Health

People who bring oxygen to their homes F0


HanoiNear 11 o’clock on the night of January 11, Mr. Do Chi (Deputy Secretary of Linh Nam ward’s Youth Union), received a call that urgently needed oxygen for an F0 being treated at home with difficulty breathing.

Chi immediately put on protective gear, brought an antiseptic bottle, valve, breathing tube, hugged an oxygen tank, and a colleague rode a motorbike to F0’s house. According to the instructions of his family, the motorbike carried two people deep into the alley, he shouted “boiling water, boiling water” to ask for directions. About 5-7 minutes later, he was at the patient’s house. F0 is male, 28 years old, fever 39.5 degrees, cough, shortness of breath, wheezing voice, hoarseness. The family also has parents and younger brother who are also infected but milder.

After installing oxygen for the patient to breathe, he quickly asked about the patient’s condition and gave further instructions and instructions to his family. The whole process takes no more than 5 minutes, the goal is to help the patient quickly return to normal breathing. Fortunately, F0 was young, had no underlying disease, and responded well. The Sp02 index (blood oxygen concentration) then increased to 92-95%, Chi returned to the station with peace of mind.

Chi said this is one of dozens of people receiving oxygen support at home (when having difficulty breathing) over the past 10 days. Linh Nam Ward, Hoang Mai District, is the first unit in Hanoi to implement the project “ATM Oxy” to help F0 treat at home. Volunteers also participate in nutritional counseling, medicine, and patient care. All of them attended training classes, training before taking on the task.

In recent days, the number of new infections in Hanoi has continued to increase. In Linh Nam ward alone, there are more than 200 F0 people being isolated and treated at home, and this number is still increasing. The representative of the ward leader said that the unit has applied many measures to reduce work pressure, mobilizing the youth union members to participate in support. This group is coordinating with medical staff to monitor, support and motivate patients and is the core force in the ward’s “ATM Oxy” campaign.

The ATM Oxy team in Linh Nam ward provides home oxygen for F0 with signs of shortness of breath, high fever, wheezing. Video: Thuy An

Chi and his volunteers have all participated in the fight against epidemics in districts such as on duty, consulting, vaccination support, sampling… After the establishment implemented the ATM Oxy program, he and everyone actively participated in it. family. The group currently has 12 people, divided into three shifts. The daily task is to operate the hotline, give advice and give oxygen tanks to F0 in need. In particular, the main task is to provide oxygen tanks, so “there is always a breathing tube in the person”.

Usually, people have to ask about the patient’s condition, keep it on file before deciding whether to bring an oxygen tank or call for help. “Depending on the situation of each F0 to take appropriate care,” Chi said. For example, a patient with chest tightness, mild shortness of breath only needs a small capacity bottle with instructions on how to breathe, lying on his stomach, nutrition at home… In critical cases, SpO2 drops deeply, must call 911 to take him to the hospital.

Hoang Mai is a large, densely populated area, F0 is high, but most of them are mild or asymptomatic. However, at night, the risk of the case getting worse. During the support process, Mr. Chi always reminds everyone to take the initiative, because “oxygen tanks are the only lifebuoy, so patients should not be kept waiting for a long time”. One day during his lunch break, he received a call from F0. Unable to call his teammates to come back to support, he put the oxygen tank on the motorbike, clamped it between his legs and dashed away, “hoping that no F0 would become too heavy during that time”, Chi said.

Initially, he was also worried about the protection of infection when directly exposed to F0. “The more you are afraid, the more careful you have to be,” Chi said. He and everyone told each other to act quickly but firmly, neatly and proactively. He motivates and convinces his parents to be supportive in carrying out this task.

Every day, the Oxy ATM station receives 20-40 calls, including cases of bottle exchange and medical advice. Currently, the number of calls has decreased compared to the first time, most of them are mild and asymptomatic, only about 10-15% of severe cases.

Also a lot of surprises when he first joined, volunteer Nguyen Quoc Trieu, 21 years old, said he was haunted not only by the overwhelming number of counseling calls but also when he heard that F0 was severe and needed urgent medical help. . Therefore, everyone always tries their best, completing the mission to save as many patients as possible.

Another difficulty is finding the home address and arriving as quickly as possible. Many families are deep in the alley, people take a long time to grope and move. Fortunately, there have been no unfortunate cases due to oxygen delay since the program’s implementation.

“This bit of strength, though small, cannot be compared with the frontline medical force, but it was a life-and-death boundary with F0 at that time,” said Trieu. “Only when the patient can breathe again, it is considered that the most difficult stage has passed.”

Volunteers are on duty to monitor, support and are ready to bring oxygen tanks to the house when F0 needs it.  All patient information is managed by software to minimize workload.  Photo: Thuy An

Volunteers are on duty to monitor, ready to bring oxygen tanks to the house when F0 needs it. All patient information is managed by software to minimize workload. Photo: Thuy An

Over the past half-month, Hanoi has been leading the country in the number of new cases per day. By January 9, more than 36,000 F0 were treated at home, up from nearly a week ago (22,000 F0 were treated at home on January 3). The city has increased vaccination, timely supply of drugs and strictly managed F0 at home, reducing the load on upper-level health care so that hospitals can focus on treating people with moderate and severe symptoms.

On January 5, Hanoi started an ATM oxygen station and coordinated oxygen to support F0 treatment at home. 1,000 oxygen cylinders of 8 liter capacity, 200 40 liter cylinders, 800 gauges, 30 7 liter oxygen machines, 20 10 liter oxygen machines, 500 oxygen dividers are distributed to districts and mobile medical stations. commune, ward… to support F0. In addition, the city has many centers and organizations to support oxygen at home. According to medical experts, this is an effective way in the current context, to contribute to solving oxygen scarcity, reducing medical pressure at hospitals and helping patients recover soon.

However, F0 needs to be learned and used as directed. With F0 young, healthy, injected with enough injections, should not store oxygen at home, Dr. Doctor Hoang Thanh Tuan (Hospital 103) advises. As for the elderly F0 family, because of force majeure needs home treatment, in case of difficulty breathing in the middle of the night, an emergency does not arrive in time, etc., they can actively seek to breathe at home and overcome the danger. drama like the way Ho Chi Minh City did before.

Chi (driver) and Trieu went to the house to support F0 who was having difficulty breathing.  People exposed to F0 need to wear protective gear and disinfect before entering and leaving the house to ensure safety.  Photo: Thuy An

Chi (driver) and Trieu went to the house to support F0 who was having difficulty breathing. People exposed to F0 need to wear protective gear and disinfect before entering and leaving the house to ensure safety. Photo: Thuy An

Thuy An

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