medical simulator

"Is it the orthopedic teacher?"

"My side is the emergency department, and there is an emergency consultation..."

"Okay, I'll be right over." Zhou Cheng stood up upon hearing this, and then said, "Just watch, I'm going for an emergency consultation."

The regulation of emergency consultation is that within 15 minutes, one must arrive at the scene of emergency consultation.

Sooner or later.

Wang Huan nodded, but did not follow.

Zhou Cheng also hurriedly hung the badge on his chest, and then ran towards the emergency department.

I ran all the way, and within 10 minutes, I arrived at the emergency department. After asking where the emergency consultation room is, the nurse in the emergency department was very disgusted: "Our emergency consultation clinics here are all in the emergency room. You can go there."

Zhou Cheng could only smile apologetically and say thank you.

These rules are detailed, so naturally they don't understand them so clearly, and when they get used to them, they will know.

When Zhou Cheng rushed to the emergency room, he found that there were already many hospital chiefs in consultation.

However, Zhou Cheng did not directly take over the patient, the patient was being intubated.

So Zhou Cheng read the film first, looked up and down carefully, and Zhou Cheng's scalp became numb.

My time, this patient, except for a little bruise on the ankle, the guy has no small fractures. If the emergency department doesn't make this call, apply some complex iodine, and the bruise will be healed.

Zhou Cheng looked resentfully at the colleagues on duty in the emergency department.

But I found that the chief resident of the emergency department over there was also reprimanding the resident on duty: "You made a few random calls, who asked you to call the orthopedics department first?"

"You can call Shenwai again next year."

In the emergency department, the patient's condition is ever-changing. Even if you want to ask for a specialist consultation, you must have a priority.Although the orthopedic disease is the most serious, it is the least fatal. First, the less serious ones will be treated in a circle, and finally neurosurgery.

All the inpatients are going to be paralyzed.

After scolding, he still came over to apologize to Zhou Cheng: "I'm sorry, boss of orthopedics department, your hard work was wasted."

"But since the person is here, why don't you write a consultation opinion?"

"It's okay, it should be!" Zhou Cheng couldn't be angry on his first day at work.

However, the chief resident of the emergency department had a bad temper, and continued to scold the resident doctor: "Be smarter, what kind of situation does it take to call the orthopedics department, don't you think about it at all?"

"I am."

Zhou Cheng wrote a long list of consultation opinions.

But in fact, there are two key points: "disinfection and dressing change."

After Zhou Cheng finished writing the consultation opinion, he read the films carefully again, and then left, leaving the chief inpatients of other departments busy to and fro.

Zhou Cheng didn't feel that those resident doctors made a big mistake, the priority is indeed important.

But it is only natural to ask the orthopedic department to see it, after all, there are orthopedic diseases.

However, after this, Zhou Cheng looked at his old mobile phone of the general hospital and found more than N consultation information.

Yes, the Chief Resident Physician, in addition to going to the emergency consultation and ordinary consultation, also has to go to see it.

This time, Zhou Cheng intends to bring Wang Huan with him.

Run one by one.

After the afternoon, consultations are not invited, so basically at this time, the amount of consultations for the day can be determined.

Both Zhou Cheng and Wang Huan went to the consultation for the purpose of solving the patient's pain.

However, the first patient to be consulted directly confused Zhou Cheng.

This is a patient from the Department of Respiratory Medicine. When he got up in the morning, he accidentally used too much force, and his fingertips poked the wall. The fingernails were intact, and there was a little pain. He took a film and asked for a consultation.

The skin is not broken!

Zhou Cheng carefully read the film several times, and then did a physical examination, and found that all functions such as movement and sensation were normal.

Wang Huan was also taken aback, this was totally different from Zhou Chenglai's journey and the common diseases he mentioned.

"Doctor, am I okay? No need for surgery?"

"It's okay, Auntie, take a good rest. The edema will disappear in two days. There is no bone injury, but soft tissue edema. Don't worry."

"Do you want to apply some medicine? What kind of ointment for bruises? My son-in-law specializes in selling such ointments. He said to bring me some."

"It's fine, everything is fine anyway, don't worry, Auntie." Zhou Cheng thought to himself, don't say it's a plaster, you can take it in the past without any problem.

Then came the hematology department.

This patient does have some orthopedic problems, that is arthritis, but there is nothing to do. Powerful.

Then rushed to the cardiology department.

Consultation patients in the Department of Cardiology are those who have suffered fractures before and received conservative treatment, so they are considered return visits.

Zhou Cheng took a look at the reexamination plain film, and there was a tendency to grow better, and then looked at the time of the last fracture.

Good guy, it's been two months. If you're brave enough, you can just remove the plaster cast.

Of course, the doctor's order to remove the plaster can only be given by the orthopedic department, so Zhou Chengcheng took the initiative to help remove the plaster, and then instructed the patient to strengthen functional exercises, and then wrote down the opinions of the consultation.

……

At three o'clock in the afternoon, when Zhou Cheng and Wang Huan came out of the general surgery department, Wang Huan's pretty face was rosy.

The movements were also very twitchy, and he asked Zhou Cheng: "Mr. Zhou, such a patient is too weird, isn't it?"

"It's only been a few days since surgery, he, them."

Zhou Cheng also raised his neck and said, "This is the first time I have encountered such a patient. But I have encountered similar ones before. I don't know what to say."

"Alas!~" Zhou Changchang let out a long sigh.

This patient is also really weird. On the fifth day after the operation, because the surgical wound was in the abdomen, he went out to have a room with his wife, and a passive linkage came.It can be said to be full of tricks.

Then in the process of jacking up, I twisted my crotch. I was so scared that I hesitated to tell the doctor.

In the past two days, I couldn't bear it any longer, my muscles ached, so I asked for a consultation.

At the beginning, he said that there was no obvious cause, but he had a sudden muscle pain and concealed his medical history. Zhou Cheng was shocked and said that if there was no cause, it might be cancer.

Only then did the couple tell the truth.

Food, sex, and the four-character scriptures were written vividly by them.

"What if the wound on the abdomen collapsed?" Wang Huan said Ruoruo, blushing.

She did not have a similar experience, but she also knew that in that strange posture, her abdomen would hold her breath and cause an intra-abdominal shock.

"Then do another emergency operation for emergency peritonitis, what else can I do?"

"I don't know either, forget it, just leave him alone." Zhou Cheng quickly changed the topic to another place.

"Have you eaten at noon? Shall I order a box lunch together?"

"No, no teacher Zhou, I'll go back to eat." Wang Huan quickly waved his hand.

"It doesn't matter. In the surgery department, it's common to invite the students in the class to eat. Anyway, I have to look at the discharge medical record at night, so it's better not to expire."

"If you have other things, you can go back first. If you have nothing to do, go back after eating." Zhou Cheng blocked Wang Huan's words directly.

……

I don't know if it was a coincidence, but this time at night, Zhou Cheng once again met a young couple who lived nearby in the early morning, and suffered a posterior dislocation of the shoulder joint, just like when Zhou Cheng was in the No. [-] Hospital of Shashi, The young couple they met were exactly the same.

Originally, Zhou Cheng didn't have to deal with such a simple dislocation, and asked them to find another way elsewhere.

However, it is true that there is nothing else to do, and there is no urgent patient, so Zhou Cheng also performed a manual reset of the dislocated shoulder.

After the reset was successful, the woman even hit the man, and said shamelessly, "Let's see if you dare next time."

"Obviously you pulled it!"

"Go!" The girl covered the man's mouth.

Chapter 376 Surgical Authorization!

"Mr. Zhou, you are also kind. Our hospital doesn't usually ignore such small problems before they are put aside. They send people away directly." Smiling and shaking his head.

It was only today that Zhou Cheng found out that there are three total inpatients in the emergency department in the Affiliated Hospital of Shonan University.

The emergency ward, emergency room, and emergency ICU are each equipped with one.

The general inpatient in the ward is responsible for treating the emergency inpatients in the emergency department and the patients who are too late to go to the specialist hospital. The general inpatient in the clinic is in charge of the routine and rescue treatment of all emergency patients. The general inpatient in the ICU is Emergency rescue for extremely ill patients.

It sounds bloated, but after staying in the emergency department for more than an hour, Zhou Cheng didn't feel that the preparation was bloated. Instead, he thought it would be better if there was one more person.

People are divided into groups.

Patients who are hospitalized in the hospital will always meet many unfortunate patients. Before coming to the hospital, even Zhou Cheng did not think that there would be so many difficult patients in the Affiliated Hospital of Shonan University.

After all, on a conventional psychological level, there are so many people who are about to die or face death.

But when he got here, Zhou Cheng realized the seriousness of the matter.

He was also the one who cursed people in the hospital during the day.

"Brother Zhou, I've been running around in the middle of the night. Besides, it's a new year before the first month, so it's not good to be so unkind." Zhou Cheng said to Qiao Zhou.

Before Zhou Cheng was called Mr. Qiao Zhouqiao. After all, Qiao Zhou was already the title of attending physician, but the emergency department did not have a successor for the general inpatient, so he continued to work as the general inpatient, and his qualifications were considered old.

But Qiao Zhou said that in the hospital, the younger generation is still more friendly when they address each other as brothers.

Hearing that general surgery, thoracic surgery and other general hospitalizations are also brothers, Zhou Cheng also went to the countryside to do as the Romans do.

Of course, calling Zhou Cheng "Zhou Zong" is another respectful name for a really young person like Zhou Cheng by older people. A 27-year-old doll is really called "Brother" by people in their 30s. I feel full of anger.

"That's true. It's time to go to work." Qiao Zhou smiled and shook his head, feeling: "I haven't been home for more than a week."

"Thank you, Brother Zhou." Zhou Cheng cupped his fists and praised Qiao Zhou for his righteousness!

If you don't go home for a few days during the Chinese New Year, only the boss of the emergency department will get special treatment on this day, and the general hospital staff in other wards will be able to go home for the New Year at least.

But the emergency department is 360 five times 24 hours without the slightest slack and holidays.

"Just get used to it." Qiao Zhou's teeth were yellow, and when he took off the mask to breathe, he looked a little sloppy, and the chicken nest squeezed by the hat on his head was a unique symbol of the general hospitalization.

Zhou Cheng didn't dislike it, he just felt distressed.

"Brother Zhou, then go and have a rest first, I won't bother you any more, call me if you have any questions, and I will take care of you in the future!" Zhou Cheng hurriedly said goodbye, with a particularly flattering tone.

The general inpatients of the emergency department can be said to be the elder brothers of all the general inpatients of the specialties. Their mood directly determines the workload of the general inpatients of the specialties.

If they are in a good mood, they will not bother with some simple diseases, such as minor injuries and pains, they may show them themselves.

If you are in a bad mood, and you need your orthopedic specialist to look at a scraped piece of skin, you can’t shirk it. It’s always right to have a good relationship with them.

Anyway, it is absolutely impossible for the general hospitalization in the emergency department to have too much leisure time.

"I'm going to take a nap for a while, and then find time to brush my teeth." Qiao Zhou pursed his lips, yawned, and walked towards the lounge with his chicken coop head on his head.

Zhou Cheng secretly took a photo of him and saved it in the photo album, so as to record his life status for a while, and then took a photo of his current state and put it in the phone photo album.

I have to record the peak of my appearance in my life.

The appearance before the general hospitalization was definitely the pinnacle of life. Even after the general hospitalization and the attending associate professor, at that time, the age would have passed.

……

However, adult Zhou returned to the department, and before everyone could fall asleep, the phone of the general hospital rang again.

This time it was not the emergency department, but a call from the pediatric department for emergency consultation.

Zhou Chengke didn't dare to be careless when he called for an emergency consultation from the ward, and then hurried over, already thinking about many inconveniences in his heart.

However, after arriving at the pediatrics department, Zhou Chengcheng saw a little fat man with six members of his family dispatched to accompany him, and accidentally cut his nails to the skin.

Then the nurses in the pediatric department were scolded and reprimanded. Grandparents even asked if the director was here. What should I do if I bleed a lot?Why don't you invite experts and professors here?

The little fat man was only five or six years old, and after eating the pain, he cried so loudly that he even kicked his socks away.

Zhou Cheng went up and used two cotton swabs and a band-aid prepared by the department with self-raised funds. There was really no trace of bleeding.

If you come later, I am afraid that the blood scab will freeze and stop the bleeding.

"It's over like this? Doctor, don't you just make do with it? My grandson just had such a big gash." The big fat man's grandparents hugged their big fat grandson, and Fox questioned Zhou Cheng.