The length of the wound is not large.

Two stitches sutures.

Cao Xin successfully completed.

Although the stitching is not perfect, it is barely acceptable.

If this is an exam for Cao Xin.

Monday gave him a passing score of 60 in his mind.

For an intern with only one year of experience and no brutal emergency training, this is not a bad result.

Zhou Yi is still quite satisfied with Cao Xin.

After the stitches, all that remains is to bandage the patient's wound.

Zhou Ming and Su Quan have nothing to worry about, and they are no longer supervising on the side.

The two exited the inner room and came to the outer room of the disposal room.

"How's this newcomer?" asked Monday.

"Not bad, at least not a complete newbie. It may be that I have less clinical experience and am a little nervous. The strap should be able to get used to it quickly. ”

"Well, then this responsibility will be handed over to you. ”

"I, myself or an intern?"

Zhou Sheng patted Su Quan on the shoulder and said with a smile: "Don't be modest, I estimate that the interns in the Central Hospital are no better than you." ”

Monday is really true.

Su Quan is not very talented, but he works very hard. In addition, Monday gave him a lot of opportunities for clinical practice.

In the central hospital, there is really no intern who can compete with Su Quan in clinical practice.

"That's not necessarily ......" Su Quan originally wanted to say, among the interns, you are much better than me on Wednesday. But after thinking about it, this is not right, how can I still think that Zhou Zhou is an intern. He is now the leader of the fourth team of the emergency department, a resident doctor. It's not on the same level as myself for a long time.

"There are people outside the people, and there are mountains outside the mountains. It's better to keep a low profile. Su Quan said.

"Okay, you are still panting when you say that you are fat, you should not be this master. ”

"Can I not listen to what you say? Strive to make him a qualified emergency doctor within a month. ”

"That's a good attitude!"

The two finished talking.

Cao Xin had already finished treating the patient's wounds.

He helped the patient out of the room.

The anesthetic effect of lidocaine is still there, and the patient's expression is still quite relaxed at the moment.

Moreover, he is also quite satisfied with Cao Xin's stitches.

To be honest, even if it is two stitches, only professionals like Zhou Zhou Zhou and Su Quan can see the quality of stitch skills.

Ordinary people, especially this patient, he can't see anything famous.

His most intuitive feeling is that the stitches don't hurt much.

That is actually the effect of anesthesia, and it has nothing to do with Cao Xin's technique.

But it doesn't hurt, and the patient is already satisfied.

When Zhou Zhou saw the patient, he smiled: "How is it, the sewing is not bad." ”

"Mm-hmm, it doesn't hurt much. Sure enough, it is a big hospital, and the newcomers have good skills. ”

"Okay, Su Quan, you prescribe some anti-inflammatory drugs for him, and I'll take Cao Xin to continue to go around. ”

……

Cao Xin went to the disinfection room to take off his disposable gloves, washed his hands, and continued to follow Zhou Yi to "patrol".

The two walked and talked.

"How do you feel? I think you're a little nervous. Monday asked.

Cao Xin was a little embarrassed and said, "I'm not afraid of your jokes, the most I do outside my heart is to write cases." There aren't many opportunities to get started. ”

"It's fine. Slowly you get used to it. In recent days, you will not be given a booking room. You just run around a lot, and if you have nothing to do, you just follow the Su Quan just now, and you know him too. Let him guide you a little more. Don't look at him as an intern, he has a lot of clinical experience. ”

"It can be seen that Dr. Su is much better than me, and I must follow him and study hard. ”

"Tonight, I don't have anything to do. You follow me first. ”

"Okay!"

The emergency center says it's not big, but it's not small.

After getting acquainted with a few important places.

Sitting on Monday is started.

According to the previous explanation, Cao Xin moved a chair and sat next to Zhou Zhou to start studying......

Little by little, time passed.

Bai Mingming had just finished seeing a doctor in the clinic at the moment, he stretched his waist and looked at the wall clock on the wall, the time on it had reached 10 o'clock in the morning.

I was a little sleepy, yawned, and thought that I could get off work in 2 hours, and Bai Mingming's spirit was better.

At this moment, a young nurse ran in in a panic.

"Doctor Bai, Doctor Bai, no, there is a serious illness in the emergency room. ”

Bai Mingming was stunned in his heart, and he instinctively asked, "What about Team Leader Zhou and Team Leader Liu?"

The nurse replied that they all had patients.

There is no way, Bai Mingming can only go up.

He followed the nurse to the emergency room.

I saw a boy lying on the bed with a rather immature face.

Bai Mingming's heart immediately chuckled, this patient was only a teenager at most. How can you get a serious illness at such a young age.

When the nurse on the side saw Bai Mingming, she immediately briefed him on the patient's current condition.

The patient is a male, age 19 years. He complained of chest pain, chest tightness and discomfort after drinking half a glass of liquor at noon, and vomiting. Physical examination: heart rate 103 beats per minute, blood pressure mHg.

After figuring out the basic situation, Bai Mingming looked at the patient on the hospital bed.

At this time, the patient was lying on the hospital bed with weak breath, and his mental state was very poor.

For a while, Bai Mingming didn't know what the patient's chest pain was.

He had to start with an interview.

"Where exactly does the chest pain hurt?" Bai Mingming asked the patient.

"...... here," the boy said, touching the middle and lower part of his sternum.

"How much it hurts, can you bear it. ”

"It hurts, it feels like something is pressing on my chest......," the boy said, closing his eyes in pain.

After a brief inquiry, countless clues converged in his mind.

He began to look for the cause.

It had an attack after drinking at noon, and it had been at least 10 hours or so now, and the oppressive chest pain lasted so long. There is a high probability that there will be organic problems.

Bai Mingming began to think about various possible illnesses in his mind.

Aortic dissection.

A symptom flashed through Bai Mingming's mind.

Chest pain accompanied by increased blood pressure and vomiting is the first step to rule out aortic dissection.

In this disease, the blood in the aortic lumen enters the aortic media from the aortic intimal tear, causing the mediata to separate and expand along the long axis of the aorta to form a true and false lumen separation state of the aortic wall.

If the attack is acute, there is a more than 50% chance that the patient will die of cardiac tamponade, arrhythmia, etc. It can be said to be a very serious condition in clinical practice.

However, on closer analysis, the probability that the boy has an aortic dissection does not seem to be very large.

Because the peak age of the disease is after the age of 50.

Moreover, the pain of this disease is mostly tear-like and knife-like.

Bai Mingming thought about it for a while, and in his heart, he removed the aortic dissection.

That's what it is like to see a doctor in the emergency room.

There are often some serious and acute cases.

It's not like you can tell what the disease is.

But there is one principle that every emergency physician knows.

That is, we must first analyze the diseases that pose the greatest threat to the lives of patients.

Aortic dissection is unlikely.

Soon, a second symptom popped up in Bai Mingming's mind.

Viral myocarditis.

……