Epidemic Prevention in China 04 | Why were the deceased patients and pregnant women who had miscarried in Xi'an not treated in time?

Author: Xiaochong Proofreading: Xiaocao

After Xi'an was closed, there have been many cases of delayed treatment resulting in the death of critically ill patients and miscarriage of pregnant women.

"The security guard said he was doing his duty; the nurse said that she was doing her duty; the hospital said he was performing his duty. Everyone has no problems, who is the problem?" Wang Xin (pseudonym), a woman who lost her father, said in an interview with The Paper.

However, NGOCN reviewed the medical treatment experiences of four deceased patients and pregnant women who had miscarried, and found that the refusal of medical treatment by some hospitals did not conform to the medical treatment procedures stipulated in the "Guidelines for Mass Seeking Medical Treatment during the Epidemic" issued by the Shaanxi Health and Health Commission (this guideline was issued after the above-mentioned accident occurred). previously announced).

Four patients were refused treatment by the "yellow code hospital" or "yellow code ward" for reasons such as no nucleic acid report, coming from a sealed-off area, and lack of relevant documents. However, the "Guidelines for Medical Treatment During the Epidemic Period" states that "yellow code hospitals/wards" are "designated hospitals" specially set up for "risk personnel", that is, people in closed or controlled areas and people with red codes or yellow codes, and According to Dahe Daily , the "Yellow Code Hospital/ward" can accept patients without nucleic acid reports.

In addition, when the four patients had physical abnormalities, they all called 120 many times, but because the line was busy for a long time, they could only be sent to the hospital through the community or police car, which delayed the time for treatment. In another incident, a man called 120 nearly half of the time in the four hours before the onset of chest pain and sudden death, but the line remained busy.

The medical treatment process stipulated in the "Guidelines for Medical Treatment for the Masses during the Epidemic" shows that for patients who need rescue, 120 First Aid can bypass the "community inspection and release of nucleic acid" steps and directly send patients to designated medical institutions for treatment. However, in the above incident, even if the police or the community skipped the "community nucleic acid inspection" step and sent the patient to the door of the hospital, the hospital still refused to see the patient on the grounds that there was no nucleic acid report.

@Don't Rain Chengma posted on Weibo that my aunt was rejected by Xi'an High-tech Hospital for nucleic acid for more than 24 hours, and sat on a plastic stool at the entrance of the hospital for two hours. The video she posted showed the pregnant woman bleeding profusely while waiting, with blood running down her legs and stool, and blood on the ground. "The 8-month-old child has no heartbeat because of stillbirth!" she wrote on Weibo (which has since been deleted).

According to the "Guidelines for Medical Treatment During the Epidemic Period", the "Yellow Code Ward" of Xi'an High-tech Hospital treats "risk personnel" patients including maternal childbirth, gastrointestinal bleeding, cardiac emergency surgery, etc., but in this incident, "nucleic acid timeout" Pregnant women for reasons of refusal.

The incident aroused anger and accusations from the whole network. Under pressure, the Xi'an Health and Health Commission identified the incident as a responsible accident. Its director Liu Shunzhi was warned by the party and bowed and apologized at the press conference; the general manager of Xi'an High-tech Hospital was suspended. The person in charge of the outpatient department was dismissed.

In another incident, Wang Xin's father was sent to the International Medical Center Hospital by his family after a sudden myocardial infarction, but he was refused treatment because he was from a medium-risk area and had no nucleic acid report. Eight hours later, when the nucleic acid results came out, he was finally admitted to the hospital, and finally passed away due to delayed treatment. "The doctor said that the delay was too long, and if (the onset of the disease) thrombolytic drugs were used within two hours, it could be treated," she wrote on Weibo.

However, even if you have a valid nucleic acid report, you may still be refused treatment. @Guo LingLL posted on Weibo saying that her nucleic acid results had come out, but she was still rejected by the "Yellow Code Hospital" The Second Affiliated Hospital of Xi'an Jiaotong University (Daminggong Campus) on the grounds of "not enough beds" and "no Epidemic prevention department transfer order".

In addition to nucleic acid, a patient's health code that does not match the hospital's designated range of admissions will also be a reason for rejection. Another Ms. Wang posted on Weibo saying that she lived in a sealed-off area. After the amniotic fluid broke, she was sent by the police to the "Yellow Code Hospital" Xi'an Yanta Nengkang Integrated Traditional Chinese and Western Medicine Hospital, but the hospital responded with "The patient is a green code". "The reason was that he refused to see a doctor, saying that only the red code and the yellow code were received, and the coordination between the police and the dean was fruitless.

After a delay of five hours, Ms. Wang was admitted to another hospital. "The doctor asked me why I came so late... I couldn't speak at that time, I just felt bleeding, bleeding, trembling, I was bleeding, and my tears couldn't stop flowing," she said on Twitter. Bo wrote.

They were unable to save their children.

"(Calling) all kinds of calls are playing football, maybe it's just a humble name for the poor," Ms. Wang wrote on Weibo.

Under the pressure of public anger, Vice Premier Sun Chunlan of the State Council responded on January 6 that for critically ill patients, "regardless of whether there is a nucleic acid certificate, under the premise that medical staff are well protected, they must be admitted as soon as possible"; He also reiterated the provisions already made in the "Guidelines for Medical Treatment During the Epidemic Period" before the accident, setting up designated hospitals for pregnant and lying-in women who are in urgent need of medical treatment.

But the government's response has failed to quell public anger. Numerous netizens accused the government of "thinking about doing things only after a person's life", and criticized the results of accountability for being too light.

NGOCN observed that, apart from the fact that the director of the Xi'an Health and Health Commission and the director of the Xi'an Emergency Center were warned and punished by the party, and the director of the Xi'an High-tech Hospital was suspended, no other health system officials and other heads of the hospitals involved have been held accountable.

"Later, I kept thinking, if I was more unreasonable and rambunctious at the time, would the hospital admit patients earlier, and would I have any hope of being rescued. These mistakes and inactions are enough to make me I am ashamed and ashamed in my life.” Wang Xin, who lost her father, began to blame herself after recording the despair and pain of being refused a doctor.

Her article has disappeared on Weibo.