Sun Lien sat on the stool and was a little refreshed. After Pascal left, he saw five more patients in a row. The most serious one is a 67-year-old man. Because of the sequelae of severe diarrhea caused by eating bad stomach - prolapse of the anus. After confirming that the patient's vital signs were basically stable, Sun Lien transferred the patient to the anorectal surgery inpatient department. Thanks to the status bar, the patient was only slightly dehydrated, otherwise he might have had to take someone to the emergency room to hang up two bottles of saline.

According to Zhou Jun's plan, Sun Lien is a deputy class today. Working hours start in the afternoon and continue until 8 a.m. the next morning. So far, six patients have been treated, not counting the cost of examination and treatment, Sun Lien has received 30 yuan in the outpatient fee alone - Sun Lien can get half of the 10 yuan of the night emergency registration fee. With six more patients, the outpatient fee is almost enough to cover his subsidized salary. Sun Lien, who finally felt that he had made money, was full of motivation. It's just that after all, the night shift is hard, and most of the people who come to the emergency outpatient clinic for medical treatment are not very serious fourth-level patients. He couldn't keep his spirits up.

Speaking of which, people are really cheap. In the rescue room, he fought every day, tired like a dead dog every day, and his biggest wish was to find a place to sleep with him for three days and three nights. As a result, now that he came to the emergency clinic, Sun Lien actually felt a little bored.

That's not good. Sun Lien, who had just been educated by Dr. Pascal, quickly began to self-reflect. Perhaps for doctors, a normal nighttime emergency clinic may seem unchallenging, and may even be a little boring. But for the patients who come to the emergency room every night when they are not at home, they encounter a big thing. The fear of illness and the discomfort caused by the illness made them nervous, and almost everyone was on the verge of going berserk.

The emergency department is the department with the most violent conflicts in the whole hospital, and in addition to simple medical trouble, the emergency department also often receives patients with accidental trauma due to various reasons. And most of these people have drunk alcohol.

·

·

·

Sun Lien treated the young man's mother, who had spoken up before, and the B-ultrasound diagnosis showed that there were multiple stones about 1 millimeter in diameter in the right kidney of the old man, and a small stone of about 1.8 millimeters was stuck in the ureter. Although the stone stuck in the ureter generally does not pose a direct threat to the patient's life, the renal colic caused by this small thing is really uncomfortable. Once the onset of renal colic enters the persistent phase, it can cause severe pain that lasts for more than an hour. In some extreme cases, pain can last for more than 12 hours.

It should be pointed out here that this pain is not the usual level of cutting a finger. Rather, it is a fourth-degree pain that surpasses fractures and even labor pain, known as "the most painful feeling in human history" - the so-called labor pain is as high as level 12, which is completely made up by netizens. According to the WTO classification, there are five levels of pain 0~4. The most serious is grade 4 severe pain that can cause changes in blood pressure and pulse, fractures, surgery, childbirth, renal colic, etc. Because renal colic lasts for a long time and there is no weakness in between, it is generally felt that renal colic is even more painful than childbirth - there are intervals between contractions!

Racemic hyoscyamine hydrochloride and atropine were prescribed by Sun Lien to the young man's mother. For renal colic, the first priority is not to relieve the pain immediately, but to relieve the ureteral smooth muscle spasm. Atropine and racemic hyoscyamine hydrochloride are relatively common antispasmodic drugs in clinical practice. As for the treatment of the kidney stones themselves, Sun Lien plans to wait for the patient's condition to stabilize, transfer her to the urology inpatient unit, and then undergo surgery as soon as possible.

After getting the sixth patient, suddenly Sun Lien heard a noise from the emergency room. Out of professional sensitivity, and because he had just dealt with the patient, Sun Lien poked his head out of the consultation room and glanced out. Unexpectedly, as soon as he probed, he was seen by Zhou Jun in the distance.

"What are you doing in a daze?" Zhou Jun beckoned to Sun Lien, "Hurry up and come over to help!"

In the emergency hall of the hospital, forty or fifty people poured in. From a distance, they are all men, and most of them are young men. When Sun Lien got a little closer, a cold wind with the smell of wine mixed with the smell of blood blew in from the gate.

This is a group of real estate agents who have just gotten off work. Most of them wore suits and ties, but the white ties were stained with large patches of blood, and they all staggered under the influence of alcohol, and they couldn't stand steadily. Surrounding this group of people were more than 20 policemen with nervous expressions.

"Teacher Zhou, what's going on?" Sun Lien took the new rubber gloves from Xiao Guo's hand and put them on. Since the accident a few days ago, the hospital's infection department has once again been aggressive. Now, in addition to gloves and masks, every emergency physician has to wear protective glasses to prevent the splashing of body fluids. A group of doctors dressed up like evil scientists in the movie.

"I drank too much in the KTV and got into a fight with someone in the other room. Zhou Jun's answer was concise and direct, "Hurry up, in another ten minutes, another group of people will also have to come to our hospital to deal with it." ”

There is a very large KTV in Sun City, near the Fourth Central Hospital. Although it is opened in the commercial area, the people are under the banner of low prices, and the business is doing well. But today, this KTV is considered to have fallen into blood mold. The guests in two oversized private rooms clashed. The group fight between the two groups not only attracted the police, but also smashed the things in the room by the way.

These two large private rooms are not close to each other, and there are seven or eight medium private rooms in between. It's just that I didn't expect that the two groups of people who came to sing, drink and engage in team building today are not easy to mess with. On one side is a real estate agent, and on the other side is a salesperson in a 4S store.

The cause of the incident is a little vague, but the general situation is that the little girl in the 4S store and the little girl in the housing agent drank too much internal urgency, but the toilet in the large private room has been vomited by other colleagues and cannot be used at all. So they can only step on high heels and go to the toilet outside. The two sides swayed and bumped into the toilet door.

People who drink too much are unreasonable, and the little girl who is usually protected by male colleagues suddenly feels wronged. The two tore up at the toilet door first, and then each decided to go back in their torn clothes to call someone.

A group of men who drank too much in the 4S store saw their female colleagues in disheveled clothes, and they all thought that maybe the little girl had met a hooligan. Without even a proposal, a group of people immediately picked up beer bottles in indignation and headed for the toilet. Then he kicked the door all the way, entered the house when he met it, and after kicking more than a dozen doors, he finally found the real estate agents who were also carrying wine bottles and preparing to go to the dry rack.

There are too many beer bottles flying in the sky, and it can also have the effect of covering the sky and the sun.

The intermediaries were caught off guard, and several people were fired at that time. But the people in the 4S store obviously have a huge disadvantage - each of them carries a wine bottle in their hands. After the first wave of firepower was suppressed, the follow-up was suddenly weak. Next, these dozens of people were smashed out by hundreds of bottles of wine that fought back.

The course of the battle in the middle is omitted. In short, when the police comrades arrived at the scene, the corridor between the two private rooms was covered with broken wine bottles. And a couple trapped in the middle hugged each other in a dead corner, shivering at the wine bottles flying in the sky.

Armed with shields and blast-proof sticks, the comrades of the riot squad lined up and pressed the drunks on both sides to the ground and smashed them. They were then dragged in batches to the nearest Fourth Central Hospital for initial treatment – as for the follow-up, it would depend on the extent of the damage to the store that called the police. Anyway, the comrades of the city criminal police team have also rushed to the hospital, and the detention center in the quiet area is probably going to be overcrowded tonight.

Zhou Jun was originally a little dissatisfied with the fact that the police sent so many people without even saying hello in advance. Fortunately, most of the drunks were not seriously injured. At least the people on the agent's side can still stand on their own. With the exception of one who had several teeth knocked out, the most serious one was a mild concussion — of course, judging by the way he swayed and vomited, it could have been too much to drink.

The key to distinguishing vomiting and unconsciousness in a drunk patient is to distinguish whether the patient has a cerebral hemorrhage or has drunk too much. Many times, both conditions occur in the same patient at the same time. After all, drunk people are slow to react, and when they encounter any accidents, they may not even have a subconscious self-protection posture. It seems that it is just a slight fall, but because there is no protective position, it often leads to cerebral hemorrhage.

Fortunately, Sun Lien glanced at the guy with a slight concussion, and there was no hint of cerebral hemorrhage on the status bar. Since there are no prompts, there is no need to prioritize. As for the emergency brain CT in the back, what should be done is still to be done, even if it is good to charge an extra sum of money to let him remember not to drink so much alcohol in the future.

Because of the smell of alcohol in this group of people, and the fact that it is difficult to cooperate with the doctor's instructions after drinking too much. Zhou Jun immediately decided to vacate a piece of the emergency hall to gather the crowd. The other doctors who were not particularly anxious came to help, each with a needle holder, a box of sewing needles, and an unsightly nurse with a curved tray and sterilization equipment—so many traumatic injuries at once on this big night, just waiting to clean up the mess was enough for the nurses to work hard for a while.

When there are more people, there will be noise, and when there are more people, there will be more people. It didn't take long for the less urgent patients in the waiting area of the emergency hall to come over and start watching the excitement. Because lidocaine may synergize with alcohol in the human body, resulting in enhanced drug effectiveness, medical staff are extremely stingy with anesthesia before stitches. A group of real estate agents who had just fought bloodily were about to shatter the glass. This movement is really shocking to the listener, and the listener is in tears.

m.