Chapter 3: Life at Your Fingertips
When Qin Chuan came to the door of the hospital, there was a sudden sound of a horn behind him.
Qin Chuan looked back and saw that it was Wu Xiaoming sitting in the car. Wu Xiaoming is a doctor who is transferred to the emergency department in rotation from surgery, so he naturally has much more money than Qin Chuan, a newcomer who has just started work. It is said that he bought a house in the best community in Tanshan City, and he drove an imported car with a circle of circles.
I don't know what's going on, Qin Chuan always feels that this Wu Xiaoming is always like he can't get by, and he doesn't know which tendon is wrong with this person.
Qin Chuan smiled and continued to walk forward.
Wu Xiaoming sat in the car and smiled contemptuously at Qin Chuan. Then drive your car towards the parking lot. The doctors of the hospital have a dedicated parking space in the parking lot.
Qin Chuan went to the locker room to change into a white coat and habitually hung the stethoscope around his neck. In the hospital, most of the doctors who wear a stethoscope around their necks are emergency doctors, because there are only emergency doctors, and they have to race against death at any time, and they can't afford to delay for half a minute. Naturally, doctors in other specialist clinics would not be in such a hurry.
"Qin Chuan, are you here?" He Xuedong, who had not yet handed over the shift, greeted Qin Chuan very warmly. Don't look at He Xuedong's horizontal flesh, the pores are very thick, and there are two big moles, there are one or two thick and long hairs on the moles, and the two big eyes are like two big lanterns. The people are very welcoming. also takes care of the newcomer Qin Chuan.
"Dr. He, how was it last night?" Qin Chuan asked.
"It's fine. There were a few fever patients who came last night, and after the fever subsided, there was no major problem. I was discharged from the hospital in the morning. It's kind of good. He Xuedong said.
"That's no problem, you hurry up and go back to rest well." Qin Chuan said.
"Hey." He Xuedong responded.
Wu Xiaoming walked in and glanced at Qin Chuan with contempt. Sit down at your desk and turn on your computer.
Qin Chuan glanced at Wu Xiaoming and didn't bother to pay attention to him. I turned on the computer and looked at the electronic medical records in the emergency department. The emergency department beds are full, and there are temporary beds in the corridors and halls. Of course, we have to add a few three "no-three" patients and a nail household in the emergency department.
The "three nos" means "those who can't be cured, those who can't get better, and they can't go home", which is a problem that has existed in the emergency department for many years. If you want to say that you are not sick, people do have diseases, but they are all diseases that cannot be cured. The specialist refused to accept the patient, and the patient's family did not want the patient to be discharged. It just stopped in the emergency department. The emergency department was once a life-saving place, but now it's a hotel for these people. Several valuable beds in the emergency department have been occupied.
That's not excessive. The most excessive is the nail household. As soon as he came here, Qin Chuan had heard of him. Yao Sihai occupies three beds alone and has been in the emergency department for a long time. I heard that he came five years earlier than Qin Chuan. For five years, not a penny of medical expenses has been paid. He has been lying in the emergency department and refuses to leave, and the hospital can't do anything about him.
Qin Chuan glanced at these few, this kind of thing was not something that he could manage as an ordinary doctor.
He Xiaokang walked in: "Xiao Qin, came quite early?" ”
"Early in the morning, my mother woke me up. I was afraid that I would be late, and then breakfast was ready for me. What can I do? Qin Chuan said with a smile.
As soon as Gao Zhanting walked in, she picked up the topic: "Are you showing off your happiness?" I wish I hadn't been able to have someone in charge every day. ”
Gao Zhanting's hometown is in another city, far away, and not long after graduation, she went directly to the emergency department. It turned out that I studied obstetrics and gynecology. But now that obstetrics and gynecology are full of talents, where can a young man who has just graduated and has no qualifications (most importantly, no relationship) have the opportunity to get in?
"Actually, I really envy you, how free you are to live alone in a rented house." Qin Chuan said this from the heart.
"You, obviously, are in the midst of blessings and do not know blessings. Forget it, I'm too lazy to talk about you. Gotta go on rounds. Gao Zhanting picked up the medical record book and walked out the door.
At this time, a sweet female voice came from the loudspeaker of the emergency department: "A patient was sent to the bus station, female, 46 years old. If you can't wait, you will arrive at our hospital in three minutes. Ask an emergency physician to come to the door. ”
Several doctors on duty in the emergency department immediately got up and walked towards the emergency aisle.
When I got to the door, I already heard the sound of an ambulance whistling.
As soon as the car stops, the back opens.
The patient is a well-wisher who dials 12o, and there is no family accompanying him, so naturally he cannot know any information about the patient, let alone know whether the patient has a past medical history.
"Hand on!" Qin Chuan said.
Several male doctors in the emergency department lifted the patient out of the car. Immediately rushed to the emergency room.
The patient's face was blue and there was no response to the doctor's call.
Cheng Guanhua, the director of the emergency department who came in a hurry, asked, "What's the situation?" ”
"Respiratory arrest, loss of aortic pulses, loss of heart sounds, blood pressure O, fixed and dilated pupils, loss of light reflex. Diagnosed with sudden death, meeting criteria for cardiopulmonary resuscitation. Qin Chuan looked up and said after the inspection.
"Then perform CPR." Cheng Guanhua said.
Qin Chuan nodded and said, "Continue chest heart compressions; Open the airway and use a balloon mask to rescue respiration. Intravenous access was established, and epinephrine 1 mg, atropine 1 mg, and coramine O.375 mg were given intravenously, and intravenous dopamine was given. ”
The doctors and nurses in the emergency department do this often and are very skilled in cooperating. There is no need for specific assignments, and they immediately take the initiative to do their own things.
Continuous chest compressions, mechanical ventilation to assist breathing. Epinephrine 1 mg, atropine 1 mg, and coramine O.375 mg intravenously 3 times. Etamidovolone 15omg intravenous push.
Endotracheal intubation is followed by intubation. The endotracheal intubation is smooth, a large amount of bloody secretions are sucked out from the intubation, and the ventilator is connected to assist breathing.
Several emergency doctors took turns on the battlefield, and everyone was sweating profusely. The rescue lasted for nearly half an hour. If the patient's heart does not beat again, it means that the rescue has failed. The patient's life was lost to Qin Chuan and others.
"Come on!" Qin Chuan couldn't help but speak.
At this time, the ECG shows that the patient has an intermittent return to a spontaneous heart rhythm.
"There's a heartbeat." Gao Zhanting said in surprise.
The chest compressions still did not stop, and Qin Chuan's forehead was already full of beads of sweat. Nurse Jiang Lingling hurriedly helped Qin Chuan wipe the beads of sweat from his forehead. But this scene made Wu Xiaoming very unhappy. Wu Xiaoming has been chasing Jiang Lingling for a long time, but Jiang Lingling has always been lukewarm to Wu Xiaoming. On the contrary, it is very unusual for this newcomer Qin Chuan.
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