Modern convenience, 24-hour supermarkets and restaurants, and street lamps that are always bright at night all reflect the advantages of a modern country.

It is the countryside, the construction of a large number of paved roads, so that the former sunny days with soil and rainy days with mud have become a thing of the past. The highway extends in all directions, hundreds of kilometers between counties and cities, and 120 is speeding fast!

The speed limit on highways is not limited to this kind of special vehicles, and the state subsidizes the ambulances of county and township hospitals, which are well-equipped and of high quality! Some large ambulances can directly provide a mobile platform and can do some emergency surgery.

In about 40 minutes, he directly entered the city hospital, and this speed made the three men on horseback get motion sickness! The man who was as strong as the mountain vomited! Bai Huahua's milk vomited a cart, and the smell of semi-fermentation was fused, and the heating in the car was so smoky that the nose of the emergency nurse was about to twist!

During the Spring Festival, the land of China is like a train that has suddenly entered the slow lane, the rhythm of running suddenly slows down, supermarkets are closed, restaurants are closed, the government is sealed, and every household is immersed in a happy and peaceful festive atmosphere.

On the third day of junior high school, Zhang Fan was on duty, twenty-four hours. But there is overtime pay on duty these days! And it's double overtime pay, three times?

In normal hospitals, people come and go. At this time, patients are particularly scarce, and doctors go to rest in rotation. The outpatient clinic was stopped, the routine surgery was stopped, but the yellow light in the emergency department was always on.

There is a platform in front of the emergency department, which is specially equipped with a special device for ambulance to send patients. The piercing whine came from far and near, and the doctors and nurses in the emergency department were having lunch, and when they heard this sound, it was as if it was a meeting number, and at the same time, they had put down their chopsticks, put on hats and masks to greet the patients.

Other industries are not clear, but in this medical industry, a dean and a department director are very important. Yes, the state is vigorously supporting development, but if there is a problem with the leader's concept, then the money is spent a lot, but the effect is not easy to say.

A hospital and a department are inseparable from the joint efforts of the department staff, but if the wrong path is chosen, then even if it is not in vain, it is a long way.

The emergency department of a large hospital is directly a treatment center that integrates diagnosis and treatment, and some emergency surgeries are handled directly in the emergency department. Under the leadership of a powerful department director, some surgeries in trauma surgery and general surgery can be directly monopolized.

But the director of the emergency department of the city hospital, born in pediatrics, because no one did this emergency department, she could not compete for the director of pediatrics, and the pediatric department was a small general department, so she was arranged to the emergency department, and the pediatric department of the prefecture and county was partial to internal medicine, and there were few professional pediatric surgeons.

This is the disadvantage of the old-fashioned doctor, who has not developed in an all-round way, although he is in the emergency department, but his thinking is still not out of pediatrics. The state vigorously supports the development of emergency medicine, but the emergency department of the city hospital, the operation is still not carried out, and the largest surgical operation that can be carried out is suture, if the wound is too large or too deep, it will be directly sent to the relevant departments, and the efficiency of emergency is not high.

The only distinctive diagnosis and treatment is gastric lavage, after drinking pesticides 90 years ago, there is no need to send them to the hospital, it is useless! Because the pesticides at that time were all strong pesticides, such as the familiar dichlorvos, a sip of which is directly poured in three steps! There is no time to rescue.

In recent years, the control of pesticides has been slightly better. To be honest, the current pesticide is particularly uncomfortable to drink. Pulling into the hospital is gastric lavage.

If it is a weakly acidic pesticide or does not react with alkali, it is very painful. The soapy water used in the hospital is not high, it is the kind of soap that ordinary people wash clothes, after dissolving, directly into the stomach, a large amount of infusion, and then induce vomiting, strong vomiting, the gallbladder can spit out for you. Gastric lavage enema, one set down, as uncomfortable as a punishment.

However, there are also advantages, those who drink pesticides are generally housewives, if they have been rescued once, they will never drink pesticides again, this gastric lavage can be said to make you never want to see soap again in your life!

Ake was admitted to the emergency department, and there was no obvious abnormality in the blood routine of the emergency examination, because he had been treated in the county hospital, and the diseases, especially abdominal diseases, were very similar, and it was really difficult to judge if the laboratory tests did not have a typical positive test.

A disease, a rare and atypical disease, is said to be diagnosed by a doctor at a glance, either because the doctor has seen a similar patient recently, or because he has had it himself! At the very least, the doctor is really good. It takes a certain amount of time for a doctor to diagnose and treat a disease.

Relying on symptoms, many diseases with similar symptoms, laboratory tests, such as the current fever, taking antibiotics at home, and giving antibiotics in lower-level hospitals, directly interfere with the course of the disease, and if there is no clinical experience, even if the postdoctoral doctor follows the textbook, it will not be able to diagnose clearly.

Ake is in this situation now! There is a big move in the emergency department, the laboratory examination is not typical, and the trick is directly enlarged, anyway, I don't know if it is a disease in that department, so I will consult directly!

During the Spring Festival holiday, the big guys in the department are not on duty, unless the department is too small and the staff cannot be rotated. The emergency department called for consultation, and all the doctors who came! And for three days during the Spring Festival, the general department on duty is not an old doctor, who made you young and unqualified, stay up.

The respiratory department and general surgery department couldn't say anything about the disease after seeing it for a long time, and the physical examination found that there was a rash on the body, and the fever temperature was 40 degrees, but the pulse and blood pressure were normal. This made it difficult for a few young doctors to find out what kind of disease it was? I couldn't get any other tests for a while.

What should I do? Simple, expand the scope of consultation!~ Anyway, it's the Spring Festival, and being idle is also idle, we are so busy, and the doctors in your other departments can't be idle, come on, let's discuss together! In the time when there is no big guy, the young generation of the hospital gathers in the emergency department.

Not to mention the high-end medical care in Huaguo, but for the control of infectious diseases is quite powerful, some young doctors have only seen it in books, but the books are the most classic and typical cases, and those who have not seen real medical records in reality cannot be identified and diagnosed, and the diagnosis is not clear and cannot be treated. And this disease is very simple, but people are a complex, there are too many similar diseases, with the current level of medical care, many diseases cannot be diagnosed clearly, that is, a symptomatic treatment.

And why is this infectious disease strictly controlled?

Let's talk about the most virulent infectious disease, cholera! Class A infectious disease and plague are listed side by side, how dangerous is this disease, it is caused by a special bacteria, this bacterium is too powerful, ordinary bacteria enter the stomach, they are killed by stomach acid, and Vibrio cholerae is not afraid.

It goes directly into the intestines through the stomach, and then directly makes the intestines spasm, and directly makes the sick person have severe diarrhea and vomiting, how intense, very direct and direct, that is, the vomiting of the form of a squirt, like the spray of a goddess scattering flowers, and the vomit is still something in the intestines! Unlike ordinary vomiting, which is the contents of the stomach.

Diarrhea, severe diarrhea, direct uncontrollable severe diarrhea, exaggerated to say that this kind of patient is directly next to the bed with a bucket, used to vomit, and then there is a bucket under the buttocks! That's the bodily fluids inside the body!

In this way, you can't feel its power. Its power is very great, a cholera patient, how much can he be dehydrated in a day, and a person who weighs 200 catties can directly have diarrhea to less than 100 catties!

Is it scary, what is even more terrible is that there is no effective drug for this disease, simply put, even if you go to the hospital, it will only give you rehydration, a large amount of rapid rehydration, competition, see who is good in the end, and if you pull fast and make up slowly, then it will be hopeless. The rest is up to you, survive and count your fate! If you can't stand it, you will be cremated directly, and you won't even see the last side of your family!~

What's also terrible is that the disease is particularly transmissible, and once a case occurs in an area, the water source must be controlled first. Because this bacterium can quickly pollute water sources, it is spread through food and drink, and if it is not properly controlled, it is a large area when it is infected, and it is also a large area when it dies. That's the horror of infectious diseases!

Infectious disease department, a separate department, but medical knowledge is related, Zhang Fan has a habit, after entering the department, first the disease liver of this department, regardless of whether the system is opened or not, the liver must be repeated, this is a process of reviewing the old and learning the new, this kind of effort, he does not come out, God does not allow it!

The emergency department expanded the scope of consultation, and of course Zhang Fan had to go, and Zhang Fan was the latest to arrive at the farthest distance from the infectious disease department. The young doctors were talking about it, but none of them could diagnose it.

"Let's let go, let's take a look. "A new graduate student this year, I don't know whether to praise Zhang Fan or deliberately embarrass Zhang Fan, anyway, it's a little unnatural, envious and jealous!

The current Zhang Fan really won't bother with them, because he himself knows that it is not a level, and there is no point in caring about it. Not all doctors have this mentality, there are hundreds of people, all kinds of people, Zhang Fan has no time to pay attention to him.

"Brother Zhang, you can take a look! The respiratory department doesn't accept it, and the digestion department doesn't accept it, but this person has burned like this, and the emergency department can't do it. If it really doesn't work, I'll call the director!" Xiao Li, who was in the emergency room, took the medical record and hurriedly handed it to Zhang Fan.

Zhang Fan looked at the temperature, looked at the vital signs recorded by the nurse, and then pulled open Ake's clothes, one hand sideways the pulse, and the other hand opened Ake's clothes to look at Ake's chest.

In just thirty seconds, in just thirty seconds, Zhang Fan said to Xiao Li: "Report to the Health Bureau! This is an infectious disease!", which made other doctors involuntarily stay away from three steps in an instant!

"Really, don't talk nonsense, you didn't have any laboratory tests, you were diagnosed? It's going to involve hospitals. The graduate student just now felt that Zhang Fan ignored him and was a little unhappy.

Challenging other people's bottom line again and again, Zhang Fan turned his head to look at him, and threw the medical record on his chest, "Roseola! Relatively slow pulse! High fever! How did you graduate!"

"Let's do a fat test! blood culture! Send it directly to the infectious disease department!" Zhang Fan didn't say much, turned to Xiao Li in the emergency department and said.

"Okay, I'll go and prepare, Brother Zhang, will you report or will I report?"

"You're the first doctor, if you don't want to, I'll report it. ”

"Look at what you said, isn't this that I'm afraid of robbing you of your credit, I'm not like some people, I have to come, I'll go!"

"Dr. Zhang, that's amazing!"

"That's it, you can see it at a glance!"

Broken drums and 10,000 pounds. That's right, the graduate student just now was a little embarrassed to hold the medical records! Although it was just one sentence, the lethality was really not small! So many people, he regretted dying!

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