Indeed, many patients who come to the emergency department are in a very serious condition, and they have not had time to do various examinations, so the emergency physician must quickly make a preliminary judgment on the condition through consultation and simple physical examination, and then take corresponding measures. Making a quick and accurate judgment without a detailed medical examination is quite a test for the emergency doctor, who must have a wealth of knowledgeable knowledge of general practice, not necessarily deep, but must be extensive.

At this moment, a large amount of blood gushed from the corners of the patient's mouth, staining his clothes and bed sheets red. Nurse Wang Bingbing hurriedly took a tissue to help her wipe it, and at the same time looked anxiously at Wu Hao and Dai Yunyang.

Wu Hao immediately said: "The patient has a dangerous course of illness, and he is sent to the ICU and immediately intubated to prevent hematemesis and aspiration and suffocation." ”

The ICU is not a place to treat diseases, but it can save lives, and only by saving lives can we talk about treatment.

Although the patient was transferred to the ICU, Dai Yunyang did not care about the intensive care, but the first diagnosis responsibility system required him to continue to be responsible for finding out what caused the hematemesis woman, and treating it according to the identified cause.

Dai Yunyang and the nurse sent the patient to the ICU on the second floor, personally intubated the patient, and then handed over the doctor.

When he came out of the ICU, he saw Cai Liya's father coughing and looking at him pitifully, wanting to come up and ask something but didn't dare to ask, so he walked over and said, "Your daughter's condition is currently stable, and she should be able to return to the general ward in a few days, you don't have to worry too much." ”

Father Cai nodded gratefully: "Thank you, doctor." ”

"By the way, I heard that your cough is getting worse, you'd better go to the outpatient clinic to register and see the respiratory department for a CT scan or something. Anyway, it's not visiting time, and you can't go in to see your daughter, so it's okay to wait here, so it's better to check your body. ”

"Okay doctor."

Dai Yunyang was about to go downstairs, when he suddenly remembered something, turned around and asked, "Have you been to the Hainan seafood market recently?" ”

"I used to go grocery shopping a lot. I haven't been there since my daughter got along with that man half a year ago, because the dog that almost killed my daughter was set up in the seafood market, and I have always been against them being together, and my daughter was so disobedient that I didn't even want to go there for fear of running into them. So I haven't been there in months. - What's wrong? Doctor"

"It's okay, just ask."

Dai Yunyang went downstairs, the upstairs ICU was quieter, and the downstairs was noisy, another chaotic world. I saw nurse Xiao Juan talking to a young woman with swaddling clothes in her arms, and her face was full of anxiety, so she walked up and asked, "What's wrong?" ”

Wow~Wow~

The baby's cry was high-pitched, a pair of small hands were still waving, and the little head was shaking around, but the eyes were tightly closed.

Xiao Juan said: "She took the child to see the pediatrician, the child had some fever and diarrhea, but after waiting for a long time, the child was hungry, she wanted to find a place to feed the child, but there were people everywhere." ”

As soon as he said this, he saw Wu Hao come over and say, "Go to my office and hey, just close the door." No problem. I was about to go to the surgery department, but it seemed too busy. - The child is so cute. As he spoke, he stretched out his hand and touched the child's little face lightly, then turned his head to Xiao Juan and said, "You pay attention to her number, and call her when you are almost there." ”

Xiao Juan agreed, and the young woman thanked her again and again, and followed Xiao Juan into the director's office.

Suddenly, there was a commotion from the emergency clinic:

"What are you murdering? Does it make sense for you to cut the queue and add a stopper? ”

Quite a few people gathered around. Wu Hao and Dai Yunyang hurriedly went over to take a look. I saw two men staring like cockfights, rolling up their arms and sleeves, pushing and shoving from time to time, ready to fight at any time.

After a brief question, it became clear that a man had been looking at the door of the consultation room, and another man thought that he was going to cut in line, so the two had an argument.

Wu Hao immediately persuaded him, and when the two men knew that it was the director of the emergency center who was persuading, they turned off the fire, after all, they wanted to give the director some face.

This kind of thing often happens in the emergency center, Wu Hao is familiar with it, unless the situation is uncontrollable, he will not call the security guard, because experience tells him that if he calls the security guard or even calls the police, it means that the face is torn, and the effect is very bad, so it is best to be able to resolve the anger.

This is how this fight is about to break out.

As soon as I pressed it down here, there was a commotion in the emergency surgery department again, a strong man with five big and three thick, wearing a cheap suit, with a fierce beard, he grabbed the chubby doctor Zhu Shan with one hand, and almost lifted him up, scolding in his mouth: "You make it clear to me, is this your hospital's fault or mine?" I can't tell if Lao Tzu will beat you to death! ”

Wu Hao hurriedly ran over, smiled and interjected between the two and said, "I am the director of the emergency center, if there is anything you can tell me, let's talk about it, don't do it, it's no problem." ”

The strong man let go of Zhu Shan and looked Wu Hao up and down: "You are the director?" Okay, let me tell you, this pig-like doctor, he actually said that this matter is not your fault, I wipe, I took the vaccination in your hospital like this, and actually said that it is not your fault, are you unreasonable? If we don't make sense, we're harder than our fists, I like this! ”

As he spoke, he shook a fist the size of a mallet in front of Wu Hao.

Wu Hao hurriedly smiled and blocked his fist, turned his head and asked Zhu Shan, who was blushing: "What the hell is going on?" ”

Zhu Shan said: "A week ago, he was pierced by a rusty nail on his foot, came to our hospital outpatient clinic for a tetanus vaccine, injected in the right upper arm, and the result was local redness, swelling and pain in the upper arm, came to our hospital outpatient clinic for physiotherapy, took anti-inflammatory drugs, there was no effect, the deltoid muscle appeared tension blisters, the tenderness was obvious, the movement of the right shoulder was restricted, three days ago I came to our emergency center to see the emergency department, I asked him to do a blood test, and found that the blood leukocytes were significantly increased, the local puncture was bloody turbidity, and the cytology examination was G+ cocci, It is sepsis with signs of septic shock. ”

"I gave him an incision and drainage operation at the strongest tender point, drained out a thin bloody turbid purulent fluid, did a pus culture, and had hemolytic streptococcal growth, and was diagnosed with hemolytic streptococcal sepsis, and did targeted drug treatment. As a result, he came again today, and as soon as he came in, he grabbed me by the collar and said how I had operated on him, and it hurt even more. I said that he was vaccinated and infected to cause sepsis, and we didn't get the vaccination, so he grabbed my neck to teach me a lesson. ”

Wu Hao understood, and said to Zhu Shan: "What you said is not right, no matter where the patient is infected, now it is our patient who comes to our emergency center, we must go into our ability to alleviate the pain of the patient, the previous incision and drainage does not seem to have a role, we should find the reason, change the treatment method, and strive to solve the problem, instead of arguing with the patient." ”

Zhu Shan lowered his head and stopped talking, looking a little unconvinced, but he didn't dare to contradict it.