Public hospitals play the role of the main force in the fight against epidemic diseases-they go to war with all their might when they hear the order

In the face of the epidemic, public hospitals acted on the news and made every effort to fight, providing a strong guarantee for the majority of patients and assuming the responsibility of "pillar". In just two or three months, the vast majority of provinces have achieved "double clearing" of confirmed cases and new cases, and more than 70,000 patients have been cured and discharged. The Wuhan Defence War and Hubei Defence War have achieved decisive results, which is a true portrayal of public hospitals’ practice of the oath of "being healthy and trusting each other’s lives" and a concentrated expression of public hospitals’ role as the main force in fighting the epidemic.

"Central command, unity is strength, one party is in trouble, and all directions come to help. Regardless of remuneration, regardless of life and death, charge ahead, gallop a thousand miles … "This is a passage on the anti-epidemic commemorative certificate of a member of the Hubei medical team, which shows the vivid scene of public hospitals in the country helping each other to fight the epidemic. In the face of the epidemic, 346 medical teams and more than 42,000 medical staff from all over the country rushed to Hubei. The top academician team in China fought for the front line, and nearly 1/10 of the backbone of critical care medicine in the country took the lead …

Emergency rescue, courage to shoulder heavy burdens

"Public hospitals must take the initiative"

"Post: East Zone, 6th Floor, Building C, tongji hospital Sino-French New Town Campus; No: 20200207 … "After more than two months of ward work, Zhao Peiyu, head of the nursing team of the medical team of China-Japan Friendship Hospital, received a special tongji hospital work permit.

The post is the ward taken over by the medical team members; The serial number is the arrival time of each team member. In this way, tongji hospital thanked the "Retrograde Soldiers" and commemorated the years when they fought side by side.

When the country is in trouble, the call will come. Feelings of home and country are the cultural genes of public hospitals. As the main body of China’s medical service system, public hospitals respond to orders and do their best to provide strong protection for the majority of patients.

At the end of January, it was hard to find a bed in the designated hospitals in Wuhan. Tongji hospital, Wuhan, took the initiative to transform two new hospitals with about 2,000 beds, namely, Sino-French New Town and Optics Valley, into designated hospitals, opening up a new battlefield for treating critically ill patients. Wang Wei, president of Wuhan tongji hospital, said, "At this time, public hospitals must take the initiative.".

Subsequently, the national anti-epidemic medical team composed of public hospitals such as Beijing Hospital, Peking Union Medical College Hospital, China-Japan Friendship Hospital, Peking University First Hospital, Peking University People’s Hospital and Peking University Third Hospital rushed to Wuhan and entered the Sino-French new city campus.

This is a life-defending battle to raise the strength of the whole country and collect high-quality medical resources. Groups of medical team members rushed to Wuhan, to the front line of the epidemic and to the most dangerous places. At present, public hospitals have become "Depth Charge". It generally takes no more than two hours for local medical teams to be informed and completed, and no more than 24 hours from assembly to arrival.

Pulmonary hospital!’ "The Tenth People’s Hospital!" "Huashan Hospital!" ….. Since New Year’s Eve, the waiting halls of airports in Shanghai, Guangzhou and other places have echoed with such a "point soldier" sound.

In addition to Wuhan, medical teams and materials from 19 provinces have also come one after another to support Hubei: Huanggang-Shandong and Hunan are coming! Jingmen-Zhejiang and Inner Mongolia are coming! Xiangyang-Liaoning and Ningxia are coming … In this rescue to Hubei, 21 provinces sent more than 1,000 medical personnel, including more than 2,000 in Jiangsu, Guangdong and Liaoning provinces.

A team of Chinese medicine experts led by three academicians, Zhang Boli, Huang Luqi and Tong Xiaolin, and five groups of national Chinese medicine medical teams rushed to Wuhan, and the whole system took over eight wards of three hospitals, including Thunder God Mountain hospital, Jinyintan Hospital and Hubei Hospital of Integrated Traditional Chinese and Western Medicine, and took over Jiangxia Fangcang Hospital in an all-round way. Nearly 5,000 people from the Chinese medicine system rushed to Hubei.

"Get a bald head and cut your hair!" "I have been to Wenchuan, and I have to go this time." "I have participated in the fight against SARS, and I will go this time." … touching scenes, the most beautiful retrograde pictures, reflect the kindness of doctors who have boundless love.

When I came, it was snowy and snowy, and I went back to spring. On April 15th, the last batch of medical teams of Peking Union Medical College Hospital was evacuated, which marked that more than 340 medical teams supporting Hubei all left Han and Hubei.

Epidemic prevention and control is a battlefield without smoke, and it is also an examination room to test the initial mission of medical staff. Public hospitals did not bear the great trust and successfully completed various rescue tasks.

Life first, full treatment

"Use everything you can."

Not long ago, the rescue video of a critically ill patient from COVID-19 in Wuhan exploded on the Internet. The sonorous oath of the medical staff who clenched their fists and encouraged them poked the tears of many netizens. After 25 days of ECMO (extracorporeal membrane oxygenation) and 50 days of ventilator, the medical staff in four provinces relayed treatment for more than two months, and finally the patient turned the corner.

Zhang Zongjiu, a member of the rescue team of the Central Guidance Group and director of the National Health Commission Medical Administration and Hospital Authority, said that if the patient has been deprived of oxygen for a long time and still can’t reach the oxygen saturation after being put on the ventilator, he will die of organ failure. ECMO can provide long-term cardiopulmonary support for patients with severe cardiopulmonary failure and win valuable time for rescue.

ECMO is known as the "lifesaver" of ICU, with a global stock of only a thousand units. In order to make the critically ill patients in Hubei and Wuhan use it as much as possible, the Material Support Group of the Central Guidance Group clarified the principle of recruitment and adjustment: there is only one ECMO hospital, and no more recruitment and adjustment; Hospitals with more than one ECMO can be recruited on the premise of ensuring the treatment needs of critically ill patients such as cardiovascular and respiratory diseases.

"The country is in trouble, and we must top it." Liu Xiaojun, director of ICU Department of the Second Affiliated Hospital of Zhengzhou University, said. After sending a medical team, the Second Affiliated Hospital of Zhengzhou University took out five brand-new equipment that had just been purchased and had not been put into use, and quickly packed them and sent them to Wuhan, becoming the hospital with the largest number of ECMO support in the two batches of recruitment operations.

"The overall success rate of using ECMO in Wuhan is 60%, and the success rate of several key hospitals is as high as 80%, which is a medical miracle." Zhang Zongjiu said.

"Use all the methods that can be used." This is the commitment of Peking Union Medical College Hospital to the treatment of severe patients in COVID-19. Zhang Shuyang, leader of the medical team of Peking Union Medical College Hospital, said: "We are here to fight, and we must do our best on the battlefield!" Ward rounds, treatment, discussion on difficult and critical cases and deaths … They shuttled through the ICU ward, commanded the "red zone" battle, and staged "Life and Death Speed" almost every day.

It is the consensus of public hospitals at all levels to maximize the cure rate and reduce the death rate. As long as there is a need for rescue, any medicine and equipment should be guaranteed in place as far as possible; As long as patients can be treated, any treatment will be arranged. In Wuhan, the overall cure rate is 94% from the elderly aged 108 to the infants born only 30 hours, and the success rate of treatment for the elderly over 80 years old is nearly 70%.

On April 26th, COVID-19 patients in Wuhan hospital were cleared. At present, the spread of local epidemic in China has been basically blocked, and the order of production and life has been restored. William Hinton, vice president of Peking Union Medical College Hospital, said that large public hospitals have played a key role in reducing the mortality rate and improving the cure rate, which is also a concrete manifestation of China’s national system and institutional advantages.

Expert team joint consultation

"Concentrate high-quality medical resources to treat critically ill patients"

On May 5th, in a special isolation ward of Wuhan University People’s Hospital, a 65-year-old end-stage patient of COVID-19 underwent bilateral lung transplantation for 14 days. He is the first recipient of end-stage lung transplantation for COVID-19-negative patients, and the longest organ transplant recipient who used ECMO before lung transplantation in the world.

Lung transplantation for COVID-19 patients is a global innovative operation. Chen Jingyu, vice president of Wuxi People’s Hospital and director of thoracic surgery department of China-Japan Friendship Hospital, said: "We are all faced with endangered patients who have been carefully treated by experts. In this last stick, we have condensed the efforts of top experts in critical care medicine, respiratory medicine and lung transplantation in China."

During the epidemic period, the national medical teams that took over the intensive care units all came from the National Medical Center, the National Regional Medical Center and the regional medical centers in various provinces, which showed the achievements of building a high-level public hospital team. In the tongji hospital Sino-French New Town Campus, six medical teams are personally headed by the Party Secretary or Dean, leading elite teams to formulate medical treatment plans according to "one person, one case", which greatly improves the scientificity and accuracy of treatment.

As a national respiratory disease clinical research center, China-Japan Friendship Hospital sent a whole medical team and took out complete critical care instruments and equipment to Hubei to undertake the task of treating severe patients in C6 East Ward of tongji hospital Sino-French New Town Campus. Zhou Jun, secretary of the Party Committee of China-Japan Friendship Hospital, said: "We use good steel in the cutting edge and concentrate high-quality medical resources to treat critically ill patients."

"This is a joint consultation that has never been seen in the history of Beijing Medical University." Jiang Baoguo, president of Peking University People’s Hospital, said that at 4 o’clock every afternoon, the treatment teams of the three affiliated hospitals of Beijing Medical University looked at the disease information outside the ward and conducted expert consultation on severe cases.

A 20-member expert group, known as the "ballast stone" against the epidemic, stayed in Wuhan to undertake consultations, rounds and discussions on difficult cases. They were evacuated from Wuhan only after the severe cases of COVID-19 in Wuhan were cleared.

It is a "bright spot" for Chinese and western medicine to join hands to fight the epidemic. In critically ill patients, the proportion of patients treated with integrated traditional Chinese and western medicine is over 90%. According to statistics, the treatment of integrated traditional Chinese and western medicine has effectively reduced the mortality rate, and the mortality rate of confirmed cases in Wuhan has dropped to 1.5%.

To win the epidemic prevention and control war, public hospitals lived up to their mission and handed over a remarkable "anti-epidemic answer sheet" with practical actions. (Reporter Bai Jianfeng, Wang Junping)