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      • Fighting against NCP. Walking in the deserted street at midnight, I heard a voice shouted, go all out, be on call.
      • Narrator 1: Zheng Xiuyun, the leader of the nursing group of the Zhejiang Medical Team, the head nurse of the Respiratory and Critical Care Medicine Unit, the First Affiliated Hospital of Wenzhou Medical University

        My blood was boiling, though walking along the deserted street in the cold rain that night.

        On January 25, the first Zhejiang medical team made up of 143 medical workers including me set off for Hubei province to fight against NCP. We arrived in Wuhan at 2 am the next day, rested in the morning, received special training and attended a regular meeting of the temporary CPC branch in the afternoon. We officially took over the Wuhan Fourth Hospital of Huazhong University of Science and Technology on January 27, and I was appointed as the leader of the nursing group of Zhejiang medical team.

        It is a designated hospital for infectious diseases, which was temporarily transformed from a general hospital. Not only had the medical staff in the isolation ward overworked for a long time, but they lacked protective supplies. We took over the ward 12 initially, then informed urgently by the medical team to take over the ward 19 as we got familiar with the surroundings. The place was full of patients and some of their relatives, living under poor isolation conditions. Patients were critically ill and the medical personnel were organized temporarily. We reasonably restricted actions of relatives through standardized management, sorted out the polluted area, buffer zone, and clean area of the ward coordinating with the hospital infection-control department, re-established the process of the hospital infection-control, improved the isolation ward passage, and planned the path of garbage storage and cleaning. Our first priority after taking over the hospital was to disinfe and sterilize all surfaces and air every day in strict accordance with the requirements of hospital infection control.

        On the frontline of the battle against epidemic , I worked with the hospital infection-control experts to check every link and arrange manpower and materials reasonably. Shift adjustment is crucial to the safe and orderly treatment. I readjusted the nursing staff's time in the isolation ward to four-hour shift, arranged the shift as soon as possible and prepared for the mobile shift. At the same time, I constantly improved the process and system of emergency material and manpower allocation according to the actual conditions.

        To improve first aid capabilities, I supplemented the first aid emergency equipment, formulated and carried out training and drills for emergency plans and corpse disposal process despite of the difficult conditions and the outdated equipment. I received unanimous praise from discharged patients for carrying out detailed discharge education, home care guidance for the discharged and establishing a standardized process for continuing care.

        The biggest difficulty was that we were not accustomed to the hospital's information system in our daily work. In order to overcome it in a short time, we conducted training and simulation exercises to solve clinical practical problems. As a result, our team members quickly mastered all kinds of operations and nursing skills, demonstrating the excellent skills and noble quality of our medical team at various critical moments.

        We worked during the day, had meetings on DingTalk app at night, and faced various unexpected situations at any time. One day at 3 am when I was returning to the abode, my blood was boiling despite of the cold rain and the deserted street, and I felt like hearing a voice shouting, go all out, be on call.

        Here we supported and encouraged each other. The team leader and Party branch secretary kept abreast of our thoughts and I was also very concerned about the mental health of the team members, tried to relieve their mental stress, eliminate concerns and build up confidence through psychological counseling.

        I have experienced moving, happy and rare sadness during this half month. Sweat-soaked clothing, mask-pinched nose bridges, misty goggles, and so on. Facing the epidemic, we all have only one name: medical workers. It is our bounden duty to heal the wounded and save lives. We firmly believe that under the correct leadership of the Party Central Committee and the joint efforts of the people of all ethnic groups, we will certainly win the battle against the virus just like the spring is sure to approach.

        Narrator 2: Zhang Xiaolong, secretary of the temporary Party branch of the Medical Team to Wuhan from the Second Affiliated Hospital of Wenzhou Medical University, deputy chief physician of the Department of Critical Medicine

        It’s again a restless night. I hope the patient will recover soon and the epidemic will end before long.

        It was another night shift. I dared not eat much nor drink water, which was the necessary preparation before work. I came from the resident to the hospital by car. The doctor taking the day shift told me in particular about the new patients and critical patients today, and noted that 5 new patients would be hospitalized at night. So I immediately checked the information of the critically ill and new patients on the computer.

        After a while, a nurse called and said that the patient in bed 43 had deteriorated and needed rescue immediately. I put on protective clothing in a hurry and rushed into the isolation ward. The patient experienced severe dyspnea, a sharp drop in oxygen saturation to 50%, sweating, lips cyanosis, and delirium. The makeshift isolation ward had no tracheal tubes, nor respirator for assisted ventilation. The nurse on duty and I immediately adjusted the oxygen concentration to the maximum. However, after five minutes, the patient's condition did not get better. The disturbance of consciousness was severer, and the heart rate rose to 150 beats per minute. The patient tried hard to pull urinary catheter, oxygen therapy catheter and infusion tube out. Death seemed to come.

        "This is an emergency. Hurry up, press the self inflating bag", I summoned my comrades for help. He Meiqing (First Affiliated Hospital of WMU) opened the patient's airway. Wang Mifang (Second Affiliated Hospital of WMU) pressed the self inflating bag. Xiang Fei (Second Affiliated hospital of WMU) hold the patient's limbs and Hu Zhenzhen (Wenzhou Central Hospital) executed urgent medical orders. After more than 20 minutes of active rescue, the patient's was on the mend as the oxygen saturation rose to 88%, lips turned red, and consciousness gradually recovered. Just as we stopped pressing self inflating bag for assisted ventilation and switched to an oxygen mask for high flow and high concentration of oxygen, the patient's oxygen saturation continued to drop. 86%, 83%, 78%, 75% ... I immediately called my comrades to connect to CPAP, and asked the patient to take a deep breath and cooperate with the CPAP. The patient seemed to understand and calmed down. The dyspnea gradually improved, the heart rate fell back to about 110 beats per minute, and the oxygen saturation also rose back to 85%.

        However, 85% oxygen saturation was far from 98% of normal people. It might be more beneficial to patients' oxygen demand if oxygen saturation can be maintained above 92%. A new medical technology that I had recently developed called Application of Improved Prone Position Ventilation in ARDS suddenly crossed my mind. Since the prone position ventilation was adopted using tracheal intubation to connect the ventilator, I wondered about the effects if using a nasal mask to connect the ventilator. Not much time for hesitation, I immediately turned the patient in the prone position with CPAP for assisted ventilation cooperating with my comrades, and then used shallow sedation to reduce the patient's oxygen consumption. As time went on, the oxygen saturation remained stable in 10 minutes, 86% in half an hour, 90% in one hour, and finally rose up to 95% after more than two hours. We were relieved for realizing that the patient was pulled out of danger.

        After hospitalizing five new patients, I left the isolation ward, soaked to the skin, with my face pinched by the protective goggle and N95 mask. But I just felt numb and kept thinking about these days. Since arrived in Wuhan on the first day of the Chinese New Year, my comrades and I, in order to save protective equipment, ate and drank as little as possible, and even wore diapers to avoid going to the washroom. A number of medical staff were infected due to lack of protective equipment. Some even died.

        At nearly 4 am, it hit me all of a sudden that I had skipped dinner yesterday, so I satisfied my hunger with a bag of instant noodles. By the time I completed various medical records, it was already dawn. Spent a restless night, I hoped patients would recover soon and the epidemic would end before long. Cheer up, Wuhan!

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