Chapter IX: Emergency Duty
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1
On the last day of the National Day holiday, Liang Bo was on a 24-hour shift. Liang Bo's three night shifts were all arranged to work with Director Jiang, and it was the same today.
Just finished the shift, Liang Bo was discussing with Director Jiang whether he would be busy after the long holiday today. As soon as the words fell, the sound of an ambulance was heard, and Director Liang Bo and Director Jiang immediately got up to pick up the patient.
The ambulance brought a middle-aged man, and the doctor described the patient as a fatigued driver on the highway last night and hit a highway guardrail in the morning, resulting in a serious head injury. When the ambulance arrived, the patient was conscious and now unconscious. Director Jiang did a simple examination of the patient and found that his pupils were dilated, and Director Jiang said to the nurse who came with him: "The initial suspicion is that it is intracranial hemorrhage, let's go take a film first." ”
Liang Bo and Director Jiang carried the patient to the emergency room on a stretcher, and immediately contacted the CT room to open a green channel to conduct a CT examination of the patient's brain to see if there was bleeding in the skull.
After Liang Bo contacted the CT room, he immediately pushed the patient to the CT room, but fortunately, during the National Day holiday, it was morning, and there were not many people in the CT room, so even if he did a CT examination. The results of the examination showed that there was a hemorrhage in the skull, and Liang Bo immediately called Director Jiang and suggested that the brain surgeon come for consultation. After that, the patient was immediately pushed back to the emergency room, and at this time, Director Yan of the Department of Brain Surgery had already arrived in the emergency room.
Liang Bo was sweating profusely, quickly pushed the patient to the bed in the emergency room, handed the examination results to Director Yan, and said breathlessly: "There is a bleeding point in the skull, and the patient is still unconscious. ”
Director Yan got the inspection report, read it several times, and confirmed: "Lao Jiang, his condition needs immediate surgery." ”
"Okay, then let's go and get ready now. Director Jiang said, "However, the patient's family has not yet come, and the preoperative signature will definitely not be signed." ”
"Then how long will it take for the family to arrive?" Director Yan immediately decided. "I really can't catch up, and in this case, I can't wait for the patient's family to come, so I can only sign it after I come. ”
"Well, that's all there is to it. Director Jiang did not hesitate, and added, "I asked the nurse to contact the patient's family again." ”
2
As soon as the words ended, the sound of an ambulance was heard again. Before he could catch his breath, Liang Bo ran to the outpatient hall to receive a consultation, and what came out was a big man with gauze on his head and blood everywhere on his body and hands, and he was still holding a 7.8-year-old boy in his arms, and the little boy had been crying.
There was also a man dressed neatly dressed in the car, and before the doctor could speak, the big man wrapped in gauze shouted, "Doctor, save my son." ”
"What's the situation?" asked Liang Bo as he got out of the car.
"The car crashed into the motorcycle, and the little child was thrown out. The child had a dislocated arm, normal blood pressure, and was able to breathe on his own, and the adult had a traumatic head injury, and only a simple bandaging was done. ”
"Dislocated?" Liang Bo asked in surprise, "You put the child down first, lie down, and I can do a check-up." ”
After the child was put down by his father, he became more and more troubled because of fear. Liang Bo did a simple physical examination of the child, and found that there was a little abrasion on the knee and some broken arms.
According to common sense, the more trouble you make in the emergency department, the general problem is not very big, at least the head problem should not be big, but you are afraid that it will be more dangerous if you don't make trouble. The child is making such a big fuss, it shouldn't be a big deal.
Liang Bo muttered in a low voice: "There are not many external injuries, how can there be so much blood?"
"No, doctor, the blood is mine. When Liang Bozheng was wondering, the child's father replied.
Before Liang Bo could react, Director Jiang's voice was heard not far away: "What's the situation?"
"Oh, Mr. Jiang, this patient was in a car accident, and I just had a brief examination of the child, and I haven't seen any problems so far, but this gentleman is bleeding a lot, and I haven't had time to do the examination yet. Liang Bo replied.
The child's father was eager to save his son, and he was focused on the child, but he didn't care about his own situation: "I'm fine, I'm very sober now, the main thing is to see my son." ”
Director Jiang hurriedly examined the child and said, "Now the main problem of the child is the fracture, and I will take a CT scan to investigate the specific bone injury in detail, and the brain and abdomen will also be examined." ”
"What's the problem in your head?" Director Jiang finished speaking, and then removed the gauze on the big man's head, "Why is it still bleeding?" ”
"Don't squat here, lie down in the observation room and I'll check it. Director Jiang hurriedly said, "The child will be taken to the observation room and given him bones first." ”
Liang Bo beckoned the nurse to bring a stretcher to fix the broken child who had been screaming in pain, and the middle-aged man who was dressed cleanly next to him saw that the child who had been making noise affected the treatment, so he and Liang Bo came together to help grab the child's feet and arms kicking everywhere.
"Who is this?" asked Director Jiang curiously.
"The driver who caused the accident. Dahan said angrily.
The driver who caused the accident smiled bitterly at Director Jiang, and Director Jiang helped the child's father up, and suddenly the child's father vomited.
When Liang Bo and Director Jiang saw this symptom, they both shivered in their hearts, and their intuition told Director Jiang that this patient was likely to have an epidural hematoma caused by a car accident, and asked nervously, "Are you okay?"
"Yes!" As soon as he finished speaking, Dahan's state was obviously not as tough as he was a second ago, and his state was getting worse and worse by second.
"Teacher, it seems that the situation is not right. Liang Bo looked at Director Jiang with strange eyes.
"It may be an epidural hematoma," Director Jiang beckoned the nurse to help, "Hurry up and add another stretcher and send it to the rescue room, no, directly to the CT room." ”
Seeing this, Liang Bo also quickened his pace, and said loudly to the driver next to him: "Hurry, let's go quickly!"
"Hurry up and call the CT room to open the green channel. Director Jiang instructed the nurse next to him.
At this time, the big man lying on the stretcher changed every minute, and the CT results also confirmed Director Jiang's guess that it was indeed an epidural hematoma.
When the patient was pushed to the emergency room, his consciousness was already a little blurred, and Director Jiang immediately intubated the patient, and at the same time shouted to Director Yan not far away: "Old Yan, quickly, this may be an epidural hematoma, and the person is still fine just now." ”
Seeing this, Director Yan hurriedly ran to take a look, and after doing a simple examination, he asked with a solemn face, "Is the family here?"
"Not yet. Director Jiang shook his head.
"That's no way, he doesn't have time to wait in this situation, quickly notify the other doctors outside the brain to come over, this patient will be operated on first, and the patient will wait for other people outside the brain to come over and then go to the operation. ”
Director Yan pushed the bed and said, "By the way, the operation is urgent, I need your emergency assistant." ”
"I'll go, I've been in brain surgery for 3 months. Dr. Liu Mingtao, who was not far away, heard the news and ran over.
"Good. Director Jiang was in a hurry, and ordered, "That Xiao Liu, then you and Director Yan come to the stage together, I still have the patient with intracranial hemorrhage to deal with, and these two family members have not yet arrived." ”
"Yes. After Liu Mingtao finished speaking, he pushed the patient away with Director Yan.
3
Fracture is the most common orthopedic pathology, and bone reduction is the most basic treatment. But Liang Bo had not been in contact with orthopedic work before, and at this time, in the face of the child who had been crying, Liang Bo felt helpless, and could only comforted weakly on the side.
The driver next to him was frightened by the sudden deterioration of Dahan's condition just now, he was a little stunned, stunned, and still had not recovered his senses.
Director Jiang urged: "Xiaoqi, make another call to the outside of your brain and tell them to come over quickly." ”
Director Jiang also reminded: "I also try to inform the families of these two patients. ”
The silence of the emergency room was broken by crying children, busy doctors, rushing nurses, and patients in pain. Of course, this is the daily routine of the emergency room, and the hustle and bustle never stops.
Director Jiang walked towards the child, and when he saw that the child was still crying, he said to Liang Bo and the driver who caused the accident: "You two press the child's head and feet and tell him not to move." ”
"Uh-huh... Liang Bo hurriedly replied.
Liang Bo pressed the child's head, the driver pressed his foot, and before the child could stop completely, Director Jiang grabbed the child's hand, pushed backwards, accompanied by the child's scream, and in less than a minute, the child's arm was reset.
At this time, Dr. Zhang also came down, because it was still during the holiday, and the brain surgery was in short supply, Director Jiang explained to Liang Bo that he wanted to put a plasterboard on the child, and instructed to see if the child's mother could be contacted, and then came into the operating room with Dr. Zhang.
Now in the emergency surgery, only Liang Bo is left alone to control the panicked situation, and the child is plasterboarded, and the child is slowly calmed down due to the reduction of the pain of bone realignment. Liang Bo asked in a child's tone while putting on a plaster cast, "Little friend, what's your name?"
The child's eyes were still in the corners of his eyes, and he replied, "My name is Haohao." ”
"Oh, Haohao... Do you know your mother's name?"
"Yes. Mother's name is Li Meixue. ”
"Oh, Hao Hao is so good, then do you know Mom's phone number?" Liang Bo said, "Because Hao Hao and Dad are both in the hospital, you need to notify Mom to come to the hospital to take care of Hao Hao." ”
"Well, Mom's phone number is 13679021371. ”
Liang Bo quickly wrote down the phone number, and immediately told the nurse the number, asked the nurse to contact the family, and continued to perform the plaster cast......
In the emergency hall, all kinds of people came and went, and Liang Bo was busy with the work at hand and did not stop.
Two hours of emergency rescue and pacification work, so that Liang Bo was physically and mentally exhausted, the 24-hour duty has just begun, and he is already a little tired and paralyzed in the ward, Liang Bo finally knows what the emergency work is. Thinking of how easy it was for me to swear a few days ago that I was on duty 24 hours a day and resting for two days, how ridiculous it was now! No wonder Director Jiang only laughed at his remarks at that time.
From 14 to 15 o'clock in the afternoon, patients with epidural hematoma and patients with intracranial hemorrhage were operated on one after another, and were immediately pushed to the emergency ICU.
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