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| Interview with Wang Tao, National Emergency Medical Rescue Team of Dongfang Hospital: The mobile cabin will have a water version |
Fangcang shelter hospitals have played a huge role in the fight against the new crown epidemic.
In the construction of the Fangcai Hospital, a medical team from Shanghai creatively built the "mobile Fangcai"-they are the National Emergency Medical Rescue Team of Dongfang Hospital affiliated to Tongji University.
The order was received on February 3, 2020, and the team assembly and 30 tons of materials were prepared that night.
How does the mobile shelter hospital work? After going through the test of the epidemic, what experience has the mobile shelter hospital accumulated? On March 26, during the 8th China (Shanghai) Underground Space Development Conference in 2021, Wang Tao, Executive Deputy Director of the Institute of Disaster Medicine, Oriental Hospital, and Executive Director of the Shanghai Key Public Health Discipline "Disaster Medicine and Health Emergency Management" Accepted an exclusive interview with The Paper.
Wang Tao served as the deputy leader of the National Emergency Medical Rescue Team of Shanghai Dongfang Hospital during the fight against the epidemic in Wuhan.
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Wang Tao said that the new crown epidemic is a test for our medical emergency management, "it also further promotes the development and progress of our country's disaster medicine and health emergency management.
The following is the interview record:
The following is the interview record:The Paper: In response to the new crown epidemic (COVID-19), China has adopted a square cabin hospital for the first time.
The Paper: In response to the new crown epidemic (COVID-19), China has adopted a square cabin hospital for the first time.
Wang Tao:
In fact, when the epidemic broke out, we went to the Wuhan Science and Technology Pioneer Park.
With the expansion of the international scope of the epidemic and our requirements for normalization of epidemic prevention and control, we are thinking that if there are concentrated and relatively large-scale outbreaks in the future, perhaps this situation will never happen, but we will always do it.
In fact, our Dongfang Hospital has always been undertaking the construction of the national emergency medical rescue team, the first batch of national emergency medical rescue teams, and the world's first international emergency medical team certified by the Shanghai Municipal Party Committee in 2016.
This time we brought the tent mobile hospital to Wuhan together.
The Paper: How is the joint research and development you just mentioned now?
The Paper: How is the joint research and development you just mentioned now?Wang Tao: Now we are jointly researching and developing with Tongji University to develop tents that used to deal with natural disasters into anti-epidemic functions and negative pressure tents.
Wang Tao:
We must have a "three zones and two channels" suitable for infectious diseases, with functions such as isolation and disinfection.
The Paper: How big can the scale of mobile reach? Does it have a concept such as a critical value?
The Paper: How big can the scale of mobile reach? Does it have a concept such as a critical value?Wang Tao: If we are fully prepared, the concept of growth that we put forward means that there is basically no upper limit in theory.
Wang Tao:
If we pass the technology in advance, and then the production is in place and the transportation is portable, it may start quickly when needed.
The Paper: After the Dongfang Hospital rescue team arrived in Wuhan, it only took more than 3 hours to set up all 25 tents, complete the necessary materials in the tents, and set up a remote consultation that can be connected to the Shanghai Hospital by video.
center.
What was the biggest problem during the construction process?
center.
What was the biggest problem during the construction process?
Wang Tao: There are definitely difficulties.
First of all, it is the uncertainty of this task, because we also received a call from the National Health Commission, and 21 national emergency medical rescue teams across the country rushed to help Wuhan.
At that time, I just said that we were sent, and the task was not very clear, because the changes in the local epidemic situation at that time might be complicated.
We set off very quickly.
We were notified on February 3 that we had assembled supplies for the entire team and prepared supplies for 30 people on the evening of February 3.
But in fact, this does not mean that we can do it right away after receiving the order, because we have been as the National Medical Rescue Team before, with this sense of mission and responsibility, and are already actively preparing for war.
We are in peace and war and have been in a state of preparation, so we All the supplies were quickly collected, and even we brought our own supplies to eat.
What we pay attention to is to be able to live independently in the wild for two weeks without burdening the local area.
We prepare according to this.
In fact, we still provided a lot of protection at the time, but we were based on the configuration of living independently for two weeks.
We were 53 team members at the time, plus our 8 emergency medical rescue vehicles and 25 medical tents.
We only did not open the operation part.
, Because the epidemic does not need our operating room, right? We all went except that the operating room was not opened.
After that, I think the first one is the uncertainty of the task.
But because our team is relatively well-trained, we have also actively prepared for the epidemic and repeated exercises before, so I think this is a psychological barrier and it is very sad.
Under such a public health emergency and the future is unknown, I think the psychological barrier is very important.
The second one is that I think the protection is off.
Because I have heard that some medical staff in Wuhan have been infected before, we have also repeatedly trained all the staff in public health skills.
Because our National Emergency Medical Rescue Team was originally a team that placed more emphasis on natural disaster response, and infectious diseases were not our best at originally.
However, when the health of the Party and the people in the country is in need, we are duty-bound as medical workers.
Therefore, we also conduct a lot of training in this area.
We must be able to rescue patients, complete the anti-epidemic mission perfectly, and ensure ourselves.
The team has zero infections, and one cannot be less, so a lot of protection training has been carried out in this area.
This is also an improvement to our skills.
Of course, there is one more, how to realize the docking between our tent mobile hospital and the square cabin hospital, because the square cabin hospital is actually a large venue.
In layman's terms, there is no clearing area.
So we started the square cabin hospital in the entire organizational structure, and docked the mobile square cabin hospital station with the square cabin hospital.
Through the transition from the corridor to the tent base camp, a better coordinated configuration from a polluted area, a semi-polluted area to a clean area is realized.
So I said that the square cabin hospital we moved is in the operation of the actual square cabin hospital, and it finally functions as a headquarters, rest place, and material storage center.
In fact, other teams working in the Fangcang shelter hospital at that time also used our mobile shelter hospital as their command center.
Finally, many important meetings of our Shanghai command headquarters were placed here.
Because we are also an information team, we can connect Wuhan and Shanghai, and a lot of upstream orders and necessary case discussions can also be completed in our command center, so basically this is the situation.
The Paper: During the construction of the mobile shelter hospital and the entire process of patient treatment, did you have any particularly impressive things or details?
The Paper: During the construction of the mobile shelter hospital and the entire process of patient treatment, did you have any particularly impressive things or details? Wang Tao: My personal impression is that China's creative use of the shelter hospital model has won a great victory in the fight against the epidemic.
This model is not only the success of a medical model, but also a major achievement of social and human relations.
I remember that there was an old man who was hospitalized in the Fangcang shelter hospital.
The couple lived in it.
The old man said that he had a birthday in it, and the medical staff gave him it.
He is also more knowledgeable and cultural.
He said that I welcome everyone to visit today.
What is "coming"? "Visiting" is a word with a strong sense of belonging and identification.
You come here to call our house.
What does this show? Fangcang shelter hospitals, medical staff and our country’s health policy have been highly recognized by the people.
In this case, when I attended the press conference of the Joint Prevention and Control Mechanism of the State Council on May 14th , I said that I think this is a great success of our party and government in fighting the epidemic and a success of popular support.
The Paper: Was the mobile shelter hospital used to control the epidemic before the epidemic last year?
The Paper: Was the mobile shelter hospital used to control the epidemic before the epidemic last year? Wang Tao: In the past, our mobile hospital was for natural disasters, such as earthquakes and tsunamis.
If all the medical facilities were destroyed at that time, then we temporarily formed a medical center there with 100 beds, but its equipment and facilities were relatively high.
It is said that it does not fully have the function of anti-epidemic.
But this time we have perfectly combined the shelter hospital and the tent hospital to form a mobile shelter operation model that can support the fight against the epidemic, but next we are conducting research and development so that the tent itself is no longer in the direction of large public facilities.
To be combined, we can form a facility with anti-epidemic functions, expandable, receivable, and reusable.
At that time, we only said that we did some exploration.
Now I think we are doing in-depth research and development, and some of them have been applied.
The things we developed jointly with Tongji University have also been released in several countries, and they have also supported the fight against the epidemic in various countries.
The Paper: What is the biggest difference between running a mobile shelter hospital and running an ordinary hospital? What are the challenges for doctors and patients? How does it work with regular hospitals?
The Paper: What is the biggest difference between running a mobile shelter hospital and running an ordinary hospital? What are the challenges for doctors and patients? How does it work with regular hospitals? Wang Tao: First of all, the structure and function layout of the hospital is completely different.
They are essentially different in the arrangement of information systems on hardware and software facilities.
Second, it is also different from the patient's perspective.
Ordinary patients admitted to our general hospitals have a degree of recognition for their own diseases, recognition of medical care, and recognition of the social environment are completely different from the psychological state of patients under such large-scale public health incidents.
I think the important issue is not the treatment, but the doctor-patient relationship, which raises a whole new topic.
In fact, in the operation and management of the entire Fangcang shelter hospital, I think the medical humanities emergency management component is much higher than the conventional problems in the past.
This is the difference between disaster medicine and clinical medicine that we have been talking about.
Clinical medicine is about the individual, and disaster medicine is about the group.
I remember that on the first night of the Fangcang shelter hospital, more than 300 patients were admitted in one night.
It is impossible to accept 300 patients in one night in an ordinary hospital, right? This is the difference between clinical medicine and disaster medicine.
On the other hand, clinical medicine pays more attention to the personal skills of doctors or nurses.
In such a large-scale public health incident, personal skills will feel pale and weak, and overall management is needed.
So I think this is also very complicated, right? Of course, its follow-up logistics supply is completely different.
So in the entire operation process, Fangcang shelter hospital is a very remarkable and huge victory.
The Paper: How does the mobile shelter hospital integrate with the underground space? Its future development trend?
The Paper: How does the mobile shelter hospital integrate with the underground space? Its future development trend? Wang Tao: I think this is a very good interdisciplinary question.
Combining medical rescue with underground space, underground emergency hospitals have been built in many cities in the past, but these underground projects, as we said before, are mainly for emergencies and natural disasters, which may be harmful to public health.
Design and consideration are blank.
But in fact, since the founding of the People's Republic of China, the only large-scale public health incident encountered was SARS.
In fact, although it left a heavy psychological shadow on us Chinese, the popularity at that time was not particularly widespread.
There were no more than 10,000 people in the world, and two-thirds of it was probably in mainland China, Hong Kong , and China.
Taiwan .
In other words, although it is a very serious public health cause, its prevalence is far less spread than this new crown.
This new crown is actually extremely rare in human history.
Therefore, how to use our underground space to deal with a public health event that is a once-in-a-century event, I think this requires multidisciplinary scientists to study together.
If it is related to Fangcang shelter hospitals, generally speaking, if there are many large temporary large public public places, they may have underground spaces, right? If there is still such a possibility in the future, if we want to temporarily requisition large public places as sheltered hospitals, then I think its underground space should be comprehensively improved.
Because compared with the ground space, the underground space, whether it is ventilation and lighting or the treatment of pollutant medical waste, its complexity is multiplied.
Therefore, it cannot be ruled out that when the above-ground space is used as a similar function of a bed-proof hospital, its underground space can be reasonably developed and applied.
I think this possibility exists.
But it does require some collaborative research by experts in the future, because it is a scientific problem, and the direction may be right, but the specific operation must have scientific details.
The Paper: Is there such a research direction in the world now?
The Paper: Is there such a research direction in the world now? Wang Tao: As far as I know, it seems that it has not been widely carried out.
In the past, it was aimed at natural disasters.
Such a scale is a once-in-a-hundred-year encounter.
After the pandemic 120 years ago, it may have been the most affected this time.
The Paper: Let’s talk about your work last.
As the director of the Institute of Disaster Medicine, what is your daily work?
As the director of the Institute of Disaster Medicine, what is your daily work?
Wang Tao: First of all, I have several identities in Dongfang Hospital.
One is the executive deputy director of the Institute of Disaster Medicine, mainly coordinating the work of the National Emergency Medical Rescue Team, the National Polar Scientific Research Medical Guarantee Service Center, and the emergency management office.
On the other hand, I am also the executive director of the Department of Emergency and Critical Care.
Then, I myself am the director of emergency trauma surgery and a surgeon.
This is my entire job.
I don't think these jobs conflict.
Because our national emergency medical rescue team is called peace and war, disasters are accidental after all.
Most of the time, we accumulate experience and improve skills in the process of treating ordinary people.
We also conduct regular drills, drills, training, etc.
, to better perform tasks when emergencies occur, and to ensure The safety of people's lives and property.
Therefore, I think whether clinical work, management work, scientific research work, or rescue work, there is no conflict.
I am also thinking that this time the epidemic may have touched our level of medical emergency management, and it can also further promote the further development of disaster medicine and health emergency management in our country.
The Paper: Are there any further research directions or research directions that have been expanded after the outbreak? As you just said, further improving the mobile shelter hospital is also a direction.
Is there any work like this?
Is there any work like this?
Wang Tao: Yes .
For example, an unmanned detection machine.
In other words, we cannot ignore natural disasters just because a public health event has occurred, and we have to manage them all.
For example, drone detection.
We are also developing joint research and development with COMAC, called emergency rescue command aircraft and medical aircraft.
Well, including the fact that we are still developing mobile hospitals on water, because after the epidemic, wasn't there another flood that affected the country at the end of last year? We are still studying mobile hospitals on the water, so that our mobile hospitals can be built on water.
If a hospital can be built on the water, then when we rescue people in floods in the future, we will not only search, but also save people as soon as possible.
In this way, we may be able to save more people in the prime time.
Our own aerial medical care, the north and south hospitals of Dongfang Hospital, and the north and south now have helicopter-type products, so is there any research on aerial medical treatment in the future? These are what we are studying, and we have some results.
Therefore, we have always said that we are a research team, not only for medical treatment, but also for research, because only we have a certain level of research to better perform disaster relief tasks.
The Paper: When will the mobile hospital on the water have a phased achievement or practical application?
The Paper: When will the mobile hospital on the water have a phased achievement or practical application? Wang Tao: In June and July last year, we conducted a drill on the mobile water hospital.
Our design plan for the mobile water hospital also applied for a national patent.
It is expected that it can be approved and authorized as soon as next month.
At the same time last year eighty-nine month, we Maritime Silk Road and the center of the country's Joint Marine spectrum number is newer than the quantum number that called Ocean spectrum number.
We conducted a joint water search and rescue in the East China Sea to simulate the casualties of a large foreign ship on the high seas.
At that time, it was a sea, land and air helicopter.
Our rescue team, sea cruisers, etc.
, we were doing all-round search and rescue.
In the future, with the development of mobile hospitals on water, it may radiate rescue capabilities to COSCO, which is also in line with our national strategy.
