Chapter Five Hundred and Sixtieth Baoyuan

In the first aid hall of the emergency center, the residents were chaotic and orderly.

In terms of experience, the residents of Yunyi Emergency Center have a lot of experience.

Regardless of whether they have been in medical school for 5 years or 10 years, after graduation, they have to experience internships, regular training, and the life of hospitalized dogs, ranging from three to four years to five or six years.

In other industries, professionals who have graduated and worked for four or five years have already dared to say that they have "small achievements", and most of them have studied in irrelevant majors in college.

It is really that the fault tolerance rate of the medical industry is too low. It is also smashed into pieces by a car accident. Regardless of whether it is a Bentley or a Jetta, those that should be scrapped should be scrapped, and those that should be replaced with new parts should be replaced with new ones, but patients must be rescued. .

If it is an ordinary car accident or an emergency, the residents of the Yunyi Emergency Center are really not timid. Zheng Pei, the most senior resident doctor here, has been in the hospital for more than 4 years. When encountering critical patients, he can stabilize the vital signs of the patients and then refer them to professional clinics.

However, three ambulances and four patients were sent in one breath, which was a little bit beyond their handling capacity.

In fact, if there were more patients and Zheng Pei summoned Director Huo directly, the problem would be solved.

Even if there were fewer patients, he would have nothing to worry about, and he could just do things with peace of mind.

There are 4 patients, one is endangered, one is critically ill, and two are not seriously injured. The pressure on the current emergency center happens to be the greatest.

In this case, the director cannot be called.

The director of the hospital at night is equivalent to a spiritual sword. When the spirit sword is unsheathed, it will see blood. The chief director of the emergency center like Huo Congjun, when he arrives in the emergency room and sees that the number and quality of patients are not enough, he turns around and opens his mouth. People eat it.

Not to mention the big director, Zheng Pei didn't even dare to call to the third line, and the deputy chief physician is not a dog, and has a family life to live, and only rushes over at night when the situation is so urgent that the attending doctors can't handle it.

There is nothing the hospital can do about it. Hospitals now don't talk about eight-hour working hours, five-day working days, or taking annual leave. However, they want doctors to work 24 hours-currently there is only one like Ling Ran.

When Ling Ran appeared in the emergency room, the flustered residents immediately calmed down.

Ling Ran is the doctor who leads the team independently.

In theory, it is possible to do three lines.

When he arrived, he brought not only human resources and technical resources, but also responsibility resources - the current ultimate person in charge of the emergency center would undoubtedly become Ling Ran.

"Doctor Ling." Zheng Pei, with thick eyebrows and big eyes, walked quickly to Ling Ran to say hello, and then said, "You can command, we will all obey you."

If Ling Ran didn't come, Zheng Pei would be the highest person in charge in the emergency room. For Zheng Pei, a senior resident, every patient with chest pain on the night shift would be too busy. It is better to have a backbone.

"What's the situation now?" Ling Ran never thought of shirking responsibility.

As far as his life experience is concerned, it is very meaningless to push back in advance, and it is not in line with his mentality.

Zheng Pei didn't have much contact with Ling Ran. Seeing that he was responsible, he felt relieved and hurriedly reported: "Four people, one is on the verge of death and comatose with open abdominal wounds, one is critically ill and conscious with multiple bleedings, and one A broken leg and multiple injuries to the limbs. The least symptomatic arm fracture..."

"Notify the Department of Orthopedics, General Surgery, and Neurosurgery, and the Department of Thoracic Surgery is also invited..."

"The consultation has been notified." Zheng Pei said.

"Well, I will assign tasks later, and everyone is neatly dressed." With the help of the nurse, Ling Ran finished dressing, then put on goggles, a mask, and double gloves.

The residents in the emergency room had been staring at Ling Ran, and when they saw his procedure, they all followed him.

"Wear double gloves." Ling Ran checked everyone's clothes one by one, walked up to a resident doctor, and reminded them.

"Double-layer gloves are inconvenient..." the resident doctor muttered.

Ling Ran said calmly: "We don't have time to do the five items of infection, so we don't know whether the patient is an HIV carrier or a hepatitis patient..."

"It can't be such a coincidence..." the resident doctor muttered in a low voice.

"Bring him another glove." Ling Ran didn't argue, but just ordered.

Nurse Liu, the nurse in charge on duty, quickly brought over a pair of rubber gloves, gave the resident a hard look, and said, "For your own good, put them on."

The young resident doctor couldn't save face, and couldn't help but said, "Doctor Zhao didn't make such a request."

This time, no one paid attention to him.

The young resident looked left and right, hesitated for a few seconds, and put on the second glove.

The superior-subordinate relationship in the hospital tends to be strict, rather than the typical colleague relationship in ordinary units, because the superior doctor can always occupy the commanding heights of technology.

In the face of sudden emergency patients, it is correct to wear one layer of gloves, and it is more correct to wear two layers of gloves. There is no way for young residents to be tough on this issue to prove their attitude. Simple orders cannot be resisted by the superior doctor, and difficult orders cannot be resisted by the superior doctor. The occasional order to buy instant noodles and cigarettes becomes difficult to resist.

"Arrive in 30 seconds." The nurse at the reception desk answered the last call, and quickly stood up, ready to help.

The emergency department at night is no better than during the day, and it is unrealistic to ask everyone to perform their duties. Sleep when you have nothing to do, and go to bed together when you have something to do.

Ling Ran stood at the very front of the reception door, with his hands tied in front of his chest, as if he was going to the operating room.

In fact, emergency rescue is an extremely dangerous operation.

Compared with ordinary surgery, the "urgency" of emergency surgery is not only the urgent time requirement, but also the urgent time for preparation.

It is also normal for major surgery such as liver resection to be performed in hepatobiliary surgery for one or two days, or even three or four days before the operation. Patients with many underlying diseases may need to seek medical consultation first, and adjust blood pressure, blood sugar, liver function and other indicators before undergoing surgery.

In the emergency department, if you encounter a patient with a ruptured liver, if you can't do it yourself, you can call the hepatobiliary surgery or general surgery to do it across the board. There is no such thing as adjusting blood sugar or liver function.

Similarly, it is impossible to know the condition of the liver as clearly as elective surgery.

For any department, first-level or second-level emergency patients are quite dangerous patients. The professional departments of weaker hospitals tend to transfer patients to higher-level hospitals for this reason.

The same is true for hepatobiliary surgery. Hospitals like the No. 1 Hospital of Wuxin City have to choose patients with good conditions and a simple course of disease to do it themselves. When they suddenly encounter an emergency liver resection, they dare not accept it at all.

Similarly, the emergency department of Wuxin No. 1 Hospital did not dare to accept patients with liver rupture. It can be seen that it is difficult for the emergency department to develop without the support of a large number of professional departments.

The establishment of Yunyi Emergency Center also relies on the many professional departments of Yunyi.

The ambulance stops.

The two rushed up quickly and helped lift the patient down.

Ling Ran quickly conducted a medical examination while listening to the data reported by the first responders.

The master-level physical examination played a huge role once it was handed over.

"Ruptured spleen, ruptured liver, suspected hemorrhagic shock, sent directly to the operating room, replenished crystals and fluids, and took CT..." Ling Ran made a judgment after receiving the first patient.

For such patients, splenectomy and liver resection are the preferred options.

Zheng Pei said: "Is it transferred to general surgery or hepatobiliary surgery?"

According to the department division of Yunyi, the spleen is for general surgery, and the liver is for hepatobiliary surgery.

Ling Ran shook his head without hesitation and said, "I'll do it."

Zheng Pei was stunned for a moment. He looked at the lights of the ambulance, and all he could think about was how to make a referral. At this moment, he suddenly realized that Ling Ran had already undergone hepatobiliary surgery for liver resection.

"Oh, good..." Zheng Pei hesitated for a moment, and said, "I can be an assistant for a splenectomy, but not a liver one..."

This is not the time to rush for surgery, especially a surgery like liver resection. If one is not good, it will kill the person. Zheng Pei was asked to go directly to the operating table to help, but the result was that he was bleeding when the death was discussed.

Ling Ran gave an "en" and said, "Zuo Cidian is sewing skin upstairs, send someone to inform him."

"Yes." Zheng Pei hurriedly agreed, without Ling Ran's further instructions, and then hurriedly arranged various inspections.

At this time, the second patient also pushed down.

Ling Ran quickly changed a pair of gloves, and then went forward for a quick physical examination, and said: "The spleen is ruptured, the breasts are fragmented, call the urology department for consultation, and send them to the operating room."

After a short pause, Ling Ran added: "I'll do the spleen and breasts, Zheng Pei, you and this one, stabilize your condition first."

Several men present had their knees shiver, and then they realized that Ling Ran had rounded up two seriously ill patients.