The system takes me for surgery

Zhong Yubo smiled, with a bitter smile, and said, "Emergency, it's the worst place for people to stay."

The two were silent for a while.

There is such a passage that accurately describes the nature of the work of emergency personnel.

The emergency department is the face of the hospital. It is the place where many critically ill patients come to the hospital for the first visit. How to use the limited emergency resources to provide patients with the best diagnosis and treatment plan and the direction of diversion in a short period of time is an important task for every emergency doctor. There are challenges to be faced, but also skills that must be mastered.

Although patients with complex and critical conditions have brought work pressure to our emergency doctors, they have also brought medical resources. In the complicated emergency work, doctors have dealt with a large number of cases, and many clinical situations are of interest or doubt to us. Yes, but we, who are used to "shoot first and then aim", often pull the patient back from the death line and then invest in new rescue. We don't know the patient's final diagnosis and outcome, and miss reaching a higher level of diagnosis and treatment. Opportunity.

In Liang Yi's view, this is actually the actual reason that troubled Zhong Yubo's development. At this age, he doesn't know how good he is in internal medicine, but his surgical operations can only be regarded as mediocre, because the emergency department "shoot first, then The nature of the "targeting" work limited his technical improvement.

In fact, if emergency physicians can predict the diagnosis, course and prognosis of the entire disease, it will be more conducive to subconsciously aiming more accurately when "shooting", thereby fundamentally improving the patient's prognosis.

This is also the purpose of Liang Yi's study in the emergency department, to continuously enrich his clinical experience, to have a sharper sense of prediction, and to unplug the time bomb on patients in the shortest possible time.

There seems to be a strange law, every time Liang Yi arrives in a department, he is always on duty on the first day, and it is always dark until dawn to see the sunrise.

At two o'clock in the middle of the night, "Two patients with pesticide poisoning will be sent here in a while! They are currently delirious"

Putting down the phone, the doctors on duty Zhong Yubo and Liang Yi and the nurses immediately began to prepare relevant first aid supplies and prepare for treatment.

Soon, a 50-year-old female patient and a 52-year-old male patient were sent.The condition of the male patient was relatively stable.The female patient was in a coma, her blood pressure was 70/50mmHg, her heart rate was 130 beats per minute, her face was pale, her limbs were clammy, and her condition was critical. If not treated in time, her vital organs would soon fail.

"Hurry up! ECG monitoring!" The short but powerful words are like the command to charge.The medical staff immediately carried out a series of symptomatic treatment such as ECG monitoring, stomach protection, liver protection, fluid replacement, and hemoperfusion.

It was four o'clock in the morning when the patient's condition stabilized.Then came another abdominal pain.

That night, the department admitted a total of five patients, and Liang Yi spent a sleepless night.

Such a busy night on duty is very common for the emergency department of a large hospital.In fact, being on duty is not the scariest thing, the scariest thing is the morning after being on duty.

For other jobs, basically you can go back to catch up on sleep after get off work, but the profession of a doctor is quite special.

Even if you are off work, you still have to make rounds with the director. This round may last more than two hours, and your old patient may come to see the doctor halfway through.

You watched him come all the way, and you couldn't bear to drive him away, and you wouldn't transfer him to another doctor. After all, doctors still need performance, and transferring one patient means one less patient.

In this way, it is usually close to eleven o'clock in the noon, and the nurses work harder, and the nurses at night cannot sleep at all:.

Doctors can also enter the duty room and lie down. In fact, for medical staff, there are many large and small car accidents on the way home to and from get off work. Almost everyone who has worked for more than five years has happened.

After working the night shift, I feel dizzy, my heart feels uncomfortable, my hearing decreases, and my judgment becomes weak.

After being dark all night, Liang Yi felt flustered. In the past, he would stay up all night in the affiliated hospital, but it was rare. It may be because of the new environment and nervousness.

In general ward rounds, the bed doctor holds the medical record folder in front and opens the door for the chief director, followed by the deputy director, attending doctor, resident doctor, training doctor, and interns.

In this way, the entire team will have more than [-] people, and if it is a departmental round, the number will have to double or triple.

Sometimes when there are not many patients, an embarrassing situation often occurs, that is, there are more doctors in white coats than the total number of patients in hospital gowns.

When the whole ward round team came out, it was mighty and mighty, and the scene was quite spectacular.

During the ward rounds, Director Li Zhengping treated the patients very warmly and cordially. Every time he walked to the patient's bed, he would reach out to shake hands with the patients, no matter men, women or children.

This small gesture made the patients feel warm. Li Zhengping's reputation in the hospital is also very good. Old patients often refer new patients to him for treatment. He treats both acute and chronic diseases, and he is well-known both inside and outside the hospital.

Li Zhengping has a habit of asking questions.I like to ask questions very much. From time to time, I will ask the doctor who manages the bed to answer relevant questions.

Dr. Guipei followed him and felt pressured, but he also gained a lot. He could not live in a muddle-headed way. Before each rounds, he had to remember the conditions of the patients under his care and check relevant information, so that he would not ask questions when he asked. Three do not know.

The general ward round is over, and the next step is the question-and-answer session.

Dr. Guipei and the intern began to panic, but Liang Yi was not too flustered, because he was so drowsy now that he felt like he could fall asleep standing up, his eyes were constantly opening and closing, and when he closed his eyes, there was that kind of twitching around him. The sound is exceptionally clear, but it feels like the brain has shut down.

When I opened my eyes, it seemed like a thousand years, where am I?who I am?Such a strong sense of loss.

Director Li Zhengping held the cart in his hand and said: "Today we asked some simple questions, which are very basic things. Even if you have never been to clinical practice, as long as you have been to medical school, you can basically answer them. come out."

As soon as these words came out, everyone trembled instantly.

This means that today, the cards are not played according to the routine, and the questions are not asked according to the assigned bed patients, but randomly. This randomness is the scariest.

That is to say, there is no question bank, and you can ask questions wherever you think of.

Li Zhengping looked at everyone's flustered appearance and smiled triumphantly, which might have scared the young doctor, and it was also one of the moments when he was happy.

"Are you ready?" Li Zhengping said with a smile.

"No..." A small girl sang in a low voice.