382 Electrically injured patients
(Thanks to book friends for 20191123092721288 tips and encouragement, thanks to Taotao for 1974999, can't wake up, and one person for the encouragement of a monthly pass)
There are some worries, Liu Banxia didn't sleep so comfortably this night, and his spirit was not particularly good after waking up in the morning. It wasn't too bad as he expected, and it took a night for this matter to officially break out today.
The discussion on the Internet is very intense, pros, antis, melon-eating squares, not afraid of chaos and generosity, anyway, there are people with any opinions.
This made Liu Banxia so worried, he was afraid of attracting the attention of the official media, and then set up an investigation team or something. Because some senior people gave a very "pertinent" evaluation about Liu Banxia having done so many surgeries in such a short period of time.
Although this thing can be had, it is definitely because Liu Banxia's relationship is hard, otherwise it would be impossible to give so many opportunities, is this the same as forcing surgery into his hands.
Looking at such comments, Liu Banxia didn't know what to say, although there were also people who spoke for him, but they would be drowned out by other comments.
"Teacher Liu, the director said that you went back to him after eating. "I was having breakfast, and Xu Yinuo ran over.
Liu Banxia nodded, "I guess I'm indispensable, what's the director's expression?"
"Teacher Liu, how can I see it, I haven't seen the director smile. Have you seen it twice or three times?" Xu Yinuo asked with a wry smile.
"It's okay, don't worry about me. Liu Banxia said seriously.
Xu Yinuo grinned, his own teacher Liu is really incomprehensible sometimes.
In fact, this is also in line with Liu Banxia's expectations, it is impossible for the hospital not to know about such a big movement, but I don't know if the hospital will give corresponding punishments.
What if he is suspended again? It seems that whoever wants to do it or not, will have to endure it, and no one will consider his opinion.
"Teacher, I'm making mistakes again. When he came to the office, Liu Banxia took the initiative to admit his mistake.
Otherwise, I used to call the director, and I would only call the teacher in private outside.
"Sit down, why is your kid so energetic?
Where did Liu Banxia dare to sit, "I'll still stand, I'm too impulsive." ”
"If you sit down, you say you made a mistake, then tell me what you made a mistake. Zhou Shuwen said lightly.
"I shouldn't flaunt my wealth, I shouldn't let people misunderstand the hospital. Liu Banxia lowered his head.
"What else?" Zhou Shuwen then asked.
"And ...... , I eat soft rice, I can't eat so straightforwardly. Liu Banxia said.
Zhou Shuwen was happy, and he also had a headache for Liu Banxia. has talent and is willing to endure hardships, but he is a little out of tune, and he wants to come out of the way.
"Teacher, I accept any punishment given by the hospital, and I can deduct my salary. Liu Banxia said cautiously.
"You still don't know what's wrong. Zhou Shuwen said.
"You can show off, but you have to show off thoroughly. Why don't you talk about the prognosis? Why don't you list the timing of the operation?"
"You speak in such a general way, can you understand it for many people? You have to show off your achievements. When is the number of operating tables directly indicative of a doctor's excellence?"
Liu Banxia was dumbfounded, is he ready to be criticized and dealt with, but now it seems that the limelight is not right when he hears this meaning, as if the courtyard doesn't care about this matter very much?
"You don't care about this matter, don't talk nonsense, the hospital will make a supplementary explanation of the situation at that time. Zhou Shuwen continued.
"You can be regarded as crooked, flying doctors and corruption, which have indeed had some impact on the reputation of our second hospital. The one you're messing around with now can be regarded as a kind of propaganda for our hospital. ”
"It's a way for people to really understand the hospital system and what doctors do every day. It can cause such a wide range of discussions, but it is more effective than how much publicity our hospital does. ”
"But I also warn you, bring more brains to everything in the future, don't dare to do anything as soon as your head is hot, otherwise sooner or later you will have to fall on your heels. ”
"Alright, let's go out and work. I have to go on a business trip for the past two days, and the emergency center is staring at some of them. If something goes wrong, I'll come back and clean up yours. ”
"Teacher, don't worry, you must be staring. Liu Banxia said happily.
Zhou Shuwen waved his hand, and even he didn't know if Liu Banxia had listened to him. This disciple is also too difficult to figure out, so take your time.
Liu Banxia, who came outside, can be said to be refreshed, is this considered a crooked fight? But it is estimated that it also has the role of Zhou Shuwen's teacher. After all, the result of many things can easily be deviated.
"Looks like you've fooled around again?" Shi Lei asked with a smile.
Liu Banxia nodded, "This has to thank the leaders for their understanding, otherwise this matter would be really bad." ”
"Teacher Liu, there is a patient with electric shock who will be sent to us immediately. At this time, the dispatch nurse shouted.
"Boss, I haven't been exposed to electric shocks, you have to help. Liu Banxia hurriedly said.
Shi Lei nodded, "Do your best to obey the fate of heaven, the prognosis is often not very good." Cardiac surgeons are also prepared, as electrical injuries put a lot of load on the heart. ”
Liu Banxia really has no experience in electric shock injuries, because many electric shock patients have lost their vital signs before they are sent to the hospital, and more people are directly electrocuted at the scene.
After less than ten minutes of waiting, the ambulance pulled the patient to the door of the emergency center.
"The pulse is weak, and the systolic blood pressure is 80. Supraventricular tachycardia occurred in an ambulance, two electric shocks were administered, 2 units of epinephrine were injected. The emergency doctor said.
"Doctor Chen, you come to the rescue, rescue a room. Liu Banxia said.
Shi Lei's judgment was correct, and the patient's heart function had been damaged.
Chen Xuehai nodded, and his expression became very solemn.
"One, two, three, lift, do ultrasound preparation. ECG, cardiac ultrasound, rapid blood test. After coming to the rescue room, Chen Xuehai said.
"The patient's blood oxygen is 87, and I'm going to intubate. Liu Banxia glanced at the ECG monitor and said.
Don't look at the fact that he hasn't done intubation for a long time, and now it's very easy to do. Liang Xiaolin is known as a little intubation expert by him, and his speed is much faster than Liang Xiaolin.
"How's the situation?" asked Liu Banxia after the intubation.
"The heart beats slowly and the venous pressure is a little high. You have to go directly to the operating room, and you need to take a spacer airbag pump. Chen Xuehai said.
"Just go over and I'll contact the anesthesiologist. Liu Banxia nodded.
Chen Xuehai didn't talk nonsense, he was an existence that could kill both intracardiac and extracardiac surgeries, and the doctors in the heart would not care about these.
Ding! Completion of the consultation
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"How did the patient get electrified? I see in overalls. After coming outside, Liu Banxia asked.
"He was a worker who changed the electricity, and when he was working today, he didn't know what was wrong, so he forgot to turn off the electricity. The person who came with him said with a wry smile.
"Contact the family as soon as possible, the patient's condition is not very good. Now let's go for emergency surgery and see how it goes. Liu Banxia said.
He can only say so much about people who are not family members, and as for whether this patient can be saved, he has no score. Don't look at the patient's vital signs now, but it hasn't been fully examined.
Electrical injuries are the most taxing on the patient's heart, and strong electrical currents rush through the body, which is likely to stop the heart beating directly. Now the patient's heart is beating very slowly, and it is possible to stop beating again at any time.
This is the highest priority at the moment, and the results of the examination are really uncertain.
In fact, only a small number of extremely lucky people are able to return to normal after the electric shock, otherwise it will have some impact on their lives to a greater or lesser extent.
"I'll pay more attention to this patient for a while, and this is the first time I've experienced an electric injury, so I'm the same as you in terms of experience. Liu Banxia instructed his interns.
The gang nodded, they had seen the patient just now, the electric shock scar had spread all over his arm and half of his chest, and the purple red was so scary to look at.
It's because they're doctors and they're well-informed. If you put it outside, it's much scarier than any tattoo.
"Doctor Liu, are you busy now?" At this time, Xiao Chen from the medical department walked over.
"I just finished seeing a patient, is there something wrong?" asked Liu Banxia.
"We've just been told that tomorrow you're going to have to take half a day off to record a show on TV. The core content is the doctor-patient relationship today, which is a talk show. Xiao Chen said with a smile.
Liu Banxia was a little stupid, "Does it have anything to do with the pictures I sent?"
Xiao Chen nodded, "Doctor Liu, come on." ”
"Teacher Liu, are you going to be on TV again?" the interns gathered around.
"Looks like yes, but what can I do, let me say something. Liu Banxia said with a sad face.
"You should have a script, right? Who made you kid so good at tossing. Go back and ask when it will be broadcast, and then let's watch it in the waiting hall. Wei Yuan also came over.
Liu Banxia glanced at him helplessly, "This is roasting me on the fire again, I thought I wouldn't bother with me." I'm so busy now, I still have to go to the TV station. ”
"Don't be tsundere, prepare well, and don't go to the TV to shoot around. Shi Lei advised.
Liu Banxia grinned, why did he distrust himself so much.
It's really a headache, and he still has an interview experience somewhat. Although the questions asked by the reporter or host of the TV station will not be so sharp, for the sake of a good program, it is better to ask some questions that people care about.
When tomorrow passes, there must be a basket of problems waiting to be dealt with by yourself, and it will be a headache.