Dr. Union said: "these conditions do not need to rush to the emergency room."
Especially the emergency department and fever clinic. Emergency doctors of Peking Union Medical College Hospital suggest that there is no acute attack of chronic diseases or in order to prescribe medicine, there is no need to rush to the emergency, please also set aside a first aid channel for acute and critically ill patients. What are the circumstances in which you don't have to rush to the emergency room? Answer 1. COVID-19 asymptomatic infected and mild patients: mild patients without diabetes, tumor and other basic diseases do not have to come to the emergency department or fever clinic. The common symptoms of mild patients include fever, chills, nausea and vomiting, fatigue, soreness and so on. When taking antipyretic and analgesic drugs on time during home isolation, most patients can relieve their symptoms in 5-7 days and do not have to go to the emergency room. Emergency is the area for the treatment of acute and critically ill patients, and it is not suitable for detailed and complete evaluation and treatment of chronic diseases. Try not to go to the emergency room. Thus choose emergency treatment, but in fact, for COVID-19 patients with mild illness, the treatment given to the hospital is consistent with the treatment of home isolation.
Recently, the rapid development of the epidemic has led to greater pressure on medical services in the short term, especially in emergency departments and fever clinics. The emergency doctor of Peking Union Medical College Hospital suggested that COVID-19 has asymptomatic infection, mild illness, no acute attack of chronic disease, or need not rush to the emergency room in order to prescribe medicine. The waiting time is long, and there is a great risk of cross-infection. Please also set aside a first aid channel for emergency and critically ill patients.
Ask
What are the circumstances in which you don't have to rush to the emergency room?
Answer
1. COVID-19 asymptomatic infected and mild patients: generally speaking, most mild patients with asymptomatic infection or under the age of 65 and without basic diseases such as diabetes and tumor can choose to stay at home and do not have to come to the emergency department or fever clinic for medical treatment. The common symptoms of mild patients include fever, chills, nausea and vomiting, fatigue, soreness and so on. Take antipyretic and analgesic drugs on time during home isolation, take more rest, drink more than 2000ml daily, and ensure nutritional intake at the same time. During the stay at home, mental state and urine volume can be monitored, and blood pressure can be monitored daily if there is a sphygmomanometer. Most patients can relieve their symptoms in 5-7 days and do not have to go to the emergency room.
two。 There is no acute attack of chronic diseases: emergency is the area for the treatment of acute and critically ill patients, and it is not suitable for detailed and complete assessment and treatment of chronic diseases. If you have a chronic disease, the symptoms are the same as before, or there are familiar changes in symptoms, and there are corresponding drugs at home, it is recommended to take the medicine at home first. If there is a shortage of drugs, you can give priority to the community hospital, or online / offline outpatient service, and try not to go to the emergency department.
3. In order to prescribe medicine or "hoard medicine" for emergency treatment: many people think that coming to the hospital can prescribe more drugs, so they choose emergency treatment, but in fact, for COVID-19 's patients with mild illness, the treatment given by coming to the hospital is the same as that of home isolation. If you have no symptoms of fever, the emergency department can not prescribe antipyretic medicine for you; if you have symptoms of fever, the emergency department can only prescribe the dose within 3 days, which can not meet the need of "hoarding medicine".
Ask
Under what circumstances is it recommended to go to the emergency department in time?
Answer
1. Novel coronavirus positive infection at home if chest tightness, suffocation, no fever when palpitations, vague consciousness, no urine and other symptoms.
two。 Novel coronavirus positive infection is pregnant, or advanced age, or suffering from diabetes, heart disease, cancer, autoimmune diseases and other basic diseases, high fever and poor effect after taking antipyretic drugs.
3. New trauma, continue to press for 5 minutes, there is still blood gushing from the wound, or the wound has suppuration, ulceration.
4. The underlying disease is suddenly aggravated, and the symptoms cannot be relieved after taking long-term drugs.
5.severe chest pain, abdominal pain, nausea and vomiting, dyspnea, syncope and other symptoms appeared within 24 hours, and the symptoms did not improve after rest.
Emergency is not an emergency clinic. I hope everyone can choose rationally and seek medical treatment reasonably so as to give up emergency access and medical resources for life.
Text / North Emergency Star Science Popularization team Liu Shuang
Source: Dr. Concord said