284 Leadership Fan

(Thanks to my friend who fell into the grass and became a coward, and the Northwest Flying Wolf was confused for encouraging the monthly pass)

"My God, Mr. Liu, why is your face sinking like water, what happened?" Seeing Liu Banxia coming back, Wang Chao hurriedly came over.

"Hey...... It's hard to put into words. Recently, we must not have anything happen in the emergency department. If something happens, the days to come will be even more difficult. Liu Banxia sighed.

"What's wrong? Is it because of the project we want to report? Isn't this also for the hospital?" asked Wang Chao.

"It's not that, it's something else. You just need to understand it, anyway, you have to pay more attention in the future. The reception should be meticulous, and the doctor-patient relationship should be handled well. Liu Banxia said.

"Now our reception volume is so low, if there are any complaints, it is really unreasonable, anyway, it is to be careful, be careful, be vigilant, be vigilant, be vigilant, be vigilant, be vigilant, ”

Wang Chao was a little confused, and he didn't know why Liu Banxia became so cautious after he came back. I'm a well-informed person, so why haven't I heard any news?

In fact, Liu Banxia can also pour bitter water with these people in the emergency department, but it is useless. Some of these people in the emergency department do have backgrounds now, and they don't need to be helped to spread the word.

The root is also in the unending old Qin Tou, and it has really become a ghostly existence.

It doesn't matter, he didn't do anything about himself when he was in the second courtyard, and now he doesn't have to be afraid of him. His feet are very straight, and he is not afraid of his old Qintou's small shoes.

"Shoutian, prepare for the reception, injured by a fall from a height, has been intubated and infusion at the scene, and there are about 10 minutes to go to our emergency department. At this time, Wang Ying shouted.

"OK, let's get ready. Qi Wentao, have you ever had a chest intubation?" asked Liu Banxia while wearing a disposable surgical gown.

Qi Wentao shook his head.

"When the patient arrives, you check the ribcage, and there is a high probability of pneumothorax and hemothorax in patients who have fallen from a height. Liu Banxia said.

"Moving the ultrasound pushed over, 4 bags of O-positive blood were prepared. Your name is Zhou Qian, right? Wait for the patient to send it and quickly connect the monitor. You, I can't remember the name, do a rapid blood test, blood crossmatching. ”

"Cao Peng, you are ready to open the venous channel. If one is not enough, Zhou Shangkai, you will open another one. Brother Wei, how about a quick trauma examination over to Wang Chao?"

Wei Yuan smiled and nodded.

"Listen up, right? Liu Banxia shouted.

Although no one responded, everyone was ready to run to the door of the waiting room to wait, which was the best response.

"Brother Wei, after the inspection, you can take Wang Chao and the interns to the stage. Liu Banxia said.

"You don't go up? They all say that they fell from a height, and it is estimated that it is above the sixth floor. Even if there is some buffering, it is estimated that the situation is not very good. Wei Yuan said.

"I got one yesterday, and I have to give Wang Chao more opportunities to exercise. Among the few of us, he has been on stage the least, and he is mainly focused on the appendix and gallbladder. Liu Banxia said with a smile.

Wei Yuan glanced at him helplessly, "You, you're all in the same place as the director of the heart." It depends on the situation, if there is a lot of bleeding, you have to follow, I am afraid that the bleeding will not be timely enough. ”

"Okay, it depends. Liu Banxia said.

After waiting for a few more minutes, the ambulance whizzed in and the patient was pushed out of the ambulance.

"I hung it down when I installed a window on the 9th floor, and when I got to the fifth floor, I was buffered, and finally it fell directly to the ground. Blood pressure 70/90, intubation and fluid administration on site, heart rate 135. The first responder said.

"Rescue a room, just do what I just said. The accompanying person goes through the formalities and contacts the family. Make a promise, what to consider for a fall from a height. Liu Banxia said.

"Ah...... I...... Head, neck, chest, stomach, arms and legs. Xu Yinuo was stunned for a moment, and shouted nervously.

"Be steady, be more detailed. Liu Banxia said.

"There may be hemorrhage, fractures, trauma to the head, cervical and thoracic fractures, hemothorax, pneumothorax, abdominal organ contusions, internal bleeding, and long bone fractures. Xu Yinuo hurriedly said.

"Help Wang Chao do a trauma examination. Liu Banxia nodded.

With Liu Banxia's permission, Xu Yinuo ran over with a "whoosh".

Because of the division of tasks in advance, there are still so many people, and the process of inspection is very fast.

"Subcutaneous emphysema, percussion tympanum, and absent breath sounds were judged to be tension pneumothorax and chest intubation was required. After Qi Wentao finished speaking, he looked at Liu Banxia.

Liu Banxia nodded.

"There are multiple obvious fractures in the left leg and left arm, abrasions on the head and face, and a dislocated shoulder joint in the right arm. Xu Yinuo said.

"Vital signs are temporarily stable, abdominal ultrasound shows effusion, and rapid blood transfusion after intravenous access is opened. Wang Chao also finished the diagnosis.

"X-rays of the cervical and thoracic spine, pelvis, arms and legs need to be done and pushed directly to the operating room. Whether you have brain damage or not, can't wait to do a CT scan. ”

"Okay, let's do it, you and Brother Wei go on stage, and I will contact the X-ray room and the operating room. Liu Banxia nodded again.

He also watched during the inspection, even if he was asked to choose.

At present, the patient's vital signs are stable, and if the blood is replenished in time, it will not fall so quickly. If you are uncertain about the fracture of the cervical spine, thoracic spine, or pelvis, going directly to the operating room may harm the patient.

When it comes to the cervical spine and thoracic spine, it is very critical. If one is not careful, it may cause high paraplegia to the patient.

Complete the consultation with the patient, gain 50 experience points, and 60 diagnostic skill proficiency points

"Xu Dan, what else are you looking at?" Liu Banxia looked at Xu Dan on the side again.

"Ah...... There's no task for me. Xu Dan said.

"Let's go to the operating room and familiarize yourself with the surgical process and instruments. Liu Banxia said.

"Okay. ”

Xu Dan responded happily, and then chased after him.

"Teacher Liu, if there are any more patients, will it be our turn?" asked Liu Yiqing.

Liu Banxia nodded, "The next one is for you for the time being." In such emergency surgery, sometimes too many people in the past will affect the sense of space and bring pressure to the surgeon. ”

"Don't worry, there will be one in the future, there are only a few people outside of our emergency science, and they can arrange anything to be opened. Don't rush anyone, take your time. ”

The rest of them are happy, and they know that they should operate like this, but Liu Banxia said it clearly, which is more reassuring.

Just like just now, whether it was Liang Xiaolin or Qing Kova, Liu Banxia did not arrange a task. It's because they've had enough training in this area that they have to give this opportunity to someone else.

"Morita, the arrangement just now is very good. Very calm and very leaderlike. Wang Ying said with a smile.

"Hehe, Sister Wang praised me again. In fact, the process is almost the same, and now there are so many people, you can arrange it at will. Liu Banxia said with a smile.

"Don't look at it, there are still patients who need debridement, they are all faster, but they must be completed with quality and quantity. ”

"Roger. Liu Yiqing shouted happily.

"Not to mention, with these young children, I feel a lot younger, and the emergency department is full of passion. Xu Hui came over after dealing with the patients at hand.

"Isn't it, at the beginning, we relied on a few old cabbages. How did you choose your house? Golden Nine Silver Ten, at this time, it is more convenient for us to get a discount. Liu Banxia said.

"I've seen it almost, don't you have to see Dr. Shi. I heard that he is going to continue to walk around the real estate today, but it is also on the basis of what I selected for him. Xu Hui said.

"We don't dare to think about the school district of the high school now, at most we look at the elementary and junior high schools. Otherwise, it's really too expensive, and there are no new houses yet, and they are all second-hand. ”

"Isn't that the case now, but now the new real estate seems to have to come with supporting education. Although it is a branch school, it should be similar. Liu Banxia said.

"Anyway, you urge my boss, otherwise he will always feel sorry for the money and drag it back. If he has a house in the picture and has a down payment, you can tell me secretly. ”

"Don't worry, I know that you are worried about him, why do you have to complete this matter. Xu Hui said.

He also knew that Liu Banxia worked so hard mainly for Shi Lei. That's okay, it's okay to be able to follow the car, saving two is two.

Otherwise, there are so many routines for building sales, and it is impossible to say whether this real estate is real or not. You can't just look at the publicity, you won't know what will happen when you actually live in it.

Originally, they wanted to buy the existing houses that were added to those real estate projects, but the price was indeed a little floating, so now they can only rush to the real estate under construction.

At this time, Liu Banxia's mobile phone rang, and when he saw that it was Qiao Qiao, he was startled, "Qiao Qiao, what's wrong?"

"No, we're playing at the zoo. Do you remember that curator Qu last time? They have a brother with a leg ache and want to look for you. Jojo said.

"Okay, then let them come. How's you doing? But I've worked so hard for you, I don't even have time to play with you. Liu Banxia said.

"Heck, I'm with the same thing. Let's not talk about it for now, the swans have swam over. Jojo hung up the phone.

Liu Banxia was also very arrogant sometimes, and he didn't notice the embarrassment in Qiao Qiao's tone later. I just thought she really wanted to see the swan, and she didn't have time to deal with him.

"Brother Hui, a friend will come over in a while, a patient with leg pain, I'll take a look first. After the phone was put back in his pocket, Liu Banxia said.

"Okay, I'm just lazy. In a few more days, we will be able to move to a new building, and Wang Huan and I will be able to rest and go to work normally. Xu Hui stretched.

The internist is now with him and Wang Huan, so the two of them can only come in turns on 24 days off and 24 days off. Occasionally, when there are many patients, Liu Banxia can also help with the treatment, but he is not so tired.

It's just that the biological clock will always mess with it, and it's not so easy to bear.