Chapter 458: Emergency Daily, This is Experience and Level

I believe that after the clinical doctors and nurses feel these real changes, they will be as happy as Zhou Can in their hearts.

He changed into a white coat and went straight to the inpatient ward for rounds.

When he found the temporary hospital bed and bed No. 23 in the corridor, he greeted with a smile, "Sister Tingting, are you feeling better today?" ”

After Ye Tingting underwent rescue surgery, she stayed in the intensive care unit for three days, and after her injuries stabilized, she was transferred back to the general ward for further treatment. Because she is very young and the surgery was performed by Dr. Koh himself, the recovery effect is quite good.

"It's much better, I couldn't eat at all for the first two days, and my stomach hurt badly. Noticeably more comfortable today. ”

Ye Tingting's whole person has lost weight.

A pierced intestine is the equivalent of a walk through the ghost door for anyone.

The family member who is taking care of her next to her is Ye Tingting's mother.

Her husband is the main laborer in the family and needs to go to work every day to earn money to support the family. I also came to accompany her for two days, and then I would come to the hospital after work to change Ye Tingting's mother home.

Being a chaperone in a hospital is extremely hard work.

It's noisy and there's nowhere to sleep. Many of the accompanying family members are lying on the edge of the bed and coping with sleep.

If the patient needs to stay in the hospital for more than one day, it is definitely a huge test for the family members who accompany the bed.

"I'll look at your wounds!"

Her wound was in the upper abdomen, very close to the ribs of the chest.

If the murderer stabbed a little higher, the consequences would be unimaginable. It's hard to say whether she'll have a life or not.

Zhou Can rounds the ward every day, and he takes special care and meticulous care of her.

She lifted her gown, revealing her upper abdomen.

The wound is still covered with gauze.

Zhou Can carefully spread the tape, and the long wound was revealed. The wound stabbed by the gangster was actually very small, but Dr. Xu had to open his abdomen and perform surgery in the process of rescuing her, which is why the wound was so long.

"It has basically healed, my teacher's craftsmanship is excellent, as long as you pay attention to the maintenance and forbid your mouth a little, it should not leave obvious scars. The recovery of the transverse colon in the abdominal cavity should also be good, otherwise your body temperature will not be so stable, and the surgical wound is more likely to not heal for a long time, or even purulent infection. ”

After Zhou Can examined, he made a comprehensive assessment based on her current situation.

"I'm relieved to hear you say that!"

She smiled.

Women love beauty very much, and if there is a long scar on the upper abdomen, or even scarring, it is unimaginable.

Ye Tingting is a nurse herself, and she knows what foods she can and can't eat after surgery.

There is no need for Zhou Can to explain extraordinarily.

"How is He Juan?"

Ye Tingting never dared to ask He Juan, but she knew that He Juan's injuries were very serious.

Even the person may well be gone.

"She is currently in the intensive care unit and has had an abdominal infection, which has been unsatisfactory because of the large number of trauma sites in the abdominal cavity, coupled with severe blood loss and contamination of the abdominal cavity by intestinal contents. However, I went to see her last night, and based on her signs, condition, and signs, she was generally quite optimistic. As long as you can survive the most difficult abdominal infection, you should be much better later. ”

He Juan was fortunate that Zhou Can rescued her in time, and then did not hesitate to use her network resources to actively rescue her by all means, so that she could have a more optimistic result now.

Even so, she is still dead.

There are many ghost gates waiting for her to break through.

After Zhou Can finished checking the ward, he came out of the ward, and an emergency nurse hurriedly ran to the doctor's office.

Seeing Zhou Can coming, she shouted as if she had found a savior, "Doctor Zhou, Doctor Zhou, there was a young female patient at the triage desk just now, her face was not quite right, and she was as white as paper." Now only Dr. Xie is on duty, he is consulting a female patient, let me ask the second-line teacher to come and have a look. ”

Second-tier teachers generally refer to senior doctors or nurses.

They have rich experience in diagnosis and treatment, and most of them are attending physicians and nurses in charge.

Usually no longer stay at the bedside or in front of the front to directly face family members and patients, but engage in more advanced work. For example, directing the rescue of patients, reviewing the medical records written by interns and trainees, issuing some important medical orders, leading the group, and so on.

Those who can be qualified to lead the group are basically at the level of deputy chief physician or above.

Taking the cardiothoracic surgery department as an example, the deputy chief physician who leads the group is higher than the general chief physician in terms of status and right to speak.

The clinical department of the hospital is an extremely realistic place, and whoever has an excellent level of diagnosis and treatment can bring more income to the department. Whoever has the right to speak. In addition, the chief physician with excellent academic and scientific research is also very good.

Although a department will not clearly discuss seniority, who has a few catties and a few taels, and the treatment they enjoy is what it looks like.

There is no such thing as a half-hung chief physician yelling at the department.

Even if that person is a relational household, at most he will do less work and get his salary.

In fact, the front-line clinical departments are not suitable for the survival of related households.

Those with a bit of background all ran to the administrative department.

The backstage will generally be crowded into the medical and technical departments.

Dr. Xie is a new doctor in the emergency department.

After transferring to a resident hospital last year, I have just completed three years of work. It is considered a newly promoted senior resident.

Dr. Luo was cut on the hand by a family member last time, and he is still not well. The doctor on duty in the emergency department was a little tight, so he transferred Dr. Xie to the triage desk.

To be honest, Dr. Xie was kicked out by the Department of Urology, and there must have been a little flaw in himself.

It is possible that the level of medical skills is not good, or the work attitude is not good, etc.

Everyone is an adult, and they don't usually say it openly.

The emergency department needs people, and the hospital draws from the internal medicine department, so the internal medicine department naturally takes the opportunity to eliminate weak doctors.

I believe that no department will give away excellent doctors with outstanding potential.

Although Zhou Can is only a junior resident doctor, in the minds of most doctors and nurses in the emergency department, his level is better than that of the attending physician. At the critical moment, as long as the old nurse in the emergency department catches him, she will definitely ask him to come over to save the emergency.

He went to the triage desk and saw that Dr. Xie had finished consulting the female patient.

The female patient looked very young, only seventeen or eighteen years old.

The appearance is not particularly beautiful, but it is still beautiful and a little beautiful. Dressed like a student at school, it's very regular.

"What's going on with her?"

Zhou Can asked Dr. Xie.

"The patient reported abdominal pain, and on examination, her abdominal tenderness was noticeable." Dr. Xie specializes in urology diseases, and he can basically handle the abdomen.

"Has the cause been identified?"

"Not yet! I'm going to let her take a belly B ultrasound first. ”

Dr. Xie obviously didn't pay enough attention, and even felt that the nurse had a lot to do when she invited Zhou Can.

"It is recommended to take a blood check for her blood first, see the hemoglobin, and then do a B ultrasound before it is not too late."

Zhou Can gave advice.

Basically, that's the guidance.

Although Dr. Xie was a little unhappy, he also knew Zhou Can's ability, and immediately added a blood test.

"The blood routine must be expedited! Teacher Lu, take her blood on the spot, don't let her line up! ”

Zhou Can said to the nurse while letting the girl sit down.

"Good!"

The female nurse trusted Zhou Can very much, and immediately went to the disposal room to get test tubes, needles and other items for blood collection.

Zhou Can said to the family next to the girl, "Who are you?" ”

"I'm her mother."

The woman looked in her forties, dressed and looked bright, but with Zhou Can's eyes, she could see at a glance that she was wearing miscellaneous goods.

I feel that this mother should be a stronger kind of woman.

The makeup of the painting is also very thick.

"You go and pay her the inspection fee, it's over there!" Zhou Can said to the girl's mother.

"Okay!"

The girl's mother told her daughter and walked straight to the window where the fee was paid.

Although the hospital has a number of self-service machines, some family members who are a little older and less educated still prefer to choose manual charging at the window.

Zhou Can pushed the girl's mother apart, then looked at the girl and asked, "I read your medical record information, which describes that you are unmarried and have no sexual history." Now that your mom isn't here, are you honest, have you ever had sex? ”

The girl didn't expect Zhou Can to ask such a question, so she immediately blushed and lowered her head.

"Sick doctor, your current condition is very dangerous. When I came here just now, I saw at a glance that your face, lips and other features were acutely anemic, and if I guessed correctly, you must have bleeding from your lower body. ”

Zhou Can's expression was very serious.

Originally, the girl was supposed to go to the gynecology department, but I don't know how to hang up the emergency department.

Probably considering that the gynecology clinic is not open yet.

And you have to wait in line for a long time to get a doctor when you register there.

"You...... How do you know everything? ”

The girl raised her head and glanced at Zhou Can timidly, looking a little surprised and admired. This new doctor is much more powerful than the doctor who treated him before.

I didn't do any examination on her at all, just a few glances to know her general situation.

And deliberately separated her mother, so that she was questioned.

It's heartwarming.

"Because I'm a doctor! Do you know? Your current situation may be very dangerous, tell the doctor all the truth, and we can treat you best and the fastest. ”

Zhou Can's tone was much softer, just like a big brother caring about his sister.

Try to keep the female patient from being nervous.

"I've told you the truth, but don't tell my mother. I had a boyfriend more than two months ago, and I feel a stomachache in the last few days, and today it hurts so badly that I still have a little bleeding underneath. I was a little scared, and then my mom found out that something was wrong with me, so she asked her boss for leave, didn't go to work, and quickly took me to the hospital to see a doctor......"

The girl told all about the situation.

Sure enough, as Zhou Can guessed, she had already talked about her boyfriend.

Doctor Xie broke out in a cold sweat when he heard this, and now he admired Zhou Can so much.

I thought that this female patient's condition was very simple, maybe she had a bad stomach or something. I didn't expect her to hide so much medical history information.

Thinking of the way she was afraid of her mother just now, Dr. Xie admired Zhou Can's cleverness even more.

Quietly, under the pretext of paying the fee, he directly separated the girl's mother, and then asked about the girl's medical history. That's the experience!

Dr. Xie asked for a long time, but he didn't ask anything.

Zhou Can easily asked the truth.

"I suspect you most likely have an ectopic pregnancy and should be bleeding right now. If it is a massive hemorrhage, surgery must be performed immediately. Girls, you must remember to protect yourself in the future, you know? ”

Zhou Can looked at this girl and was very distressed.

She was pregnant at the age of seventeen or eighteen, and she was ectopic pregnant, so I really don't know if her mother will collapse when she finds out.

Her mother cared about her.

Not only did he ask for leave to take her to the hospital to see a doctor, but he also went directly to a big hospital like Tuya, and did not choose to save money to enter a small clinic.

This also creates favourable conditions for the rescue of the girl.

Ectopic pregnancy hemorrhage, the situation is extremely dangerous.

Extensive intrauterine and intraperitoneal bleeding can often occur in a short period of time, leading to serious consequences such as shock and even death.

Nurse Lu had already arrived with the items to collect blood.

"I'll do it!"

Zhou Can's injection technique is much more clever than her, and now every second counts, so naturally she has to save all her time.

I saw Zhou Can pull up the sleeve of the girl's left arm, and then pinched the front of the elbow joint with his hand. In his right hand, he holds the needle for collecting blood and pops it out on the ground.

But it was a flying needle to collect blood.

Burst!

The needle was inserted into the vein so precisely that the girl didn't even feel the pain because it was too fast.

Blood was already flowing down the catheter.

Soon a tube of blood was taken.

"Let the laboratory hurry up and do it urgently, and her hemoglobin must be found out in the shortest possible time. It doesn't matter if the rest of the results come out a little slower. Blood type is also very important. If the blood type is out, contact the blood bank immediately to prepare the blood. Also, the operating room is ready...... Forget it, I'll arrange the things in the operating room! ”

Nurse Lu is just a nurse after all, and her status is far inferior to Zhou Can.

This kind of emergency rescue, and it involves ectopic pregnancy, which is an obstetrics and gynecology disease, and this operation in the emergency department is considered a new operation.

"How are you feeling right now? Do you have symptoms such as chills, dizziness, heart palpitations, etc.? ”

Zhou Can asked the female patient.

"It's a little cold, and a little dizzy! If something happens to me, you help me give this note to my mother, thank you. ”

The female patient seemed to have a lot of trust in Zhou Can.

took out a written note from his pocket, which was currently folded, and handed it to Zhou Can.

"Have faith in yourself, we will do our best to save you, rest assured!"

Zhou Can took the note and carefully put it into his jacket pocket in front of the female patient.

This is done to make her feel that her trust is valued.

Nurse Lu had already rushed to send the blood sample for testing, and the mother of the female patient had already returned from paying the fee.

The girl bowed her head nervously, not daring to look at her mother at all.

"Come, push the bed and follow me to the ultrasound room, and hurry up to give her an ultrasound. I'm here to say hello and cut in line, don't waste any more time. ”

Zhou Can directly pushed the flat bed over and let the girl lie on it.

The girl's mother, seeing the doctor's anxious tone, realized that her daughter's illness was not simple. She looked a little panicked.

Along the way, the girl was sent to the ultrasound room for ultrasound examination as quickly as possible.

"Doctor, what is my daughter's disease? Isn't it serious? ”

"It's likely that you'll need surgery right away, so be prepared. I have to call her now to contact the departments and get ready for the rescue operation, and I don't have time to explain too much to you. ”

After Zhou Can finished speaking, he walked aside and called Qiao Yu and Dr. Xu from the anesthesiology department and operating room, preparing to perform rescue surgery on the girl.

It is not without thought that the girl should go to the obstetrics and gynecology department for surgery.

After all, there is more experience in doing this kind of surgery.

I'm afraid it's too late.

And he is confident in his technique.

(End of chapter)