On September 15, Associate Professor, Dr. Dao Xuan Co, Director of Bach Mai Hospital, said that the victim, H.V.V, 31 years old, Tay ethnic group in Lang Nu village (Phuc Khanh, Bao Yen, Lao Cai) did not survive after many days of intensive treatment. At the time of admission, the patient's condition was very serious. Doctors performed bronchial aspiration, muscle relaxation, ECMO to support breathing and circulation, continuous blood filtration combined with adsorption blood filtration, optimal broad-spectrum antibiotics, bronchial lavage endoscopy, blood product transfusion... However, due to the seriousness of the disease, the patient did not survive.
There is another victim, H.T.N, 11 years old, Tay ethnic, currently being treated at the Pediatric Center (Bach Mai Hospital) and still on a ventilator, with a serious prognosis.
On September 15, doctors at Bach Mai Hospital consulted with Japanese experts on this case. After 4 days of being transferred to Bach Mai Hospital, the patient is still sedated, on a ventilator, with weak pupil reflexes, but the patient's pneumonia is very serious due to water retention and inhalation of a lot of mud during the flash flood. Currently, bronchoscopy has shown bleeding, making it very difficult to clean the mud still in the lungs.
The patient continued to be on a ventilator with low anesthesia to protect the lungs, continued to sedate the patient, and further muscle relaxation, thereby gradually reducing anesthesia.
Experts expressed further concern about the risk of bacteria from the environment entering the lungs of children.
Professor Hashimoto (Japanese expert) highly appreciated the comments of Bach Mai Hospital experts and advised to do more tests for fungus. Because the patient's kidney and liver functions are still stable, Professor Hashimoto advised to do antifungal tests.
Associate Professor, Dr. Vu Van Giap, Deputy Director of Bach Mai Hospital, said that this is the 5th day of treatment, so foreign objects and bacteria have stuck deep into the airways, however, complete lung lavage is not recommended to avoid the situation of water stagnating in the lung interstitium, causing increased pulmonary edema.
Therefore, this stage still prioritizes endoscopic lung lavage.
The flash flood that occurred on the morning of September 10 in Lang Nu village buried everything. The entire village, which used to have 37 stilt houses next to the fields, now has only a pile of mud left.
On September 10, Bao Yen General Hospital received 18 patients from the horrific flash flood that occurred in Lang Nu village. Among them, 1 patient was in critical condition, requiring a ventilator, the rest had many broken bones, internal injuries and severe skin damage, and 1 case did not survive. Worryingly, most of the patients were in a state of psychological trauma due to the natural disaster.
