24 hours in the emergency department
Xinhua News Agency, Taiyuan, August 18th (Reporter Fan Xinyang, Zhang Zhe) From early morning till late at night, the emergency department never "closes". Whether it is the first aid in the middle of the night or the ward round in the morning, every moment of persistence is awe and commitment to life.
August 19th is the Physician’s Day in China. The reporter recorded the 24-hour working status of the emergency department of Shanxi Bethune Hospital (Tongji Shanxi Hospital) in Taiyuan City, Shanxi Province.
17 o’clock
5 pm is the time when many people are ready to get off work, but for the emergency department, the real busy period has just begun. At this time, outside the emergency room, patients have begun to line up in turn, and emergency doctors respond to every "critical and urgent" patient quickly and orderly, guarding every life in need with professionalism and dedication.
18 o’clock
At 8 am and 6 pm, it is the emergency shift time. Each round of emergency doctors need to be on duty for about 12 hours, and there are usually a new group of patients from 8 am to noon. The emergency department in the afternoon is a little quiet, and the emergency department enters a busy period at 6 pm.
19 o’clock
At 7 o’clock in the evening, the head nurse organized new nurses and intern nurses to study the theoretical knowledge of emergency and practice training in the conference room, and one of them was reporting her own topic.
20 o’clock
Entrusted by the emergency doctor, the nurse, together with the patient’s family, accompanied the patient to do brain CT. In the emergency department, all examinations, instruments and equipment are on-line all the time to protect patients’ lives and health at all times.
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Unlike other departments that sort out cases at fixed points, in emergency, doctors will sort out cases at any time and recycle them to the medical record department in time. Medical record recovery plays an important role in protecting patients’ privacy, improving medical quality and safety, and assisting medical research and education.
22 o’clock
At 10 o’clock in the evening, the nurse first established venous access for patients entering the emergency room.
23 o’clock
At 11 o’clock in the evening, an 88-year-old man suddenly suffered from renal failure in the emergency room. The emergency doctor performed femoral vein puncture for him and performed hemofiltration at the bedside.
0 o’clock
The emergency room ward in the middle of the night is different from the wards of other departments in the hospital. New patients may flood in at any time, and existing patients may also have new emergencies. In the early hours of the morning, compared with the tranquility of other wards, emergency doctors, nurses and patients’ families are still busy in the ward.
1 o’clock
At 1 o’clock in the morning, an old man in the emergency ward was diagnosed with intracranial infection, and the emergency doctor called the doctor on duty in the neurology department for consultation. According to the regulations, under normal circumstances, patients can’t stay in the emergency department for more than 24 hours, so emergency doctors need to find the most suitable treatment plan for patients within a limited time. Call doctors from all departments of the hospital at any time to assist in diagnosis and treatment, in order to facilitate the patient’s subsequent hospitalization.
2 o’clock
The early morning is a busy time in the emergency surgical rescue room. Patients injured in unexpected situations such as car accidents were sent to the emergency department. After transporting a patient injured in a car accident, the 120 ambulance team is cleaning up the blood stains on the ambulance.
3-4 o’clock
The emergency room in the middle of the night is rarely quiet. In the corner of the emergency hall, there are several stretchers on standby. "We definitely hope that there will be fewer patients, and it is best not to use these stretchers." An emergency doctor said.
5 o’clock
At dawn, the emergency department returned to some tranquility, and the emergency doctor on duty finally had time to lie in the rest room for a while, preparing for the morning shift and rounds.
6 o’clock
At 6 o’clock in the morning, the emergency doctor on the night shift finally had a chance to eat something to replenish his strength. The doctor on duty was sending breakfast pancakes to the lounge and informing other doctors and nurses in the WeChat group to take time to eat.
7 o’clock
At 7 o’clock in the morning, many people just got up to go out to work, and emergency doctors have been on standby for a long time, always ready to deal with emergencies. At this time, the instruments in the emergency ward are fully on standby, ready to provide services for new patients. The difference between the emergency department and other departments is that all kinds of rescue equipment are concentrated here, and you can find a transfer ventilator, Saab resuscitator, electrocardiogram machine and so on in one ward. Emergency doctors not only need to respond quickly, but also operate these devices skillfully, and strive to rescue patients effectively in the first time.
8 o’clock
At 8 o’clock in the morning, the emergency doctors on the night shift began to hand over to the doctors on the day shift, from the triage desk, nurses to doctors to introduce the existing patients in the ward in turn. Beginning with the handover, but not limited to the handover, the emergency director usually discusses the patient’s situation and the follow-up treatment at the handover meeting.
9 o’clock
After handing over the basic situation, two classes of doctors will come to the ward of the emergency room to further confirm and discuss the patient’s data and complete the final handover between day and night.
ten o’clock
The patients in the emergency observation room are a relatively minor group in the whole emergency ward. Compared with other emergency patients, they may be lucky enough to leave the emergency room after infusion.
11 o’clock
Near noon, several workers were in the emergency room, and their arms were injured while working on the construction site. Among the patients admitted to the surgical emergency department, people engaged in high-risk manual labor account for a relatively high proportion.
12 o ‘clock
Family members of patients bring hot porridge cooked at home for patients with mobility difficulties. Family care and love is the most simple and warm scene in the emergency room.
13 o’clock
At 1 o’clock in the afternoon, outside the emergency room, the patient’s family hurriedly pushed a patient. The patient was unconscious and lost consciousness. The nurse hurriedly pushed the patient into the emergency treatment room and quickly informed the emergency doctor.
14 o’clock
120 Emergency Center personnel go to the triage desk to connect the patient information and situation with the nurse after completing the patient transportation. Race against time and life, the shirts of 120 ambulance workers have been soaked with sweat.
15 o’clock
In the afternoon, the emergency department is a relatively relaxing time, and it is rare to be quiet in the emergency department. Families in twos and threes rest in the empty corridor.
16 o’clock
If there are no new patients in the emergency rescue room, nurses will use their spare time to practice the rescue practice skill-"simple respirator assisted breathing", which can assist patients with ventilation disorders to increase ventilation and improve ventilation function.
Through the moments recorded by the camera, we can see that whether it is waiting in the morning or racing against time in the evening, the emergency department doctors and nurses are always in the front line, striving for precious time for every life in need with selfless dedication and professional skills.
On the occasion of China Physician’s Day, I pay tribute to these medical workers who are guarding the front line of life.