Chapter 786: Emergency
Whether it is the emergency department of Anhe Hospital or the emergency department of the provincial hospital, it is the department with the most problems and problems, and no doctor or nurse is willing to work here, the reason is very simple, the work pressure is greater than that of other departments, the risk is even greater, and the income is not much.
As we all know, the emergency department is life-saving rather than cure, it is a transfer department, every day there will be a large number of sudden emergency patients sent over, the role of the emergency department is to save the lives of these patients and then transfer them to other departments for follow-up treatment, the root of the work pressure is here, an emergency doctor does not require you to be proficient in the diagnosis and treatment of diseases in a department, but requires you to diagnose almost all the diseases of the department, and do a good job in the early first aid to save the patient's life, and buy time for follow-up treatment.
Medicine is a broad and profound and quite complex discipline, specialist doctors after rotation as long as the main focus on their own department of disease diagnosis and treatment, but emergency doctors can't, they have to spend more time to learn the diseases and first aid of each department, a person's energy is limited, it is impossible to be proficient in all departments of disease diagnosis and treatment, but because of the working environment, emergency doctors have to do this.
This also causes them to understand the science, but the department is not proficient, first aid can be, but to say that the follow-up treatment is afraid that many emergency doctors are not good, this is a rather embarrassing situation, what does the doctor do? It is to cure the disease and save people, but the emergency doctor can only save the patient's life first, but he cannot cure his disease.
Everyone who has just become a doctor hopes that they can save lives and cure diseases, and it is a great sense of accomplishment to treat the patient and see him discharged from the hospital. But in the emergency department, the sense of accomplishment is reduced a lot, a lot, and an emergency physician has to triage the patient, save the patient's life, and then transfer him to another department according to his illness, and they hardly see the day the patient is cured and discharged.
Saving a patient's life does have a sense of accomplishment, but compared with the sense of accomplishment of saving and curing the patient, isn't what the doctor wants is the sense of accomplishment of saving the patient and curing him? But the emergency doctor lacks a sense of accomplishment.
Some people will say that it is a bit contradictory, that other doctors only treat the disease but do not participate in the rescue, so they also lose some sense of accomplishment, but this is not the case. Resuscitation is also a common occurrence in other departments. They can both rescue and cure patients from the hospital, and their sense of professional fulfillment and pride is much greater than that of emergency doctors.
Without this part of the sense of achievement, emergency doctors have to learn the diagnosis, treatment and rescue of diseases in various departments, as well as complex diseases. makes them often joke that they are less than half a bottle. No way. It will only diagnose and rescue the disease, but the follow-up treatment will not work, and it is a bit embarrassing to say it.
And emergency doctors are the least infallible. A misdiagnosis or a rescue error will make a life die, and the huge pressure is unimaginable to ordinary people.
The whole day is rescue, diagnosis, triage, complex diseases, and high-intensity workload, so that many doctors are discouraged, and after working for a few years, they find a way to change departments, or simply resign and change careers.
This is on the work pressure, in the risk, can be sent to the emergency department of many patients are emergency, rescue a little delay of a second may not be able to save the patient, in China many people think that people sent to the hospital will definitely be able to survive, but the fact is absolutely not the case, doctors are not gods, they can not save every sudden emergency patient, every day in the emergency department is dying, a lot of people die.
Emergency doctors are powerless in the face of death, but then they have to face the patient's family, if it is a rational family member, it is easy to say, but they are afraid of encountering those difficult family members, shouting why they have not been saved, how you explain to them is useless, they think that the person must be saved, the pain of losing their loved ones makes these family members lose their minds, and the beating and scolding of doctors and nurses often happens.
There is no way to hold the doctors and nurses accountable for being beaten or scolded by the patient's family, and the public hospitals in China are all based on one principle -- to calm things down, and if their own employees are beaten, the hospital will come forward to comfort them, and rarely hold the family members of the beaters accountable.
Obviously they are not wrong, but they have been beaten and scolded, which is unacceptable to anyone, but the emergency doctors must accept it, they also have to understand the feelings of the patient's family to lose their relatives to make this kind of excesses, in order to calm the grief in the hearts of the family, they even have to apologize, human dignity, the dignity of the doctor, the emergency doctor can not get it.
In an emergency room, there are often some drunk people, these people are a time bomb, a normal sentence is a provocation to these drunks, under the stimulation of alcohol, they will fight the doctors, nurses, but as long as they do not seriously injure people, the matter will not be over in the end.
Every emergency doctor has a 50% chance of being beaten every day, even in a large hospital like Anhe Hospital, patients who have lost their loved ones will lose their minds under the pain, and drunk people are even more unreasonable, they are all bombs, and once the explosion is the last unlucky doctor, nurses.
Emergency doctors are a high-risk profession, and there is no emergency doctor in China who has not been beaten, and the same is true for nurses.
In terms of income, as mentioned above, the emergency department belongs to a transfer department, and after diagnosing the patient's condition, it will be transferred to other departments, so that the emergency doctor does not have much opportunity to prescribe too many drugs.
The work pressure is high, the risk is high, and the income is still small, so no one is willing to be an emergency doctor, but the emergency doctor must be saved, which is the embodiment of the real medical level of a hospital, and it is a life-saving department for the people, and it is impossible for no one to do it.
But the complaints of doctors and nurses are too big, and they can't keep people, and doctors and nurses with a little ability will try their best to transfer to other departments, so that even doctors and nurses in the emergency department of a hospital as large as Anhe Hospital are in short supply.
Feng Xu asked Su Hongwen to come to the emergency department for rounds on the first day of work, hoping that he could find a way to change the situation in the emergency department, even if he couldn't solve all the problems, he had to keep people, and he couldn't let the doctors and nurses in the emergency department be lost.
But this matter is very difficult to do, want to change the current problems of the emergency department, the root of the three reasons of high work pressure, high risk, low income of doctors and nurses, the emergency department receives too many patients every day, the particularity of the department is also there, how to change the work pressure? There's no way to change the nature of your work.
is talking about risk, any treatment is risky, and there is no way to change it, and there is no way to avoid a situation where a patient's family members make trouble with those drunkards, Su Hongwen is not a fairy and said that you don't make trouble, they won't make trouble? is saying that Su Hongwen didn't know that person would make trouble, and that person didn't make trouble, and this situation was also very difficult to solve.
It is better to solve the income piece, and it is feasible to go back and discuss with Feng Xu the problem of improving the treatment of emergency doctors and nurses, and the money for a hospital as big as Anhe Hospital can be obtained, but the improvement of the treatment is also a symptom rather than a cure, and it is indeed possible to retain some people, but those who should go will go.
Su Hongwen Bai Feng Xu asked him to come to the emergency department when he went to work, but he couldn't think about it, now he had a headache, he chatted with Liu Hongsheng along the way, and Su Hongwen understood the general situation and problems, and the rest was to slowly think of a way.
It is worth mentioning that Liu Hongsheng is still more appreciative of Su Hongwen, who is kind and has no temper, and knows the situation of the emergency department very well, and is thinking about how to solve the stubborn disease of the emergency department, Su Hongwen can see that he really wants to change the situation of the emergency department, and Su Hongwen is respectful of such a person.
After the two of them arrived at the emergency department, there was no one to greet them, and the emergency department of such a large hospital as Anhe Hospital was quite busy, with doctors, nurses, and family members coming in and out of a busy scene.
Liu Hongsheng felt a little embarrassed when he saw that Su Hongwen, the dean, was coming, but no one greeted him, and called a nurse and asked him to inform the emergency doctor and nurse to come to the office to meet Dean Su.
Su Hongwen didn't say anything, he also wanted to get to know these soldiers under him, and followed Liu Hongsheng to the office, along the way he found that everyone was very busy, but there was a boy who looked like an intern standing idly aside, his eyes were apprehensive, nervous and expectant, and from time to time he looked at a busy male doctor who was taking two students.
The boy's expression Su Hongwen was too familiar, he was like this back then, he really wanted to follow the teacher to help him work and learn something, but the teacher ignored him, at that time Su Hongwen really needed the teacher's approval, but he never got recognition, just Corey was a dispensable person, the teacher who took him didn't even know what his name was, the loss and loneliness were too uncomfortable.
Su Hongwen sighed and beckoned to the boy, "Come here." ”
The boy looked at Su Hongwen, and pointed his finger at his nose in disbelief, which meant to ask if he was calling himself, he had been in the emergency department for half a month, and almost no doctor had called him.
Seeing Su Hongwen nodding, he hurriedly walked over, first bowed slightly to Su Hongwen, and then said apprehensively in Mandarin with dialects: "Teacher, you call me?" ”
Su Hongwen saw that he was very nervous, so he smiled and said, "It's calling you, what's your name?" Why is everyone busy and you're the only one standing there? ”
The boy lowered his head and whispered, "My name is Jin Hao, and Teacher Chen asked me to stand there." (To be continued......)
PS: The third watch is sent, rolling all over the ground and begging for a monthly pass, if you don't give me a monthly pass, you won't live!