Start as an Emergency Physician

The word hospital has a kind of magic that can calm people's hearts at once.

It seems that as long as you get here, you will be safe, and the doctor will cure and save the people you care about and love.

"Head Nurse Tian. "

Shi Yu got out of the car with Xiao Ding in his arms, and Xiao Ding was already unconscious at this time.

Tian Liang had already prepared the first-aid bed with a few little nurses, and they immediately put Xiaoding on the first-aid bed and pushed the handrail to the rescue room.

Jiang Xiaoqi was on duty in the hospital.

In addition, there are Liu Kai, Wang Ziqiao and others.

Jiang Xiaoqi was notified and was already waiting in the emergency room, and when she saw a patient coming in at dawn, Jiang Xiaoqi immediately became serious and ready to rescue at any time.

"What's going on?"

"The patient is in shock!"

Jiang Xiaoqi: "Prepare for rescue immediately!"

The little nurses cut off Xiao Ding's clothes and began to prepare for cardiopulmonary resuscitation and electric defibrillation.

Jiang Xiaoqi wore a mask and asked with a frown, "What is the patient's condition?" "

"Patient Xiao Ding, four years old, delivered in our hospital that year, and had ductus arteriosus closure at birth, and has been undergoing multiple stages of treatment in our hospital since then..."

After Tian Liang finished speaking, he looked at Ding Mahui and Shi Yu again, and asked, "What was the situation when Xiao Ding came?"

Patient complaints are also important in determining the condition.

Now that Xiao Ding is in shock, he can only ask his parents.

Ding Mahui patted Shi Yu, who was already choked up next to him, and said: "At one o'clock this evening, Xiao Ding suddenly woke up and felt unwell, we wanted to take him to the hospital, but he was soon fine and fell asleep again." "

As a result, after just a few minutes of sleep, Xiao Ding suddenly woke up again, his face was ugly, and we sent it over. "

Jiang Xiaoqi listened quietly, and the nurse next to her had already placed various examination instruments for Xiao Ding.

"Let's go out first. Jiang Xiaoqi glanced at Xiao Ding on the hospital bed and said to Ding Mahui and his wife.

Ding Mahui also knew that the doctors didn't need them to be present when they saved people, so he hugged Shi Yu and exited the emergency room. "Doctor, you must save my child. "

In the rescue room, Jiang Xiaoqi frowned again.

"Director Jiang, what is your judgment?"

Jiang Xiaoqi hesitated for a moment, did not answer, but looked at the instrument next to him.

Although Xiao Ding is still in a coma, all life values are normal, at least not life-threatening.

Moreover, Xiaoding was also placed on a ventilator, so the symptoms of dyspnea were alleviated, and his face gradually returned to normal.

"You may need surgery, Nurse Tian, and the doctor from the vascular surgery department will come for a consultation. "

Jiang Xiaoqi is only a doctor of emergency medicine, and he must be a specialist doctor in specific surgery, after all, not everyone has Zhou Yuan's skills.

"Wait. "

Seeing that he was about to go out at dawn, Jiang Xiaoqi remembered something and said, "Call Zhou Yuan over, the patient's condition is very serious, and I feel that the people on the vascular surgery side may not be able to do it." "

Xiao Ding's illness did not occur in recent days, but an old disease, and I am afraid that Zhou Yuan will need surgery to cure it.

At this time, Xiao Ding on the hospital bed suddenly struggled and tried to tear off the ventilator, Jiang Xiaoqi's face turned pale, and he immediately said: "Take a diazepam!"

As she spoke, she looked at Tian Liang: "Call Zhou Yuan quickly!"

......

A hurried bell rang.

Zhou Yuan immediately woke up from his sleep and looked at the work phone placed next to the computer desk.

Zhou Yuan carried both his work phone and his personal phone with him, and this rapid ringing of the bell meant that there was an emergency department in the hospital that needed to be dealt with by himself.

Calls in the middle of the night are usually life-threatening emergency rooms.

In the ordinary medical and surgical outpatient clinics, the people on duty in the emergency department can handle it, and in the slightly more serious ones, there are also night shift personnel in various departments, and only difficult surgeries will come to Zhou Yuan.

This is a habit that everyone in the emergency department has developed these days, and minor surgeries are generally not called Zhou Yuan. When a person is accustomed to the success of major surgeries, others will subconsciously invite him only for difficult surgeries.

This is the case with Zhou Yuan now.

He immediately took off his pajamas, put on a casual short-sleeved shirt, and swept a shared bicycle downstairs towards the hospital.

"Patient Xiaoding, age 4 years old, past medical history..."

Zhou Yuan listened to Jiang Xiaoqi repeat the complaints and diagnosis of Xiaoding's parents before, and did his own examination.

It's not that he doesn't believe Jiang Xiaoqi's diagnosis, it's just that it's more rigorous.

"The patient had typical dyspnea and fatigue, and it was likely that he was awakened by two awakenings in the evening. This is a more serious situation..."

The words heart failure popped up in Zhou Yuan's mind.

He was back to his exposed right lower limb, and his calf was already swollen with obvious fluid retention.

This is the first, if not the only, symptom of congestive heart failure!

"Has there been any change in the patient's exercise tolerance?"

Jiang Xiaoqi nodded: "I also asked the patient's family, Xiaoding has basically stopped going out recently, he is always inexplicably tired, and he seems to be less and less fond of exercise, many times he lies on the sofa watching TV and playing with his mobile phone..."

Zhou Yuan directly analyzed the symptoms based on Xiaoding's behavior, and said: "Unexplained fatigue and reduced exercise tolerance..."

As he spoke, he looked at the heart rate monitor, and Xiao Ding's heart rate increased a lot.

A normal person's heart rate is around 60 beats per minute, but at this time, Xiaoding has reached about 80.

"Here are the results of the examination. Jiang Xiaoqi took the initiative to hand over a few films.

Zhou Yuan looked at it carefully, and then said, "The left ventricle is enlarged... When I was auscultating just now, I noticed that the patient had crackles in both lungs. "

Crackles in both lungs suggest left-sided heart dysfunction.

"This is congestive heart failure. Zhou Yuan made a preliminary diagnosis.

Congestive heart failure also becomes heart failure, which is due to the low pumping or filling function of the ventricles, resulting in the cardiac output cannot meet the needs of the body's metabolism, and the blood perfusion of tissues and organs is insufficient.

Pulmonary and/or systemic congestion may also occur.

Typical symptoms have already occurred in Xiao Ding: difficulty breathing, fluid retention, fatigue and so on.

He was about to continue his tests to determine the type of congestive heart failure.

Shi Yu, who was staring at Xiao Ding nervously on the side, was stunned for a moment, "Impossible!"

Zhou Yuan looked over, and Shi Yu shouted in a sad tone again: "Isn't this disease already cured when I was a child, why has it recurred now?"

Hearing this, Zhou Yuan frowned again. _

Feilu reminds you: there are three things to read - collection, recommendation, and points