Chapter 733: Emergency
Mu Xiu didn't know what other departments looked like, but the emergency department was really busy, and all kinds of emergency patients were sent to the emergency department first, and then sent to various departments according to their conditions.
"Doctor Ma, there's a pesticide drinker." The nurse hurried into the office and said quickly.
"Xiaofang, you go to the rescue room to prepare the tools for gastric lavage, and I'll go right away." Dr. Ma stood up and walked outside.
Mu Xiu also quickly stood up and followed behind Dr. Ma, although Dr. Ma did not call her, but Mu Xiu must have eyesight.
Internship in the hospital is not better than internship in other industries, both doctors and nurses are very busy, there is no time to explain everything one by one, trainees should have their own eyes, follow closely behind their teachers, see more and learn more, and after being busy, the teacher will summarize and talk about some key points.
The rescue room was in a mess, and as soon as Mu Xiu entered, he smelled a pungent smell of garlic, and organophosphate poisoning immediately appeared in Mu Xiu's mind.
Of course, the smell is only the basis for the preliminary judgment of the condition, and it also depends on the test results and the patient's symptoms.
"Pupil constriction, abdominal rales, muscle tremors, immediate gastric lavage." Dr. Ma took a flashlight and a stethoscope, and after a brief examination, he immediately gave a doctor's order.
"Do you know what pesticides he was drinking?" Dr. Ma turned his head and asked the family.
"It's trichlorfon." The patient's family said hurriedly.
"Prepare sodium bicarbonate gastric lavage." Dr. Ma explained
The nurse pushes the prepared gastric lavage machine and gastric lavage solution to the patient's side.
"The family pressed the patient and told the patient not to move." After the nurse's instructions, the stomach is intubated for gastric lavage.
Mu Xiu watched from the sidelines, but she had already written it all down in her mind, and the apprenticeship was like this, turning all the learning content into dynamic knowledge in her mind.
After the patient had washed his stomach, Dr. Ma had already prescribed medical orders, all the anti-inflammatory drugs and monitoring were used, and the nurse established an intravenous channel and sent the patient to the intensive care unit of the emergency room, and then sent to the internal medicine department after 24 hours.
"Doctor Ma, there's a patient who fell and injured himself." The nurse walked into the office again.
In the afternoon, Mu Xiu followed behind Dr. Ma, running before and after, although she did all the chores, she still felt very fulfilling.
It was soon eight o'clock in the evening, and after the evening doctor came, Dr. Ma finished the shift and sat on the chair next to him, his tense face relaxed.
"Your name is Mu Xiu, right?"
"Yes, teacher." Mu Xiu sat up straight and replied.
"There is no trick to being a doctor, you must see more, learn more, ask more, if there is anything you don't understand, you can ask me at any time when I have free time." Dr. Ma rubbed his temples.
"Well, I'll study hard." Mu Xiu nodded.
"Here's my schedule, you write it down and follow my schedule in the future." Dr. Ma took out a notebook from the table and handed it to Mu Xiu.
"I'll get off work first, see you tomorrow." Dr. Ma took off his white coat, tidied it up and left.
Mu Xiu took out a pen and paper and recorded Dr. Ma's schedule, folded it and put it in his pocket, and returned to school.
Dr. Ma is about 40 years old and an experienced emergency physician, and Mu Xiu has learned a lot of knowledge from him, and many of the cases that he used to memorize by rote have been integrated into Dr. Ma's practice of rescuing patients.
The doctor's world is very single, and there is little gossip, after all, every day is as busy as a bolt, can't stop for a moment, and has no time to talk nonsense, which also leads to the students who began to follow the trainee are not adaptable, and always feel that the teacher with him has a straight face and deliberately does not talk to himself.
There are a few students from other schools who don't come for a few days or take sick leave.
The doctor and nurse just asked, and then they showed a look of understanding, it seems that this is not the first time such a thing has happened.
Mu Xiu has always maintained the habit of leaving early and late, following behind Dr. Ma, talking less and doing more work, and the medical records written by Dr. Ma on the night shift will also be handed to Mu Xiu so that she can learn how to write.
Soon, Dr. Ma discovered Mu Xiu's intelligence, because her professional classes were solid, and she knew how to revise when she went back, no matter what Dr. Ma did or said, Mu Xiu could quickly grasp it.
One is willing to teach, the other is serious about learning, and the two get along very well, and the internship is only two weeks, and ten days have passed soon.
What really impressed Dr. Ma was Mu Xiu's last night shift, and after this night shift, Mu Xiu was about to leave the hospital and go back to school to continue studying.
"Doctor, hurry up and save your life." In the corridor late at night, this urgent cry for help suddenly broke the silence of the night.
Dr. Ma was giving first aid to a child with febrile convulsions, and Dr. Xiao Qian, who had just gone to work next to him, hurriedly rushed to the corridor, and Dr. Ma motioned for Mu Xiu to come over and take a look.
"Doctor, my son fell from the third floor, and he can't wake up at this moment!!" Where the father howled and cried.
Mu Xiu glanced at the young man lying on the stretcher, about his early twenties, who seemed to have entered a coma, and the blood on his head was still slowly flowing out.
Dr. Qian quickly instructed the nurse to apply pressure and bandage to the patient first to stop the bleeding, while he took a flashlight and began to check the pupils.
Mu Xiu also leaned over and looked at the patient, she suddenly sent the young man's ear and eye stuffed with toilet paper, which had been soaked in blood and turned red.
Mu Xiu hurriedly stepped forward, took the toilet paper out of his ears and eyes, and blurted out: "Ah, how can this stuff toilet paper, it will kill him." ”
The child's father was stunned for a moment, glanced at Mu Xiu in confusion, and said hesitantly: "Doctor, this is what I stuffed him, after he fell from the upstairs, I saw that his ears and eyes had been studying abroad and scolded me for being afraid that he would lose too much blood, so I quickly blocked him with toilet paper." ”
"Quickly send it for X-rays, then infusions, monitoring, and oxygen." Dr. Ma's voice came from behind him, he finished his work, walked out, and just heard what Mu Xiu said.
After the patient was withdrawn, Dr. Ma rarely did not enter the office immediately, but looked at Mu Xiu and asked curiously, "Tell me why you can't stuff toilet paper?" ”
"Because he injured his head and was already in a shallow coma, I preliminarily judged that the ear bleeding was caused by a basilar skull fracture, and if the blood was blocked with toilet paper, it would increase his intracranial pressure, leading to intracranial infection, aggravating his condition and endangering his life." Mu Xiu said fluently.