I'm really an intern

Chapter 159 Three-chamber two-capsule catheter is not a good thing

Facing this question, the director of the cardiology department answered without thinking.

"Take it! He has ventricular fibrillation, so he must be taken away, and he can't be released from the hospital!"

On this point, the director of the cardiology department has the same idea as Zhang Tianyang.

This kind of high-risk patient must not be released from the hospital, or he might be gone after he gets out!

"I'll contact you now to see if there are any beds."

The director acted resolutely, took out his mobile phone and made a call, and got a quick reply.

"Yes, there is a bed. You can open a hospital for him, let the family members pay the money, and the person with the hospital certificate can send it up.

So what, I still have a few surgeries, so let's go first. "

Zhang Tianyang grabbed the director of the cardiology department who was about to leave in a hurry.

"Director, there is something wrong with his family."

The chief of the cardiology department stopped in his tracks.

"That's right. Please pay attention. The patient's family members now only have an old lady with little medical knowledge. Because of the family members, they almost didn't keep him."

Zhang Tianyang explained to the director of cardiology.

"It seems quite reasonable now, but the knowledge system is flawed, and I am afraid that it will be difficult to communicate when encountering problems in the future.

The other family members and children are not here, and they cannot be contacted. Do you want to let the doctor in charge of your bed pay attention? "

"Call a medical officer on duty, or the Public Security Bureau do a notarization?"

The chief of the cardiology department looked up at the sky.

"Hey, that's a problem."

When encountering difficult patients and their family members, who are prone to medical troubles, or who are at risk like this, the director is generally reluctant to accept them and will send them back to the local hospital for treatment.

After all, no one wants to charge their department with a time bomb.

But this old man is really too dangerous, if he really pushes out, maybe he will have another ventricular fibrillation on the way, and he will be gone.

Between the risk he took and the safety of the patient's life, the director of the cardiology department thought for two seconds and quickly made a decision.

"I have to see the family members. You can stand at the door and point it out to me. I will go and observe it myself later."

If the family members were not that kind of really difficult to deal with, they would definitely cause trouble if they were admitted in. The director of the cardiology department felt that he gritted his teeth and accepted them.

Take a little risk, as the director, he still has this ability.

But if you meet someone who is really too much, who burns everything with his arms and blows up the inpatient department if he can't cure the patient, there is no other way but to stay in the emergency department for observation, and then resign himself to fate.

After all, people are all about each other.

Hello, hello, hello everyone.

Zhang Tianyang shook the sensor door of the emergency room, let the door open, and then pointed out the direction of the old lady to the director of the cardiology department.

"Okay, I'll go and have a look, just wait for a while."

The director of the cardiology department walked out of the emergency room, the door lost its sense and closed slowly.

Through the last gap, Zhang Tianyang saw the director of the Cardiology Department walking quickly to a place two meters away from the old lady. He suddenly took out his mobile phone and put it to his ear, and "answered" the call.

I don't know if it's a real call or a fake call.

"boom"

The door was closed, and the emergency room became an independent world again.

"call!"

"I'm exhausted, I'm exhausted!"

"This rescue took more than 40 minutes, right? Hey, my waist!"

Zhang Tianyang hurriedly turned his head. Behind him, the bed of the patient who had been being rescued was still surrounded by a circle of curtains, but there were low cheers and painful cries from inside.

Soon, there was a wave on the bed curtain, and then it was pulled away with a "swish".

Zhang Tianyang's eyes swept across a group of white clothes, and saw the monitor behind them through the gap between their bodies.

I have my own heart rate!

The patient is rescued and returned!

The medical workers who spread out rubbing their fists and supporting their waists, although they were complaining, the corners of their mouths were all raised.

Zhang Tianyang couldn't help laughing.

Although what is the patient's illness, he didn't know what happened because of the sudden respiratory and cardiac arrest, and he didn't participate in the rescue.

But seeing that the rescue was successful, he still felt joy from the bottom of his heart.

"It's not easy"

Brother Deng sighed behind Zhang Tianyang.

The joy of successful rescue diluted his sour taste.

He participated in the rescue of this patient, and the hands that pressed the chest were sore. It is really not easy to be alive now.

"Senior brother!"

He subconsciously patted Zhang Tianyang on the shoulder.

"Generally, patients cannot get chest compressions back, but today they managed to save two of them at once!

Brother, this may be the first and last time you have witnessed such a miracle in your medical career! "

"It's amazing, it's not easy, it's not easy"

Brother Deng muttered, his eyes burst into bright light, which almost caught Zhang Tianyang's eyes.

Seeing that his back was no longer sore and his legs were no longer hurting, Zhang Tianyang couldn't help smiling and shaking his head as he ran to the computer to write a doctor's order and write a rescue record.

Brother Deng said that this may be the first time Zhang Tianyang has witnessed a miracle in his medical career.

But in fact, maybe he was talking about himself.

Zhang Tianyang shook his head, then walked in the direction of Professor Yang.

Although this patient is not under his care, he is also a member of the emergency room after all. Now that the rescue is over, it is not that urgent. He also wants to know about the condition.

Moreover, as far as he saw the situation, the most striking thing about this patient was the three-lumen two-capsule tube pulled out of the nose.

The entire tube was torn out from the nasal cavity, and a heavy water bag was attached to the other side, which was hung on the infusion stand at the foot by the principle of leverage.

The strength of the three-chamber and two-bag tube pulled him so much that he pulled half of his body and floated up slightly.

Three-lumen two-capsule tube compression to stop bleeding

Zhang Tianyang sighed silently in his heart.

When he was infecting patients with liver disease in the Department of Internal Medicine, he always heard the "three-chamber and two-capsule tube" mentioned by his brothers, sisters and superior doctors.

The old man who drank and vomited blood during the night shift almost used this thing. Fortunately, he had enough eyesight to snatch the old man back from the hands of death.

Therefore, until he left the department, he had no chance to see what the three-cavity and two-capsule tube of Dongfang Hospital looked like.

Unexpectedly, this time I saw him in the emergency department.

But it's not a good thing.

If he guessed correctly, the end of the tube that is not in the nasal cavity and cannot be seen from the outside should be left in the patient's stomach for compression to stop bleeding.

And often, the patients who need to use the three-lumen two-capsule catheter for hemostasis are all patients with advanced liver cirrhosis, severe rupture and bleeding of esophageal and gastric varices, and there is no way to stop the bleeding.

To put it bluntly, that is, patients waiting to die.

But think about the group of patient family members who looked blankly and expectantly outside the door, think about their anxiety when they surrounded themselves, think about the bench they carefully gave up.

Zhang Tianyang always felt that he had to do something.

"Teacher Yang, this patient..."

"Mr. Yang, what's wrong with you!"

(End of this chapter)