medical simulator
Page 268
"It was bandaged a little bit, and they were about to rush in, but they were scolded back by their captain." Lei Zhong replied.
Zhou Cheng was instantly in awe!
Another lovely boy.
……
Time passed slowly, Zhou Cheng and others had fewer and fewer tasks!
And it began to appear that everyone was full of hope, but returned in defeat!
Let the overall atmosphere slowly become serious.
Zhou Cheng discovered that several of them could actually be rescued if there was enough time.But there is no way, time and space are the best containers to bury everything.
Although Zhou Cheng performed several times during this period, he still can only say that manpower is limited, there are no gods in the world, only ordinary people...
When Zhou Cheng and Yang Yifeng retreated from the first scene again, tired and sweaty, Lei Zhong saw that they were a little bit regretful and lonely.
So he came over and said comfortingly: "You have tried your best, this is the most perfect and timely rescue, but there is no way!"
The person was not rescued, and there were still vital signs when exposed, but under the hands of Zhou Cheng and Yang Yifeng, the last vital signs slowly dissipated, and the chest was pressed for more than ten minutes, but still did not come .
Zhou Cheng and Yang Yifeng were temporarily replaced. Although the others were still doing cardiopulmonary resuscitation, it was nothing more than comfort.
Sudden cardiac arrest for more than ten minutes, even if you press it, there is a high probability that you will be in a vegetable state.
Lei Zhong is 55 this year, how many years has he been working in the clinic?The working hours are older than Zhou Cheng and Yang Yifeng's, so he is used to seeing life and death.
Although Zhou Cheng and Yang Yifeng have seen it before, they don't have much experience of dying in front of their own eyes.
Both of them smiled slightly, full of helplessness.
At about this time, Zhou Cheng's phone rang!
It was a shock. Zhou Cheng looked around and found that there was no task, so he lifted it up and saw that the caller ID was Cai Dongfan.
"Teacher Cai." Zhou Cheng said hurriedly.
On Cai Dongfan's side, he heard Zhou Cheng's commanding voice, so he was taken aback and said, "Are you still at the scene?"
The tone was unexpected, and a little angry and distressed.
However, because the scene was too noisy, Zhou Cheng could only turn on the loudspeaker, turn up the sound to the maximum, and move a little to the side.
"Teacher Cai, what are you talking about?" Zhou Cheng hurriedly returned.
"Are you still at the scene? What time is it? It's past three o'clock." Cai Dongfan asked.
"Are you going to die?"
Hearing this, Lei Zhong was taken aback for a moment, and patted himself on the head: "What time did you two come?"
Yang Yifeng said: "I am at six o'clock..."
Lei Zhong pushed Yang Yifeng directly, and then said angrily: "Then you two don't go back to rest? Do you want to die? I thought you were from the follow-up medical team."
Yang Yifeng still wanted to talk, so Lei Zhong went straight to find two people and whispered in their ears for a while.
Zhou Cheng and Yang Yifeng were immediately targeted, they stepped forward and said, "Doctor Zhou, Doctor Yang, you go back and rest, I'll send someone to take you back."
"Thanks for your hard work."
Everyone can see how hard it is on the spot.
Humans are made of flesh, not iron.
Yang Yifeng came here when the incident happened, and has been staying up for seven or eight hours. Zhou Cheng was also the first batch to come, and they have been rotated twice!
How can this hold up?
Seeing Yang Yifeng hesitate, Lei Zhong said, "If they don't want to leave, let's enforce it!"
Zhou Cheng and Yang Yifeng were led out like this, and then stuffed into the car. After the two told the driver the destination, the two sat in the back seat, and one of them was leaning towards a window. fell asleep.
The driver was taken aback when he saw this, and remembering what he had just told him, he closed the window, turned on the heater and AC, and when he arrived at Zhou Cheng's downstairs, he tiptoed out of the car and patted Zhou Cheng gently. Cheng's shoulder, telling him that he can go up and rest.
After Zhou Cheng got out of the car, he slowly got in the car, sent Yang Yifeng to the destination, and woke him up to let him go back to rest.
After doing this, the driver whistled happily, and drove to the queue of the volunteer team again, yawned, bought another bottle of coffee, and slept in the driver's seat...
But this night, many people are destined to have trouble falling asleep.
……
In the early morning, around three ten.
Eight hospitals.
Zeng Yi from the anesthesiology department finally said after seeing that a lot of people in his department were exhausted: "The rest of the surgery arrangements are for patients with minor injuries, call the regular trainees and graduate students to come over and help them." !"
"For those with a professional title of attending or above, one person will lead two subordinates, and return to the mode of elective surgery. The safety of the surgery must be ensured."
"Okay, Director Zeng." Hearing Zeng Yi's words, the group of people instantly felt relieved!
Previously, in order to ensure the smooth progress of the emergency and severe surgery, Zeng Yi called all the superiors and asked the regular trainees and graduate students to go back to rest. Firstly, for fear of accidents, an experienced person must be at the helm of the anesthesia.
The second is to prepare for the rotation, and finally waited.
Emergency surgery can also be divided into emergency and severe surgery and general emergency surgery. Severe patients are naturally given priority, but the risk of anesthesia is also extremely high!
Then, Zeng Yi first retreated silently and called his student.
Zeng Yi thought that it would take a while for the sleepy An Ruo to answer, but he heard a slightly noisy voice from the other end of the phone, and after pondering for a moment, he asked, "An Ruo, where are you now? Didn't you go home to rest?"
When the patient came to the hospital, Zeng Yi told An Ruo to leave it alone and take a good rest, but the voice on the other side didn't seem to be the case.
"Teacher, I'm not there. I've been waiting for your call and I can't sleep. Do you want me to come back? I can come back right away." An Ruo's voice was a little excited.
She really wanted to do something, but unfortunately there was no place to use her, so she came to Liu Shiyu.
And Liu Shiyu originally worked as a "volunteer", Yang Yifeng's royal volunteer, but unfortunately, with the joining of the medical team, Liu Shiyu was also pushed aside, and the two of them watched the show on the side.
I also hope to find some opportunities, and it would be nice to contribute a little bit.
"Then you come to the department. The working hours in the future are not short. If you don't rest if you have time to rest, you have to bear it." Zeng Yi was also very helpless.
An Ruo, the working hours are still too short. I don't know that once a large number of emergency patients are admitted to the hospital, they actually need to take a rest immediately.
Playing when you have time to rest, isn't this self-inflicted tiredness?
However, Zeng Yi could also understand An Ruo's desire to help, but the previous patient was indeed in serious condition. He was afraid that An Ruo would not be able to take care of her and lacked experience, so he sent all the regular trainees and graduate students back.
Graduate students and regular trainees need opportunities, but opportunities are given slowly. If they don't go through the finishing work of this kind of emergency department, how can they participate in the beginning and reassure him!
Of course, it is also a kind of training for graduate students and regular training now, and it is necessary to turn around two operating rooms!
Complete multiple anesthesias at the same time with the superior physician, this is the postgraduate entrance examination for them.
"It's okay, teacher, I think I can handle it." An Ruo said goodbye to Liu Shiyu immediately after hanging up the phone.
After explaining her whereabouts, Liu Shiyu said: "Okay, okay, I feel like you are a man in studying. You are reluctant for a moment."
An Ruo got into her own car. She usually doesn't drive, but today she knew she had to go back, so she drove.
"Are you still jealous? I'm a stupid bird flying first. I'm going to fly back to work. Make an appointment tomorrow and have dinner together. We'll have a good meal."
"You should go back to rest earlier." An Ruo stepped on the gas pedal after finishing speaking.
Liu Shiyu could only retreat helplessly, looked at the scene, turned to look at her father again, and gave him a thumbs up.
She is still a student now, and the most she can do is to volunteer, but she has formed a volunteer, which can be regarded as helping, and she is still very sleepy, rest well, and don't cause trouble for others, that is, helping.
I ran back to school, woke up the impatient aunt in the dormitory, lied that I was going to be a volunteer, and then got under the covers.
……
And just after Zhou Cheng left the venue, Lei Zhong thought about it for a while, and after many calculations, he still explained the situation to the chief dispatcher, and a psychological expert should be prepared on the spot, just in case.
Zhou Cheng had been working on this part-time job before, and it was too late.
So it's not easy to call people up, but Lei Zhong didn't expect that Zhou Cheng had been working for so long, and he had to let Zhou Cheng go.
After the explanation, the chief dispatcher immediately made corresponding arrangements and contacts, and replied to Lei Zhong.
At the same time, Lei Zhong's private phone rang again.
It was an acquaintance, who was also from the Affiliated Hospital of Shonan University. He was doing consultation surgery in a small nearby hospital!
It is too far to send patients to the Affiliated Hospital of Shonan University, and although the surrounding medical qualifications may be insufficient, in fact, a large number of doctors have come to the small hospital for support.
"Director Lei, we can handle it on the spot!"
"We have already saved three legs, and the other one is embolized. It is really impossible to save it. This is even less likely than amputation caused by a car accident."
"When I first saw this hemostat, I was a little taken aback. Is this made by people from our department or people from Attachment [-] and Attachment [-]?" This is a call back from an associate professor, also to Lei Zhong Report on the follow-up of turnover patients.
Limb salvage related to orthopedics is naturally the first to report.
Save your life, save your limbs!
These are the two eternal topics in orthopedics and emergency, because emergency patients are unlikely to have amputated limbs!
"No, it's a young man from the Eighth Hospital."
"But it might come to me later."
"Is the follow-up effect okay? Just okay." Lei Zhong breathed a sigh of relief.
Although as a master in orthopedics, Lei Zhong knows that the limbs can have a six-hour ischemia window, but there is no guarantee that other accidents will occur. After all, this kind of direct clipping is different from the tourniquet in the operating room!
"Huh?" The other party was taken aback.
Obviously quite unexpected.
"The effect is definitely not bad. If the thrombectomy can keep up, I can keep all four legs. But, as you know, the tasks of vascular surgery are too heavy now, so there are far from enough manpower."
"Director Lei, where did you find a good seed again?" He joked.
Lei Zhong is the boss in the department, he dare not be too harsh when joking, otherwise he will have to say where he dug the hole again.
Isn't this poaching?
"It's okay. Let's not talk about it. I still have things to deal with here. Remember to rest. Don't make a sacrifice for me." Lei Zhong confessed.
"Director Lei, you should also rest more. You have been working continuously for so long. I heard that you were called out from the operating room today." The other party added another sentence.
"I didn't get started, it's okay." Lei Zhong then took the initiative to hang up the phone, and then began to examine.
There are so many issues he has to consider, turnover, mortality rate, amputation rate, deployment of medical workers, on-site medical team, parking personnel on the medical vehicle...
After Zhou Cheng returned to the house he rented, he hurriedly took a shower, then collapsed on the bed, set an alarm clock for 07:30, and fell into a deep sleep.
However, before the alarm clock rang, Zhou Chengcheng woke up.
At seven o'clock, Zhou Chengcheng hurriedly washed up, and then hurried to the department.
Then when he entered the department, Zhou Cheng's scalp was numb, and the patients inside had already piled up to the door, and it was almost impossible to get through.
Moreover, at the nurse's station, a bunch of people were still crowded together, constantly asking the busy nurses when they could perform the operation, and some people almost beat someone.
On the opposite side of the nurse's station, the security guards brought explosion-proof shields and big forks, and stood there, watching them non-stop.
Min Chaoshuo was there, with red eyes and dark circles, explaining and talking to the patient's family.
The head nurse was also annoyed and shouted, "Find it yourself. There are not enough things here. I'm looking for someone to deliver it to you. Find it yourself."
"The head nurse, the +14 bed says it's uncomfortable to live in the corridor. I want to change to the room." An intern nurse shouted at Cheng Yue.
Cheng Yue's eyelids twitched: "Where is there a bed now? Let him discuss it with the people in the room. If the other party agrees, I will transfer it to him."
"There are still more than a dozen patients waiting to be admitted to the emergency department."
"If you can live in, you can live in first. After the morning rounds and arrangements for admission to the hospital, let's make unified arrangements. Let him persist for a while."
"No way, please explain patiently, there are too many patients."
"Head nurse, the stock of 10*75 plaster is not enough." At this time, a person came out of the treatment room, and it was Pang Dingkun, who was temporarily seconded to the second department of orthopedics. down.
"I sent someone to send her off. On the way, the door was blocked!" Cheng Yue's face turned dark.
This is really not to blame for the hospital, the inventory has been cleared, and there are more than a hundred of them on weekdays, but the emergency department, bone one, and bone two are all used, how can there be enough?
In addition, patients in emergency departments such as car accidents also need to use it, and her head is getting big.It was delivered overnight from the urban area!
Seeing this messy scene, Zhou Cheng's heart shuddered. After rubbing his eyes, he walked to the doctor's lounge and called Luo Yun.
I did not answer.
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