Friday, October 12, 2018

Chinese medical team saves boy's life with 30,000 chest compressions

Source Website: http://www.asiaone.com/china/chinese-medical-team-saves-boys-life-30000-chest-compressions
By Zhang Wenfang, China Daily/Asia News Network, Asiaone, 27 September 2018


Thirty medical professionals took turns performing more than 30,000 chest compressions over five hours to save an 8-year-old boy
PHOTO: Thirty medical professionals took turns performing more than 30,000 chest compressions over five hours to save an 8-year-old boy who went into sudden cardiac arrest on last Friday at Changzhou Children's Hospital, East China's Jiangsu province, the thepaper.cn reported.
PHOTO: Provided to China Daily
Picture posted by Zhang Wenfang, China Daily/Asia News Network, Asiaone on 27 September 2018
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Thirty medical professionals took turns performing more than 30,000 chest compressions over five hours to save an 8-year-old boy who went into sudden cardiac arrest on last Friday at Changzhou Children's Hospital, East China's Jiangsu province, the thepaper.cn reported.

The boy, suffering severe stomach pain and fever, was placed in the pediatric ICU (PICU) immediately after being diagnosed with fulminant myocarditis last Thursday evening. The illness is an inflammatory process that occurs in the myocardium, the muscular tissue of the heart, and causes acute-onset heart failure.

After receiving initial treatment, he was in stable condition in the early morning of the next day. However, the situation deteriorated suddenly at around 8:30 am, with development of an irregular heartbeat, with his heart rate slowing down, then convulsions and cardiac arrest occurred.

First aid was given but twice more the boy stopped breathing. Though the patient's condition stabilized later, his life was still at high risk.


First aid was given but twice more the boy stopped breathing.
PHOTO: First aid was given but twice more the boy stopped breathing. Though the patient's condition stabilized later, his life was still at high risk.
Picture posted by Pui Fu on 06 November 2017 -  Inspiring Selfless Doctor Sacrifices Seeing Dying Father One Last Time to Save Patient
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"Fulminant myocarditis features quick onset, severe symptoms, rapid progress and high mortality. The result is unbearable if the patient does not receive timely treatment," said Zou Guojin, a doctor from the Changzhou Children's Hospital.

Given the demanding situation, the doctors in the PICU decided to apply ECMO (extracorporeal membrane oxygenation), an advanced technique of providing cardiac and respiratory support, to the boy.

PICU at the Changzhou Children's Hospital did not have the equipment to perform ECMO so they contacted their counterpart at Children's Hospital of Fudan University in Shanghai, and asked to borrow the ECMO machine.


Medical staff perform CPR on Xiaoyu.
PHOTO: Medical staff perform CPR on Xiaoyu.
While the ICU team waited anxiously for Shanghai's colleagues and the ECMO equipment, Xiaoyu's condition deteriorated sharply and both his cardiac and respiratory systems stopped working.
Knowing that the trip between Shanghai and Changzhou would take hours, the hospital decided to prolong Xiaoyu's life by giving him CPR.
Photo by Changzhou Children's Hospital
Picture posted by CGTN.com on 26 September 2018 at 22:52 GMT+8 
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At around 1.30 pm, a transport team bringing the machine set out from Shanghai. Just 20 minutes or so later, the boy's condition was deteriorating rapidly.

His blood pressure decreased to such an extent that it could not be detected. Cardiac arrest and breathlessness frequently reemerged. It would take over three hours for the equipment to be brought to Changzhou and no one knew whether the boy would make it through.

The boy's mother fell down in a faint when she heard the news. His father stayed rather calm and was determined to save his son.


The boy's mother fell down in a faint when she heard the news.
PHOTO: The boy's mother fell down in a faint when she heard the news. His father stayed rather calm and was determined to save his son.
"So long as there is a glimmer of hope, we will never give up," the father said.
At 2:50 pm, the boy's heart completely stopped beating while the ECMO machine was still on the way. From this moment on, continuous chest compression was needed to keep him alive.
Picture posted by CGTN.com on 26 September 2018 at 22:52 GMT+8
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"So long as there is a glimmer of hope, we will never give up," the father said.

At 2:50 pm, the boy's heart completely stopped beating while the ECMO machine was still on the way. From this moment on, continuous chest compression was needed to keep him alive.

For such an emergency, the hospital organised 30-odd professionals to perform the task. To guarantee the efficacy of the action, relays were set up, with each person performing the chest compressions for one to two minutes and then resting while another did a set of compressions. Otherwise, a person would tire and the compressions would not be powerful enough.


For such an emergency, the hospital organised 30-odd professionals to perform the task.
PHOTO: For such an emergency, the hospital organised 30-odd professionals to perform the task. To guarantee the efficacy of the action, relays were set up, with each person performing the chest compressions for one to two minutes and then resting while another did a set of compressions. Otherwise, a person would tire and the compressions would not be powerful enough.
Photo by Changzhou Children's Hospital provided to China Daily- Medical staff have taken turns giving emergency treatment for five consecutive hours.
Picture posted by Zhang Wenfang, China Daily/Asia News Network, Asiaone on 27 September 2018
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In this way, the 30-odd professionals tried hard to save the boy until the machine arrived and started working.

By the time the machine was operable at 7:30 pm, health workers had performed over 30,000 chest compressions.


Life-saving ECMO equipment is wheeled into Changzhou Children's Hospital in East China's Jiangsu province, Sept 21, 2018.
PHOTO: Life-saving ECMO equipment is wheeled into Changzhou Children's Hospital in East China's Jiangsu province, Sept 21, 2018.
Photo provided to chinadaily.com.cn
Picture posted by Zhang Wenfang, chinadaily.com.cn on 25 September 2018 at 17:52
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"We are desperate to save every young life that is at risk with all our efforts. The world is not that terrible because we love you in silence," one staff member who participated in the relay posted on WeChat, a popular social networking platform in China.

The boy's heart started beating again in a very weak way and he is still under treatment at the time of this writing.


We are desperate to save every young life that is at risk with all our efforts.
PHOTO: "We are desperate to save every young life that is at risk with all our efforts. The world is not that terrible because we love you in silence," one staff member who participated in the relay posted on WeChat, a popular social networking platform in China.

That is the uncompromising spirit of our healthcare personnel, always battling together with us during the darkest moment of our life, sacrificing themselves to the fullest in the unglamorous world. The only tender loving touch that help us to pull through during our difficult times. Our unsung heroes.
PHOTO: Loving you in silence. You do not know, but I am watching over you with loving passion. But know that during difficult time, "When you go through deep waters, I will be with you" (Isaiah 43:2).
Picture posted by Swrilribbon, Individual Love Roleplay
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Angels are sent by our Creator for the sole purpose of His love for us.
PHOTO: Angels are sent by our Creator for the sole purpose of His love for us.
 
"When you pass through the waters,
I will be with you;
and when you pass through the rivers,
they will not sweep over you.
When you walk through the fire,
you will not be burned;
the flames will not set you ablaze."
(Isaiah 43:2).

All healthcare personnel are angels, the unsung heroes, approved, dedicated and supported by God.
Picture posted by SOA LEE (3D Artist) - Goddess on the cloud, Cover of the products of ELSA, 2008
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By Zhang Wenfang, China Daily/Asia News Network, Asiaone, 27 September 2018



Reference
[1] Zhang Wenfang, China Daily/Asia News Network, Asiaone, Chinese medical team saves boy's life with 30,000 chest compressions, posted on 27 September 2018, http://www.asiaone.com/china/chinese-medical-team-saves-boys-life-30000-chest-compressions

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