重大突发传染病时成建制重症救治团队运行模式的经验探讨

在上海抗疫最关键、最紧迫的时刻,由中南大学湘雅二医院与湖南省人民医院组建的湖南第三批援沪重症医疗队二分队为主体接管了定点医院上海中医药大学曙光西院重症病区,共救治重症患者50例,圆满完成既定医疗救治工作的同时保证了医务人员“零”感染。通过有效的“围墙”外管理实现了重症患者的早期识别和诊治,以降低重症患者的病死率。同时在短时间迅速组建了一支规范、专业、精细的重症医护一体化救治团队,高质量完成了本次重症救治工作,积累了一定的成功经验,包括重视党建工作、感控先行、与当地医院的紧密合作和重症关口前移等。本文将从多家医院多个学科临时成建制组建重症医疗团队的建设与合作、特殊环境下的高效运行及思考与探索等方面来进行介绍,以期为今后类似突发事件的救治工作提供帮助。

Discussion on operating mode of the formed critical care team in the organic unit of major outbreak of infectious diseases

At the most critical and urgent time of Omicron outbreak in Shanghai, the second division of the Hunan′s third critical care team, which formed by the Second Xiangya Hospital of Central South University and Hunan Provincial People′s Hospital, took over designated ICU of Shuguang West Hospital, Shanghai University of Traditional Chinese Medicine. A total of 50 critically ill patients were treated successfully by the medical team with zero-infection among medical staff. Effective management of "intensive care unit without walls" can help early recognition and intervention of deteriorating patients, which resulted a mortality reduction. In a short time, we organized a standardized, professional, and sophisticated integrated critical care team to accomplish the medical treatment task with high quality. We explored some experience, including emphasizing political education, nosocomial infection control, close cooperation with local hospital and early recognition of critically ill patients. We discussed the construction and cooperation of the formed critical care team from multi-hospital and multi-discipline and the efficient operation, reflection, and exploration during special circumstance to provide help for for similar public health emergencies in the future.