Rebirth 90: I opened a hospital in Shencheng
Chapter 660 The diagnosis results are not subject to outside interference!
Chapter 660 The diagnosis results are not subject to outside interference!
"Doctor Jiang, let me remind you... If you are diagnosed, then her posture accident is due to illness, and her traffic accident crime will not be established! And she injured so many children, the one who saved two children Teacher, they were all killed by her!"
Wang Jiachao said.
Jiang Luoyan straightened up, looked at Wang Jiachao and said, "Does this have anything to do with me giving her a diagnosis?"
"But she did cause the accident..."
"Doctor Wang, do you mean that before rescuing a patient in the emergency room, they must verify her integrity to see if she is the victim or the victim?" Jiang Luoyan said.
Nie Chen said: "We are not legal experts, and the hospital is not a court, so we cannot draw conclusions."
Yu Zhongcai nodded: "That's right, and our diagnosis is very important, it will affect a series of things later, accident responsibility, court ruling, compensation and so on."
Jiang Luoyan shook her head: "I don't understand what you want to say."
"I'm just standing on the side of justice."
Jiang Luoyan frowned: "Then you mean that I am unfair, right? These results are all here, I didn't forge them, right?"
"You see, what are you in a hurry for?" Yu Zhongcai said.
Like everyone else, Nie Chen looked at Jiang Luoyan curiously.
Jiang Luoyan was stunned and said: "You all seem to be suspicious. If this is someone else's patient, I can immediately determine it based on the results in my hand, right? You will diagnose it like this if it is your patient? Then why did you come here? Here I am, you are going to doubt me so much!"
The doctors in the emergency room all looked at Jiang Luoyan, they shook their heads involuntarily, not because of regret, but because Jiang Luoyan misunderstood them.
Emergency door.
Ai Mingmei and others pushed the bed cart, Nie Chen, Yin Susu, Ren Yue and other doctors followed behind.
"Quick! Quick!"
When Ai Mingmei, Hu Qingyue, and Zou Jiaqi opened the ambulance door, they were instantly stunned.
"Why are you standing there?" Nie Chen hurried over and shouted.
When he saw the patient in the ambulance, he couldn't help but look at Ren Yue next to him.
She frowned.
"Doctor Nie, what should we do?"
Nurse Liu Xiaoxiao asked.
Liu Xiaodong glanced at it: "Get on the bed."
"No, he is covered with steel bars. Just push the bed cart away and pull him away directly," Nie Chen said.
Several steel bars were inserted into the patient's body, running through the entire body horizontally.
It’s already a miracle to be alive!
"Slower!"
"Be careful, pay attention to the steel bars on the patient!"
"Slow down, slow down."
Ren Yue instructed.
There were a total of three steel bars on the patient's body, and they were supported by three workers wearing hard hats, otherwise... the steel bars moved a little, enough to kill the patient!
"Come on, let's go, let's go!"
The patient lay on a simple support above the ambulance, and then pushed into the emergency room.
"Slow down, slow down!"
Nie Chen followed and took a look at the patient. This person is still conscious. There is not much blood on the surface, and the inside may not be simple.
"Tell me what's going on." Nie Chen looked at the patient's three workers and said.
One of the men without a helmet said: "He was working with us. Today he fell from a three-meter-high platform into a thicket of steel bars. We rushed to the rescue after seeing him."
Save the phone. "
"Push in quickly!"
"Be careful everyone."
In the rescue room, the atmosphere was dignified and tense.
Ren Yue, Lin Xuan, Tang Yongjia, Zhou Xuezhen, Hu Qingyue, Ai Mingmei, Zou Jiaqi and others looked at the patient in amazement, while Nie Chen was thoughtful.
He put on the mask lightly, and said, "Put the steel bar floor on a cotton pad."
Lin Xuan nodded and hummed, and then began to operate.
Ren Yue observed for a while and said: "Three steel bars penetrated the body. Doctor Nie, how should we deal with them?"
Nie Chen frowned: "I'm opening a venous access to speed up the rehydration."
"Okay." Tang Yongjia nodded.
"Now the blood pressure is 80, 60. Zhou Xuezhen, you go to inform Lao Yu, open the green channel for emergency rescue, and then inform the anesthesiology department to prepare for tracheal intubation. He is bleeding
Quite a few, prepare an autologous blood salvage machine. "
"Okay." Zhou Xuezhen opened her mouth and answered.
Then she walked out of the emergency room and picked up the receiver at the landline in the corridor.
"It's not clear yet, so don't move around."
Nie Chen reminded, Ren Yue shyly withdrew her hand.
"CT will definitely not be able to do it. These three steel bars are too big and too long to go in." Nie Chen said to himself.
Zou Jiaqi on the side said, "Doctor Nie, can I try X-ray?"
"You can try." Nie Chen nodded.
Zou Jiaqi answered, "Then I'll go to the radiology department?"
"Okay, let's go."
Ren Yue said: "It is difficult to judge the depth of the insertion of the two steel bars. It is necessary to take a film."
"Well, then I'll go." Zou Jiaqi said.
At this time, Yu Zhongcai and Liu Xiaodong came.
He was startled as soon as he walked in. These three steel bars were inserted into the patient's side from different angles...like barbecue skewers. The meat was skewered with three skewers and ready to be grilled on the stove.
"Undo your clothes."
Nie Chen said to Tang Yongjia.
Yu Zhongcai asked: "Nie Chen, what do you think?"
After Tang Yongjia cut the patient's clothes, three bloody holes were exposed. Although there was not much bleeding, there were also bloodstains extending outward.
Nie Chen frowned and said: "My opinion is to first inform the general surgery department, the heart surgery department, come over for consultation, and call the medical department to prepare for joint rescue. His current situation is too complicated, with such low blood pressure, the bleeding volume will not be less than five hundred Milliliters, you must also cooperate with the blood recovery machine during the operation."
Yu Zhongcai nodded and said, "Go and inform the medical office to prepare for joint rescue."
Liu Xiaodong nodded.
This time!
The patient's coworker suddenly shouted: "Doctor, why is his belly bulging?"
Nie Chen hastily ran over to check sideways, "We can't rule out the possibility of hemoperitoneum, the patient is in hemorrhagic shock, speed up the infusion of normal saline, draw blood to test the blood type, and add... a bedside ultrasound!"
"Okay!" Lin Xuan responded.
Yu Zhongcai nodded.
Zhuang Zhiqiu from the general surgery department came.
As soon as he entered the emergency room, he hurriedly asked, "How is the situation?"
"The injured person's heart rate was one hundred and one, blood oxygen saturation was 80.00% five, and blood pressure was forty or seventy." Ren Yue said.
Yu Zhongcai introduced it to Zhuang Zhiqiu, a general surgeon: "Look, these three steel bars are inserted from the patient's back. This steel bar penetrates from the left shoulder and armpit. The buttocks steel bar has reached the corresponding subcutaneous area. We can feel the steel bars. As for the other end of the steel bar inserted from the waist, we can’t touch the other end, and we don’t know where it has reached.”
As soon as he finished speaking, Liu Xiaodong led a group of people in again.
Said: "Old Yu, the second line of general anesthesia and general anesthesia are here."
Nie Chen said to Ai Mingmei and the others: "The interns go out first, Zou Jiaqi will come back later and ask her to push in the X-ray beside the bed..."
"Yes." Ai Mingmei replied.
Ai Mingmei and Hu Qingyue walked out of the emergency room.
Director Zhuang Zhiqiu of the General Surgery Department suggested: "Old Yu, I suggest cutting off the patient's external steel bars as soon as possible, because the right lateral position is not conducive to surgery, and transportation is also very difficult."
Yu Zhongcai nodded and looked at Nie Chen, and asked, "Nie Chen, what do you think?"
Nie Chen rubbed his hands and said, "I checked the condition just now. I personally think that the steel bar in the waist cannot be moved. The damage to the organs and tissues of this steel bar determines the patient's prognosis. To the other end of the steel bar, so the vibration when cutting the steel bar will cause damage to the surrounding organs. Once the trachea is punctured and bleeding, no measures can be taken, so my opinion is that it is safer to move him to the operating table. "
Yu Zhongcai nodded: "Old Zhuang, Dr. Nie's suggestion is similar to mine. It is not recommended to go outside the operating room, because there is any risk, and we have no way to stop it in time."
(End of this chapter)
"Doctor Jiang, let me remind you... If you are diagnosed, then her posture accident is due to illness, and her traffic accident crime will not be established! And she injured so many children, the one who saved two children Teacher, they were all killed by her!"
Wang Jiachao said.
Jiang Luoyan straightened up, looked at Wang Jiachao and said, "Does this have anything to do with me giving her a diagnosis?"
"But she did cause the accident..."
"Doctor Wang, do you mean that before rescuing a patient in the emergency room, they must verify her integrity to see if she is the victim or the victim?" Jiang Luoyan said.
Nie Chen said: "We are not legal experts, and the hospital is not a court, so we cannot draw conclusions."
Yu Zhongcai nodded: "That's right, and our diagnosis is very important, it will affect a series of things later, accident responsibility, court ruling, compensation and so on."
Jiang Luoyan shook her head: "I don't understand what you want to say."
"I'm just standing on the side of justice."
Jiang Luoyan frowned: "Then you mean that I am unfair, right? These results are all here, I didn't forge them, right?"
"You see, what are you in a hurry for?" Yu Zhongcai said.
Like everyone else, Nie Chen looked at Jiang Luoyan curiously.
Jiang Luoyan was stunned and said: "You all seem to be suspicious. If this is someone else's patient, I can immediately determine it based on the results in my hand, right? You will diagnose it like this if it is your patient? Then why did you come here? Here I am, you are going to doubt me so much!"
The doctors in the emergency room all looked at Jiang Luoyan, they shook their heads involuntarily, not because of regret, but because Jiang Luoyan misunderstood them.
Emergency door.
Ai Mingmei and others pushed the bed cart, Nie Chen, Yin Susu, Ren Yue and other doctors followed behind.
"Quick! Quick!"
When Ai Mingmei, Hu Qingyue, and Zou Jiaqi opened the ambulance door, they were instantly stunned.
"Why are you standing there?" Nie Chen hurried over and shouted.
When he saw the patient in the ambulance, he couldn't help but look at Ren Yue next to him.
She frowned.
"Doctor Nie, what should we do?"
Nurse Liu Xiaoxiao asked.
Liu Xiaodong glanced at it: "Get on the bed."
"No, he is covered with steel bars. Just push the bed cart away and pull him away directly," Nie Chen said.
Several steel bars were inserted into the patient's body, running through the entire body horizontally.
It’s already a miracle to be alive!
"Slower!"
"Be careful, pay attention to the steel bars on the patient!"
"Slow down, slow down."
Ren Yue instructed.
There were a total of three steel bars on the patient's body, and they were supported by three workers wearing hard hats, otherwise... the steel bars moved a little, enough to kill the patient!
"Come on, let's go, let's go!"
The patient lay on a simple support above the ambulance, and then pushed into the emergency room.
"Slow down, slow down!"
Nie Chen followed and took a look at the patient. This person is still conscious. There is not much blood on the surface, and the inside may not be simple.
"Tell me what's going on." Nie Chen looked at the patient's three workers and said.
One of the men without a helmet said: "He was working with us. Today he fell from a three-meter-high platform into a thicket of steel bars. We rushed to the rescue after seeing him."
Save the phone. "
"Push in quickly!"
"Be careful everyone."
In the rescue room, the atmosphere was dignified and tense.
Ren Yue, Lin Xuan, Tang Yongjia, Zhou Xuezhen, Hu Qingyue, Ai Mingmei, Zou Jiaqi and others looked at the patient in amazement, while Nie Chen was thoughtful.
He put on the mask lightly, and said, "Put the steel bar floor on a cotton pad."
Lin Xuan nodded and hummed, and then began to operate.
Ren Yue observed for a while and said: "Three steel bars penetrated the body. Doctor Nie, how should we deal with them?"
Nie Chen frowned: "I'm opening a venous access to speed up the rehydration."
"Okay." Tang Yongjia nodded.
"Now the blood pressure is 80, 60. Zhou Xuezhen, you go to inform Lao Yu, open the green channel for emergency rescue, and then inform the anesthesiology department to prepare for tracheal intubation. He is bleeding
Quite a few, prepare an autologous blood salvage machine. "
"Okay." Zhou Xuezhen opened her mouth and answered.
Then she walked out of the emergency room and picked up the receiver at the landline in the corridor.
"It's not clear yet, so don't move around."
Nie Chen reminded, Ren Yue shyly withdrew her hand.
"CT will definitely not be able to do it. These three steel bars are too big and too long to go in." Nie Chen said to himself.
Zou Jiaqi on the side said, "Doctor Nie, can I try X-ray?"
"You can try." Nie Chen nodded.
Zou Jiaqi answered, "Then I'll go to the radiology department?"
"Okay, let's go."
Ren Yue said: "It is difficult to judge the depth of the insertion of the two steel bars. It is necessary to take a film."
"Well, then I'll go." Zou Jiaqi said.
At this time, Yu Zhongcai and Liu Xiaodong came.
He was startled as soon as he walked in. These three steel bars were inserted into the patient's side from different angles...like barbecue skewers. The meat was skewered with three skewers and ready to be grilled on the stove.
"Undo your clothes."
Nie Chen said to Tang Yongjia.
Yu Zhongcai asked: "Nie Chen, what do you think?"
After Tang Yongjia cut the patient's clothes, three bloody holes were exposed. Although there was not much bleeding, there were also bloodstains extending outward.
Nie Chen frowned and said: "My opinion is to first inform the general surgery department, the heart surgery department, come over for consultation, and call the medical department to prepare for joint rescue. His current situation is too complicated, with such low blood pressure, the bleeding volume will not be less than five hundred Milliliters, you must also cooperate with the blood recovery machine during the operation."
Yu Zhongcai nodded and said, "Go and inform the medical office to prepare for joint rescue."
Liu Xiaodong nodded.
This time!
The patient's coworker suddenly shouted: "Doctor, why is his belly bulging?"
Nie Chen hastily ran over to check sideways, "We can't rule out the possibility of hemoperitoneum, the patient is in hemorrhagic shock, speed up the infusion of normal saline, draw blood to test the blood type, and add... a bedside ultrasound!"
"Okay!" Lin Xuan responded.
Yu Zhongcai nodded.
Zhuang Zhiqiu from the general surgery department came.
As soon as he entered the emergency room, he hurriedly asked, "How is the situation?"
"The injured person's heart rate was one hundred and one, blood oxygen saturation was 80.00% five, and blood pressure was forty or seventy." Ren Yue said.
Yu Zhongcai introduced it to Zhuang Zhiqiu, a general surgeon: "Look, these three steel bars are inserted from the patient's back. This steel bar penetrates from the left shoulder and armpit. The buttocks steel bar has reached the corresponding subcutaneous area. We can feel the steel bars. As for the other end of the steel bar inserted from the waist, we can’t touch the other end, and we don’t know where it has reached.”
As soon as he finished speaking, Liu Xiaodong led a group of people in again.
Said: "Old Yu, the second line of general anesthesia and general anesthesia are here."
Nie Chen said to Ai Mingmei and the others: "The interns go out first, Zou Jiaqi will come back later and ask her to push in the X-ray beside the bed..."
"Yes." Ai Mingmei replied.
Ai Mingmei and Hu Qingyue walked out of the emergency room.
Director Zhuang Zhiqiu of the General Surgery Department suggested: "Old Yu, I suggest cutting off the patient's external steel bars as soon as possible, because the right lateral position is not conducive to surgery, and transportation is also very difficult."
Yu Zhongcai nodded and looked at Nie Chen, and asked, "Nie Chen, what do you think?"
Nie Chen rubbed his hands and said, "I checked the condition just now. I personally think that the steel bar in the waist cannot be moved. The damage to the organs and tissues of this steel bar determines the patient's prognosis. To the other end of the steel bar, so the vibration when cutting the steel bar will cause damage to the surrounding organs. Once the trachea is punctured and bleeding, no measures can be taken, so my opinion is that it is safer to move him to the operating table. "
Yu Zhongcai nodded: "Old Zhuang, Dr. Nie's suggestion is similar to mine. It is not recommended to go outside the operating room, because there is any risk, and we have no way to stop it in time."
(End of this chapter)
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