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Hu Ming of Wuhan Pulmonary Hospital: The "Musketeer" in the ICU

author:Physician Journal

Rong media reporter Wang Jiansheng

In the eyes of critically ill patients, he is a "life-saving straw", and with his protection, he can defeat the god of death;

In the eyes of peers and colleagues, he is a "tough guy", day and night, and the risk operation is all-inclusive;

In the eyes of the central experts, he is the "musketeer" in the ICU, and the treatment process has entered the national version of the plan;

In the eyes of netizens, he is a "net red angel", tearfully crying as a comrade-in-arms, crushing the tears of the people of the whole country.

He is Hu Ming, director of the ICU of Wuhan Pulmonary Hospital.

Hu Ming of Wuhan Pulmonary Hospital: The "Musketeer" in the ICU

Wuhan Pulmonary Hospital is one of the first designated hospitals to be put into the fight against the epidemic. On that day, he handed over his young son to his parents, and he and his wife went to the battlefield of fighting the epidemic, and did not return home for more than 140 days.

The Wuhan Pulmonary Hospital, where Hu Ming and his wife are located, is the first designated hospital to be put into the fight against the epidemic. That day, they gave their young son to their parents. Since then, his wife has insisted on fever clinics, and he has fought in the intensive care unit and has not returned home for more than 140 days.

Hu Ming said that in early January 2020, some critically ill patients were admitted to the Intensive Care Medicine Department of Wuhan Pulmonary Hospital. Many of them have been ineffective in hospitals and can only rely on ECMO to maintain their lives. When you come to the pulmonary hospital, you are expecting a miracle of life. The director of the Department of Critical Care Medicine is the gatekeeper of the last pass of life, carrying the trust of life one by one, and can only go all out and move forward.

After the outbreak of the new crown epidemic, Hu Ming led all the medical staff of the hospital's ICU to fight the epidemic for the first time. He stayed in the ICU 24 hours a day and slept less than 3 hours a day for the first three months. He and his wife, Wang Jie, the head nurse of the fever clinic, fought together in the same building, but they rarely had the opportunity to meet.

The ICU led by Hu Ming, with a team of 30 people, treats the most serious and complex batch of critically ill patients with new crown pneumonia in the city. Seven ECMO units in the ward were activated at the same time, and the world's highest life support VVAECMO was launched, repeatedly breaking the record of the epidemic.

On the evening of March 19, a 70-year-old male patient with VV-ECMO (extracorporeal membrane oxygenation) was transferred from Wuhan First Hospital to Pulmonary Hospital. After transfer, the patient has a persistent high fever and blood pressure drops to a dangerous value.

"On VVA-ECMO, patients will have 5% hope of being born, but if they don't, they will die tonight!" Hu Ming said, "For this 5 percent hope, we have to do 100 percent of our efforts." ”

VV-ECMO is to provide lung function for patients, and VVA-ECMO is to provide the function of both heart and lung organs.

To give patients VV-ECMO, it is necessary to intubate the patient's femoral vein and jugular vein, which is already a difficult operation, and to give the patient VVA-ECMO is based on the former, and then insert a tube into the patient's femoral artery. "There are very few general tertiary hospitals in China that can carry out this operation." Hu Ming said.

In the end, with the joint efforts of 12 experts in respiratory, severe and extracardiac disciplines in 10 hospitals in Beijing, Jiangsu, Zhejiang, Anhui, Hubei and Inner Mongolia, after about 3 hours of hard work, the VVA-ECMO operation was a complete success, and the patients won the hope of 5% of life. Hu Ming walked to the nurse's station, looked through the glass, and made an "OK" gesture to the medical staff waiting anxiously in the nurse's station.

Hu Ming of Wuhan Pulmonary Hospital: The "Musketeer" in the ICU

ICU is a position to seize life, some operations, can not be completed within tens of seconds, the patient will definitely die. He took over almost all the high-risk, high-difficulty operations.

Hu Ming said that there was once a doctor who was usually quite mature, and he panicked as soon as he went into battle. The patient's condition deteriorated rapidly. He immediately came on the field, completed the intubation in 20 seconds, connected the ventilator, and the patient got better. Since then, he has taken over almost all of these high-risk and difficult operations.

"In the face of a strange virus, we tried various solutions, but to no avail. Some patients were stable, and even just talked to me, and when I turned to intubate someone, he suddenly faced rescue. They were all their own compatriots and villagers, and at that moment they felt that their hearts could not bear it. Every hour, the patient's condition is changing, and every condition must be accurately rescued, and if it is slightly biased, death will come. Without a specific drug, we can only do our best to call on various life support means to rob lives with the god of death. ”

On that day, Hu Ming received a call from his peers, comrades-in-arms, and Director of the ICU of Dongxihu People's Hospital, Yuan Haitao: "Old Hu, I'm afraid I can't do it!" At that moment, Hu Ming's uncontrollable tears rushed out. Hu Ming said that a professional is saying no to you, that is entrusting the aftermath! But I didn't have time to grieve, dry my tears, and turn around and walk toward the ward.

After Yuan Haitao was sent to Hu Ming's hospital room, he quickly turned yin in about 10 days. On the day of discharge, Hu Ming did not have time to send him, but only said goodbye across the screen. Hu Ming said that because the epidemic is still glued, his ward, my ward, there are many patients waiting for our treatment.

Hu Ming of Wuhan Pulmonary Hospital: The "Musketeer" in the ICU

Together with the resident experts, he creatively proposed the "complete treatment process of the new crown pneumonia ICU process", which was incorporated into the national version of the treatment plan, and the experts of the central guidance group praised them as "three musketeers".

In the face of the treatment of critically ill patients with new coronary pneumonia, Hu Ming immediately proposed the importance of standardizing the treatment process. At the critical moment, the National Health Commission sent two ICU masters to Wuhan Pulmonary Hospital - Zheng Ruiqiang, president of Subei People's Hospital, professor Li Xuyan of Beijing Chaoyang Hospital, and Hu Ming formed the "ICU Three Musketeers" with them, and changed their drafts seven times in 10 days, forming a complete treatment process for new crown pneumonia patients after entering the ICU, which was absorbed into the sixth edition of the national new crown pneumonia treatment plan, becoming a "textbook" for the treatment of severe and critical diseases in the front line of the national fight against the epidemic. The experts of the Central Steering Group praised them as "three musketeers".

With the ICU's complete treatment process, the patient's treatment situation has changed rapidly. Patient Yang Mou, who experienced 3 intubation and extubation in 60 days, felt the fragility of life and the difficulty of treatment, grabbed Hu Ming's hand like a life-saving straw and said: "I will not go, only here, I can live." Another patient, Hu Mou, relied on artificial membrane lung support for more than 40 days, and after successfully withdrawing the machine, he experienced more than 60 days from tooth vocalization to toddler. At the moment of discharge, her wife said to Hu Ming: "It is an honor to be born in China!" ”

Hu Ming said that it is not easy to feel this kind of life up close, so that we can understand what is called "life first". Without General Secretary Xi Jinping's instruction to "not give up one" and without the full investment of the party and the government, such a treatment would not have been possible. It is precisely the spiritual guidance of the Party Central Committee 'life first, the people first' and the treatment at all costs, and the patients who have been tortured by the virus and even on the verge of death can stand up again. This is another miracle created by mankind in the battle against the plague.

At 10:00 a.m. on September 8, 2020, the National Commendation Conference for Fighting COVID-19 was held in the Great Hall of the People in Beijing, and Hu Ming, as an advanced individual in the national fight against COVID-19, was invited to participate in the Conference. He said that when I walked into the Great Hall of the People, stood next to General Secretary Xi Jinping, and held up the medal of precipitation, I understood: Excellent is not only me, but also a heroic Wuhan, a great motherland.

#Super Health Group ##医师报超能团 #

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