Chapter 4: A Girl Who Committed Suicide
1
Today happened to be Director Jiang's 24-hour duty, and the morning was very leisurely, nothing happened, and in the afternoon, Director Jiang and Liang Bo continued to chat about the strange incidents encountered in the emergency duty room.
At around 3 o'clock, I suddenly heard someone shouting, "Doctor, save my daughter!"
Director Jiang and Liang Bo hurriedly ran out of the duty room, only to see a middle-aged man running in with a 16 or 17-year-old girl, the girl's face was pale, followed by a middle-aged woman with a hurried look, she pressed the girl's wrist, the girl's arm was already bleeding everywhere, the relationship between these three should be a family of three - father, mother and daughter.
Director Jiang hurriedly guided the middle-aged man to put the patient in the emergency room, and then pressurized and bandaged the girl's wrist bleeding area, and at the same time provided oxygen. Liang Bo and the nurse pushed the ECG monitor and opened the intravenous access in time, and Director Jiang asked while checking the girl's wrist, "What's the situation?"
"That's it. It was my daughter who didn't come out of the bathroom in the afternoon, and then went in to take a look, and there was a lot of blood left on her wrist, and then we rushed to the hospital. β
"Probably a long time ago. β
"In about 20 minutes, my family lives not far away. β
"What's it called?" asked Director Jiang.
"Li Guoguang. The middle-aged man replied without thinking.
"I asked what the child's name was?" Director Jiang asked hurriedly, leaving the middle-aged man behind.
"Oh, I'm sorry. Li Guoguang realized that he would be wrong, and hurriedly replied, "Shanshan... Li Shanshan. β
Director Jiang saw that the child's face was pale, and he should have lost a little too much blood, and asked again, "What blood type?"
βAγγγ Type... Right?" Li Guoguang replied hesitantly, unsure.
"Blood type B. The mother of the girl, who had already been frightened and sat on the ground, replied in a weak but firm voice.
"Is it type A or type B?" Director Jiang asked solemnly, "This is not child's play, your daughter will be very dangerous if you transfuse the wrong blood type." β
Dr. Jiang's seriousness made Shanshan's parents realize the seriousness of the matter, and Shanshan's mother stood up and immediately decided: "Blood type B, doctor, he doesn't know what blood type the child is, only that he knows that he has blood type A." β
Li Guoguang looked at the child's mother, and said a little embarrassed: "I really don't know what the child is." β
"Quick! Notify the blood bank to prepare 800CC of blood type B," Director Jiang ignored their explanation and ordered Liang Bo.
Liang Bo immediately passed the word to the nurse Xiaoqi who was one meter away: "Hurry up and notify the blood bank to prepare 800cc of type B blood and prepare for blood transfusion." β
Xiao Qi didn't hesitate for a moment, and ran to the blood bank. As soon as Liang Bo's words fell, the girl suddenly breathed rapidly and became confused.
"Sanshanγγγ "The patient's family calls the patient's name.
"Shanshan, Shanshan!" Director Jiang tried to wake up the patient, but to no avail.
"Doctor, what's going on? Didn't you just do well?" asked the patient's family member pulling Director Jiang's sleeve.
Seeing this, Liang Bo took the hands of the patient's family members away from Director Jiang, and said on behalf of Director Jiang: "Please calm down, Teacher Jiang is still rescuing patients, and you have affected the doctors in rescuing patients." β
Ignoring the patient's family, Director Jiang quickly examined the body and examined the wrist wound.
"Prepare for endotracheal intubation. Director Jiang commanded calmly. The nurse next to her immediately prepared the endotracheal intubation kit and laryngoscope.
"Will it be intubated?" Director Jiang asked Liang Bo.
Unexpectedly, Director Jiang let himself perform tracheal intubation on the first day, Liang Bo was stunned on the side, and then hurriedly said, "Yes. . . β
"Okay, then you can come. Director Jiang replied cleanly.
On the first day, Liang Boluo was a little nervous about rescuing patients. However, tracheal intubation is already very familiar with it when I take the medical exam, and I have done it several times in this professional department. Liang Bo confidently held the tracheal tube on the surface, but he was still a little weak in his heart, after all, there was still little to rescue the patient in this way.
At the moment of crisis, there was no time to delay, and Liang Bo was not allowed to think anything, Liang Bo immediately half-squatted at the head of the bed, raised Shanshan's jaw with his right hand, and slowly entered the oral cavity from the corner of the mouth with his left hand with a laryngoscope, and gradually pushed forward, provoking the epiglottis after revealing the epiglottis, revealing the glottis, and then inserting the tracheal intubation tube into the trachea along the right corner of the mouth, and finally putting the dental pad, fixing, and connecting the ventilator, all the process was completed in one go, and Liang Bo breathed a sigh of relief.
2
After a series of emergency measures, the girl slowly regained consciousness, opened her eyes, looked at the person next to her, and closed her eyes again.
"Shanshan, can you hear me?" Director Jiang patted the girl, "I can hear and blink." β
Seeing the girl blink a few times, Director Jiang and Liang Bo realized that there was nothing wrong, and the stone hanging in their hearts finally fell.
Director Jiang looked at the ECG monitor in the normal range, and said, "It's okay, let the patient rest for a while." β
After speaking, he asked the nurse to adjust the injection drip to the regular number of times.
The mother of the girl next to her was shocked, she didn't dare to make a sound when she rescued her, squatted next to her, and after Director Jiang finished saying that it was okay, she muttered to herself: "It's okay, it's okay!"
The girl's father picked up his wife, who had been squatting, and said, "It's okay." β
Director Fan explained the situation to the family and arranged Shanshan to the emergency care unit, and then went back to the doctor's duty room with Liang Bo.
3
After some rescue, Liang Bo was a little tired, maybe he was nervous, but thinking that the teacher had given him a chance to get started in time, he thanked him: "Teacher Jiang, thank you for your trust just now." β
Director Jiang was puzzled and didn't understand what Liang Bo meant. Liang Bo saw Director Jiang's doubts, so he explained: "Just now you directly asked me to be intubated. β
"Oh. Director Jiang suddenly realized, "I naturally believe in Lao Fan's students. β
"Yes, you didn't disappoint me, many doctors in regular training will be frightened when they encounter rescuing patients on the first day they come to the emergency room. Although endotracheal intubation is simple, there are many people who dare not do it. Director Jiang did not hesitate to praise, "You did a beautiful job, and you didn't embarrass Lao Fan." β
After speaking, he patted Liang Bo on the shoulder to show encouragement, and Liang Bo laughed, being praised for being happy and blushing a little.
The rescue process may have been too tense, Liang Bo's exhaustion has not subsided, but Director Jiang is still drinking tea energetically. Liang Bo couldn't help asking, "Director Jiang, your physical strength is really good! After that toss just now, I'm a little tired, and I don't feel like I've done anything." And you look the same as before, the same spirits!"
"Hey, hey... What is this!" Director Jiang said disapprehantly, "In the emergency department, it is all about physical strength, I once encountered a major car accident, and I rescued patients all day in a row, without stopping, let alone drinking saliva, and I didn't even have time to go to the toilet." β
"Ah!" Liang Bo frowned and said in surprise, "I have experienced 5.6 hours of continuous rotation in the operating room, but I have been in the state of emergency rescue just now, and I really haven't encountered it." β
"In the emergency room, the environment is noisy and noisy every day, and we doctors need to block out these noisy sounds, always maintain inner peace, and quickly find the cause of the disease. Director Jiang earnestly taught, "You think that our department, with hundreds or even thousands of patients receiving patients every month, comes to the emergency department either urgently or critically ill patients, and may experience several thrilling scenes every day, and it is all about mentality and physical strength!"
"Our emergency department can be said to read countless people, and all kinds of diseases are complex, which challenges the quality of a doctor. Director Jiang said in a soft tone, "Many specialties will look down on our emergency department, thinking that emergency departments do some simple things, and the professionalism is not strong, but which department can contact so many diseases, our basic knowledge is the most solid!"
Director Jiang's remarks explained all of Liang Bo's previous prejudices against emergency medicine. Liang Bo blushed for his short-sightedness: "Hehe... Emergency medicine does require a high level of psychological quality, and it also exercises our physical strength, and I need to study hard. β