"Morita, thank you. Wei Yuan, who returned to the emergency room, said gratefully.

"But don't, there's nothing polite to me. Cut or supplemented?" Liu Banxia said with a smile.

"I cut some, but I took a long time to hold it, and I ate a lot in order to drain the pen. I was worried that an intestinal fistula would occur after the anastomosis, so I made a stoma first. Wei Yuan said.

"My ankle fracture almost had an accident, stomach ulcer bleeding, Director Xiao personally did the endoscopic hemostasis. Now I'm looking forward to moving to a new building as soon as possible, and I can also add some more equipment to our place, so that we don't have to run back and forth. Liu Banxia said.

"I heard that the configuration is quite high, and now it is five floors below, and in fact, the three floors on the side are also reserved for the emergency center. Wei Yuan said.

"Just see what it can be tossed into when the time comes, the list will be announced in the next two days, and we will be able to relax at that time. Liu Banxia said with a smile.

"Dr. Liu, there is a call from the emergency center and a comatose patient from a car accident is about to be delivered. At this time, Wang Ying shouted.

"Hey...... It's another car accident. Brother Wei, prepare with me. Liu Banxia sighed. The patients are all unconscious, and the condition must be very bad.

After waiting less than five minutes, the ambulance and police car drove up.

"The patient is 22 years old, surnamed Zhang, male. Blood pressure 70/100, heart rate 125. Emergency oxygen was administered, and he fell unconscious after getting into an ambulance. The first responder said.

"In the first room, Liang Xiaolin protects the airway, and Dr. Wei examines the trauma. Qingkova opened the venous channel, Xu Dan did a rapid blood test, blood cross-matching, and prepared two units of type O negative blood. Liu Banxia said quickly.

Zhou Shuwen, who had just walked back from the green channel, stopped, and he wanted to take a look at the first aid organized by Liu Banxia on the spot.

"Prepare to move the bed, one, two, three, lift. After coming to the rescue room, Liu Banxia said.

"Auscultation of the left lung with weak breath sounds, and a tibial fracture is suspected in the left leg. Wei Yuan said.

"The pupils responded, and I was intubated right away. Liang Xiaolin said.

"There were a lot of external abrasions, and there were extensive abrasions on the right leg and right arm. Let's push the ultrasound, let's look at the abdominal situation first. Liu Banxia said after looking at it.

"No problem with the abdomen, chest ...... There is an effusion in the left pleural cavity. Liang Xiaolin was intubated in the chest cavity, X-ray was scheduled, and it was sent directly after intubation. ”

Liang Xiaolin hesitated when she had chest intubation last time, but this time she didn't have a brain at all. After Liu Banxia's order was issued, she directly operated it.

"Here comes the blood. At this time, Xu Dan also ran over.

"With a quick blood transfusion, my blood pressure dropped a bit. Comrade policeman, have you been in contact with the patient's family? Do you have any relevant medical history?" Liu Banxia said.

"Not yet, no mobile phone and ID card have been found, and people are being arranged to do an on-site search. One of the police officers said.

"The chest cannula is complete. At this time, Liang Xiaolin also shouted.

"Okay, the patient's vital signs tend to be stable, go for an X-ray first, and then make an appointment for head CT. Liu Banxia said.

Zhou Shuwen nodded, and was still very satisfied with the handling of this reception.

Emergency treatment should be orderly and not panicked. At the same time, there are too many things that need to be done, and Liu Banxia has no problem in distribution.

The key is that the cooperation of the rest of these people does not have any ties, which proves that the operation of this small team is still very good.

Liu Banxia was not idle, and followed directly to the X-ray room. He had to make the first judgment on whether he needed to be taken to the operating room right away.

"Bilateral rib fractures, bilateral lung contusions, and atrophy of the left upper lobe of the lung. Wu Bo, a diagnostician in the radiology department, said.

Liu Banxia took another look at the patient's blood oxygen, which has now reached 100%, and his vital signs have returned to normal.

"Do you still need to notify the operating room?" asked Liang Xiaolin.

Liu Banxia shook his head, "The bleeding should stop, let's take a look at conservative treatment." Take him for a head CT and then a bronchoscopy to see if the collapsed lung is blocking the airway due to a blood clot. ”

"It's lucky, my left leg is like that, and I don't have a fracture. I'll go back to the emergency room and talk to the police comrade, and you're staring at this patient. ”

Liang Xiaolin nodded, this is the victim of a traffic hit-and-run case, and there are many procedures to deal with next.

"Had a good performance today, the chest tube was done quickly and perfectly. Before leaving, Liu Banxia praised it.

Liang Xiaolin was stunned for a moment, and the expression on her face became beautiful. I also remembered that I finished the chest intubation without thinking about it today.

"How's the situation?" asked Wei Yuan after Liu Banxia returned to the emergency department.

"There should be no problem with the bleeding, fractured ribs and contusions in both lungs. The most serious injury was the collapse of the left upper lobe of the lung, and after a while, a bronchoscopy would be done after a CT scan, and the results would be available. Liu Banxia said.

"I just heard from the police that it seems that the vehicle involved in the accident has been locked, but now the contact information of the patient's relatives has not been found. Wei Yuan said.

"Hey, I'll go and sign it to the director. Liu Banxia said.

The first aid that should be done has now been completed, and the procedures that should be made up must also be completed. He is always hospitalized, but he does not have so much rights.

"Let's put it down, we had a good day. If we hold on a little longer, we are also urging the construction party to complete the project as soon as possible. Looking at Liu Banxia who walked in, Zhou Shuwen boasted.

"Thank you, Director, then I'll go out first. Liu Banxia said happily.

Liang Xiaolin needs recognition, and so does he, and it is even more difficult to get Zhou Shuwen's approval. Even if he is already a student of Zhou Shuwen, he is also worried now, afraid that his performance will not meet Zhou Shuwen's standards.

Although it was time for lunch, Liu Banxia could only let Wei Yuan eat first, and he had to wait for the latest examination results of this patient just now.

It can also be said that the current patients are not really out of danger, even if the vital indicators have returned to normal values, lung collapse is also a disease that cannot be underestimated.

"He was really lucky, the head CT scan was normal. No blood clot was found after bronchoscopy, so it is estimated that it was caused by a contusion of the lungs, right?

"I had no choice but to find people in the heart and outside the heart and orthopedics to come for consultation. It's up to them to decide whether or not to have surgery, it's beyond my scope. Liu Banxia said.

Although it is said that there is no cloud-piercing arrow, and thousands of troops come to meet each other, the people from these three departments come over quickly. What made Liu Banxia a little depressed was that the extracardiac doctor who came over turned out to be Chen Xuehai again.

"Everyone, how is it?" asked Liu Banxia after they had seen it.

"Let me start with it, the rib fracture is not a big problem, and it can be dealt with when the lung problem is solved. Wu Mingyu, the attending of orthopedics, said.

"Although there is some atrophy, the indication for surgery is really not very clear now. Personally, I also recommend conservative treatment, Dr. Xu, what do you think?" asked Chen Xuehai.

Xu Guosheng, the chief of cardiology, nodded, "Then let's observe first, how much oxygen is given now?"

"At present, the oxygen dose is 60%, and the blood oxygen is 100, which is relatively stable. Liu Banxia hurriedly said.

"Okay, then let's put it on your side first, and keep an eye on it. If blood oxygen drops, give a bronchodilator after 95. Other indicators don't look very clear, so you can only observe them first. Xu Guosheng said with a smile.

"Dr. Xu, thank you for giving our nurses more experience. Liu Banxia hurriedly said.

"It's best to have someone to supervise you at all times. Xu Guosheng nodded.

Ding!Daily Mission Complete (3/20)

Upon completion of the consultation, you will receive 50 XP points and 30 diagnostic skill proficiency points

Congratulations to the host level for reaching level 34, 58967/62084, gaining 1 attribute point and 5 glory points

Liu Banxia carefully checked the patient's condition again, explained it to the nurse, and then returned downstairs.

"Take them to dinner, I'll keep an eye on them. Wei Yuan said.

"Brother Wei, I'm tired. Mainly the car accident patient, now the ventilator is 60%, and I have finished explaining it to the nurse. Liu Banxia said.

Wei Yuan nodded, "Let's eat quickly, isn't your friend's child still going to have surgery?" ”

"I guess it's enough, I have to pay attention to this one I just received. Today's seemingly inconspicuous day, all three patients are still in danger. Liu Banxia said with a wry smile.

On the way to the cafeteria, I called Qiu Huaili, and the little guy couldn't accompany him for surgery. The lives of patients on your side are in danger, and that's what matters.

"By the way, Qingkova, where are you from Russia?" asked Liu Banxia curiously during the meal.

"Vladivostok, formerly Vladivostok, is very close to China. But I haven't been to China from there, and the city I've been to most is Harbin. Qingkova said.

"Actually, I don't understand much when you say it, hahaha......" Liu Banxia said seriously at first, and then couldn't help it.

Qingkova looked at him amusedly, "I came to China to study, and I mustered up a lot of courage." But it's really great and there's a lot of good food. When are we going to eat barbecue?"

"Then we have to wait, Dr. Shi will bring us the iron plate we have eaten in the evening, and it won't taste much worse if it is hot. Liu Banxia said.

"Then I'm going to eat more. Qingkova said beautifully.

As soon as her words fell, Liu Banxia's mobile phone rang.

"Xu Dan, is there a situation in the ward?" asked Liu Banxia after connecting.

"Dr. Liu, the blood oxygen in the car accident patient drops quickly. Now that it's 95, do you want to use bronchodilators or increase the oxygen supply to the ventilator?" Xu Dan hurriedly asked.

"Add oxygen to 70% first, and I'll be over. After Liu Banxia finished speaking, he began to run to the emergency department.

He didn't expect that this patient's condition would take a sharp turn for the worse, and it was only a long time since the end of the consultation, and it was not yet 20 minutes, and he only ate a few bites of food.

As it stands, it seems that this patient is not far from being in danger.

This is the judgment in his heart.