"The people in the ICU are all critically ill, and even if there is a situation, they will not be easily rescued in the operating room, right?"

Zhou Can felt that this matter was mysterious.

Even if you want to save a patient, it is usually done in the ICU ward.

There are various rescue facilities inside.

Defibrillators, microsyringe pumps, ventilators, multifunctional blood purification devices, a full range of vital monitoring instruments, and even the extremely expensive ECMO. It can be said that no matter how serious a patient is, if he is admitted to the ICU, as long as his family does not agree to extubation, he basically cannot die.

Breath is gone, put on a ventilator.

The heart stopped beating, the breathing stopped, it didn't matter, go on ECMO.

Modern medical technology is highly developed and has indeed created many miracles of life for human beings.

The patient is in the ICU, and the cost of treatment is high, and it is not for nothing. Nurses are generally served in pairs, with doctors managing up to three beds of patients per person, and there are also attending patients. Then wipe the feces and pee, turn over, beat the back and other work, there are special nurses to do it.

With so many people revolving around a patient, if that patient still can't survive, the hospital has done its best to save the patient, and there is no responsibility.

Pulled to the operating room for rescue, this nature changes.

Based on Zhou Can's intuition, he chose to pull the patient to the operating room when his life was dying, or to do some necessary examinations or assist in surgery. Either that, the medical staff on duty is grossly negligent and responsible.

At this time, a mistake has been made, and finding a way to rescue the patient is the best remedy.

"I don't know the specifics. Director Wu happened to go to the school to give a lecture, and he won't be able to come back for a while. The doctors in their group have always been self-conscious and very face-saving. If you don't have a way, you can't easily ask me for help. Let's go over and take a look, and try our best to help if we can. ”

Director Wen's age is not very old, not yet sixty years old.

Walk with the wind.

In a moment, he rushed over with Zhou Can, Dr. Zou, and Tang Li.

None of the residents were called.

In this case, bringing two attending doctors over can not only show that you attach importance to this matter, but also let the two attending doctors under you gain insight.

What can you do at a critical moment?

As for bringing Zhou Can over, in addition to cultivation, it is also dependent on Zhou Can.

Zhou Can's endoscopic surgery is done well, and the pathological diagnosis is also very powerful, and he is completely a main force.

Before the four of them arrived at the operating room, they were stopped by a chubby middle-aged doctor.

"Director Wen, I can count you as waiting for you, that patient is dying, please help me take a look!" The forty-five or sixteen-year-old male doctor seemed to have seen a savior, and pulled Director Wen forward to help.

Zhou Can knew this male doctor, who was a deputy chief physician under Wu Baihe, named Guo Shenfeng.

Although everyone is not in the same group, he has been working outside the gods for two months, and he is basically familiar with the nurses and doctors outside the gods.

It's different from the humble familiarity of the intern.

Many of the interns are senior doctors and nurses in the department, but it is difficult for the senior doctors and nurses to remember the names of the interns. It's just a slight impression.

From this point of view, there is a certain reason why interns have no human rights in the hospital, and they are not even as good as cleaning aunts.

The status of the trainee is much higher.

It's still limited, though.

Zhou Can is an exception.

His status outside of the gods is quite high. Director Wen's group, needless to say, everyone treats him as the main director.

In other groups, the doctors gradually heard or saw Zhou Can's endoscopic surgery skills, and when they met, many people even took the initiative to greet him with a smile.

Not to mention the nurse girls, all of them are human spirits.

Even if it is a nurse girl in the ICU, she will greet Zhou Can with a smile when she sees her, and it is possible to chat for two sentences.

"Where's the patient?"

Director Wen asked directly.

It doesn't seem to be pulled to the operating room.

"Right here, I'm getting ready to take someone for a CT scan."

Lying on the mobile bed was a thin male patient who was supposed to be in his forties and fifties.

There is a urethral tube inserted underneath, and the trachea is incised, which is also intubated.

On a ventilator.

Even so, the patient's shortness of breath and shortness of breath can still be felt.

The doctors and nurses pushing the ventilators and hospital beds all looked nervous.

"This blood pressure is a little low! The blood oxygen index is also a bit scary...... Briefly describe the cause of the disease and the basic condition of the patient. ”

After Director Wen saw it, his expression became a little more solemn.

"Alas! It's my fault. While on duty, I had a little stomach discomfort and ran to the bathroom. Not long after, the nurse called me and said that the patient was short of breath and a little out of breath. I was fine when I left, but when this happened suddenly, I didn't pay much attention to it. In addition, the patient often fell into a coma, was bedridden for many days, had a tracheotomy, and has been living in the ICU. ”

"It's been okay for so many days, and it's unlikely that something big will happen suddenly. I had a terrible stomach ache and I guess I wouldn't be able to get out of the toilet for a while. So I asked the patient a few things. The nurse responded that the patient did not have cyanosis of the lips and the oxygen saturation of the fingertips was not low. Based on the above symptoms, I diagnosed that the patient should have a lung infection. ”

"The patient's lung infection has actually been going on for some time. He had a malignant tumor in the brain, and he underwent tumor resection and chemotherapy, but the effect was not satisfactory. The family insisted on treatment, so they could only be cared for in the ICU. ”

The trachea is intubated for a long time, which is very prone to inflammation and infection.

The patient has a pre-existing lung infection, so he has wheezing, shortness of breath, and the blood oxygen is not reduced, so most doctors will feel that it is not a big problem.

At least compared to other dangerous conditions in the intensive care unit, shortness of breath is really nothing.

"I told the nurse to suction, first suctioned the patient, turned sideways, patted the back. If you are still a little wheezing, you can nebulize the airway. ”

The deputy chief physician of Guo Shenfeng gave a brief introduction to the situation at that time.

Although this treatment is a bit sloppy, it is decent, and I don't think there is anything wrong.

"The nurse didn't call me again. I'm not in such a hurry. After going to the toilet with peace of mind, when he came out, his legs were numb and he sat outside for a while before returning to the ICU. When I went in, I checked on the patient and found that he was still a little short of breath and there was nothing particularly unusual about him. ”

"Another patient happened to have ventricular fibrillation, and I rushed over to deal with it. After less than an hour, the patient's monitor suddenly sounded an alarm, and I looked, how did the blood pressure plummet? The heart rate and breathing are all abnormal. This time I realized that the nurse had been asked to do it too hastily. ”

When Shen Feng mentioned the situation at that time, he was still full of chagrin.

In Zhou Can's impression, Guo Shenfeng's surgical strength was very strong, and among the many doctors under Wu Baihe, he was firmly in the first place.

The fact that he can be rated as a deputy senior professional title is enough to explain everything.

So, sometimes it's really just a matter of a thought.

A doctor or nurse, as long as he is negligent for a moment, is likely to be the withering of a life.

"Why don't you rescue directly in the ICU?"

Director Wen believed that Guo Shenfeng would definitely be able to understand the meaning of these words.

"Because the patient was bedridden for a long time, I seriously suspected that the patient had a pulmonary embolism. This disease is extremely dangerous, and it has been delayed for more than an hour because of my misdiagnosis and negligence. I thought about going directly to the operating room for rescue. At least our positive rescue attitude can make it easier for the family to accept, and if something happens, the family is much less likely to make trouble. ”

When Guo Shenfeng said these words, he twisted and pinched.

Apparently something was not spoken.

In case something happens and the family makes a fuss, then the cause of the patient's death will definitely be investigated above. Misdiagnosis, dereliction of duty, and delay in the rescue are enough to cause a serious crisis for Guo Shenfeng.

It would be at least a lot better to have a positive salvage attitude.

"Pulmonary embolism is really likely. Have you done a check-up? ”

"For the time being, I only did an electrocardiogram. I sent it to Director Wu, and he also thought that pulmonary embolism was very likely. Now I'm going to take it to the CT room for a contrast examination. Once the cause is identified, see if it is a direct thrombolysis or a need for thrombectomy? ”

Guo Shenfeng replied.

It seems that Zhou Can misunderstood, and thought that Guo Shenfeng directly pulled the patient to the operating room.

It's a bit of a shock to think about.

I finally got to the level of deputy chief physician, and no matter how panicked I was in an emergency, I could tell the difference. To do things, there is still a sense of proportion.

Pull it to check first, which is the right thing to do.

"I've also seen the electrocardiogram, and it's basically certain that it's a pulmonary embolism."

Du Leng was also at the scene to participate in the rescue.

The vast majority of the members of the medical team are particularly united.

In the face of various sudden illnesses, we must also unite in order to save the lives of patients in time.

What he said still carries a lot of weight.

At least from his confident tone, it can be seen that he sees himself as a character.

The other doctors and nurses also have a very respectful attitude towards him.

"Doctor Zhou, what do you think?"

After learning about the situation, Director Wen did not rush to express his opinion. Instead, he turned his head and asked Zhou Can behind him.

Everyone's eyes suddenly fell on Zhou Can's face.

Some people even secretly compared Zhou Can with Du Leng.

Both of them are the best in this year's regular trainees, and their performances are excellent.

In the two months that Zhou Can has been training outside the gods, he has not met Du Leng many times.

Sometimes in the same department, Wu Baihe and Director Wen jointly operated, Zhou Can and Du Leng appeared on the same occasion.

During the consultation, Zhou Can generally does not express his opinion easily.

Du Leng is very high-profile.

Debates are held from time to time with several directors.

As for surgery, Du Leng's surgical ability is very average. For third- and fourth-level surgeries, he is basically only a bystander.

Some of the key parts of endoscopic surgery are often solved by Zhou Can.

It is precisely for this reason that Zhou Can and Du Leng were nicknamed surgical geniuses and theoretical geniuses by doctors and nurses in the same department.

At this moment, Director Wen asked Zhou Can about his diagnosis in public, and it was on the premise that Wu Baihe and Du Leng had already expressed their diagnostic opinions. It is enough for everyone to recognize the weight of Zhou Can in Director Wen's mind.

"I remember when I first entered the emergency department, my teacher once said to me that it may not be a medical miracle for terminally ill patients who have been bedridden for a long time to be admitted to the hospital for treatment. Rather, they are waiting for a medical accident to come. ”

Zhou Can did not give a diagnostic opinion first, but instead said such a big rebellion, which may exacerbate the crooked reasoning of the doctor-patient relationship.

made many doctors and nurses look at him with contempt.

What time is it now, not in a hurry to rescue the patient, but here to say that the patient has ulterior motives, deliberately waiting for a medical accident to come.

If you say such bastard words, you should be thundered every day.

"What do you mean?"

Shen Feng's tone was cold.

He has always been arrogant, and he even looks down on the doctors under Director Wen in his heart.

Zhou Can's words undoubtedly stirred his tense nerves.

The four words of medical malpractice are definitely the four words that Guo Zhufeng is most taboo to hear now.

"He shouldn't be a pulmonary embolism. If you do resuscitate him, it must be a medical malpractice. Zhou Can looked very calm, not caring about the disdainful gazes of the other doctors at all.

After hearing this, Guo Zhufeng's face turned a little colder.

The gaze that looked at Zhou Can was full of contempt and disgust.

"Director Wen, we will first pull the patient for CT imaging, and then ask you to help rescue him after the nature and grade of pulmonary embolism are detected."

Guo Shenfeng obviously regarded Zhou Can's diagnosis as a fart.

It's just that it was in the way of Director Wen's face, so there was no seizure.

"Okay!"

Director Wen naturally won't stop it.

I was supposed to bring someone to help.

It must be based on the other party's diagnosis and treatment opinions. To put it mildly, the patient really couldn't be saved, or there was an accident, he patted his ass and took the doctors in his group away.

No liability will be assumed.

"Did Dr. Zhou really decide that this patient was not a pulmonary embolism?"

Director Wen attaches great importance to Zhou Can's opinion.

Because in the past two months, Zhou Can has a different perspective in many consultations. And the accuracy rate is as high as 100%.

Zhou Can's diagnostic thinking is very different from ordinary people.

"It shouldn't be a pulmonary embolism, some superficial symptoms look very similar, but intuitively, it may have something to do with the lungs. and not the key cause. Zhou Can has his own identity.

He never blindly followed the doctor who gave the diagnosis because of the high level and how authoritative he was in the field of medicine.

"Wait until the patient's test results come out! During this time, we can just look at the patient's previous examination data to understand the patient's etiology, medical history, etc. ”

Director Wen called several people into a nearby conference room and consulted with the patient's medical records and examination reports.

At this time, it can be seen that there are still some barriers between groups.

The four of them sat in the small conference room to discuss the cause of the patient, while the doctors of Wu Baihe's group sat on the other side, led by Guo Shenfeng and Du Leng, and conducted their discussion.

Director Wen and Zhou Can discussed the cause of the patient's illness.

Guo Shenfeng and Du Leng discussed how to rescue the pulmonary embolism after the test results came out?

It is quite risky to pull the patient into the operating room for interventional surgery.

This matter must be communicated with the family first.

As long as the patient is helped to get through this hurdle, the responsibility caused by Guo Shenfeng's negligence can also be revealed.

Soon, the results of the imaging test came back.

The CT scan showed fluid accumulation in the lungs, and the CTA showed no significant embolism in the lungs.

It's just that the patient's blood vascularity is very poor.

Patients who have been bedridden for a long time have qi stagnation and blood stasis, which is a normal condition.

This result greatly surprised everyone.

At this time, Shenfeng thought of what Zhou Can had said before.

With so many doctors involved in the rescue, only Zhou Can diagnosed that the patient was not a pulmonary embolism.

"Doctor, after the examination, the patient's breathing became weaker. The systolic blood pressure was already below 110, and I was afraid that he wouldn't last long. Do you think it's going to be sent back to the ICU first, or how do you get it? ”

In this case, in fact, it is not meaningful to send it back to the ICU for rescue.

If no cause is found, the patient will still die.

No matter how advanced the equipment of the ICU is, it is not a panacea after all.

In the face of many situations, there is actually nothing that can be done.

Doctors and nurses who have worked in the ICU know that patients use all kinds of expensive medical equipment, but the alarms of the vital monitors are still coming and going.

Every time an alarm sounds in every bed, it means that something is wrong.

If you don't deal with it in time, let alone a ventilator, even if you get on ECMO, even if you use the most expensive drugs, you still say you will die.

When Shen Feng heard this bad news, it was like hearing the death knell ringing.

There is no longer the arrogance and composure of the past.

Cold sweat kept pouring out of his forehead, and his eyes were full of panic.

Take out your mobile phone and call Wu Baihe's number.

A brief debriefing on the situation here.

"Teacher, what should I do now to find out that the patient is not a pulmonary embolism? The patient's breathing was already very weak, and his systolic blood pressure had dropped below 110. "Guo Shenfeng asked Wu Baihe for help first, indicating that he didn't trust Director Wen deep down.

It is a matter of future and fate, he only believes in Wu Baihe.

In his heart, Wu Baihe is a god-like existence.

"I heard that Dr. Zhou Can diagnosed the patient without pulmonary embolism, right?" Wu Baihe's ears and eyes are really well-informed, and he actually knows the situation at the scene.

"Hmm!"

The situation Shenfeng responded with difficulty.

Whether he admits it or not, reality gave him a hard blow to his big ears.

What Zhou Can said was contrary to his words, but all of them were correct.

"I've rushed back to the hospital early, and I'll be there in about 20 minutes. To be honest, I may not be able to handle such a tricky situation by the side. Listen to Dr. Zhou Can, what he tells you to do, you can do it, maybe this is the only way to live. ”

Wu Baihe actually said such a thing, and the whole person was stunned when he heard it.

(End of chapter)