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Experience pediatric emergency 12 hours before dawn outside the consulting room is also lined with hundreds of people
2013-07-15 08:49:11 Source: Peninsula Network - Peninsula Metropolis Daily
Evening, after the closure of children's clinic, pediatric emergency has become the busiest places. Reporter learned from Qingdao Municipal Women and Children Hospital, from the beginning in late June, began to increase in pediatric patients, emergency admissions on the day reached 700 children, only evening admissions have 45 hundred. 12 evening, the reporter went to the City of Women and Children Hospital, followed by two emergency department physicians with "guard", to experience the emergency department doctor 12 hours of night life. As the patient too much, they go to work every week with black and white reversed, but one night is busy, not only to rescue the sick Zuozhen Also, after 0:00 also concurrently maintain order. To be able to look at a few sick, fewer trips to the toilet, they tend to be night without food or drink.
Every week to work with black and white reversed
12 evening 8:00, the reporter walked into the City of Women and Children Hospital, when the clinic was closed, only the emergency room was open.
Reporter walked into the emergency room to see, waiting area seats already overcrowded, and some families of children had stood at the side.
"Children What are the symptoms? How long ......" reporter walked into the emergency department doctor on duty Wanggui Yun's office, to see her working with the patient's family of small exchanges of written while still in medical records. Reporters saw at the interrogation, she will give the patient auscultation, watching voice. Clinic's patient one by one, she kept asking also in clinics, kept talking to family members accountable.
"To be honest, today's treatment capacity is not more than usual yesterday, this time has pressed a two hundred records, today only seventy to eighty." Wanggui Yun told reporters that insert empty.
Wanggui Yun is a 15:00 start work, to have up to 10 o'clock at night.
"This is our night shift, in addition to the night shift, each person per week will be back on the wheel a big night, big night on from 22:30 to 8:00 the next morning." Wanggui Yun said they every week live like black and white reversed lives every day night shift. "Despite the bitter, but there is no way, emergency department doctors rarely, sometimes round, but to also work overtime." Wanggui Yun said, in order to solve the problem of insufficient power of Medical Informatics, ten days ago, they decided to hospital each day departments to turn transferred to a doctor, opened a temporary multi-clinic.
Admissions to diagnosis generally does not exceed 10 minutes
Reporters saw at Wanggui Yun's office, to seek treatment for patients with small lot, admissions she finished a press about the reported number system, called the next one came in, did a little intermediate stop. "Too many sick, I go to work now, take this no moving too. Even the toilets have no time to go, or will the backlog of several sick." From 15:00 to 20:00, Wanggui Yun has about 60 admissions a patient.
"Vet, this child's face is very bad." Are talking, leading to a need to rescue the security of the children. "The child was pale, tachycardia, send emergency room immediately." Dr. Wang immediately got up and ran to the emergency room. In the emergency room nurse Wanggui Yun directing children first aid and took the children's medical history and CT diagnosis.
This child is transferred over from the roughness, was born less than 60 days. "Children suffering from very severe hydrocephalus, we did not brain surgery, quickly hit 120 referral to the Tsing Yi Fuyuan." Dr. Wang explains the families with children.
"From 15:00 to now, today, I need to rescue the admissions of three children, two of which are high fever twitching, one is just hydrocephalus in children. Encounter this emergency situation, we physicians must hand down work, for emergency treatment. could relate to this minute of the lives of children. "Dr. Wang said.
To seek treatment in children after another, reporters timing found that, from admissions to auscultation, interrogation and then to children diagnosed with complicated when the patient usually about 10 minutes, most of the fever, coughing patient is generally used when about 5 minutes.
Not afraid to drink water when sick backlog Zuozhen
"Oh, I have to find time to go to a toilet." After watching a patient, Dr. Wang got up and ran to the bathroom. The reporter with the diagnosis of these three hours, Dr. Wang did not drink of water. Later learned that Dr. Wang started from 15:00 basically does not drink water, because of fear of drinking too much water the toilet frequently, resulting in patient backlog. "This is often the case, one by one, to the sick, but if we keep going to the toilet, not only for parents of children worry, endless hand sick ah, we are well aware of the risk of each one to see the doctor children parents and children are sick fever are very anxious, so we can see more of one to see more of one. "It took two minutes on a toilet, Dr. Wang and sitting at the table busy.
22:30, Dr. Wang completed a diagnostic test in children with single point of their own after diagnosis had a single out-patient clinic. "Too tired, I have to go home, go home and rest, and tomorrow will have to work at night." Dr. Wang told reporters that the next job to be handed over to the succession Xuetai Fu.
Case of crying children need to slowly coax
To pick Vet class is Xueai Li doctor. "There was not enough doctors, let us wait for so long on this, the child had a high fever it, hurry to the children to see." While complaining about a father of children waiting for a long time, while the medical records stuffed Xue front of the doctor. It is understood that children are high fever, seeing who have waited more than an hour, and not their turn, some parents worry. "Do not worry, a little more patient to see a doctor today, we are all lined up according to the order come. Went to the children draw a blood test, do you then give the child physically cool down the ball, do not worry, I will be back down burning The. "Dr. Xue calm while parents of children with mood, while out of a single laboratory, parents of children to see a doctor, good attitude, did not say anything, holding a single laboratory out of the clinic. "In fact, the parents still good, I could hear two comfort in. Some parents feeling very excited, speech very much. Encountered such a thing, the doctor can not put personal feelings with the inside, because children are Most importantly, we understand parents anxious. "Dr. Xue said.
Just then, they come in a child, entered the clinic, flew blubber. "I'm not a doctor, I'm not an injection, I'm going home." This 6-year-old boy night fever. "My child, all right, aunt is to look at your little tongue red is not red, not at all hurt, good, open your mouth." Dr. Xue and parents of children earnestly to persuade the child opened his mouth, but the little guy is not the mouth , while crying loudly, shaking his head. It took ten minutes, and finally give the children watching.
"Encountered this tough kids, no way, we can only coax The children got sick, he was also very hard to accept." Dr. Xue wipe sweat with reporters said.
After the doctor had to maintain order zero
13 0 pm, the reporter went to the emergency room, then there are many waiting hall of the children and their families. "Have to have more than one hundred numbers, you see Dr. Xue's office door, the teams lined up so long, until three or four in the morning will continue to come to." Chen pointed to the security team ranked in the consulting room door told reporters, 0:00 later, emergency room, regardless of his illness on the patient only waiting for medical treatment, to 1:00 or so, only two emergency room doctors Zuozhen.
"We lined up, there must be order, do not jump the queue, please parents who do not have crowd in consulting room, air circulation, good for children, parents, please do not routed to wait outside." Dr. Xue stood up to the parents to comply with the command orderly lined up, then the clinic's electronic clock shows two o'clock. "Unable to triage, it means that you must line up, parents are anxious to give the child to see a doctor, would crowd in clinic. Security and from work, and had to maintain what I order." Dr. Xue maintain complete order, told reporters that she has to be busy to 4:00 or so before a break. 4:00 and more patients will reduce a lot, then children will multiply around 7:00.
"When I saw more than 70 sick, too tired, I have to go take a little break." 4:00, Dr. Xue outpatient finished packing slips, arose and walked next to the lounge. Other morning 6:30, she will work Zuozhen to 8:00.
Survey
Herpes buccal pharyngeal inflammation in patients with more than three percent over last year
"From mid-June, the sick began to increase." City Women and Children Hospital emergency department director Xu Jing said that from mid-June were growing, now on emergency admissions per day about 700 children, and then the night shift clinics have 45 or one hundred.
"The recent admissions of patients, herpes buccal pharyngeal inflammation more, can be accounted for eight or nine, occasionally there will be suppurative tonsillitis and pneumonia." Xu Jing told reporters that this year's herpes buccal pharyngeal inflammation quite the same as last year, this year's particularly fast progression of the disease. Children temperature rise particularly fast, and burned more powerful, antipyretics before eating can come down, which is more difficult to fall sick body, and can burn 40 ℃.
It is understood that, compared to last year, this year's buccal pharyngeal inflammation in patients with herpes increased by at least one third. "The reason why this happens, with this year's virus. While with climate-related, last day is hot, the air is humid, hot and humid weather virus easy to breed." Xu Jing said, according to past experience, herpes pharynx buccal inflammation will continue until the end of August, so doctors advise parents must brace ourselves. Parents usually let the kids wash their hands, wash your hands when to use flowing water. Meanwhile, attention to food hygiene, do not let children drink unboiled water and eating cold food. Home to wash ventilation, ground drying bedding. Little kids go to crowded public places. Rapid progression of the disease for children, Xu Jing remind parents that if a child with fever, eating antipyretics within half an hour to an hour still no fever, it is necessary and timely to the hospital.
"Herpes buccal pharyngeal inflammation will develop serious foot and mouth disease." Xu Jing said, when the child has a fever mouth must pay attention to see if there is herpes, especially when the child has a cold sore parents teach us to pay attention to, and children can not express, if there is crying, not eating, drooling when parents have to pay attention.
Reporter's notes
Doctors want most parents of children to understand
Emergency room crowding, parents of children do not understand, the busy emergency physician, gave reporters left a deep impression. One night, reporters straight yawning, confused. "Doctor, I was so to the emergency room for a while, just to wear masks to cover their me uncomfortable. Every day, so your doctor, monochrome life upside down every day, tired?" "To be honest, we are accustomed to and we suffered one o'clock Nothing a little tired, the key is to get parents to understand the patient, so that our hearts will have comfort. "Dr. Wang Guiyun told reporters that this is her one wish, hope can be harmonious doctor-patient relationship.
Reporters found that experience in the emergency department, emergency department there are two difficulties "One patient medical treatment is difficult, more difficult in patients less on health; two doctors Zuozhen difficult, difficult during stressful task, difficult not to be understood. How patients enjoy full health care, less wait half an hour, more comfortable at ease How to allow doctors to get from a heavy work respite in their life-saving, but also can get more rewards and respect this is not just a hospital should do a good job, it is a society should be thinking.
"Emergency department physician, salary, reward colleagues much better than many other departments, we are not asking for much in return, just too much pressure on the emergency department physician fact that no change." City Women and Children Hospital Director Xu told reporters.
Watching a night without sleep emergency department physicians to wipe the sweat from his forehead, the reporter really feel pressure on their shoulders the burden too heavy.
http://big5.xinhuanet.com/gate/big5/www.sd.xinhuanet.com/news/2013-07/15/c_116532514.htm
Experience pediatric emergency 12 hours before dawn outside the consulting room is also lined with hundreds of people
2013-07-15 08:49:11 Source: Peninsula Network - Peninsula Metropolis Daily
Evening, after the closure of children's clinic, pediatric emergency has become the busiest places. Reporter learned from Qingdao Municipal Women and Children Hospital, from the beginning in late June, began to increase in pediatric patients, emergency admissions on the day reached 700 children, only evening admissions have 45 hundred. 12 evening, the reporter went to the City of Women and Children Hospital, followed by two emergency department physicians with "guard", to experience the emergency department doctor 12 hours of night life. As the patient too much, they go to work every week with black and white reversed, but one night is busy, not only to rescue the sick Zuozhen Also, after 0:00 also concurrently maintain order. To be able to look at a few sick, fewer trips to the toilet, they tend to be night without food or drink.
Every week to work with black and white reversed
12 evening 8:00, the reporter walked into the City of Women and Children Hospital, when the clinic was closed, only the emergency room was open.
Reporter walked into the emergency room to see, waiting area seats already overcrowded, and some families of children had stood at the side.
"Children What are the symptoms? How long ......" reporter walked into the emergency department doctor on duty Wanggui Yun's office, to see her working with the patient's family of small exchanges of written while still in medical records. Reporters saw at the interrogation, she will give the patient auscultation, watching voice. Clinic's patient one by one, she kept asking also in clinics, kept talking to family members accountable.
"To be honest, today's treatment capacity is not more than usual yesterday, this time has pressed a two hundred records, today only seventy to eighty." Wanggui Yun told reporters that insert empty.
Wanggui Yun is a 15:00 start work, to have up to 10 o'clock at night.
"This is our night shift, in addition to the night shift, each person per week will be back on the wheel a big night, big night on from 22:30 to 8:00 the next morning." Wanggui Yun said they every week live like black and white reversed lives every day night shift. "Despite the bitter, but there is no way, emergency department doctors rarely, sometimes round, but to also work overtime." Wanggui Yun said, in order to solve the problem of insufficient power of Medical Informatics, ten days ago, they decided to hospital each day departments to turn transferred to a doctor, opened a temporary multi-clinic.
Admissions to diagnosis generally does not exceed 10 minutes
Reporters saw at Wanggui Yun's office, to seek treatment for patients with small lot, admissions she finished a press about the reported number system, called the next one came in, did a little intermediate stop. "Too many sick, I go to work now, take this no moving too. Even the toilets have no time to go, or will the backlog of several sick." From 15:00 to 20:00, Wanggui Yun has about 60 admissions a patient.
"Vet, this child's face is very bad." Are talking, leading to a need to rescue the security of the children. "The child was pale, tachycardia, send emergency room immediately." Dr. Wang immediately got up and ran to the emergency room. In the emergency room nurse Wanggui Yun directing children first aid and took the children's medical history and CT diagnosis.
This child is transferred over from the roughness, was born less than 60 days. "Children suffering from very severe hydrocephalus, we did not brain surgery, quickly hit 120 referral to the Tsing Yi Fuyuan." Dr. Wang explains the families with children.
"From 15:00 to now, today, I need to rescue the admissions of three children, two of which are high fever twitching, one is just hydrocephalus in children. Encounter this emergency situation, we physicians must hand down work, for emergency treatment. could relate to this minute of the lives of children. "Dr. Wang said.
To seek treatment in children after another, reporters timing found that, from admissions to auscultation, interrogation and then to children diagnosed with complicated when the patient usually about 10 minutes, most of the fever, coughing patient is generally used when about 5 minutes.
Not afraid to drink water when sick backlog Zuozhen
"Oh, I have to find time to go to a toilet." After watching a patient, Dr. Wang got up and ran to the bathroom. The reporter with the diagnosis of these three hours, Dr. Wang did not drink of water. Later learned that Dr. Wang started from 15:00 basically does not drink water, because of fear of drinking too much water the toilet frequently, resulting in patient backlog. "This is often the case, one by one, to the sick, but if we keep going to the toilet, not only for parents of children worry, endless hand sick ah, we are well aware of the risk of each one to see the doctor children parents and children are sick fever are very anxious, so we can see more of one to see more of one. "It took two minutes on a toilet, Dr. Wang and sitting at the table busy.
22:30, Dr. Wang completed a diagnostic test in children with single point of their own after diagnosis had a single out-patient clinic. "Too tired, I have to go home, go home and rest, and tomorrow will have to work at night." Dr. Wang told reporters that the next job to be handed over to the succession Xuetai Fu.
Case of crying children need to slowly coax
To pick Vet class is Xueai Li doctor. "There was not enough doctors, let us wait for so long on this, the child had a high fever it, hurry to the children to see." While complaining about a father of children waiting for a long time, while the medical records stuffed Xue front of the doctor. It is understood that children are high fever, seeing who have waited more than an hour, and not their turn, some parents worry. "Do not worry, a little more patient to see a doctor today, we are all lined up according to the order come. Went to the children draw a blood test, do you then give the child physically cool down the ball, do not worry, I will be back down burning The. "Dr. Xue calm while parents of children with mood, while out of a single laboratory, parents of children to see a doctor, good attitude, did not say anything, holding a single laboratory out of the clinic. "In fact, the parents still good, I could hear two comfort in. Some parents feeling very excited, speech very much. Encountered such a thing, the doctor can not put personal feelings with the inside, because children are Most importantly, we understand parents anxious. "Dr. Xue said.
Just then, they come in a child, entered the clinic, flew blubber. "I'm not a doctor, I'm not an injection, I'm going home." This 6-year-old boy night fever. "My child, all right, aunt is to look at your little tongue red is not red, not at all hurt, good, open your mouth." Dr. Xue and parents of children earnestly to persuade the child opened his mouth, but the little guy is not the mouth , while crying loudly, shaking his head. It took ten minutes, and finally give the children watching.
"Encountered this tough kids, no way, we can only coax The children got sick, he was also very hard to accept." Dr. Xue wipe sweat with reporters said.
After the doctor had to maintain order zero
13 0 pm, the reporter went to the emergency room, then there are many waiting hall of the children and their families. "Have to have more than one hundred numbers, you see Dr. Xue's office door, the teams lined up so long, until three or four in the morning will continue to come to." Chen pointed to the security team ranked in the consulting room door told reporters, 0:00 later, emergency room, regardless of his illness on the patient only waiting for medical treatment, to 1:00 or so, only two emergency room doctors Zuozhen.
"We lined up, there must be order, do not jump the queue, please parents who do not have crowd in consulting room, air circulation, good for children, parents, please do not routed to wait outside." Dr. Xue stood up to the parents to comply with the command orderly lined up, then the clinic's electronic clock shows two o'clock. "Unable to triage, it means that you must line up, parents are anxious to give the child to see a doctor, would crowd in clinic. Security and from work, and had to maintain what I order." Dr. Xue maintain complete order, told reporters that she has to be busy to 4:00 or so before a break. 4:00 and more patients will reduce a lot, then children will multiply around 7:00.
"When I saw more than 70 sick, too tired, I have to go take a little break." 4:00, Dr. Xue outpatient finished packing slips, arose and walked next to the lounge. Other morning 6:30, she will work Zuozhen to 8:00.
Survey
Herpes buccal pharyngeal inflammation in patients with more than three percent over last year
"From mid-June, the sick began to increase." City Women and Children Hospital emergency department director Xu Jing said that from mid-June were growing, now on emergency admissions per day about 700 children, and then the night shift clinics have 45 or one hundred.
"The recent admissions of patients, herpes buccal pharyngeal inflammation more, can be accounted for eight or nine, occasionally there will be suppurative tonsillitis and pneumonia." Xu Jing told reporters that this year's herpes buccal pharyngeal inflammation quite the same as last year, this year's particularly fast progression of the disease. Children temperature rise particularly fast, and burned more powerful, antipyretics before eating can come down, which is more difficult to fall sick body, and can burn 40 ℃.
It is understood that, compared to last year, this year's buccal pharyngeal inflammation in patients with herpes increased by at least one third. "The reason why this happens, with this year's virus. While with climate-related, last day is hot, the air is humid, hot and humid weather virus easy to breed." Xu Jing said, according to past experience, herpes pharynx buccal inflammation will continue until the end of August, so doctors advise parents must brace ourselves. Parents usually let the kids wash their hands, wash your hands when to use flowing water. Meanwhile, attention to food hygiene, do not let children drink unboiled water and eating cold food. Home to wash ventilation, ground drying bedding. Little kids go to crowded public places. Rapid progression of the disease for children, Xu Jing remind parents that if a child with fever, eating antipyretics within half an hour to an hour still no fever, it is necessary and timely to the hospital.
"Herpes buccal pharyngeal inflammation will develop serious foot and mouth disease." Xu Jing said, when the child has a fever mouth must pay attention to see if there is herpes, especially when the child has a cold sore parents teach us to pay attention to, and children can not express, if there is crying, not eating, drooling when parents have to pay attention.
Reporter's notes
Doctors want most parents of children to understand
Emergency room crowding, parents of children do not understand, the busy emergency physician, gave reporters left a deep impression. One night, reporters straight yawning, confused. "Doctor, I was so to the emergency room for a while, just to wear masks to cover their me uncomfortable. Every day, so your doctor, monochrome life upside down every day, tired?" "To be honest, we are accustomed to and we suffered one o'clock Nothing a little tired, the key is to get parents to understand the patient, so that our hearts will have comfort. "Dr. Wang Guiyun told reporters that this is her one wish, hope can be harmonious doctor-patient relationship.
Reporters found that experience in the emergency department, emergency department there are two difficulties "One patient medical treatment is difficult, more difficult in patients less on health; two doctors Zuozhen difficult, difficult during stressful task, difficult not to be understood. How patients enjoy full health care, less wait half an hour, more comfortable at ease How to allow doctors to get from a heavy work respite in their life-saving, but also can get more rewards and respect this is not just a hospital should do a good job, it is a society should be thinking.
"Emergency department physician, salary, reward colleagues much better than many other departments, we are not asking for much in return, just too much pressure on the emergency department physician fact that no change." City Women and Children Hospital Director Xu told reporters.
Watching a night without sleep emergency department physicians to wipe the sweat from his forehead, the reporter really feel pressure on their shoulders the burden too heavy.
http://big5.xinhuanet.com/gate/big5/www.sd.xinhuanet.com/news/2013-07/15/c_116532514.htm