After the routine shift in the morning, the director conveyed the content of the hospital meeting: "We exceeded the arrears last month. Bonus ......"

"Are we seeing a doctor or collecting bills?" Dr. Xie interrupted the director's words, "Tell them to send someone to collect money from the patient." ”

"I have been deducted for this for two months in a row." Dr. Li also complained, "I am so tired that I die every day, and I have to pay for the patients!" ”

Dr. Chen said angrily: "The next time the patient comes, if you don't see the money, you won't deal with it!" ”

Dr. Xie chuckled, "Yes! In the future, if you receive a patient who has no money, you will be carried directly to the dean's office! ”

"Or ask 120 to drag it back, and send it back wherever you pick it up."

……

The director protested: "Hey, the more you talk about it, the more unpleasant it becomes!" The hospital is also in trouble, how can you survive without making money? Understand, everyone, understand. ”

"Who understands us? Patients complain that our money will be deducted, patients who evade bills will deduct our money, and poor medical care will not work, we also have to survive, which is the work of people! ”

"The blind fortune teller on the street charges 20 yuan for a few words, and my registration fee is only four yuan!"

The director helplessly touched the top of his bare head: "Do your best, do your best." ”

The teachers complained so badly! Ruyi and Yunxia exchanged excited and surprised looks.

"Doctor! Doctor! ”

The complaining stopped abruptly.

Everyone rushed out.

Dr. Xie quickly examined the patient: "Trauma! The pulse is already weak! Establish intravenous access! Give oxygen! ECG Monitoring! ”

Ruyi assisted Mr. Xie to push the patient into the emergency room and quickly connected the ECG monitor.

The nurse also quickly opened the intravenous channel, and the medicine dripped smoothly into the patient's body.

The director stepped forward: "Urgently check the blood routine, blood type, and prepare blood!" ”

Yunxia immediately notified the laboratory department.

Jiuling helped Dr. Chen push the ultrasound to the bed and test the patient's internal organs.

The director looked at the B-ultrasound display: "Considering the rupture of the spleen, please be hospitalized in surgery!" ”

Li Yan suddenly ran over and told Director Sù: "The family said they didn't bring any money. ”

The director didn't raise his head: "Tell them to do their best to find money, and they say that if they don't have money, they won't use medicine-why are you standing?" He angrily pointed to the nurse who was standing beside the emergency bed at a loss, "Double aisle!" Didn't you hear that? Immediately establish a double vein access and expand the capacity! ”

"Systolic blood pressure is 80!" The director stared at the ECG monitor, "Okay, continue to replenish blood volume!" ”

The teachers are still methodically rescuing the patients.

Inspectors took a blood sample at the bedside.

The general surgeon of the surgical resident hurriedly ran in and carefully examined it: "The spleen is ruptured, and the condition is stable and he will be sent to the operating room immediately." ”

Seeing off the patient, Dr. Xie suddenly remembered and said helplessly, "Director, this fee ......."

The director touched his bald head helplessly: "That's it." Hey, you! He pointed at Li Yan, "What do the family members say?" ”

Li Yan replied: "They said they would go back and get it later." ”

"Keep the family members close and try to get the money back!"

"Hey!" The nurse waved at everyone, "Go pick up the patient!" Yuying Road, the entrance of the Normal Academy. Car accident! ”

Dr. Xie immediately bounced up from his seat: "Come on, classmate!" ”

Jiuling followed Dr. Xie to the 120 ambulance.

Dr. Chan instructed the students: "Clean up the emergency room and check if the items are complete." ”

Ruyi and Yunxia changed out of the sheets and checked the items one by one.

"Doctor! Car Accident Patients! ”

"So fast?!" Ruyi and Yunxia glanced at each other and hurriedly ran out.

A patient with a bloody face was helped in by his family.

The family member said as he walked: "The car we drove, the motorcycle was going in the wrong direction, the motorcyclist was waiting there for 120, and we took a taxi." ”

"Ouch! Ouch! "The patient does not live on the ground **.

The duo assisted Dr. Chan in putting the patient on a stretcher and pushing him to the emergency room.

Chen asked for a medical history and a physical examination.

Ruyi connected to ECG monitoring: normal blood pressure, normal heart rate, normal oxygen saturation.

Yunxia counted them one by one and wrote them down.

"Scalp contusion. Concussion awaiting discharge. Dr. Chen motioned, "After a simple bandage, take him to have a skull CT, and if there is no problem, go to the treatment room for debridement and suturing." ”

The patient looked at Dr. Chan and said, "Stitch the wound first!" ”

Dr. Chen's tone was unmistakable: "Check first!" ”

"Oh, it costs a few hundred dollars to make a CT! Don't check it! ”

"Head trauma is likely to be combined with intracranial injury, and in case of intracranial damage, it can be life-threatening!" Therefore, it is necessary to check and rule out before other treatments are done. ”

"How can it be so strict! I know my own situation, but I just touched it. The patient kept complaining, "Aren't you just here to make money......

"Let's go! Give it a go! "Teacher Xie and Jiuling picked up the patient and came back.

"Chest trauma! Pneumothorax! Dyspnea! ”

"Closed pleural drainage! Right away! ”

……

"You two hurry up and send the head trauma patient for a check-up, and pay attention to the changes in his condition." After Dr. Chen finished his instructions to Ruyi and Yunxia, he immediately joined in the rescue of the new patient.

Yunxia helped the patient with head trauma to the cart, and Ruyi steadied the cart: "Lie down slowly, let's push you over for CT." ”

"Oh, it's not a serious injury, I'll go myself!"

Ruyi reluctantly glanced at Yunxia, so she had to push the empty cart and follow the patient to the CT room.

"Epidural hematoma." The CT teacher sternly pointed to the arch-shaped density increase shadow on the display, "The midline structure has been slightly displaced. ”

Ruyi and Yunxia were taken aback and immediately called Dr. Chen to push the patient back to the emergency department as instructed.

Dr. Chen looked at the patient's pupils: "Wait big, photosensitive." "The director and the general inpatient of surgery were consulted, and the patient was hospitalized for observation and, if necessary, a craniotomy was performed.

"Oh! And hospitalized! Surgery! You scare me, don't you? The patient quickly sat up from the flat car, but immediately hugged his head, "My head hurts!" You're messing around, it's making my head hurt! Oh gack! "The patient suddenly threw up. The vomit squirted far away.

The director and the general manager of the hospital looked at each other and immediately laid the patient flat: "Monitor intracranial pressure!" ”

After the test, Ruyi replied: "Intracranial pressure 2." 5 kPa. ”

The director said with a stern expression: "Mannitol 250 ml rapid intravenous drip!" ”

"Immediately stop bleeding with a intramuscular injection!"

The patient vomits and is restless.

"Retest the intracranial pressure!"

"Intracranial pressure 2. 6 kPa. ”

"ECG monitoring!"

"Systolic blood pressure 180 mm Hg, diastolic blood pressure 95 mm Hg. What is basal blood pressure? ”

Yunxia replied: "120 and 60"

"Furosemide 20 mg IV bolus, right away!"

"Another 250 ml of mannitol!"

"Intracranial pressure 2. 7 kPa! ”

"Critical illness notice!"

"The patient is unconscious! The left side of the pupil is dilated! ”

"Hydrocortisone 60 ml intravenous drop!"

"The heart beats 20 times per minute. Irregular breathing. ”

"Chest heart compressions! Positive pressure breathing! ”

"Intracranial pressure 2. 9 kPa. ”

……

No matter how hard he tried, the patient showed no signs of life.

The director waved his hand tiredly: "No need to rescue." Declared dead. Notify the family. ”

Ruyi glanced at the wall clock on the wall: 10:51.

"How can you die?! I walked in just now! "There was the roar of family members in the hallway.

"None of you can go!" The family shouted, "You must give an explanation!" ”

The director waved his hand tiredly: "Notify the Medical Department!" ”

After a while, there was a crowd of people outside the emergency department.

In less than an hour, a banner was hung outside, and the family members cried miserably while burning paper money: "Good person, walk in, carry out......"

Trapped in the office with the teachers, Ruyi's heart is pounding.

Yunxia touched Jiuling, lowered her voice and asked, "What about the patient you rescued just now?" What's going on? ”

Jiuling whispered, "I went to the ICU." ”

It was not until 1:20 a.m. that the onlookers left with the medical staff.