governments, research and development enterprises, medical and health institutions, etc., covering more than 180 countries to date. Elsevier also serves the scientific research community in China, providing data and information support to over 500 academic government institutions nationwide last year. Bai Keshan stated that he comes from China

The culprit was actually infected with this virus... When I returned from going out, I suddenly had a fever. Ticks, mosquitoes, and viruses
The culprit was actually infected with this virus... When I returned from going out, I suddenly had a fever. Ticks, mosquitoes, and viruses

During the summer, trekking through mountains and rivers has become the preferred way to cool off in major scenic spots. Recently, Mr. Wang accompanied his family to visit a certain mountain and forest scenic spot in China, but was bitten by mosquitoes and didn't take it to heart. Who expected that one week after returning to Shanghai, he began to have fever, aches and pains all over his body. The first time he measured that COVID-19 antigen was negative. He thought he had a cold and did not get better after taking medicine. His temperature was getting higher and higher, and his spirit was getting worse. After examination, the platelet count was lower than normal, but the cause could not be determined. Mr. Wang went to the Infectious Diseases Department of Shanghai Public Health Clinical Center for treatment. After the department director Huang Qin inquired about his medical history, he carefully examined his body and found a highly suspected tick bite mark in the patient's leg socket. The relevant specimens have been tested by the urban CDC and confirmed that Mr. Wang has been infected with the novel Bunyavirus. After timely symptomatic treatment and careful care, Mr. Wang will recover in a week

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
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 the water curtain like eaves, 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 cannot be considered high. The ambulance has air conditioning inside, but outside wearing work clothes

Can patients with COVID-19 infection and kidney injury take antiviral drugs? The Renji team has published relevant results, which damage | patients | disease resistance
Can patients with COVID-19 infection and kidney injury take antiviral drugs? The Renji team has published relevant results, which damage | patients | disease resistance

Recently, a series of research results on COVID-19 combined with renal injury by the Renal Department of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine were published in several international authoritative medical journals, providing high-quality evidence-based evidence for early identification and effective intervention of high-risk groups with acute and chronic renal injury combined with COVID-19 infection. Previous studies have confirmed that Paxlovid, an anti COVID-19 drug, can significantly reduce the hospitalization rate and death risk of non hospitalized patients with COVID-19 infection in high-risk groups. However, the effectiveness and safety of Paxlovid in people with kidney injury are still unclear. To this end, the nephrology team of Renji Hospital conducted a series of studies on patients with kidney injury. The research of Professor Ke Moushan's team of Kidney included COVID-19 patients who visited Renji Hospital, and found that patients with acute renal injury took

Exploring the "dual contract" service of home doctors based on families, Zhongshan Hospital collaborates with 18 social health centers in the four districts of Shanghai, signing contracts with family doctors
Exploring the "dual contract" service of home doctors based on families, Zhongshan Hospital collaborates with 18 social health centers in the four districts of Shanghai, signing contracts with family doctors

At the launch ceremony of "Assisting the High Quality Development of Family Doctor Double Contract Services" held by Zhongshan Hospital affiliated with Fudan University today, it was announced that as one of the first batch of "coaching" national medical centers established by the National Development and Reform Commission and a pilot unit for the high-quality development of public hospitals by the National Health Commission, Zhongshan Hospital plays the leading role of public hospitals in urban medical groups, holding hands with 18 community health service centers in Putuo, Minhang, Fengxian, and Huangpu districts to improve quality and efficiency and achieve the "double contract" of family doctors. The five ministries and commissions of the country have previously issued the "Guiding Opinions on Promoting the High Quality Development of Family Doctor Contract Services", which clearly proposed to guide tertiary hospitals to adopt various methods and approaches, promote the sinking of high-quality medical resources, and work together with grassroots medical and health institutions in the jurisdiction to strengthen the contract service force and jointly do a good job in family medicine