Compared with the daytime, the emergency department is at its most effective at night when the outpatient clinic closes.

Today is not a peaceful day. Wen Xiuchi, the chief duty officer of the emergency department, was keenly aware of this, but as before, there was nothing he could do about it.

From three o'clock in the afternoon, a variety of situations emerge:

First, 120 elderly patients with advanced lymphoma were brought to the hospital, and when they rushed all the way to the emergency room, they had no heartbeat and no pulse.

Intubation, connecting to various monitors, pushing adrenaline, cardiopulmonary resuscitation, and ventilators are all useless.

The cries of the patient's family rang out, like a cold and merciless finger, pushing down the dominoes behind it:

The young man who suffered a head injury from the car accident stopped breathing before he could enter the operating room, and the driver of the accident knelt at the feet of the other party's parents with a pale face, but to no avail;

A middle-aged woman with massive bleeding in aortic dissection was rushed over after fainting overtime in the unit, but unfortunately it was too late;

The man who had a sudden brainstem hemorrhage died after rescue efforts failed, and his son looked up in horror and asked the first thing he said was whether the disease would be hereditary

Wen Xiuchi rubbed his temples, cleared all the chaos and noise, cheered up, and walked to the triage table.

She had just been notified that a patient was arguing with a nurse and needed her to put out the fire – one of the duties of the general shift.

The triage desk is always staffed by a large number of patients and families, and highly experienced nurses assess and grade each condition to prioritize visits – but that order is now disrupted.

Several family members surrounded nurse Xiao Huang aggressively, looking like they would not stop until they reached their goal:

"Do you understand, if you don't understand, call the doctor - why did my dad wait here when he was so old?"

"The person in the back just now, obviously not very serious, turned out to be the first to go to the doctor-why, is he your relative or friend?"

"Call out your stewards! Everyone is lining up here, why not come in order? It's just a matter of other things, can this life-saving thing also be intervened? ”

They gossip, you say a word to me, and they don't give Xiao Huang a chance to interject at all.

The other two triage nurses had to take care of other patients, and they were ignored several times, so they had to call Wen Xiuchi.

Wen Xiuchi first went to see the man in a wheelchair on the side. He was in his sixties, frowning, and his left ankle was swollen and high.

The triage system integrates the patient's vital signs and symptoms and is rated as a four-level rating, which is not urgent.

The reason for grading is to maximize the medical effect in the limited time and medical resource conditions.

Otherwise, in the time it takes to treat a mild patient, a person who is truly critically ill can lose his life.

Unfortunately, not everyone understands this. Otherwise, there would not be such a dispute in front of us.

After being hospitalized for a few months, Wen Xiuchi has great experience in dealing with this kind of thing.

-for-tat, verbal warfare, or painstaking explanations and understanding—these things only delay time, and have no meaning.

The top priority is to take people away and restore order in front of the triage desk.

"Uncle, please come with me." Wen Xiuchi said to the man who was humming: "Take a film and see if there is anything wrong with the bones." ”

"Hey, well, doctor, my feet hurt, I haven't suffered this crime for many years!" The man said.

Wen Xiuchi saw how swollen the foot was, and knew that it must not be comfortable. But no matter what, it must be that there is no loss of life - it is very reasonable to be assigned to level four.

She casually comforted her, got up and called, "Who is the family of this patient?" ”

The men were blushing and not noticing.

Wen Xiuchi looked at the patient and showed a helpless expression: "Uncle, there are a lot of people filming now, but after the filming is completed, you have to wait for an hour to get the results and treat the symptoms." ”

"Are you sure you want to waste any more time here?"

When the man heard this, he was really anxious, and immediately shouted loudly: "Boss and second, don't mess around there, hurry up and come over and go with this doctor!" ”

As soon as he shouted, several family members who were making trouble over there immediately left Xiao Huang, surrounded him tightly, and followed Wen Xiuchi in a wheelchair.

When leaving the hall, Wen Xiuchi saw seven or eight more people coming in at the door.

The old man walking in the middle is full of energy, and there is a knot on his long white beard, which makes it difficult for people not to pay attention.

Judging from the sharp eyes she has practiced in the emergency department for many years, these people are all ruddy and steady, and they can't see any emergency.

This is probably too busy during the day to see an outpatient clinic, and at night to crowd out the medical resources of the emergency department.

Wen Xiuchi thought as he walked, and was quite disgusted by this approach.

As soon as the prescription was issued and the man's family was dismissed, she rushed into the emergency hall — and a new critically ill patient had arrived.

A young girl in her twenties was lying on a flat car, looking calm and seemingly fine.

Completely contrary to her calm performance, the medical staff next to her and the family members were highly nervous.

The flat car was pushed as fast as it could, rushing in all the way.

After a series of things such as moving the bed, inducing vomiting, and gastric lavage, Wen Xiuchi looked at the girl on the bed with pity.

She has long, black hair and a fair complexion, and it was at this time that she didn't forget to take out her mobile phone and pose for a selfie.

"I'm just scaring him, I don't really want to die, Mom, you don't have to worry." Tian Nan has recovered her spirits, smiled and comforted her mother who was crying on the side, and then chatted with her friends in WeChat:

"Did you tell him, did he come over?"

"Hey, what should I do, it's terrible, my lipstick has fallen off, and my clothes are wet, how can I let him see it!"

"Okay, okay, I know, you have to pretend to be weak, I understand, don't worry!"

Wen Xiuchi called the patient's mother aside.

"What I just learned, your daughter drank paraquat and drank about 50 milliliters, right?"

"That's right." Tian Nan's mother said: "This child is too irrational and causes you trouble. ”

"We're not afraid of trouble." Wen Xiuchi sighed and said, "Next, let's accompany your daughter more." ”

She turned away and went to the emergency room.

Some people, even if they try hard to live, it is difficult to do so.

There are also people who have a healthy body, but they want to kill themselves.

Over the years, she has long learned to stop being entangled, do what can be done, and save people who can be saved.

Ten minutes later, when she came out of the rescue room, she met Tian Nan's mother, who was waiting for her at the door.

"Doctor, does my daughter need any medicine, or can she go back if she is fine?"

Wen Xiuchi looked at the family member who was still ignorant and didn't understand the seriousness of the problem at all, and sighed again.