(Thanks to my friend Nanbowang Rabbit Monthly Pass for encouragement)

"Doctor Liang, who is on duty outside the heart today? Won't it still be Chen Xuehai?" Liu Banxia found Liang Xiaolin.

"What are you going to do?" asked Liang Xiaolin nervously.

"What can I do, if only he was on duty, there might be a perforated esophagus repair tonight, you can contact him then." Liu Banxia said.

"Oh, well, I thought you were going to toss again. Liang Xiaolin said.

"Am I such an unstable person? By the way, how did you go to the waves yesterday?" asked Liu Banxia.

"Hey, hey, have fun. There are not only all kinds of baths in the sand, but also a lot of delicious food. Liang Xiaolin said with a smile.

"I admire Jojo for being able to manage the waves so well. Actually, we all stayed in Langtaosha last night, and then Yanzi also came over, and we also learned yoga from her. ”

"You haven't played outside before, have you?" asked Liu Banxia in surprise.

Liang Xiaolin glared at him, and felt that he had said too much.

"Dr. Liu, it's really fun there. If it weren't for the fact that it's a bit far from the hospital, I would have wanted to go there every day. Qingkova on the side said excitedly.

"I mentioned this, just to tell you about it. Liu Banxia said.

"Normally you only have to work the day shift, but I think if you want to really improve your skills, it's best to follow the shift. When you go back to Russia in the future, won't your hospital also have a night shift, so you can exercise now. ”

"yes, yes, I've wanted to work with you guys for a long time. Is it okay tonight?" asked Chōkova.

Liu Banxia smiled and nodded, "Then I will also give you a normal shift from tonight, it won't be much." ”

As for how to bring Qingkova, he really doesn't know what to do. Not to mention Qingkova's special situation now, even if he comes to accompany the doctor again, he may not be able to understand.

But it would also be good for her to let Qingkova work more time. At present, I can't even leave the matter of abdominal sutures to her, so I can only follow along.

"What are you doing here, kid?" Liu Banxia turned around and happened to see Qiu Mingyuan walking over.

"Brother Liu, I'll discuss something with you. Do you think I can come here and volunteer or something? I see there are volunteers in the inpatient building. Qiu Mingyuan asked.

"You better take a break, do you have so much time? The volunteer work is also tiring, you need to guide patients through various tests, and you have to get familiar with the whole hospital. Liu Banxia said.

"Brother Liu, I can do it. Otherwise, I don't have anything to do this summer, and this is a meaningful thing, isn't it? I'm in the emergency department, and I think a lot of patients have to be brought by nurses. Qiu Mingyuan said.

Liu Banxia glanced at him, "Isn't it because it's fun or has some other purpose? ”

"Oh, Brother Liu, don't think of me so superficially. If you hadn't saved someone with me this morning, I wouldn't have thought about it. Qiu Mingyuan said.

"If you say that, that's fine. Liu Banxia smiled and nodded, and then looked at Shi Lei again.

"Doctor Shi, do such temporary volunteers still need to report to the hospital department? It is equivalent to a public welfare undertaking for children to give love, right? Is it okay to just talk to the director?"

"I don't even need to tell the director, just tell you. "Shi Lei is happy.

"You are the general hospitalist, and you have to assist the director in managing the medical work. In the emergency department, there were few patients in the past, so he could just exercise. ”

"Brother Liu, then it's no problem, right?" Qiu Mingyuan asked happily.

"That's no problem, I'll get you a red vest in a moment. You should first familiarize yourself with the paths of radiology and gastroenterology, because X-rays, CTs, and gastrointestinal endoscopy all need to be checked there. Liu Banxia said.

"By the way, there is also the otolaryngology, and there are some emergency patients who also need to be checked over there. It is also more accurate to familiarize yourself with the path first and then guide the patient. ”

"Thank you, Brother Liu. Qiu Mingyuan dropped a sentence and ran away.

"He's really good, it shouldn't be a hot head, and he can't find anyone after three or two days. Shi Lei said with a smile.

"I'm discovering now that the problem of parenting really has little to do with family background. Liu Banxia said.

"In the past, I thought that children from ordinary families would be better educated because they knew that life was not easy. In fact, it is not like that, and upbringing is still related to the whole family environment. ”

"In the past, just watching the news and promoting this rich second generation bullying people, and the rich third generation was just an example, and then it was magnified. Don't ordinary people have children? ”

"He's very polite, and he respects the driver who drives him. And it's not the superficial kind, it's just a relationship that is not far away. ”

"You have to learn from people, don't always be too big and small. Shi Lei complained.

He is also very satisfied with Liu Banxia's business ability, but this kid is sometimes too headache, and he may be too tired to figure out what kind of situation he will make for you.

Liu Banxia smiled and didn't say anything, on the road of "bullying" Shi Lei, he definitely did not relax. The system is certainly very rebellious, but there is a lot of knowledge that can only be learned from people.

"Doctor, doctor, come and save people. At this time, a fifty-year-old brother ran in from the emergency door.

"What's the situation?" Liu Banxia hurriedly asked.

"Someone passed out in my car, and I don't know what's going on. The man said anxiously.

Liu Banxia didn't stay and ran out directly. I saw the rear door of a sedan open, and a man in his thirties was reclining in the back seat, and the woman next to him was fanning him.

"Doctor, he fainted once at home, and immediately went to the hospital and fainted again. After seeing Liu Banxia, the woman hurriedly said.

"Did you say anything before you fainted? Do you have any symptoms of chest pain? Do you have a medical history?" asked Liu Banxia, and also touched the patient's carotid artery. It's a little weak, but it still has a pulse.

"No, he shook his head as he spoke. The woman said.

"Be careful, everybody, and slowly lift the bed up. Seeing that the gurney was pushed out, Liu Banxia said.

The space in the back of the car was already very small, and the patient's weight was one hundred and fifty pounds, and Liu Banxia, Shi Lei and Wei Yuan also wasted a lot of effort to lift the patient to the gurney.

"The body temperature is a little high, the pulse is a little fast, and there are symptoms of jaundice in the eyeballs and skin. While pushing towards the rescue room, Liu Banxia said.

"Bed shift, one, two, three. Even the monitor, Liang Xiaolin protected the airway and Xu Dan opened venous access. Complete blood count, blood biochemistry, blood clotting rate, and blood lactate. ”

Liang Xiaolin quickly tore open the intubation bag and intubated the patient, and even the work of the monitor was snatched by Wei Yuan.

"Blood pressure 40/80, heart rate 130. Wei Yuan said.

"At first examination, I fell into a state of shock, the breath sounds were very weak, and I only responded to pain, almost septic shock. 1 mg of bicarbonate per kilogram to relieve acidosis. Shi Lei also finished the inspection.

"Let's do a physical examination to see if there are any wounds. We now need to cut open his clothes to see if it's a viral infection caused by trauma. Liu Banxia said, and then looked at the woman who came with him.

The woman who accompanied her only nodded anxiously.

Liu Banxia examined the patient's hands and arms and found no wounds.

Shi Lei also cut the patient's trouser tube, and after careful examination, no wound was found on the leg, but a five-cent-sized blood bag was found on the patient's left groin.

Seeing this, Shi Lei's heart chuckled suddenly, and when he turned his head, he saw Liu Banxia also looking at him with a wry smile.

At this time, Liu Banxia also cut the patient's T-shirt, and there were more than ten large and small blood bags on the patient's chest. Not septic shock, it should be necrotizing fasciitis.

"May I ask what is your relationship with the patient?" Liu Banxia looked at the woman.

"I'm his wife, doctor, why didn't you save me?" asked the patient's wife anxiously.

"We are now diagnosed with necrotizing fasciitis and need immediate surgery if we need to be resuscitated. I'm going to ......"

"Do, save, save as much as you want. Before Liu Banxia could finish speaking, the patient's wife interrupted him.

"Listen to me first. If necrotizing fasciitis is in an outbreak phase, the chances of success in resuscitation are low. Liu Banxia said.

"We need to remove all the infected necrotic tissue and treat it with antibiotics. Based on the patient's current condition, it is judged that a systemic infection has been caused. ”

Hearing Liu Banxia's words, the patient's wife was stunned, paused for a full five seconds, and nodded, "Save, must be saved." ”

"Make an appointment in the operating room, Dr. Shi, Dr. Wei, let's debride together. Xu Dan, let's do another blood culture. Liu Banxia said.

In fact, they all know in their hearts that the hope of success is very slim. However, the patient's family insisted, then it must be rescued. The symptoms now are too obvious, and they are different from Liu Banxia's last finger debridement.

Drip......

At this time, the alarm of the monitor sounded, and the heart went into arrest.

"I do CPR, 1 unit of epinephrine, 200 joules. Wei Yuan hurriedly said.

"Charging Complete"

"Leave the hand"

"Smack......

"Not recovered, 300 joules"

"Charging Complete"

"Leave the hand"

"Smack......

"Not recovered, 360 joules"

"Dr. Wei, the patient's pupils are dilated. Liang Xiaolin said.

Wei Yuan's movements stopped, he knew that there was no need to continue the electric shock.

Upon completion of the consultation, you will receive 100 experience points and 50 diagnostic skill proficiency points

"Help, help......" the patient's wife cried out heartbreakingly.

"Time of death, fourteen thirty-seven minutes. Liu Banxia glanced at the electronic clock in the emergency room.

For necrotizing fasciitis, it is really difficult to recover during the attack. The blood bags on the patient's body are so big, if they come a few days earlier, they may still have a chance of life.

"Smack......

Before Liu Banxia could continue to explain to the patient's wife, the patient's wife slapped him loudly.