(Thanks to my friend Marumu, the little crab of the old Xie family, watch and relax, book friend 20171020195742019, book friend 120430154405029, cool wolf, Qinglian floating with the wind for encouragement)

Regarding Zhou Shuwen's expectations, Liu Banxia didn't know anything about them. He just thought that Zhou Shuwen had been very busy recently, and he didn't have so much energy to deal with these chores for the time being.

Although the current emergency center has not yet reached the real rating scale, it is very possible to have the current configuration in the trial operation stage.

After receiving patients in the morning, it was much more lively at lunchtime.

Because there are no patients to follow up now, the only one is Xiao Han. Therefore, the time for eating is more concentrated, and when the big guys get together, they will naturally become lively.

It's just that Liu Banxia received a phone call when he was eating lively, which made his mood drop a lot at once.

"Brother Wang, Li Xuexia, who had surgery yesterday, is critically ill, and it is estimated that it will be enough to choke. After putting down the phone, Liu Banxia said.

Wang Huan was stunned for a moment, and shook his head helplessly, "Others who are critically ill may still have a chance to be rescued, and he can withstand several rescues." ”

"I thought I had survived last night, and I should have a lot of chances. Liu Banxia said.

"Don't think about it, we've done everything we can. Wang Huan persuaded.

Liu Banxia nodded, "Although I have been prepared in my heart for a long time, it is still a little uncomfortable after it really happens." It also reminds us that if we encounter similar patients, we must increase our efforts, and don't let him waste time on the issue of whether to preserve the anus. ”

It's all a lesson, and the occurrence of such heavy adhesions is something that no one expected. It can only be said that the patient's physique is a little worse, which makes the inflammation become more severe all of a sudden.

Among cancers, the prognosis of rectal cancer is actually very good. As long as it does not metastasize too far, there is a great chance after resection and chemoradiotherapy.

Many people are also very clear about this patient's situation, and they are also a little embarrassed after listening to Liu Banxia. I almost thought it was a big deal, at least I could live a few more days, and the operation was so successful.

Back at the emergency center, there were a little more patients in the afternoon. However, it is still mainly trauma patients, and there are some patients who need to come and change dressings.

"How I would love to have a patient who can give me a bedside X-ray. Liu Banxia said with emotion.

"Don't mind, almost all of those who reach that level are seriously injured. Bedside X-rays are more expensive than ordinary X-rays, and if you are sued for a high fee, you can't eat and walk away. Shi Lei said.

"Hey...... , I'm just muttering, looking at so many devices that I can't use. Our MRI and CT scans are being used by outpatient patients one by one, aren't you in a hurry?" asked Liu Banxia.

Shi Lei shrugged his shoulders, "It's useless to be anxious, it's good to be so cold today, it proves that nothing has happened in the entire Binhai City." ”

"On the first day of moving, it was good to be more relaxed. When our brand is opened in the future, it is estimated that it will be difficult to relax in the future. At that time, you should actually train them well. ”

Hearing Shi Lei's words, the interns who were guarding the side were a little dumbfounded, why did Mr. Shi become a little naughty like Mr. Liu?

"Speaking of which, I happen to announce something. Liu Banxia clapped his hands.

"Some interns may not know that when they come to the emergency center, your assessment is carried out at any time. The person who assesses may be your instructor or someone else. ”

"So I hope everyone can be serious, no matter which department you study in, it will be very important for you to pass the assessment and stay in the hospital in the future. ”

"If anyone still doesn't quite understand, ask them about it. At present, the highest score among them is Su Wenhao, and if this momentum is maintained, maybe he will become the champion after the internship is over. ”

As soon as Liu Banxia said this, the interns who were originally scattered everywhere gathered in an uproar.

Now I also know that their internship assessment is in the hands of Liu Banxia, even if they can get the internship certificate, they may not be able to get the opportunity to stay in the hospital.

Liu Banxia, the hospitalist, has a lot of weight in their evaluation, so they sometimes envy the six of them, as well as Zhou Shangkai and Cao Peng, the two internists who were drawn to the emergency department.

"Do you really have that much energy to keep an eye on them at all times?" Shi Lei pulled Liu Banxia aside.

"Flicker, I always look at them when they are operating, and then give a rough comment. But according to my judgment, Su Wenhao's path is very similar to yours, you can pay more attention. Liu Banxia said with a smile.

Shi Lei was very helpless, he didn't expect Liu Banxia to even tease these interns, and now they are all in a hurry.

At this time, the sound of ambulances sounded, and three of them came at once.

Liu Banxia was so excited at first that he almost rushed out, but later he realized that the dispatch didn't call in advance, don't seem to have a lot of cars, and they must not be seriously injured.

It's the same thing, the two groups are fighting. The most serious thing is the suture, at most three brain CT supplements, to see if there is any condition.

Not to mention him and Shi Lei for this job, Wang Chao doesn't have to do anything, the interns can do it directly.

At this time, the phone of the emergency center rang, and everyone's eyes looked at Xiao He, who was in charge of answering the phone.

"Mr. Liu, there is a fainting patient who is being sent to us, and the intubation failed on the spot. After answering the phone, Xiao He hurriedly said.

Qi Wentao was in charge of receiving the treatment. Liu Banxia ordered directly.

"Li Hao, non-invasive intubation attempts of 5 mm at a time, invasive intubation preparation. Qi Wentao said.

Shi Lei nodded, although Qi Wentao was burdened by Qin Hai, his strength was also there, and this judgment was very accurate.

It can be non-invasive and non-invasive, this is the principle of disposal. There are many reasons why intubation is not successful in the field. There may be swelling of the larynx, the size of the intubation brought by the emergency doctor is too thick, or it may be the technical reason for the emergency doctor's on-site operation.

Invasive intubation is cricothyrotomy, which is used only when there is no way and first aid is needed. It's the kind you often see on TV that you cut on your neck and insert a pen barrel or something.

Although this is a first aid, because it is invasive, it is equivalent to an operation, and there will naturally be complications. Bleeding, infection, subcutaneous emphysema, pneumothorax, mediastinal emphysema, these can all be present.

In less than three minutes, the patient was brought over, and the emergency doctor was manually administering oxygen with a balloon.

Qi Wentao was also very anxious, this was an operation in front of so many people, and it was also an opportunity given to him by Liu Banxia. Fortunately, the 5 mm size will pass through the larynx of some edema patients and the intubation will be successful.

"Even the ECG monitor, I see that I still have head trauma, is the family here?" Qi Wentao asked after wiping a handful of sweat.

"I was having lunch at home, and after eating, I smoked before I could say a few words, and when I collapsed, I hit the chair. The patient's mother, who accompanied her, said.

"Blood oxygen 87, blood pressure 70110, heart rate 100. Zhou Qian, who connected the ECG monitor, said.

"During the intubation process, it was found that there was edema in the larynx, and there were some crackles in the lungs on auscultation. Qi Wentao said.

For the current emergency center, this is the most urgent patient at the moment. After asking the patient's mother about the basic situation, just push it over and do it.

"The results were not satisfactory, and I found a lump in the throat area. I recommend doing an MRI of the larynx directly, and then an MRI of the chest if the condition is detected. After reading the test report of the endoscope, Qi Wentao said.

This was not said to the patient, but to Liu Banxia.

It's still the same principle, the inspection is from low to high. It's just that the lump in the patient's throat gave Qi Wentao a bad premonition, and it was not ordinary edema, so he planned to skip X-ray and CT and go directly to the MRI.

Combined with the fact that the patient's blood oxygen is not very high, he even plans to check the chest cavity.

Liu Banxia nodded, "Okay, the indications are very clear, everyone can make their own decisions about this kind of inspection." As long as we make decisions that are for the patient, there is nothing wrong with that. ”

Qi Wentao was slightly embarrassed, and he seemed to be a little too cautious.

"Not to mention, Dr. Qi's business ability is still okay. I haven't seen him intubated before, but today he inserted it neatly. Wei Yuan said with a smile.

"Yes, it used to be awkward with me, and I had some small emotions. I hope I can perform well in the future, and I can sneak a few surgeries with the director. Liu Banxia said.

"Today is the first day of moving, and it doesn't matter if the big guys are so together. How are you going to be on duty? Report to me before you get off work in the evening, and I'll make arrangements. ”

"I can do anything. Anyway, it's worth it in the morning and in the evening. Wei Yuan said with a smile.

Shi Lei also nodded.

"Well, let's follow our old rules. Liu Banxia said very easily.

In the past, he was the only one on duty with one of them, and it was a bit difficult to deal with if there were many patients. It doesn't matter now, there are still people on duty outside the heart, that's no problem.

There is a lot of power in numbers, but now there is really no shortage of doctors.

After waiting a little longer, the patient's MRI scan refreshed from the monitor.

After reading it, the big guys sighed in unison, the young man just now was sixteen or seventeen years old, and he was still a big child, how could he get cancer? Not only did he get cancer, but it also spread to the chest cavity and lungs, no wonder the blood oxygen was so low.

This is the first critically ill patient to be treated after the emergency center opened, but there is nothing anyone can do. There is no need for surgery anymore, and in the following days, it is how to be comfortable and how to come.

"He's still young. After being silent for a while, Liang Xiaolin spoke.

"If you are sick, you don't pick anyone, you can catch whoever is who. Liu Banxia shook his head.

"Cheer up, we don't serve a single patient, we serve every patient who comes to our emergency center. ”

The first patient was in such a situation, which made the emergency center's morale much lower all of a sudden. This is not possible, and the reception work must be dealt with with full spirit.