As the leader of the medical treatment team in Shanghai centralized isolation point, Chen Erzhen, vice president of Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, is the "fire fighting captain" in the construction of Shanghai’s "shelter". At present, his new stop is the National Convention and Exhibition Center (Shanghai), which will soon become a super shelter isolation point with 50,000 beds.
On April 8, Shanghai reported that there were more than 20,000 new positive people the day before. Can the intensive construction of shelter meet the needs of admission? How can such a huge shelter hospital ensure the treatment and life of infected people after they check in? Dajiangdong Studio once again interviewed Chen Erzhen.

Chen Erzhen was interviewed by Dajiangdong. Gu Haimin
Dajiangdong: With such a large-scale shelter hospital, how will we ensure the treatment and daily life of infected people after admission?
Chen erzhen:This is the largest shelter hospital with the largest capacity in history. There are 14 cabins in total. In the future, there will be more than 50,000 people who are infected with COVID-19, 5,000 to 6,000 medical personnel and nearly 10,000 security personnel, which adds up to 60,000 to 70,000 people. This is similar to opening a large exhibition in peacetime.
To ensure safety and prevent secondary disasters, we must be more detailed and practical, and we must think more about many details, plans for problems and possible unexpected situations, and we must have many countermeasures.
At the same time, efforts should be made to improve the living environment of infected people. With the construction of shelter hospitals, our experience is getting richer and richer, and we try our best to make the hardware conditions better. For example, sanitary facilities, many citizens will not adapt at once, which is too different from the environment at home, but we are trying our best to improve them. For example, the problem of taking a bath and going to the toilet must be much better this time.Taking a bath can meet the basic shower requirements.For example, 10 minutes for lesbians and 5 minutes for gay men will improve the turnover rate, but it is better than nothing. In terms of barrier-free access, it has also been greatly improved.If the earliest shelter hospital in Shanghai was version 1.0, it was later developed into version 2.0, and this time it is version 3.0.
The management process has also been continuously improved and optimized. After the shelter is completed, logistics support is very important. How many materials do so many people need to eat and drink Lazar? To ensure that so many people get effective medical observation, once there is sudden medical treatment, how much medical equipment should there be? How to arrange our personnel reasonably?We can neither waste precious medical staff nor increase the risks they are exposed to. We must ensure that they are in place and standardize their protection.
Dajiangdong: How many other provinces and cities support the medical team here now? How to manage it properly?
Chen erzhen:Our demand is about 5000 people. The most important thing is to build this place quickly, so people can’t come and wait outside, and the connection must be done well. Human resource management is very challenging, and information security is also very critical. It also includes nucleic acid testing. Sixty or seventy thousand people test nucleic acids once a day, and the amount is also very large.
We often say that sparrows are small and complete, so there are many details to be considered for such a behemoth (Fangcang Hospital). If it is not properly managed, the effect will be very, very poor. The city attaches great importance to it, with special classes and coordination in all aspects.Through these efforts, I believe that in the process of construction, we will continue to explore experience and refine management methods to ensure that this shelter can be opened and used safely and orderly, and play a role in the great battle against epidemic in Shanghai.
Dajiangdong: There are more cabins in Shanghai at present. What kind of system is this? Is it enough?
Chen erzhen:At present, Shanghai is a city-level and district-level shelter hospital system construction, such as the National Convention and Exhibition Center (Shanghai), the New International Expo Center, the Expo Exhibition Hall, the Renaissance Pavilion of the Expo, and the Yangshan Special Protection Zone in Lingang are relatively large — — Together, these five large cabins can accommodate more than 80,000 people for medical observation, which is managed at the municipal level. At the same time, each district should build corresponding cabins. From the current resources, Shanghai can have more than 40 cabins of different sizes, with a total bed of more than 100,000.
Next, the shelter will be in a state of "in and out", and many people have begun to leave the hospital.Everyone is more concerned about whether the shelter construction can meet the needs of new positive people in Shanghai. I think the most important thing is whether our early prevention and control measures and restrictions on people’s activities are in place. If there are still infected people moving around the society and spreading the virus everywhere, there will be a large number of new ones every day; If everyone cooperates with epidemic prevention and stays indoors, I believe that the turning point will come earlier after the spread speed slows down.
For infectious diseases, controlling the source of infection, cutting off the route of transmission and protecting vulnerable people are international common means.Among these three "pillars", controlling the source of infection means "should be separated"; Cutting off the route of transmission is to control the flow of people.
Surface spread may also be a way, depending on its temperature, humidity and material, and the basic research in this area should be strengthened. Is there any other way? Is there any "darkness" in the virus?It is very important for us to continue to strengthen our research to see if there are any routes of transmission that we have not found and neglected.
Dajiangdong: Now the proportion of asymptomatic infected people is very, very high, which is different from the previous situation? Is there any change in diagnosis and treatment standards?
Chen erzhen:A large-scale epidemic in Shanghai has been going on for 20 days. In this process, our understanding of the virus is also deepening. According to the characteristics of patients and the summary of experience, it is necessary to standardize the diagnosis and treatment, and there should be corresponding changes in the management and isolation, including the hospital infection protection system. It should be analyzed according to scientific data and provide good countermeasures, which will help to scientifically and accurately deal with the current epidemic prevention and control situation and improve our epidemic prevention system in the future.Make a more scientific, operable and effective diagnosis and treatment plan to make it quick.
Dajiangdong: With the emergence of a large number of patients, the work intensity of medical staff is also great. How should we prevent hospital feeling?
Chen erzhenFrom the management point of view, hospital feeling is not allowed to happen. There is no doubt that if you can’t protect your own employees and let them work safely, what’s the fight?
We protect the safety of medical care in order to treat and protect more patients. But as a "war", it may be inevitable that there will be "casualties" and "material damage". If there is a sense of hospital in the subsequent case, we must first analyze the reasons and why it happened. It should be analyzed from hardware, software, personnel and other aspects, such as whether the infrastructure construction is right or not, and whether there will be "air leakage" everywhere; Whether the process is correct and the setting is reasonable; How is people’s compliance, and whether wearing masks and protective clothing is standardized … … Specific problems should be treated accurately and solved quickly, and there should be scientific and objective analysis.
No mistakes are allowed, there is no doubt about it. We must be strict with requirements and standards. But to err is human, how to analyze the reasons for making mistakes, is it preventable or not? How to learn from failure?
Recently, although I was very busy, I watched The Battle at Lake Changjin — — In such a difficult environment, we all defeated the enemy, so now we are facing a "war without smoke", and we still have to win the greatest victory with the least cost.
Dajiangdong: We will welcome many citizens who leave the cabin and turn to the shade one after another. What do you think of this process for themselves and society?
Chen erzhen:Epidemic situation, from a professional point of view, is also a kind of disaster. Everyone will have a stress reaction when they encounter such a disaster. Even if it is not isolated in the shelter, even if it is sealed in the community, it will feel depressed, which is a common psychological reaction after the disaster.
Different people will have different psychological reactions. Some people will be anxious all the time, some people may forget everything after sleeping, some people will remember this paragraph forever as time goes by, and some people will have nothing. We must have a psychological team and the help of volunteers. This is a social systematic project. Establishing a psychological assistance team to help everyone solve the psychological burden after the epidemic is what we call an important process of "post-disaster reconstruction".
Then the discharged patients will return to the community and go home for health management as required. I believe that with the construction and operation of our shelter hospital, we will soon usher in a discharge peak. (Li Hongbing Ju Yunpeng)

























































