Chapter 143: A large number of wounded
"Eldest sister, you can't do this!"
"Why not?"
"This is a rule in the hospital, family members can't stick things in the ward."
"What a rule, I can tell you, if you delay my mother's illness, beware that I won't finish it for you!"
"You... You are unreasonable! ”
"Heh~"
Listening to the voice, it seems to be Su Xintong.
Li Xiyang immediately walked over.
As soon as he arrived in the ward, Li Xiyang was stupid.
There are three layers inside and three layers outside, and the room is full of yellow rune paper, and I don't know if I thought I had entered the dojo.
"Xiao Su, what's going on?"
When Su Xintong saw Li Xiyang coming, the whole person was about to cry, "Doctor Li, this eldest sister has to put a yellow charm in the ward, saying that it can bless and drive away evil spirits!" ”
"Exorcism?"
A stunned word on Li Xiyang's face was capitalized.
Exorcise evil spirits, you go to the morgue, what are you running around here?
Looking at the eldest sister again, while continuing to paste the yellow charm on the wall, she was still babbling something in her mouth, "Sanniangniang bless." ”
"Aren't these three niangniangs the gods who sent their children?"
A head suddenly poked in behind him, coldly startling both Li Xiyang and Su Xintong.
Su Xintong patted his little chest and gritted his tiger teeth hatefully, "Dead Chen Xu, you walk silently!" ”
Li Xiyang looked strange, "Send Guanyin? ”
"You can't go wrong!"
Chen Xu said proudly, "This great immortal has studied these five elements gossip for many years, and he knows all the immortals, gods and Buddhas well. ”
But he looked sideways at the hospital bed, "Good guy, her wife is at least over sixty, isn't this pure nonsense?" ”
"Since you know so well, why don't you go up and talk to the eldest sister?"
Chen Xu immediately shook his head like a rattle.
This family member is difficult to deal with at first glance, and if it is not good, it will be a medical trouble.
"Cowardice!"
Li Xiyang joked and walked to the hospital bed.
"Eldest sister, where did you ask for this yellow talisman, is it useful?"
The family member glanced back at Li Xiyang, raised his eyebrows and said, "What, little doctor, are you also interested?" I'll tell you, these are all runes I asked for from Sanniangniang,
With the blessing of this talisman, my mother will be safe! ”
Su Xintong muttered in a low voice, "If it's really so useful, why are you still coming to the hospital?" ”
"Huh?"
"Little nurse, what did you say?"
Not to mention, the eldest sister's eyes are quite scary.
"Ah, I... I..."
Li Xiyang patted Su Xintong, "Eldest sister, she said, if your rune is really useful, she will also go to the mountain to ask for a few!" ”
Su Xintong is stupid, am I saying so?
However, seeing Li Xiyang winking at him, Su Xintong hurriedly said, "Yes, yes, yes, if it's really useful, I'll ask for two too!" ”
As soon as she heard this, the eldest sister immediately smiled.
"Okay, I see that you girl is very sincere, I'll take you there when I'm free tomorrow."
"Still,"
Li Xiyang's voice changed, "Eldest sister, I also see that your talisman is not like a life-saving talisman, but like a life-saving talisman." ”
"Boy, what nonsense are you talking about?!"
The eldest sister was immediately anxious.
And Li Xiyang just raised his finger, "I don't believe it, you can see for yourself." ”
Looking along Li Xiyang's finger, I saw my old lady lying motionless on the bed, while the ECG monitor on the side sent out a nervous and piercing alarm.
The eldest sister doesn't know how to do medicine, but she doesn't watch much TV.
In general, this means that the patient is not breathing, or there is no heartbeat.
"How... How so? ”
"Doctor, take a look at my mother!"
The eldest sister was panicked at the moment.
Li Xiyang shook his head, "Your mother was only hospitalized for high blood pressure, and our doctor has done antihypertensive treatment, and the effect is also very good, it's not a big deal, and she can be discharged from the hospital tomorrow!" ”
"But you..."
Li Xiyang pointed to the yellow talisman that filled the room.
The eldest sister was stunned for a moment, "You mean the misfortune of the rune move?" ”
"Impossible, impossible, this is Sanniang..."
Before he finished speaking, the ECG monitor suddenly went silent.
The eldest sister was stunned for two seconds, and then cried with a wow.
Chen Xu and Su Xintong were also nervous and anxious, "What... What's the situation, Dr. Li hurry up and rescue it! ”
Li Xiyang sighed to the two, "Oh, this is not a rescue thing at all, I told her all the methods, she doesn't believe it, what can I do." ”
When the eldest sister on the side heard this, she also hurriedly tore the yellow talisman on the wall.
Just halfway through the tear, the ECG monitor returned to normal.
"Damn, it's really a supernatural event!"
Chen Xu and Su Xintong stared at each other with big eyes, full of disbelief.
The eldest sister seemed to see hope, and quickly took down all the remaining yellow talismans.
Li Xiyang stood in front of the hospital bed and said with a smile, "It's okay, your mother has returned to normal, let the old man sleep well, and be discharged from the hospital normally tomorrow!" ”
"Woo woo, thank you, doctor, you are the divine doctor, what kind of bullshit rune is this, I really believe in his evil!"
The eldest sister seemed to be drained of her strength, and sat on the ground crying.
"Okay, your mother is fine, you have to be happy, don't put these things in the ward in the future!"
"Okay, okay, don't post it, I won't post it again!"
Until they got out of the ward, Chen Xu and Su Xintong still had hellish expressions on their faces.
"Dr. Li, how the hell did you do that?"
Li Xiyang smiled bitterly, "I don't have that much ability." ”
In fact, the eldest sister didn't pay attention to the yellow charm when she posted it, and overwhelmed the line of the electrocardiogram, which made such a big fuss.
The reason why the hospital does not allow patients to stick things on the wall is because it is not beautiful, and it is public property, which will bring trouble to the cleaning staff.
Another reason is that there are oxygen tubes, telephone lines, and many equipment lines on the walls of the ward.
She just touched the ECG circuit, and if it hit the oxygen tube, then she would really cry.
It turned out that this was the case, Chen Xu and Su Xintong realized it later, and they were also amused to cry and laugh.
In fact, there are many strange patients like the eldest sister just now, which is not uncommon in the ward.
Su Xintong said she heard from a friend in the obstetrics department that a pregnant woman was about to give birth in the delivery room last month, and the attending doctor decided to perform a caesarean section.
But at this time, the pregnant woman's mother-in-law heard a goddess in the village say that the child should be born at an auspicious time before the dragon and phoenix can be auspicious.
So, the mother-in-law asked the doctor: "You have to let my daughter-in-law give birth between 11 p.m. and 1 a.m.!"
Because of this time period, it was also called the time of the child in ancient times.
The goddess said that the person born when the child was born, the eight characters and five elements belong to water, and the water is the treasury, and the wealth not only symbolizes money, but also indicates that the person has a very good popularity.
As the old saying goes, "those who have attained the Tao have a lot of help", so the baby born when he was a child has a strong help from nobles throughout his life, and it is easy to be promoted by elders or powerful people, and his career is easy to succeed.
The doctor was laughed at angrily, this is an uncertain factor for the mother to give birth to a child, each woman has a different delivery time, even if the caesarean section is born, there is no guarantee that the child will be born on time.
After listening to the doctor's words, the pregnant woman's mother-in-law exploded, "Your hospital only knows how to collect money, and you can't even determine the time of giving birth, what's the use of the hospital raising you waste??
Then he spat at the medical staff present.
The mother-in-law said, "No, let's go to other hospitals to give birth!"
The doctor said: "The pregnant woman is about to give birth, if you transfer to the hospital now, we are not responsible for any situation on the way, please sign a waiver of liability!"
Having said that, the pregnant woman's mother-in-law still insisted on going her own way, and finally forcibly transferred to the hospital.
The sad thing is that the pregnant woman on the road has a difficult birth and hemorrhage, and one corpse has two lives...
……
8:15 p.m.
The phone at the triage desk rang.
Su Xintong walked over to connect it, and heard the operator on the opposite side say at a very fast speed: "The hydraulic pipeline of Renmin Road has skyrocketed, and the number of casualties is expected to reach thirty!" ”
"What? Pipeline explosion? ”
Su Xintong exclaimed, and Li Xiyang and Chen Xu also heard it.
"Come with me!"
Li Xiyang quickly walked to the hall and said to the nurse on duty, "Head nurse, notify the emergency response in the hospital, within 15 minutes, the director of the emergency, internal, external, gynecology, pediatrics, the head nurse of the emergency department and the second-line nurse, the anesthesiology department on duty or the second-duty doctor (go to the emergency department rescue room to participate in the rescue,
The directors of the medical and technical departments are on standby in their respective departments to prepare for emergency examinations. ”
"The Nursing Department is responsible for notifying the Pharmaceutical and Medical Equipment Department and the Logistics Department, and is responsible for preparing the supply of equipment, protective items, drugs and sanitary materials required for emergencies.
"The medical staff participating in the emergency department who participate in the emergency rescue shall receive and transfer patients to the hospital in accordance with the hospital's emergency green channel management system and process, and each patient shall have a physician and a nurse responsible for reception, examination and timely consultation."
"Others immediately call and tell those who are off duty and are resting to return to work immediately!"
"Good!"
All the little nurses got busy at once.
"Xiao Su, go to the emergency desk to increase the green channel."
"You have to add another bed in the rescue room, how much can you add!"
"Understood!"
Turning around, Li Xiyang said to Chen Xu again, "Go check the inventory of drugs and equipment, and if it is not enough, please ask the hospital for support immediately!" ”
"Okay, then Doctor Ouyang, do they want to inform?"
Li Xiyang shook his head, "No, they're in surgery, can't bother!" ”
"Understood!"
For a while, everyone was busy.
Li Xiyang went to the blood bank to prepare blood, and the hydraulic pipeline exploded, but he was afraid that someone would have to have a blood transfusion to save his life.
When Li Xiyang came back from the blood bank, the hall was already full of staff from various departments, and the teacher had also arrived!
Seeing Mo Kai, Li Xiyang's heart that had been worried was also put down.
Li Xiyang has no experience in such a large-scale treatment of the wounded, and if any link is not taken into account, the consequences will be extremely serious.
Mo Kai also saw Li Xiyang, walked over and patted him, "Very good!" ”
He was talking about things in the dean's office just now, and as soon as he received the call, he hurried over and found that the preliminary work had been done in a very timely manner.
When everyone arrived, Mo Kai turned around and shouted loudly, "Classify all injured patients according to their injuries, concentrate on giving priority to critically ill patients with unstable vital signs, and group patients to wear rescue cards."
First of all, the triage nurse will evaluate the condition or injury, and mark the injury identification card according to the six colors of red, orange, yellow, blue, green and black, stick it to the eye-catching place of the patient, and enter the red, yellow, green and black four areas according to different marks. ”
One, the Red Zone!
Subjects: A red level: airway obstruction, inability to breathe normally, unconsciousness, convulsions, shock, fatal injuries requiring immediate treatment, waiting time is 0.
Such as large-scale burns, blast injuries, massive hemorrhage in the chest and abdomen, rupture of large blood vessels in the limbs, serious damage to heart, lung and brain function, and extremely unstable vital signs.
(2) Orange level: the waiting time for critical illness can be less than 10 minutes, such as severe pain, changes in consciousness, etc.;
The work in the red zone is headed by Ouyang Ming,
Lead the organization and implementation of emergency doctors, doctors of corresponding departments, emergency nurses and foreign nurses.
Responsibilities: Implement definitive treatments such as cardiopulmonary resuscitation, endotracheal intubation, defibrillation, gastric lavage, emergency surgical preparation, etc.
Consider and arrange where to go once vital signs are stabilized.
The uniform number of patients is red one, red (2), red three...... If you have a name, fill in your name, and if you don't have a name, you will have a number.
Location: Emergency room, gastric lavage room, emergency operating room.
Yellow Zone!
Subjects: Severe but non-fatal injuries, moderate condition, persistent vomiting, uncontrolled hemorrhage.
"The Legend of the Fairy Tree"
For example, rupture of internal organs, fracture of limbs, fracture of the spine and pelvis, and the presence of foreign bodies in the body without serious complications.
The waiting time is less than 30 minutes.
The work in the yellow area is headed by Sheng Lei,
Lead physicians and surgeons, observation room nurses, and nurses from other departments.
Responsibilities: Initial treatment, fluid rehydration, blood drawing, blood type check, fracture external fixation, assessment of the condition,
The numbers are Huang 1, Huang (2), Huang 3......
Location: Emergency Observation Room.
Three, the Green Zone!
Admission objects: 1 green level: mild injuries and patients: pain, fever, vomiting, soft tissue contusions of limbs, scalp lacerations, etc., the waiting time is less than two hours.
(2) Blue level: those who have no symptoms and need to be observed.
The work in the green zone is headed by Xu Bin,
Lead the paramedics, triage nurses.
Duties: Handle the sick and wounded.
Location: Infusion room.
Fourth, the black zone!
Subjects: loss of consciousness, respiratory arrest, carotid pulse arrest, deceased.
Staff: Mortuary staff.
Duties: Determine the death, fill out the medical record, death certificate, and prepare the body.
Location: Surgical Corridor.
In addition, the pharmacist is fully responsible for the supply of medicines.
The Equipment Section and the Procurement Center are responsible for the supply of equipment and materials, respectively.
The Logistics Department is responsible for logistics support and assisting in the transport of the sick and wounded.
"Okay, the specific work rules of the four districts of red, yellow, green and black are divided by the doctor in charge!"
As soon as Mo Kai's voice fell,
"Meet in the Red Zone!"
"Meet in the Yellow Zone!"
"Meet in the Green Zone!"
"Meet in the Black Zone!"
"Detailed rules for the division of labor in the red zone:
No. 1: Responsible for organizing rescue and circulatory resuscitation. For example, chest compressions, defibrillation, etc., I am in charge.
(2) No. : Responsible for maintaining the patency of the respiratory tract, such as tracheal intubation, application of ventilators, oxygen administration, etc., led by Li Hua, the head nurse.
No. 3: Responsible for opening venous access and pushing medicines, including deep venous cannulation, which is served by nurse Zhang Qian.
No. 4: Responsible for dispensing the liquid and verifying the oral doctor's orders, which is served by nurse Xu Lin.
No. 5: Responsible for rescuing records and maintaining order, which is served by nurse Xiao Chen.
Yellow Area Division of Labor Rules:
A. Triage nurse assesses vital signs every 10 minutes and enters the red zone if the condition changes to the red zone criteria.
B. A nurse in the observation room organizes the rescue of patients in the area and the deployment of external assistance personnel.
No. 1 is responsible for blood drawing, skin test, cross blood drawing, fracture external fixation, etc.
No. (2) is responsible for the preparation of medicines
Number three is in charge of the infusion.
Number Four is in charge of the records.
Green Area Division of Labor Rules
A. Triage nurses assess vital signs every 30 minutes and transfer to the appropriate area if the condition changes to the yellow zone or red zone criteria.
B. The triage nurse is responsible for organizing the treatment of patients in the area, and the external assistance personnel obey the deployment.
C. Properly arrange the patient in the infusion room and properly dispose of the wounded and sick.
Detailed rules for the division of labor in the black area
Patients who have been preliminarily identified as deceased by the triage nurse will be placed in the surgical corridor after being re-identified by the doctor, and the mortuary staff will be notified by the triage nurse number to transfer them to the mortuary. ”
……
In less than 5 minutes, the emergency hall was quiet again.
The professionalism and norms of the first hospital's major emergency department are vividly embodied.
Li Xiyang was a little confused, "Teacher, where am I going?" ”
Mo Kai glanced at him and smiled, "You move freely!" ”