Reporter of this newspaper Huang Yangzi.
This is the first severe cold weather in Shanghai in 40 years.
At this moment, there is still a group of fast walkers running around the city network, they are busy in the old community, handing over and waiting in the emergency hall of the hospital, they are carrying weight and racing against time.
On December 21, the reporter took the 120 ambulance and set off from the Shanghai Medical Emergency Center, listening to the story of holding up the weight of life in winter on the way.
Warm-hearted into the family to take care of it.
The iron gate of a community on Panyu Road is locked. Jia Jiangjiang, a member of the first aid team, repeatedly called his family ** and asked, "Is there any other door?."Next to us is a small grocery store, and the car has to be driven in when it is cold, otherwise the patient will not be able to bear it. ”
This is typical of Shanghai's old neighborhoods: cramped internal roads are full of vehicles, often slowing down the "life-saving cars". "Auntie, next time you call **, just say come in through the door of Fahua Town Road. "Okay, okay, thank you!We don't usually drive, so it's a little confusing. ”
During the cold wave in November this year, Aunt Cui, who suffers from an old disease of polio, accidentally fell and fractured her right femur. After the operation, I was unable to move at home, so I had to turn to 120 for follow-up. The emergency physician, the stretcher driver and the driver worked together to turn her on her side and put her on a cushion before transporting her to the stretcher truck. Less than 1 minute from the building to the car, the first aid team also pulled the coat that covered the aunt's body to protect the injured leg.
Is there a medical insurance card?There's no soup burning at home, do you?The winter solstice is approaching, and many elderly people are accustomed to stewing supplements at home, and the "worried" first aid team members have almost developed the habit of asking a question. "Some family members of patients got into the car and patted their heads and remembered that they really didn't turn off the fire. We took the keys one more time to help run and avoided the danger. Jia Jiangjiang said that in the harsh winter season, the elderly are more inconvenient to move, and families with a deep aging degree often have elderly family members who need more care.
Many citizens have the impression that ambulances are fast-moving. In fact, when the car was carrying patients, our average speed was just over 20 kilometers per hour. Qian Wenxiong, deputy director of the Municipal Medical Emergency Center, explained the reason, "The elderly, frail, sick, and even patients whose vital signs have reached a critical level and their accompanying family members cannot withstand the turbulence." ”
Urgent: Critically ill patients slightly**.
However, the sudden drop in temperature did bring a small amount of business**. Shao Yun, chief dispatcher of the Municipal Medical Emergency Center, said that as of 15:30 on December 21, the total number of 202 stations in the city has been nearly 2,400 times, but the average emergency response time is still stable at 10 minutes and 40 seconds, and it continues to maintain one of the three core indicators of the city's health reform and development - "the average emergency response time is less than 12 minutes".
Wheezing, fever, confusion, heart discomfort, ......On the screen in front of the operator in the command and dispatch hall of the city's medical emergency center, these are the high-frequency words of recent days. Mr. Cao, who was just over half a hundred years old, had a heart attack and was urgently admitted to the hospital for stent implantation. However, in the cardiac intensive care unit, he vomited incessantly, the lactate index was high, and the doctor suspected liver failure and recommended immediate transfer to a tertiary hospital**.
The emergency hall of the hospital was crowded, and Jia Jiangjiang assisted the patient's family to handle the admission and borrow the bed, while greeting colleagues from other sub-stations who also sent the patient to the hospital: "How many cars are there here today?"The other party replied: "It's the third car, wait for the family to come back from the observation room." Wu Degen, director of the emergency department of the Municipal Medical Emergency Center, said that a different phenomenon from the previous two years is that there has been a significant increase in sudden illnesses caused by drinking among young and middle-aged people this winter. "There are too many parties, and drinking is inevitable. In addition to the possibility of inducing underlying diseases that cause gastrointestinal and heart discomfort, severe cases may even die suddenly due to alcohol hypothermia. ”
At 1:34 on December 21, the staff of an e-sports hotel in Changning District urgently dialed 120;At 1:52, the Jing'an Branch of the Municipal Public Security Bureau called, "drunk brawlers need to be sent to the hospital**" dispatcher Fu Yanni said that a total of 220 cases of pre-hospital emergency guidance cardiopulmonary resuscitation were carried out through ** in November, but on December 21 alone, there were nearly 100 critically ill patients who needed remote guidance, including more than 60 critically ill patients. "In extremely cold climates, some lifestyle changes may be able to avoid unnecessary risks. ”
Upgrades: The emergency system has been upgraded.
Is winter harder than 40 hot days?Faced with the reporter's question, Jia Jiangjiang thought about it. "Summer is constant heat, but winter can be cold and hot for a while. ran five or six floors in a row, and when the cold wind blew, there was a shiver. The reporter found that the rubber gloves he was wearing had been covered with a layer of sweat. However, the heating in the ambulance is still fully turned on, so that the patient can be as comfortable as possible during the short journey.
In recent years, Shanghai's emergency system has been continuously updated: the detachable third-generation ECG monitor in the car is divided into 3 modules, the monitoring module with a screen can follow the patient, and the defibrillation module at the bottom can be disassembled for easy carrying when carryingSince September last year, the city's 120 ambulances have been fully covered by direct medical insurance;By triaging emergency **120 and non-emergency **962120, pre-hospital emergency patients are not delayed. Xu Ping, director of the Science and Education Department of the Municipal Medical Emergency Center, said that relying on 5G communication technology, the ambulance has been closely connected to all medical institutions that provide emergency services, realizing the "pre-hospital-in-hospital" interconnection of emergency emergency information.
Zhang Zhifeng, director of the Municipal Medical Emergency Center, said that the current reception and transport work is basically stable and orderly, if there is a follow-up peak, the center will deploy manpower according to the preparation plan, closely monitor the resource allocation rate, and do a good job with the turnover docking of the emergency departments of major medical institutions, and try to ensure that the citizens of the city are safe and sound in winter.
*:Liberate**.