Trauma from a car accident, looking at this situation, it seems that there is also heavy bleeding, which may lead to shock and death. This is very dangerous for the patient.

Chen Fan immediately had a clear judgment in his heart, this feeling was very good and refreshing! It seemed that Chen Fan had come back some time ago when Sun Dafei was operating. This is a good sign, at least it proves that my actual combat level has improved a little. Unlike the previous two days, if it was an exam, Chen Fan would not have the slightest fear. Whether it is diagnosis or differential diagnosis, including how to treat the plan, Chen Fan is confident that he can write in a well-behaved and beautiful manner.

This is typical on paper. The king of mouth cannons. But now, Chen Fan found that the lost IQ seemed to be starting to come back. This made Chen Fan feel a lot more relieved. It's not because of the problem that I can reload the master, but because I'm not worried about taking people's lives.

Chen Fan still has a number of this. Chen Fan kept this in mind when he deceived people in the past, there was no way, Master Chen was so kind.

Thinking in his heart, but his eyes were still on Wang Yu's body, and he found that Wang Yu's methods were very standard, but the whole process was very slow. You can even see Wang Yu's hand trembling slightly.

This made Chen Fan a little surprised, according to Chen Fan's understanding, Lin Qingya and Wang Yu entered Chuya Hospital in the same batch, and they have been serving as resident doctors for a year. A resident doctor who has been working in the emergency department for a year should not be at this level, but Wang Yu actually seems so rusty in the process of treatment? With Chu Ya's busy level, each of them had to experience at least a dozen such emergencies every day. There is no shortage of opportunities to actually operate. It doesn't make sense.

Anyone will have trembling, even if it is a senior resident doctor, an attending doctor or even a senior deputy chief doctor, or even a chief doctor. Young people have never experienced it, their mentality fluctuates greatly, and the chief doctor is due to physical reasons. This is all normally allowed.

Judging the quality of a surgeon is often a sentence, this person is not stable in surgery. It's this kind of small detail that is the steady finger.

However, Chen Fan did not dwell on these, from a certain point of view, the rusty Wang Yu was very suitable for Chen Fan's imitation.

Wang Yu asked a few more common-sense questions, and then instructed the little nurse next to him: "The patient is conscious. ”

"Director Chen, look at ......," Wang Yu said back.

Chen Fan did not hesitate, nodded and gave an appreciative look, and encouraged: "Go on, the handling just now is very good, I believe you can stand alone." ”

Wang Yu was stunned, a little light flashed in his eyes, he was a little excited, and said, "I know." ”

He turned to look at the patient, reached out and held the patient's neck upward, and at this time, the patient's breathing was much easier.

"Infusion, blood transfusion, expansion of blood volume and extracellular fluid in the brain!Monitoring, informing customers and people outside the heart to come and cooperate!" Wang Yu may be because of Chen Fan's encouragement at this moment, all the doctor's orders are very crisp and decisive, precise and neat. There was no hesitation.

has a personal experience of this Chen Fan. It's self-confidence. But Wang Yu's self-confidence comes from himself, where do he find self-confidence.

As Wang Yu finished speaking, Chen Fan added: "Have a bedside CT, and prepare the autologous blood circulation system." Ask about the blood bank. Is there enough plasma? Operating Room 1 is still empty. Hurry up and prepare. Inform the people outside of your head. This patient is not so simple. ”

This quickly became the doctor's order, and several nurses immediately followed, as did the ECG monitor. The patient looked horrified, but his vital signs stabilized.

As the patient was transferred to the operating room, Wang Yu gave a thumbs up, and his eyes were full of admiration: "Director, you are still experienced and thoughtful, I didn't even think of the problem of brain injury." ”

Chen Fan smiled indifferently and said, "Car accident patients, the most common thing is often brain injury. Pay attention later. I looked at it, and there was blood oozing from the patient's right ear, which could be a ruptured eardrum, but it was more likely a cerebral hemorrhage. There is no room for sloppiness in medicine. Every mistake we make has the potential to lead to patient death. ”

"Well, I will take the director's words to heart. Wang Yu sincerely agreed, and continued: "Director, it's still comfortable to follow you, not to mention what you can learn, and there is a great chance to get started." ”

Chen Fan nodded slightly, but the person stepped out and said to Wang Yu who was following closely: "Don't be happy too early." To be a doctor is to be careful and meticulous, and to be bold in seeking verification. You're good. Do it well. ”

For the emergency department, it is not as urgent as it is in the TV series. It is more normal to receive patients, maintain the patient's life, and then make basic judgments, either transfer to the department, or directly call someone to come for emergency surgery.

The car accident patient soon had extracerebral and extracardiac and orthopedic takeovers. The three departments are linked, and the operation is performed at the same time, and the whole process is tense and orderly. That's the normal rhythm.

And the news that came also made Wang Yu admire. The whole emergency department is extremely admirable. Because this patient did have a cerebral hemorrhage. If it weren't for Chen Fan's reminder. When the patient is found during the operation, it will have very serious consequences.

In the blink of an eye, it was afternoon, and at this time, the emergency department also sounded a notice: "Doctor Wang Yu, please come to the guidance desk for treatment." ”

As the notice was issued, Wang Yu immediately ran out, and Chen Fan followed unhurriedly. Although Chen Fan made up his mind to resign. But it's also a rare learning opportunity. You can't just have knowledge without practice all the time.

It was a male patient in his forties, followed by two people, one who was so drunk and seemed to be his friend, and the other a woman in her thirties with anxious faces.

And the patient is already clutching his chest and vomiting indiscriminately. The smell of blood came. There was already a puddle of bruises on the ground.

This is gastrointestinal bleeding, looking at it like this, it should be drinking too much. Chen Fan immediately had a preliminary judgment in his heart, and at this moment, Wang Yu had already gone up. After some treatment, and then rapid treatment, as the patient lay on the hospital bed, Wang Yu then instructed: "This is a massive bleeding in the digestive tract, you must be very careful when nursing, especially pay attention to keeping warm." In addition, you must not drink alcohol again. That's not bad. If you're at home at night, you might be hopeless. ”

"Thank you, doctor!" the patient's family grateful.

Wang Yu smiled slightly, he was about to wave his hand, but Chen Fan next to him spoke: "Besides these, there is nothing else to instruct?"

Wang Yu glanced at Chen Fan, and then continued to instruct the patient's family: "Also, you should read and pay more attention to your diet, especially during the period of bleeding activity, you should fast......

"Anything else?" asked Chen Fan.

Wang Yu tilted his head and thought about it, and said, "There should be no more." ”

Chen Fan looked at Wang Yu with a pleasant face and said, "You, shouldn't you pay more attention to the patient's nervousness and fear?"

Wang Yu suddenly realized, and a look of shame appeared on his face. He hurriedly instructed the patient next to him again.

After a series of practices, Chen Fan has almost mastered the basic methods of diagnosing and treating patients. There may be some inexperience in it, but with the knowledge in his mind, he can make up for the gap. He has now completed the initial accumulation of practical operations, and he can't wait to verify his results.

At this time, a patient walked into the hospital with the support of his family. Chen Fan saw him and was about to catch him immediately, but at this time, Wang Yu actually rushed out from the side. smiled and said, "Director Chen, let me do this kind of thing." You are always resting, I really don't worry, you can always watch from the side. ”

Wang Yu, who was proactive, quickly stepped up and examined the patient. And then it was easily solved. Although Wang Yu and Chen Fan's diagnosis results are the same, Chen Fan still has some bad feelings. Don't I just want to put it into practice? Is it so difficult? Why don't you even have the opportunity to treat patients?

Chen Fan was a little depressed in his heart, but he still had a very appreciative expression on his face. Because Wang Yu is really working hard as he said. It is true that the patient's symptoms are mild, and there are four or five patients in a row who have no chance for Chen Fan to make a move.

"Forget it, just treat it as if you have taught a good apprentice. But Chen Fan knew in his heart that he hadn't actually done anything, which was a reflection of Wang Yu's own strength.

With Wang Yu as the younger brother, Chen Fan seemed so relaxed in this busy emergency room, would other tutors be envious of baldness.

Seeing that the shift time was approaching, the discouraged Chen Fan was also ready to go home from work. But at this moment, there was an angry roar not far away. This is Sun Zhili's voice: "I told you a long time ago to be careful, be careful, you don't believe it, now something is wrong!"

Chen Fan immediately frowned, what is the matter with this Sun Zhili? Talking like this in public, is this worried that the trouble of the hospital is not enough? No matter how much trouble arises, you have to avoid the patient.

Sun Zhili's angry appearance attracted everyone's attention. Chen Fan looked up and saw that the patient lying on the bed next to Sun Zhili was convulsing, Lin Qingya was crying, and several nurses around him were also very flustered.

At this moment, Sun Zhili still looked unrelenting, glared at a few nurses, and finally his eyes fell on Lin Qingya's body, and said very sternly: "Doctor Lin, let me tell you, if something goes wrong with this patient, you will be fully responsible!"