"Aspirin and clopidogrel have been taken!" The pre-hospital emergency attendant was helping the cart while talking a series of things, and I think he was explaining his condition to the emergency department doctor, "Here's the ecg report from five minutes ago!" Immediately afterwards, he took out an electrocardiogram report and handed it to the attending doctor.

"OK!" replied the attending doctor succinctly.

I quickly followed, and before I could tiptoe up to glance at the ST segment of the chain, the ST segment of the lead was significantly raised, "AMI?" I asked Steve, who was running along.

Steve looked at me with a puzzled expression.

"Acute myocardial infarction." I thought he didn't hear what I was saying, so I watched him repeat it again.

"Extensive anterior MI most possibly." The doctor at the front suddenly looked back at me and said something to me.

Happiness came so suddenly that I didn't even react, and I forgot to pick up his words, but I just looked at the back in front of me, and it was not an exaggeration to say that my mind was blank for two seconds.

I had never found a presence in this hospital before. The city hospital is the largest, most numerous and most complex medical institution in Dublin. Its busyness is not inferior to that of any tertiary hospital in China, but the direction of their busyness is very different.

Due to the imperfection of the medical system and the lack of implementation of the two-way referral system, many patients have minor diseases, family doctors or community hospitals can solve the problem or have the ability to do a good job in the initial differential diagnosis and routine treatment of the disease.

There are even some people who are unwilling to pay out of pocket for routine physical examinations, and pretend to be unwell, just to meet the indications for hospitalization, and use medical insurance or commercial insurance to reimburse related expenses. Doctors and nurses in domestic hospitals are so busy that they don't have time to drink water and eat, let alone go to the toilet, they keep working desperately in the wards and outpatient clinics, seeing endless patients, writing endless course of illness, changing endless rehydration, prescribing endless checklists, constantly making all kinds of informs and explanations with patients, and being asked for all kinds of unreasonable requirements.

Domestic medical staff have no time to do scientific research, but are constrained by the quantity and quality of papers for title promotion, so the gunman industry came into being, which is hot, and academic fraud emerges in an endless stream. The relationship between doctors and patients is becoming more and more distrustful, and everyone's busyness and desperateness are particularly helpless to exacerbate the speed of the vicious circle.

The doctors and nurses here are all doing their duty in their own positions and are truly patient-centered. Because of the trust of doctors and patients, even if they do not trust, there are reasonable and legal ways to complain and even judicial channels, because professional hospital management talents do not need to worry about professional and technical personnel in the operation of hospitals, because of sufficient human resources, medical staff have ample time to focus on one or several patients, and have time for treatment, nursing and even scientific research.

In Dublin, I saw and felt the difference and difference that Dr. Van spoke of. This huge difference due to the national conditions and social structure made me unable to find any confidence and pride in the city hospital. Maybe the aura is mutual, and when I can't see myself, no one cares about you.

Here, I learn from them every day, and they are generous and unreserved about what they can show me, and at the same time they don't seem to take me seriously, and they are polite and rusty. Until just a moment, just because of the emergency doctor's accompaniment, he felt cared for and respected, and the confident and proud Wen Tong seemed to be awakened in an instant.

“hat's your name?” The flat cart was pushed to grab 3 beds, and four people worked together to quickly move the patient to the bed, and the pre-hospital emergency doctor signed and left, and the doctor who received me seemed to be full of curiosity and immediately asked me what my name was.

"en tong......" I was overjoyed again, as soon as I announced my name, the nurse hurriedly operated on the patient, and the doctor was immediately diverted, and before he seemed to hear my answer, he turned to look at the information that popped up on the ECG monitor.

"Myocardial injury markers detection, and call the cardiologist." The attending doctor quickly gave medical orders and instructions, and then conducted inquiries and physical examinations, and there was no time to worry about me on the sidelines.

The medical staff around the patient were busy, Steve and I consciously stepped back a bit, and the cardiologist quickly came down and quickly reviewed the patient's ECG and blood report.

Even I, a person who studies nursing, know what the diagnostic criteria for acute myocardial infarction are, not to mention these doctors, patient complaints, electrocardiogram and cardiac enzyme spectrum results have said everything, now time is life, the next step is nothing more than thrombolysis and interventional surgery, no matter which plan it is, it must be decided quickly.

“here is the patient's family?” Sure enough, the cardiologist turned around and began to ask where the patient's family was.

I don't think I came with the car...... Steve and I looked at each other, shrugged, and shook our heads.

“Haven't arrived yet!” The nurse at the triage desk signaled to us that the family had not yet arrived at the hospital.

At this time, the patient's ECG monitoring began to alarm, making a "didi" screeching sound, and everyone's eyes were quickly attracted to the past, and it was found that the patient had obvious irritability, the heart rate on the ECG increased, and the premature beats were frequent, which all marked the extremely unstable vital signs of the middle-aged man, suggesting that the patient's unstable hemodynamic state was in danger anytime and anywhere.

“Push him to the DSA no!” The cardiologist quickly took a look at the patient, and without waiting for the patient's family to arrive at the hospital, he immediately signaled the nurse to open the green channel and immediately transport the patient to the interventional operating room, preparing to perform emergency percutaneous coronary intervention for the patient, so as to understand the patient's heart and blood vessels, open the occluded blood vessels, and save the patient's life.

The nurse and nursing staff were assigned, immediately connected the automatic external defibrillation equipment for the patient, quickly carried the patient to the flat cart, installed the oxygen device, and then pushed the cart away. No one cared about me and Steve, and the two of us followed and hurried to the operating room.

The People's Hospital of City B also has its own chest pain center and green channel, with a "CPC" sign hanging on the wall, and a striking LED reminder sign at the entrance of the hospital, from the emergency department to the operating room is planned to save a most time-saving road, through the special elevator for surgery, directly to the operating room, and the road surface along the way is plastered with eye-catching red arrows, which marks the "green channel of the chest pain center".

I think chest pain centres and green channels are so similar all over the world, Dublin and China are no exception. However, the superficial similarity does not mean that the core is the same, at least no Chinese doctor dares to choose to operate on the patient without the informed consent of the patient's family. Again, but it may be very rare, anyway, I haven't encountered it, Wen Hongwei shouldn't do it easily, and I don't encourage Luo Shaoqian to do it.

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