My medical skills add experience

Chapter 458 Emergency routine, this is experience and level

I believe that the clinical doctors and nurses will be as happy as Zhou Can after feeling these real changes.

He changed into a white coat and went straight to the inpatient ward for rounds.

When he found the temporary hospital bed plus bed No. 23 in the corridor, he smiled and said hello, "Sister Tingting, are you feeling better today?"

Ye Tingting stayed in the intensive care unit for three days after the rescue operation. After her injury stabilized, she was transferred back to the general ward for further treatment.Because she is very young, coupled with the operation performed by Dr. Xu himself, the recovery effect is quite good.

"It's much better. I couldn't eat at all in the first two days, and my stomach hurts badly. I feel much better today."

Ye Tingting lost a lot of weight.

To have their intestines punctured is equivalent to walking through the gates of hell for anyone.

The family member who is taking care of her is Ye Tingting's mother.

Her husband is the main laborer in the family and needs to go to work every day to earn money to support the family.I also came to accompany Ye Tingting for two days, and then I will come to the hospital to bring Ye Tingting's mother back home after get off work.

Being an escort in a hospital is an extremely hard job.

Not only is it noisy, but there is nowhere to sleep.Many accompanying family members slept lying on the edge of the bed.

It can last for two days. If the patient needs to be hospitalized for many days, it will definitely be a huge test for the family members who accompany the bed.

"Let me see your wound!"

Her wound was in the upper abdomen, very close to the sternum.

If the murderer had stabbed a little higher, the consequences would be unimaginable.Whether she will survive is hard to say.

Zhou Can rounds up the ward every day and takes extra care and meticulous care of her.

She lifted up the hospital gown, exposing her upper abdomen.

The wound is still covered with gauze.

Zhou Can carefully spread the tape away, revealing the long wound.The wound stabbed by the gangster was actually very small, but Dr. Xu had to open the abdomen to perform an operation in the process of rescuing her, so the wound was so long.

"It has basically healed. My teacher's craftsmanship is excellent. Depending on the situation, as long as you pay attention to maintenance and stop your mouth for a while, there should be no obvious scars. The transverse colon in the abdominal cavity should also recover well, otherwise your body temperature would not be so stable. , Surgical wounds are more likely to not heal for a long time, and even purulent infection."

After Zhou Can's inspection, he made a comprehensive assessment based on her current situation.

"I'm relieved to hear you say that!"

She grinned.

Women love beauty very much. If there is a long scar on the upper abdomen, or even scar hyperplasia, it is unimaginable.

Ye Tingting is a nurse herself, and she knows what foods she can and cannot eat after surgery.

There is no need for Zhou Can to explain further.

"How is He Juan?"

Ye Tingting never dared to ask about He Juan, but she knew that He Juan was seriously injured.

People may even be gone.

"I'm still living in the intensive care unit, and I had an abdominal infection once. Because of the many traumatic sites in the abdominal cavity, coupled with the severe blood loss and the contamination of the abdominal cavity by intestinal contents, her condition has not been ideal. But I went to the hospital last night. Looking at her, based on her symptoms, state, and physical signs, she is generally quite optimistic. As long as she can survive the most difficult abdominal infection, she should be much better later on."

He Juan was fortunate that Zhou Can rescued her in time, and then spared no effort to use her network resources to try her best to rescue her actively. Only in this way can she have the more optimistic results now.

Even so, she still narrowly escaped death.

There are many ghost gates waiting for her to break through.

After Zhou Can checked the room, he came out of the ward, and an emergency nurse hurried to the doctor's office.

Seeing Zhou Can approaching, she shouted as if she had found a savior, "Doctor Zhou, Doctor Zhou, a young female patient came to the triage desk just now, and her face looked strange, as white as paper. Now only Dr. Xie He is on duty, and he is consulting a female patient, let me ask the second-line teacher to go over and have a look."

Second-line teachers generally refer to senior doctors or nurses.

They have rich experience in diagnosis and treatment, basically all of them are attending physicians, nurses in charge or above.

Usually, I no longer stay at the bedside or directly face family members and patients in front of the hospital, but engage in more advanced work.For example, directing the rescue of patients, reviewing the medical records written by interns and regular trainees, issuing some important medical orders, leading the team, etc.

Those who are qualified to lead a group are basically at the level of deputy chief physician or above.

Taking the cardiothoracic surgery department as an example, the deputy chief physician who leads the group has higher status and voice than ordinary chief physicians.

The clinical department of a hospital is an extremely realistic place. Whoever has an excellent level of diagnosis and treatment can bring more income to the department.Whoever has the right to speak is strong.In addition, the chief physician with excellent academic and scientific research is also very good.

Although a department will not clearly rank seniority, whoever has a few catties will enjoy the same kind of treatment.

There is no such thing as a half-hearted chief physician yelling and shouting in the department.

Even if that person is a related household, the most he can do is to do less work and get paid as usual.

The first-line clinical departments are actually not suitable for the survival of related households.

Those with a little background all went to the administrative department.

The backstage usually also crowds into the medical technology department.

Dr. Xie is a new doctor in the emergency department.

After being transferred to a hospital last year, I have just worked for three years.He is a newly promoted senior resident doctor.

Dr. Luo was cut on the hand by his family members last time, and he is still not recovering.The doctor on duty in the emergency department was a little nervous, so he transferred Dr. Xie to be on duty at the triage desk.

To be honest, Dr. Xie was kicked out of the Department of Urology, so there must be some flaws in itself.

It may be that the level of medical skills is not good, or the work attitude is not correct, etc.

We're all grown-ups and generally don't say it outright.

The emergency department needed people, and the hospital transferred them from the internal medicine department, so the internal medicine department naturally took the opportunity to eliminate weak doctors.

I believe that no department will give away excellent doctors with outstanding potential.

Although Zhou Can is only a junior resident doctor, in the eyes of most doctors and nurses in the emergency department, his level is even better than that of the attending physician.At the critical moment, as long as the old nurse in the emergency department catches him, he will definitely ask him to go there for emergency treatment.

He came to the triage desk and saw that Dr. Xie had finished consulting the female patient.

The female patient looked very young, about seventeen or eighteen years old.

His appearance is not particularly beautiful, but he is still pretty and has a little beauty.Dressed like a student studying in school, very well-behaved.

"How is she doing now?"

Zhou Can asked Dr. Xie.

"The patient reported abdominal pain. During the examination, her abdominal tenderness was obvious." Dr. Xie is good at urological diseases, and he can basically handle the abdomen.

"Has the cause been found?"

"Not yet! I'm going to have her take an abdominal ultrasound first."

Dr. Xie obviously didn't pay enough attention to it, and even felt that the nurse invited Zhou Can over for something troublesome.

"It is recommended to draw her blood to check the blood picture and hemoglobin first, and then do a B-ultrasound at no later time."

Zhou Can gave advice.

Basically that's the guidance.

Although Dr. Xie was a little unhappy, he also knew Zhou Can's ability, so he immediately added a blood test.

"The routine blood test needs to be urgent! Teacher Lu, you can take her blood on the spot, don't let her queue up!"

Zhou Can told the nurse while letting the girl sit down.

"it is good!"

The female nurse trusted Zhou Can very much, and immediately went to the treatment room to get blood test tubes, needles and other items.

Zhou Can said to the family next to the girl, "Who are you to her?"

"I'm her mother."

The women looked in their 40s, and they seemed to be well-dressed, but with Zhou Can's eyes, it was obvious at a glance that they were wearing brand-name goods.

I feel that this mother should be a stronger woman.

The makeup is also very thick.

"Go and pay her the inspection fee, it's over there!" Zhou Can said to the girl's mother.

"Row!"

The girl's mother told her daughter and walked directly towards the payment window.

Although the hospital has multiple self-service kiosks, some older and less educated family members still prefer to pay manually at the window.

Zhou Can dismissed the girl's mother, then looked at the girl and asked, "I read your medical records, which described that you are unmarried and have no sexual life history. Now your mother is not here. To be honest, have you ever had sex?" Sex life?"

The girl didn't expect Zhou Can to ask such a question, so she immediately blushed and lowered her head.

"You don't hide your illness from the doctor. Your current situation is very dangerous. When I came here just now, I saw that your face, lips and other features belonged to acute anemia. If I guessed correctly, you must have bleeding from your lower body."

Zhou Can's expression was very serious.

Originally, the girl should have gone to the gynecology department, but somehow she ended up in the emergency department.

It may be considered that the gynecology clinic is not open yet.

Moreover, it takes a long time to queue up to see a doctor to register there.

"You...how do you know everything?"

The girl raised her head and looked at Zhou Can timidly, showing some surprise and admiration.This new doctor is much better than the previous doctor.

They didn't give her any examination at all, just a few glances to know her general condition.

And he deliberately pushed her mother away before asking her questions.

Very heartwarming.

"Because I'm a doctor! Do you know? Your current situation may be very dangerous. Tell the doctor all the facts, so that we can treat you in the best and fastest way."

Zhou Can's tone was much gentler, like a big brother caring about his sister.

Try to make the female patient as calm as possible.

"I told you the truth, but you must not tell my mother. I had a boyfriend more than two months ago. I feel stomach pain in the past few days. Today the pain is very severe, and there is still a little bleeding below. I just I felt a little scared, and then my mother found out that something was wrong with me, so she asked the boss for leave, didn't go to work, and took me to the hospital to see a doctor..."

The girl told everything about the situation.

Sure enough, as Zhou Can guessed, she had already talked about a boyfriend.

Dr. Xie broke into a cold sweat when he heard it, and now he admires Zhou Can completely.

I thought that the condition of this female patient was very simple, and it might be that she had a bad stomach or something.It never occurred to her that she concealed so much information about her medical history.

Reminiscent of how she was afraid of her mother just now, Dr. Xie admired Zhou Can's brilliance even more.

He quietly used the payment as an excuse to pay the girl's mother directly, and then asked about the girl's medical history.This is experience!
Dr. Xie asked for a long time, but he didn't ask anything.

Zhou Can easily asked the truth.

"I suspect that you may have an ectopic pregnancy. You should be bleeding now. If it is bleeding, you must undergo surgery immediately. Girl, you must remember to protect yourself in the future, you know?"

Zhou Can looked at this girl and felt distressed.

She was pregnant at the age of seventeen or eighteen, and it was an ectopic pregnancy. I really don't know if her mother will collapse when she finds out.

See her mother is very concerned about her.

Not only did he ask for leave to take her to the hospital for medical treatment, but he also went directly to a big hospital like Tuya, instead of saving money and going to a small clinic.

This also created favorable conditions for the girl's rescue.

Ectopic pregnancy bleeding, the situation is extremely dangerous.

A large amount of uterine cavity and abdominal cavity bleeding can often occur in a short period of time, which can lead to serious consequences such as shock or even death of the patient.

Nurse Lu has already come over with the blood collection items.

"Let me do it!"

Zhou Can's injection skills are much better than hers, and now every second counts, so it is natural to save all time.

Zhou Can rolled up the sleeve of the girl's left arm, and then pinched the front of the elbow joint with his hands.The right hand is holding the needle for blood collection, and it pops out quickly.

What was used was a flying needle to draw blood.

puff!
The needle was inserted into the vein precisely, and the girl didn't even feel the pain because the speed was too fast.

Blood has flowed out along the catheter.

A tube of blood was quickly drawn.

"Let the laboratory hurry up and do it urgently. Her hemoglobin must be detected in the shortest possible time. It doesn't matter if other results come out later. Blood type is also very important. If the blood type comes out, immediately contact the blood bank to prepare blood. And , get ready in the operating room... Forget it, let me arrange things in the operating room!"

Nurse Lu is just a nurse after all, and her status is far inferior to that of Zhou Can.

This kind of emergency rescue, and it involves ectopic pregnancy, belongs to obstetrics and gynecology diseases. It is a new operation in the emergency department.

"How do you feel now? Do you have cold limbs, dizziness, palpitations and other symptoms?"

Zhou Can asked the female patient.

"It's a bit cold, and I'm a little dizzy! If something happens to me, please help me pass this note to my mother, thank you."

The female patient seems to trust Zhou Can very much.

Take out a written note from your pocket, which is currently in a folded state, and hand it to Zhou Can.

"Be confident in yourself, we will do our best to save you, don't worry!"

Zhou Can took the note and carefully put it into his jacket pocket in front of the female patient.

This was done to make her feel that the entrustment was taken seriously.

Nurse Lu was already running to send the blood sample for testing, and the female patient's mother had already paid the fee and returned.

The girl lowered her head nervously, not daring to look at her mother at all.

"Come on, push the bed and follow me to the ultrasound room, and give her an ultrasound examination quickly. I'll say hello and jump in line, so don't waste any more time."

Zhou Can directly pushed the flat bed over and let the girl lie on it.

Seeing the doctor's anxious tone, the girl's mother realized that her daughter's illness was not simple.She looked a little flustered.

Along the way, the girl was sent to the B-ultrasound room for ultrasound examination as quickly as possible.

"Doctor, what's wrong with my daughter? Is it serious?"

"It is very likely that a rescue operation will be required immediately. You must be mentally prepared. I have to call her now to contact various departments to prepare for the rescue operation. I don't have time to explain too much to you."

After Zhou Can finished speaking, he went to the side and called Qiao Yu and Dr. Xu from the anesthesiology department and operating room to prepare for emergency surgery on the girl.

It's not that she didn't think about letting girls go to the obstetrics and gynecology department for surgery.

After all, there is more experience in doing this kind of surgery over there.

I'm afraid I won't have enough time.

And he has confidence in his technique.

(End of this chapter)