On November 8, the family of the patient, Mrs. Xing (pseudonym), was grateful to send a letter of thanks and a pennant to the Emergency Department of the Kaiyuan Branch of the First Affiliated Hospital of Henan University of Science and Technology (hereinafter referred to as the First Affiliated Hospital of Henan University of Science and Technology). In the thank-you letter, they wrote: "Due diligence, conscientiousness, dedication and best efforts are the professional ethics that Director Lu Zhaofeng, Dr. Zhu and Dr. Yang of the Emergency Department have always upheld, and it is this noble and selfless dedication that makes the elderly feel the warm care from medical staff at the moment when their lives are in danger." ”
On November 1, 76-year-old Mrs. Xing was transported by ambulance to the intensive care unit of the emergency department of the Kaiyuan Branch of the First Affiliated Hospital of Heke University due to vomiting and impaired consciousness. At that time, the patient was in a moderate coma, weak breathing, cyanosis of the lips, blood oxygen saturation was only 79%, and the pulse was fine. According to Mr. Guo (pseudonym), the child of Mrs. Xing, Mrs. Xing is usually in good physical condition and does not have any underlying diseases. Three days ago, Mrs. Xing had no obvious cause for vomiting, confusion and other symptoms, and after treatment in the local hospital, she did not see obvious relief, but the symptoms became more and more serious, during which she had two breathing stops, her condition was critical, and her family was anxious.
After receiving the treatment, Lu Zhaofeng, director of emergency surgery, immediately carried out a series of emergency examinations such as arterial blood gas, CT, and blood coagulation for the patient, gave non-invasive ventilation and other measures, and activated the stroke green channel and multidisciplinary consultation mechanism at the first time. The stroke team and the multidisciplinary team combined with relevant information such as physical examination and imaging to rule out the possibility of related diseases and poisoning, and asked in detail about the medical history and the existence of poisoning and other factors.
"Diseases without obvious triggers are the most frustrating because they don't know where to start." Lu Zhaofeng said, "Combined with Mrs. Xing's medical history and clinical manifestations, we judged that she may be a metabolic disease caused by internal environmental disorders. The results of arterial blood gases quickly confirmed our initial diagnosis: the results showed a blood sodium content of only 100 mmol/L, and metabolic alkalosis and hypokalemia. Bedside ultrasound showed that Mrs. Xing was also accompanied by low ejection fraction and thrombosis of the lower extremities. ”
After a multidisciplinary consultation to determine the cause, Lu Zhaofeng led the team to formulate a corresponding and accurate treatment plan on the basis of effectively stabilizing the patient's vital signs: by timely reviewing the changes in the biochemical environment, adjusting the parameters of the ventilator to improve oxygenation; understanding the brain condition through magnetic resonance examination, and applying air pressure pumps in anticoagulation and intermittently to prevent the occurrence of thrombotic events.
After treatment, Mrs. Xing's consciousness gradually recovered, her breathing also stabilized, her oxygen saturation returned to normal, and her blood pressure and heart rate gradually stabilized, which made Mr. Guo, Mrs. Xing's child, very moved: "I am also a doctor, and I know very well how serious my mother's condition is, so I know better how difficult it is to diagnose and treat in the middle." ”
Subsequently, Mrs. Xing received further standardized treatment and follow-up multidisciplinary consultation in the intensive care unit of the emergency department of Kaiyuan Hospital. Because the elderly are critically ill, every time they go out for imaging examinations during treatment, Zhu Gangyi will accompany him throughout the process, and even during the break from work, he will also rush to the hospital to understand the changes in the condition of the elderly, which deeply touched the patients and their families.
In the subsequent diagnosis and treatment process, Lu Zhaofeng, Zhu Gangyi, Yang Dapeng and others paid great attention to the condition of the elderly, and assisted her family to help her turn over, remove phlegm and move her lower limbs every day. In order to soothe the emotions of patients and their families, Lu Zhaofeng and Zhu Gangyi communicated with their family members Mr. Guo at any time, informing them in detail of the changes in their condition, the current treatment plan and the patient's treatment response, so that the family members could cooperate with the hospital treatment with peace of mind. Under the meticulous treatment and care of the medical staff of the emergency department of Kaiyuan Hospital, Mrs. Xing's condition quickly improved and she was successfully discharged from the hospital on November 8.
Simple words, full of affectionate letters of thanks and pennants, carry the deep gratitude of patients and their families to the medical staff, and their trust and recognition also give the medical staff endless strength. All the medical staff of the emergency department of Kaiyuan Campus will not forget the original intention of saving lives and helping the injured, with the trust and recognition of patients and their families in the hospital, continuously improve the quality of comprehensive medical services, and escort the health of the people in western Henan.