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    Medical Case 1
    Seizing every minute and second to save life. A patient got chest distress when eating and called Clifford Hospital at 15:50 in May 25th, 2005. Ambulance, doctor and nurse arrived at 15:54. The patient was Swiss, 56 years old, a designer, on a business trip to China. ECG showed: Acute myocardial infarction. He was transferred to Clifford Hospital Emergency Trauma Room at 16:05. Patient's face was bluish violet, limbs were cold, pulse weak, blood pressure 90/60mmHg, heart rate 45 beats/minute; ECG re-check: Acute downheart infarction, right heart infarction, critical condition. Patient was alone with no relatives around. Rescue team implemented intravenous access, gave oxygen, alleviated pain with morphine injections, broadened arterial coronaria with nitroglycerol, anticoagulation, antishock, implemented emergency vein thrombolytic therapy. About 17:30, patient became better, chest complaint relieved, limbs got warm, blood pressure increased, and breathing stabilized. Acute myocardial infarction is very dangerous; time means life. Emergency Center set up a complete rescue process and system based on international JCI standards requirements:  1. Be quick, ambulance departure within three minutes in daytime and five minutes at night upon recipt of an emergency telephone call;  2. Regulate and practice various recovery procedures, doctors and nurses implement recovery based on standardized procedures and patient's condition, including acute myocardial infarction, cerebral hemorrhage, acute left heart prostration, cerebral trauma, different kinds of combined injury, etc;  3. Set up emergency green-channel for quick transfer of patient;  4. Complete consultation system, when different patients come to Emergency Center, corresponding experts will be summoned to the Center to give patient most effective treatment;  5. Integrated Traditional Chinese and Western medicine therapies, which offer patients the best treatment.
     

    Medical Case 2
    Miracle of life – Rescue record by Emergency Center, ICU, Cerebral surgery, Chest surgery, Pediatrics. January 1, 2006, 11:35 Clifford Hospital received a call from Emergency Network 120; a two-year-old child was knocked down in a traffic accident nearby and in critical condition. Doctor and nurse arrived on scene at 11:38, a boy, two years and five months, was run over by a car, the child's face was bluish violet, breathing difficult and unable to speak, there were wheels tracks on the chest, bleeding at face, head and chest, and zero blood pressure. After on site emergency treatment, doctor transported patient to Emergency Center Trauma Room at 11:45 and reported to Emergency Network 120. Head of Department organized rescue: Gave oxygen by oxygen mask, established intravenous access, stopped bleeding, gave antishock treatment, monitored heart rate; experts from Cerebral Surgery and Chest Surgery arrived within five minutes and began consultation. For CT scan of heart, neck, chest, abdomen under vein mitigate, doctors brought emergency medicine, defibrillator-pacemaker machine, trachea cannula, patient monitor into CT room in case breath and heartbeat stopped, for the patient was young and condition was critical. Scan showed: Fracture of right clavicle, fracture of first to ninth right ribs, bilateral traumatic pneumothorax, right side hemopneumothorax, contused wounds in soft tissues of head and chest. At 12:25 the patient was transferred to ICU for further rescue, blood transfusion and albumin transfusion. Pediatrics specialists were called in. Chest puncture was implemented immediately, a great deal of blood and gas were drawn out from thoracic cavity, the patient was saved, and after further operation and special treatment, he recovered. It was a miracle of life to save such a two-year-and-five-month child with such severe trauma within a very short time. Accredited by JCI, Clifford Hospital has regulated emergency rescue processes, and at the same time, Hospital management always consider the Emergency Center as very important, with cooperation and regular practice, only under these guidelines can these rescues succeed.


     

    Medical Case 3
    Breathtaking 45 minutes: Successful rescue of rupture in heart and lungs. A screaming man with a bloody body was delivered to Clifford Hospital Emergency Center at 10:16 in July 16, 2006. He was slashed in the left chest and left arm, blood was flowing from the chest. The patient had staring spells, pale, wet and cold, blood pressure 80/40mm Hg, 35cm wound in the left chest, deep to thoracic cavity; 15cm wound in left wrist, visual fracture, tendons, nerves, arteries severed and separated. Doctors and nurses implemented pressure to stop bleeding, gave oxygen, established intravenous access, blood transfusion and antishock treatment. They also notified the on duty person in charge and activated the Emergency Green Channel process. 10:30 Patient was in Operating Theater, Surgeon General and doctors arrived for the operation under Hospital Director's lead. 10:46 Heart-repair operation began; patient's blood pressure was zero, breathing and heartbeat stopped. Surgeon General was in charge of the operation, right ventricle rupture 5 cm, inferior lobe of left lung rupture 6 cm, thoracic cavity was filled with blood, after heart-repair and lung-repair, bleeding stopped and patient's life was saved. 10:50 Blood transfusion was implemented. 10:59 Heart-repair and lung-repair operation completed, blood pressure increased to 70/30mm Hg, heart rate 98 beats/minute. After further treatment, the patient recovered. This rescue was successful because Clifford Hospital carried out disaster drills, established well considered standardized procedures to reduce errors and save time, established Emergency Green Channel.
     

    Medical Case 4
     Successful rescue case of patient with no breath and heartbeat. Clifford Hospital Emergency Center got a call from Emergency 120 Network at 5:55 Oct 1 that there was a traffic accident nearby. Doctors and nurses at the scene saw an oil tanker had crashed into a container truck; the driver was trapped in the driver’s cabin, groaning and bleeding. Doctor went to the patient through a narrow space and gave oxygen, transfusion, alleviate pain and bandaging. Police called fire brigade to cut the driver's cabin for easier rescue. 9:00 The vehicles were separated, patient was pulled out but he was unconscious, breathing and heartbeat stopped. Doctor implemented tracheal intubation, artificial respiration and cardiopulmonary resuscitation immediately. 9:25 The thirty-year-old patient was taken to Emergency Center Trauma Room, unspontaneous breathing, no pulse, blood pressure zero, he was ruptured in most skin, deformed in both lower limbs, extremities exposed, blood coagulated in the wounds. Doctors and nurses never gave up, continued to implement cardiopulmonary resuscitation, blood transfusion, gave antishock therapy, implemented venepuncture under collar bone and fluid replacement. B ultrasonography showed there were no signs of bleeding in internal organs, then added red blood cell by six units. Doctors from Cerebral Surgery, General Surgery, Orthopedics, and Chest Surgery came for consultation and joint rescue. 9:45 Patient began to breath and heartbeat resumed, but blood pressure was still zero. 10:20 Patient's blood pressure was 120/70mm Hg and regained consciousness. 10:30 Patient's blood pressure was 120/70mm Hg, vital life signs became stable and he was transferred to Radiology Department for further checking and diagnosis. 11:30 Patient was transferred to ICU for further treatment. The patient was saved and recovered after treatments. This rescue was successful because of the timely and collaborations of Emergency Center, Surgery, ICU, Operating Theaters, Hospital Blood Bank, Radiology Department, B-Ultraonography, Laboratory, Ambulance, General Support Department, Material Management Department, and the proficient well trained staff.
     

    Medical Case 5
    Green Channel for life A successful case of patient rescue, with broken internal jugular vein, ruptured common carotid artery. A man full of blood on body was delivered to Clifford Hospital at 14:10 in May 5, 2006. He was chopped in the left cervical part and right forearm, blood was flowing, especially from the wound in left cervical part. The patient was pale, wet and cold, blood pressure 60/40mm Hg, wound of 6cm length and 2cm depth in left cervical part. Doctors and nurses implemented pressure-hemostasis by fingers for such special position. Doctors established intravenous access, and implemented fluid transfusion, blood transfusion, antishock therapy, and then transferred him to Operating Theater. 14:30 Four doctors were in charge of the operation. The left internal jugular vein was severed, right common carotid artery was ruptured by 1mm, two little arteries were bleeding, and one small vein was ruptured. After 150 minutes of vascular anastomosis and repair, the patient was saved. Clifford Hospital set up Emergency Green Channel for rescue monitoring and management in compliance with JCI requirements. It has clear regulation and requirement for first aid outside hospital, rescue in hospital, specialist consultation system from special departments, patient transportation, checking report and first-aid medicine to ensure patients can get timely, effective and regulated emergency service, to increase rescue achievement rate and reduce medical risk.

     
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