173 The level of first aid in the first year of medical college is light years ahead of yours

"What do you want?" Luo Hao asked.

"Let's see what's missing." Chen Yong frowned, "It's all chicken feathers, and the most annoying thing is emergency first aid." ”

"What's missing?" Luo Hao sat on the sofa with his butt and crossed Erlang's legs.

Yuan Xiaoli was pressing the hemostatic point, Meng Liang was cleaning up the operating room, Mr. Ma Liu Yiyi was busy recording, and only Luo Hao was the most idle.

"There's nothing missing." Chen Yong carefully reviewed the preoperative explanation and relevant documents several times, and finally breathed a sigh of relief.

"Listen to Lao Meng, did you knock the patient's family on the wall?" Luo Hao asked.

"Wall knock? That's what Lao Meng told you? Who taught him the language! Chen Yong raised his head in disdain and glared at Meng Liangren viciously through the leaded glass.

"Technique." Chen Yong refused to answer the previous topic.

"Percutaneous aortic aorography + abdominal aortic balloon occlusion + abdominal aortic aneurysm stent grafting." Luo Hao replied.

"I said the patient was dead, and his daughter went straight to the soft." Chen Yong nagged while typing, "What can I do, when she lies down, I can only whip her a few big pockets, is that okay?" ”

"Well, good job." Luo Hao smiled, "What did you say?" ”

"I said, there is basically no chance, but it is recommended to be rescued, and it needs to be signed. You also know that the patient's family has a blank mind at this time, and can only rely on instinct to do things, and it doesn't matter what they say. ”

"Even if I tell her that she wants to eat KFC tonight, she needs to sign, and the patient's family can sign it."

Luo Hao smiled, this is a relatively excessive metaphor, but it is not a metaphor, it is basically a white drawing.

Like a noodle that softens the patient's family members, they have seen a lot, and Chen Yong can get this kind of patient's family to sign and agree to the operation, which is also very powerful.

"Did you take off your mask?"

"yes, what's the problem?"

"No, well done." Luo Hao leisurely looked at the doctors and nurses who were still busy in the operating room, and looked back at the system panel with satisfaction.

[Emergency Mission: The Checkmate has been completed.]

Mission: Successfully resuscitated a patient with ruptured aortic dissection.

Mission duration: 2 hours.

Reward: Bad Luck Charm +2. 】

There are two black runes in the system space, which should be the bad luck charms awarded to you.

This thing must not be tried casually, whether it is a doctor, a nurse, a patient, or a patient's family, it is of little use.

Maybe when Wen Youren reports himself, he can use the bad luck charm to give him a shot.

Wen Youren?

Luo Hao remembered the goods.

If he had been sent at that time, maybe Wen Youren would have really gone to Siberia to grow potatoes by now.

It can't be said that it is useless, bad luck charms can be of great use at specific times and events.

But Luo Hao prefers that the system can reward him with attribute points.

Alas, attribute life.

"What are you doing? Is your leg weak? Chen Yong asked.

Luo Hao took his eyes off the bad luck charm and forgot about it, "Rest, reduce the concentration of adrenaline in your body." ”

"I thought the patient was dead, but I didn't expect you to get it back. Luo Hao, sometimes I suspect that you have a resurrection card. Chen Yong was also quite embarrassed.

"Give it a try, it's best if you can save it. Well, that's it. Luo Hao was very happy.

"Holy! Awesome!! Chen Yong suddenly exclaimed.

"What's wrong?"

"Nope." Chen Yong seemed to want to hide something, but his Danfeng eyes had already narrowed, and a smile was revealed.

And a new merit value? Luo Hao guessed.

This patient is not the same as the others.

The other patients were alive, and this one was dead at the time of the countdown to death, but not yet completely cold.

Luo Hao didn't want to find out Chen Yong's secret, as long as he could keep praying for himself.

"Chen Yong, you are responsible for communicating with the patient's family, so don't trouble Lao Meng."

"yes, I know." Chen Yong nodded, "The first thing I said was to definitely communicate with me." Where are patients sent? ”

β€œicu。”

"!" Chen Yong scolded again.

In the emergency first aid, doctors and nurses are constantly swearing, which is also normal.

Luo Hao knew what Chen Yong was scolding.

A lot of first aid records have to be written, and the ICU side will also urge you to transfer the medical records, otherwise there is no way to give a doctor's order.

The operation is indeed over, but it will be at least another hour or so.

Busy, fortunately, the patient was saved, and it is better to write a rescue record than to write a death discussion.

Sitting on the sofa, Luo Hao went through the previous rescue process.

There seems to be nothing missing, not only himself, but also Chen Yong and Meng Liangren's performance is very good, almost impeccable.

The team had taken shape unconsciously, and a smile appeared on the corner of Luo Hao's mouth.

Although the number of people is still small, and there is no system reward, Luo Hao just feels happy.

As for Mr. Ma Liu Yiyi, sassy and neat, Luo Hao admires her very much.

It's just that interventional surgeries rarely use anesthesiologists, otherwise Luo Hao would definitely find various means to pull this into his medical team.

"Professor Luo, it's over." Yuan Xiaoli finished the pressurized bandaging and came out to "report" to Luo Hao.

"Okay."

"Then I'll take the patient to the ICU."

Luo Hao was not polite, let alone said anything about hard work, and began to be busy again.

Everyone in the medical team followed to the ICU, Luo Hao moved a small bench and sat at the head of the bed to watch the patient, and Chen Yong and Meng Liangren completed various records on the spot.

Although these things are "annoying" and trivial work, Luo Hao has worked in the medical department for 2 years after all, and it is natural to complete all the homework documents, otherwise he will not be sure.

And I don't know if the story of the farmer and the snake will happen, so it's better to be cautious.

It's ridiculous to say, after completing an emergency rescue that is similar to a "miracle", the doctor does not have much sense of accomplishment and satisfaction in his heart, but is worried that the patient's family will bite back.

But Luo Hao has long been used to it and began to "drive defensively".

After a full hour and a half, the contents of the homework documents and medical records were all written.

The inpatient boss of the ICU reviewed it and was shocked inexplicably.

It was also the first time she had seen a patient with a ruptured aortic dissection in the emergency department still make it to the ICU alive.

After writing all the contents of the medical record and reading it from beginning to end, the ICU resident boss still felt like a dream and felt that everything was so unreal.

Luo Hao didn't leave directly, but checked the medical records, revised a few places, and left until he was satisfied.

Waiting for the three members of Luo Hao's medical team to leave, the inpatient boss of the ICU took out his mobile phone.

[A patient with a ruptured abdominal aortic dissection aneurysm was fished back, who of you has seen it?!] 】

After writing, the ICU resident boss felt that something was wrong, and after thinking about it, he added a sentence - [Broken in the emergency department. 】

[Damn, don't make trouble, if you break someone, you will die, can you save it? ] Are you too busy and you're dizzy? 】

[Or did you see a shocking article in which self-media? ] Please, a little professional. 】

[How can self-media be like this, I guess it's a dream. 】

The usually quiet group immediately became active, and almost in seconds, several intensive care doctors replied in front of me.

There was banter and ridicule in everyone's words, and they didn't take that sentence seriously.

Can an aortic dissection aneurysm be rescued after it has ruptured? It's simply impossible!

No treating physician who has been working in the clinic for several years would say such a thing.

But this is the effect that the ICU resident boss wants.

Everyone's jaws dropped together.

How happy they are with sarcasm now, how surprised they will be then.

[The technical level of the First Hospital of our Medical University is one light year ahead of the province, is it good!] 】

The ICU resident boss replied proudly.

[Don't talk nonsense, there is no picture and no truth! ] 】

[That is, yesterday I also had a patient with thoracic aortic dissection, who refused to have elephant nose surgery, and the patient's family asked to be discharged automatically. Sit up and get dressed, lie down directly, and the person is gone. 】

[It's a mistake, it's not an aortic dissection, it's a dissection in another location.] 】

There were countless splashes in the quiet WeChat group.

The president of the ICU had an uncontrollable smile on his face.

She immediately sent the image of Luo Hao using the pig's tail tube, and then posted the signs at that time.

Aorta, abdominal aorta!

That's right!

The image of the dissecting aneurysm is so dazzling, and the angiography of a shot is smoking next to the aorta, and there is no doubt that it is broken, not a trace of it, but a complete break.

The WeChat group that had just become active suddenly exploded.

Imaging confirmed that it was an abdominal aortic dissection, and although it was not certain that it was broken in the emergency department, the rupture of the aortic dissection was confirmed.

[And then?] 】

[I estimate that the patient's blood pressure has been reset to zero, and the value is an error caused by the near-death sample extraction of vascular smooth muscle.] 】

[The person is dead, it's useless for the king of heaven to come, disperse, Mo. 】

Looking at a series of replies, the ICU resident manager steadily sent the image above the balloon blocking the breach again.

The WeChat group that had just been messed up into a pot of porridge suddenly fell silent.

Is this okay?

It seems like......

Seem......

Almost......

OK.

Subsequently, the resident manager of the ICU pasted the time and vital signs recorded on the rescue record.

In other words, the rescue records written by the doctors of Professor Luo's medical team are really detailed, and they are countless times better than those written by the old dogs in the surgery, and the ICU resident boss sighed in his heart.

[, can I really live? 】

[I'm speechless. 】

[If this patient lives, I am going to go to the first hospital of your medical university for further study.] 】

The ICU resident boss held his mobile phone and smiled, very proud.

The operation was not done by her, and the rescue had nothing to do with her, but after all, it was a personal experience.

Even if you see this kind of emergency first aid with your own eyes, which is the most common once in your life, it is enough for the ICU resident to be proud.

[Of course he is alive, and the patient can now speak.] 】

Countless thumbs-up emojis came out one after another, and then someone posted an emoji of panda burning incense + worship.

So the neatly lined up panda burning incense + worshipping emoji swiped the screen.

The more doctors understand the difficulty of rescue, the more they admire, as for worship, that is as it should be.

If all of this is not worshipped, what is there to worship?

Actually, they didn't want to, but it was a ruptured aortic dissection, and it was broken in the emergency department, not on the operating table.

[Hurry up and stick the surgery below.] 】

[Yes, half of it is watched, and it is itchy to watch! ] In other words, how long does the patient have cerebral hypoxia, don't save it back to a vegetative person, it's better not to save it. 】

[Probably not, there is time on the image, and it can be matched, theoretically speaking, it is possible.] 】

The inpatient boss of the ICU did not sell too much, and pasted all the following information, as well as the postoperative test sheets.

Judging from the laboratory values, the patient should be alive.

After the show, the ICU resident boss held his mobile phone and smiled and waited for everyone's bowing.

Worship and sycophancy.

But after two minutes, the inpatient at the next hospital always sent a message.

[Is it true?] Or did you make it up with chatgpt? 】

[Of course it's true!] 】

[I always felt that it was impossible, because everything was so perfect. I'm not saying that this kind of rescue is impossible, from the rupture of the aortic dissection to less than 3 hours now, you have a rescue record? 】

This is indeed a "flaw".

But the ICU resident boss was confident, printed medical records, and began to record videos with his mobile phone.

A series of medical record documents, such as rescue records, surgical records, various signatures, and even records of the first course of illness, major medical records, on-stage consultations, postoperative records, etc., are readily available.

The time is marked on it.

The WeChat group fell silent again.

The envious saliva of all intensivists is going to flow out.

In their own group of Dogecoin doctors, the patients are thrown to the intensive care unit without even writing the operation record, no matter how many times they are urged, it is useless.

Only before the patient is discharged from the hospital will a copy and paste a copy of the surgical record in a hurry.

Looking at the doctors in the first hospital of Renjia Medical University, the ruptured aortic dissection aneurysm can be recovered, and within just 3 hours, all kinds of medical records and documents have been prepared.

There's no need to rush at all.

[You be careful with DIC. 】

Someone sent a message sourly.

[Ha, Professor Luo left a doctor's order when he left. 】

The ICU resident boss smiled and sent the doctor's order left by Luo Hao.

What to do and how to deal with it, no matter how big or small, everything is available.

[It's so detailed, you can handle it if you change the rules.] 】

[This is too complete, do you have this level in the first year of medical college? Unbelief! 】

[That is, you tell the truth, what the hell is going on? 】

The crowd was excited.

……

Luo Hao sat at the table and flipped through the literature with an unlit cigarette in his mouth.

Chen Yong and Meng Liangren were snoring and eating.

It's already late, take a bite of the old Nangang casserole pot meat to deal with it.

Luo Hao ate very quickly, poured the meat into the rice after coming up, ate it in 10 seconds, and then began to drink the soup slowly.

Chen Yong and Meng Liangren were not as anxious as Luo Hao.

"Luo Hao, aren't you going to boast?" After Chen Yong finished eating, his eyebrows fluttered and he asked.

"Well done!" Luo Hao said with a smile, "Everyone will work together and make persistent efforts in the future." ”

"That's it?"

"Or else?" Luo Hao glanced at Chen Yong, "How do you want me to praise you?" ”

Chen Yong shrugged.

"Handsome guy, add a WeChat?" A mobile phone stretched out beside her, and a girl blushed, but she tried to muster up the courage to ask Chen Yong for WeChat.

"I'm sorry, I like men." Chen Yong returned his hand and hugged Meng Liangren's arm, and said with a smile.

"Huh?"

The girl was stunned and walked away.

Chen Yong moved away as soon as possible, and took out a handkerchief to wipe the clothes that came into contact with Meng Liangren.

A look of disgust.

Meng Liangren couldn't cry or laugh, but he didn't say a word, and he was old and steady.

Well, this is very good, if only himself and Chen Yong encounter this situation, it is estimated that he will have goosebumps, Luo Hao thought to himself.

"Luo Hao, just today's work, there are not many cases of Xiehe." Chen Yong asked.

"It's pretty much rare, because time is of the essence. But technically speaking, there is no difficulty, but the difficulty is that you communicate with the patient's family, and Lao Meng starts from scratch to deal with various points that are easy to ignore. ”

"Isn't it enough for a case report?" Meng Liangren asked.

"Not enough, case reports don't look at this." Luo Hao shook his head.

"Lao Meng work hard, Luo Hao will take you to make a lot of money!" Chen Yong said with a smile.

"Keep it low-key." Luo Hao glared at Chen Yong fiercely, "You have to keep a low profile when it comes to making money, it's all a trick." I can only strive to offend people less, but I can't guarantee that I won't offend people. ”

"What do you mean?"

"Boss He was investigated a few years ago, and the establishment of a cancer hospital in northern Hebei Province, the people behind him were strong enough to suppress the matter. But Boss Tian in Jishuitan didn't hide from it, saying that he urinated when he took it away, alas. ”

Luo Hao sighed.

"Really? I see it vivid, but it doesn't feel like it's real. ”

"Really, in fact, doctors are the easiest to check. Ten years of cold windows, full of reading scriptures, a little scare, even not scare. Luo Hao said softly, "So the bosses said that all my money must come from a clean source, pay taxes, and be able to withstand inspection." ”

"Oh? Persecuted paranoia? ”

Luo Hao shook his head, a little stunned.

"What do you want?" Chen Yong was curious.

"I'm thinking about the guide." Luo Hao said, "Boss Tian was a bigwig-level person who formulated guidelines back then, so he naturally preferred spine surgery. The neurosurgeon fought with him a few times, but he couldn't get it done. ”

Speaking of these gossips, Chen Yong became attentive.

"There is no academic champion in the interventional department, whether it is Dean Xu or Boss Teng, although they are already very strong, they are still a little worse than hepatobiliary surgery. Otherwise, it would not have been that Boss Teng and Dean Xu had not entered the engineering institute. ”

Luo Hao briefly talked about some gossip in the academic world, and finally left a paragraph.

"I don't think it's pointing at you."

"Me? Hehe. Luo Hao smiled.

"It's hard, isn't it?"

"The knife at the entrance of the yamen is very sharp." Luo Hao said seriously, "So I don't recommend making money casually, save some snacks, don't point at me to catch you when the time comes." ”

Meng Liangren nodded.

Chen Yong was dismissive.

"Actually, there are ways to make money."

"Don't brag, talk about it."

"Chairman Chen of Aier Ophthalmology, who has no medical background, first went to Hainan to be the general agent of coconut palm coconut water after retiring from the army, and then speculated in real estate, but the results were all hung up."

"In the future, Hetian Putian will be in the middle court model at the same time, and if he can't compete with Putian people, he will set his sights on ophthalmology."

"After all, gold ophthalmology and silver surgery."

"Aier Ophthalmology seems to have a market value of hundreds of billions." Meng Liang is humane.

"Well, Aier established a specialized hospital after being cleared out of the hospital, but at the beginning of the 21st century, the specialized hospital was basically devoid of patients and almost closed. Further on, there are capital injections, including technology injections. ”

"Who?" Chen Yong was very dissatisfied with Luo Hao's concealment.

"Hehe, it doesn't matter who it is. If you want to make money, you should take a stake in the technology, then go public, then split, and then go public. This is the right way, why bother to earn that little money clinically and don't cherish feathers. ”

"Making money, such a big deal!" Chen Yong didn't understand.

"Harm, to a certain extent, it's numbers, it's not easy to make money? The main thing is whether you can hold it or not. Luo Hao said with a smile, "Every city has its own richest man, how many richest people in the past few years have 'blindly' taken out loans and built buildings because of the requirements in the city, including Shi Yuzhu, aren't they all sinking." ”

"For the city, at most, it is just a change of the richest man, and the knife at the yamen is very sharp. But what about each of them? Right. ”

"Even abroad, a few years ago, the head of a Chinese family rooted in Aramco was hit and killed by a mud truck."

Luo Hao came to all kinds of gossip at his fingertips.

But the main thing is still said - there is no interest in making money.

Meng Liangren's heart was full of mixed feelings when he heard this, and his mood was inexplicable.

"Once upon a time, it was said that the real power is not to get a good hand, not to play a good hand, but to know when to leave the table."

"But that was in the past, the previous dean of the first hospital of the provincial medical university was investigated after retirement, you know why."

Luo Hao asked.

Chen Yong shook his head, Meng Liangren observed for 2 seconds, and said, "It is said that after retirement, he established a private hospital in Nanfang and Capital. ”

"yes, what a hell of a dual-track system, say one thing at the time, and say another thing afterwards. In short, it doesn't matter if you make less money, don't leave too much of a handle, this is called giving someone a handle.

If you want nothing to happen, don't serve it. ”

"Earn 30 million this year and stop it."

Luo Hao finally came to say.

Meng Liangren almost didn't bite his tongue off.

What? 30 million?

Where to earn?

"Are you really going to make so much money in Southern MicroPort?" Chen Yong was surprised.

"I don't know, the cost of the phase 4 clinical operation of minimally invasive in the south is estimated to be not much, Chairman Shen just said that, Mr. Nie is also a working boy and can't be the master. If it is to make money, I am more optimistic about Brocade. ”

"However, in order to help domestic minimally invasive enterprises, it is not a big deal to do 2,000 minimally invasive surgeries in the south."

β€œοΌοΌοΌβ€

Chen Yong and Meng Liangren were silent at the same time.

Why did some things change their taste when they came out of Luo Hao's mouth?

"Let's go, go back and see the patient, and I'll hear how you explain it to the patient's family." Luo Hao got up.

The three of them put on their clothes and went out, got in the car and went back to the hospital again.

When he came to the ICU, Chen Yong took off his mask and walked over.

"Yan Zhonghua's family, right?" Luo Hao said to a family member of a female patient under 30.

"Yes, yes, doctor." Families have almost returned to normalcy.

Soft into a noodle and then paralyzed, that was just a stressful state, and now it's better.

"I'll take another look." Chen Yong said with a smile, "When I first left, my condition was stable, did the doctor in the ICU tell you anything?" ”

"I said that I explained the possibility of DIC after heavy bleeding, but I believe that there will be no problem, and even if there is a problem, it can be solved."

"Huh?!" Chen Yong was stunned for a moment, he didn't have as much confidence as the patient's family.

"I asked my classmates, and they didn't believe that a ruptured aortic dissection aneurysm could be saved. I also searched for some information on the Internet, and I am really lucky to have met you. ”

As he spoke, the patient's family bowed deeply to Chen Yong.

Chen Yong was so embarrassed.

(End of chapter)