"You... Are you tired or not, do you want to change me, you take a break, and there may be patients sent over later. At that time, some of the more difficult wounds will need you to deal with them. Pearson suddenly realized that she didn't know the name of the young doctor in front of her.

The last patient, Yi Sheng, has been treated for an hour, and the patient's condition is very mild, but the wounds on his body are scattered, which consumes Yi Sheng a lot of time.

Hearing the words of the female resident Pearson, Yi Sheng looked up at the time, it was early in the morning, but Yi Sheng was not sleepy at all, as in the past, when he was reviewing at school, Yi Sheng had already climbed into bed and fell asleep, and sure enough, when people were doing what they were interested in, time would pass very quickly.

"Patients with minor injuries at this point in time are usually sent to a nearby community health centre, where GPs are not as skilled as specialists, but basic skills such as debridement and suturing can be handled. Yi Sheng said.

After another ten minutes, Yi Sheng finally finished the debridement and suture treatment of the last patient, Yi Sheng straightened up and moved his cervical spine, and the long-term bowed suture made Yi Sheng's cervical spine stiff a lot, and as Yi Sheng kept shaking, there was a "click" sound.

"Avoid getting wet at the sutures, come to the hospital or a nearby clinic every other day to change the dressing, and come to the nurse after seven days to remove the stitches. Yi Sheng took off his latex gloves and admonished.

"Thank you, doctor, thank you. The patient stood up and walked slowly into the observation room, where patients who have experienced such a dangerous accident are usually observed for a period of time before being allowed to go home. It takes a certain amount of time for the disease to react, and many patients are often not detected by various examinations because they are in the incubation period of a certain disease when they visit the clinic, and when the patient is not in the hospital when the disease occurs, it often leads to very serious consequences.

Yi Sheng turned his head to the female resident Pearson and asked, "Senior sister, will you get an injection?"

"Senior sister?" the female Pearson widened her eyes and wondered, this year, Pearson is already the lowest in the hospital now, is she so old?!

"I'm an intern, what's wrong with calling you Senior Sister?" Yi Sheng said as a matter of course.

"Intern?!" The female resident Pearson suddenly felt that her head was a little insufficient, and an intern was allowed to perform debridement and sutures independently?

I pity myself for a year and a half since I came to the attached hospital, and my daily work is in a cycle of asking for medical history, contacting family members and delivering test sheets.

"Why is it that you, an intern, are allowed to perform debridement and sutures independently, and I have been a resident trainee for almost two years and can only get dressed?"

"Maybe I'm lucky. Yi Sheng took off his mask, looked back and smiled, revealing two tiger teeth.

The beauty plan is not a girl's patent, as soon as Yi Sheng's prosperous beauty was revealed, the female Pearson suddenly felt like a deer in her heart, and she couldn't even say what she was going to continue complaining about, the female Pearson lowered her head, her face was red, and she said in a low voice: "I'll go prepare for the vaccine." ”

The work at hand came to an end, Yi Sheng also felt a little tired, bought a bottle of water at the vending machine, and Yi Sheng came to the emergency department duty room to lie on the comfortable bed prepared for the doctor on duty.

Now the doctors in the emergency department are going to rescue the seriously ill people who have been lifted out of the rubble, and there will be patients who need debridement and suturing on this not very quiet night, so Yi Sheng has no intention of sleeping, and opens the little medical fairy system to kill time.

Now Yi Sheng has acquired the following knowledge from the Xiaoyixian system: medical history inquiry, expert-level basic butt suture method, basic nephrology knowledge and subdural hematoma removal, and elite-level manual hemostasis. In comparison, I am not much different from the average intern.

"Little gourd, why don't there be internal medicine-related skills in the turntable when I draw the lottery in the afternoon?" Yi Sheng suddenly asked.

"Think for yourself!" said the little gourd angrily.

Xiao Hulu is now full of complaints, even if it is a janitor, he has human rights, is it okay!

"If I can figure it out, what else do I want from you?" Yi Sheng asked rhetorically. The dog's legs should have the appearance of a dog's legs, and in the Qing Dynasty, this attitude was ironclad to dip in the pig cage.

"Then let me ask you, what is the most critical part of internal medicine diagnosis?" asked Xiao Hulu dozing off.

"Differential diagnosis, of course. After speaking, Yi Sheng was stunned for a moment, and then reacted and said: "You mean that because internal medicine diseases may have similar clinical manifestations of multiple diseases, if you want to clearly diagnose a disease, you must grasp its similar diseases in order to accurately draw the final conclusion, right?"

"It's not too stupid. The little gourd said listlessly: "If there is nothing urgent, don't come to disturb me, the old man's sleep time must be guaranteed,"

"Wait a minute," Yi Sheng asked, pointing to the icon with "Task" written at the bottom of each discipline folder on the screen, "What is this?"

"Do your own research, remember that it doesn't matter if you don't come to me, as the inheritor of traditional Chinese virtues, please respect the elderly!"

Yi Sheng opened the "mission icon", and what came into view was an ancient piece of parchment, on which Yi Sheng's name, gender, age, and skills mastered were written in ink, and there was a credit score, minus 6 points (5 days and 15 hours).

There are two boxes below Yi Sheng's information: Received Tasks, Missed Tasks.

Among the completed missions, there is only one main quest: "Neurosurgery" (1/118).

Mission: Neurosurgery (1/118)

Contents: Proficient in "epidural hematoma removal", and completed "epidural hematoma removal" 5 times.

Bonus: Start the secondary neurosurgical procedure "Subdural hematoma removal".

"It seems that the task of "neurosurgery" still has a long way to go. Yi Sheng clicked on the missed tasks again, and all the missed tasks were some circular tasks.

Task: Debridement and suture.

Contents: 10 debridement sutures completed independently.

Award: 2 credits.

Task: History-taking

Contents: Independently ask the patient's medical history 10 times and complete the medical record writing 10 times independently.

Award: 2 credits.

Yi Sheng clicked to accept the task, and the two side quests appeared in the received quests, Yi Sheng looked at it and wanted to scold his mother, why didn't the damn little gourd tell himself that he had a side quest earlier, so that the number of times he asked about his previous medical history and debridement and sutures were not counted.

"Something's wrong!" said hurriedly as the door to the duty room opened, and the instrument nurse in the disposal room pushed the door in.

"What's the situation?" Yi Sheng hurriedly came back to his senses, sat up, grabbed the white coat that was placed aside, and asked.

"The patient who tore the tiger's mouth just now suddenly became dizzy and nauseous," the instrument nurse said sweating profusely, "You hurry up and take a look." ”

Yi Sheng hurried to the observation room, the female resident Pearson was holding a flashlight to check the patient's pupils, and when she turned around and saw that it was Yi Sheng coming in, she quickly stood up and handed the film to Yi Sheng and said: "The patient is dizzy, nauseous, restless, I just measured his blood pressure 187/116, checked it and found that the patient's light reflex was normal, GCS score was 7 points, and the temporal and occipital regions were slightly fractured, I pushed the patient to the imaging room, and the CT results showed a fusiform hyperdensity of the right temporal occipital region, and an epidural hematoma was suspected." ”

Yi Sheng glanced up at the time and said, "It has been less than three hours since the accident occurred, and it should be an acute epidural hematoma." ”

"I just went to the operating room, and all the teachers in the department were on the operating table, and I couldn't get out at all. The female resident Pearson said anxiously.

Yi Sheng picked up the CT scan and took a look, the patient's right temporal occipital fusiform high-density shadow, the hematoma compressed the brain midline structure to the left displacement of 8mm, the mass effect is obvious, and the adjacent brain tissue and ventricular system are compressed.

Yi Sheng took out a flashlight and shone it on the patient's pupils, and found that the pupils were dilated, and Yi Sheng said in a deep voice: "Notify the patient's family in the operating room to prepare for surgery." ”

The female resident Pearson hurriedly stopped the instrument nurse, pulled Yi Sheng out of the door and said: "The teachers in the emergency department and the outside are all operating, and now they can only infuse mannitol intravenously to temporarily reduce the patient's intracranial pressure, and wait for the teacher to come." ”

"It's too late, the patient's pupils may be dilated, and the acute epidural hematoma is likely to cause intracranial hemorrhage, and we have no way to ensure the patient's life safety for a long time. Yi Sheng explained.

"Will you do it?" the female resident Pearson was stunned, and then she shook her head and refused: "This won't work, even if you can do surgery, but the two of us don't have a doctor's qualification certificate, and it is not in accordance with the regulations for us to make decisions without the permission of the superior doctor." ”

"The patient's situation is here, if we wait for the teachers to come out, it will undoubtedly push the patient to the abyss of death," Yi Sheng looked at the heroine Pearson, "If you choose to watch this person die in front of you for your own future, it's up to you." ”

Yi Sheng turned to the door and said to the instrument nurse, "Notify the anesthesiology department to prepare for surgery." Anything goes wrong, I'm responsible!"