More intensive care to reduce Ebola's death

The latest research shows that more active anti Ebola treatment measures, such as large-dose intravenous rehydration and careful monitoring of the electrolyte level of infected people, can better save the lives of those infected with Ebola virus Dr Robert Fowler, an associate professor of critical care medicine at the University of Toronto, and his colleagues wrote the report, and he was involved in the treatment of Ebola infected people in West Africa He believes that diseases such as Ebola require a high level of care, requiring medical staff to invest a lot of time and energy in every patient The problem is that health workers in West Africa are already struggling with such a fast-moving epidemic, making it harder for them to provide such special care Fowler pointed out that in Conakry, the capital of Guinea, the mortality rate of Ebola patients receiving treatment is relatively low, about 43% This may be related to the good care of patients If patients can receive such supportive care, it may help the vast majority of infected people escape from Ebola's clutches and get new life In other words, the most urgent measure to stop the Ebola epidemic should be to send more medical staff to West Africa to meet the demand of patients for treatment The report outlines the experience and effectiveness of Fowler and his colleagues in Conakry's early treatment of Ebola patients from March to April this year, and was published in the New England Journal of Medicine on November 5 In more than a month of Conakry's treatment of 37 confirmed infections, the researchers determined that the biggest challenge for people with Ebola was severe dehydration due to vomiting and severe diarrhea Fowler believes that the active rescue measures used by Conakry's medical staff play an important role in reducing mortality In addition to the reasonable use of treatment measures, the factors that affect the mortality rate in a certain area also include the length of illness before treatment Dehydration can lead to a vicious cycle The function of the kidney is to transport waste out of the blood and maintain the balance of electrolytes (such as calcium and potassium) in the body Fowler believes that once dehydrated, the working efficiency of the kidney will decrease, gradually lose function, make the electrolyte in the body disorder, and finally threaten the life of the patient Active support therapy is not a routine treatment for Ebola infection, but it can reduce mortality to 43% Since the outbreak, Fowler has worked in West Africa four times He said: "the number of patients dehydrated is huge, and the treatment carried out by medical staff is difficult to catch up with this rapid rate of fluid loss." In fact, in a treatment center, with a treatment team of five or six doctors and nurses, three or four times a day, you go to a ward that holds 50 patients They need to see all the patients in 45 minutes to leave the ward in time, and take time to take off the protective equipment and complete the work duties outside the ward A patient can fill up to 1 liter of fluid in each septum At the moment, there's no way to supply patients with the amount of fluid they need, Fowler said In some areas, equipment like ventilators and hemodialysis machines may be useful, but the more important problem is the number of our patients "We do have equipment, but we don't have time." Fowler said By actively supporting care, doctors can fight against Ebola virus to a certain extent by correcting dehydration and electrolyte balance of patients even without drugs According to the report, people over 40 are 3.5 times more likely to die of Ebola infection than people under 40 Researchers speculate that the reason older people are more likely to die of Ebola disease is that older people may have other health problems than younger people But this is not covered in the report It is also doubtful whether age is the reason for the decrease of survival rate of patients and how age plays a role These problems may be discussed in future research (please poke here about the cause of Ebola's death) According to the report, there are 13500 cases of Ebola infection in West Africa, and at least 4950 people have been killed in the outbreak It may play an important role in the prevention and control of Ebola epidemic to let more local people participate Improving mortality can change people's traditional cognition of Ebola If walls are built to prevent the transportation of people to the epidemic area and the return of people to the epidemic area, people will always fight against the disease Fowler said he would return to West Africa in December to treat patients with Ebola infection Reliable girls love life