Chapter 314
"The effect of CRRT is so good that the patient was already awake within an hour of being put on the machine."
Qi Tiancheng was very excited.
This was the first time he had seen firsthand the effects of continuous blood purification treatments.
It can be said to be beyond imagination.
Over the years of working in the emergency department, Qi Tiancheng has encountered various poisoned patients.
Dichlorvos, paraquat, psychotropic drugs, nitrites, etc...
Except for some poisonings that have specific treatments, many can only watch the patients die.
Apart from a deep sense of powerlessness, Qi Tiancheng could do nothing.
But now, the CRRT bedside hemofiltration that Xiao Chenguang is doing brings him a different feeling.
“It’s really a great benefit to be able to study with Dr. Xiao today.”
Doctor Xiao Liu felt the same as Qi Tiancheng at this moment.
Especially as a doctor in the ICU, she has been exposed to many patients with heart failure and kidney failure.
Many drug treatments are not very effective.
And now there is continuous blood purification technology. In addition to treating poisoned patients, it can also help patients with cardiopulmonary and kidney diseases and reduce their physical burden through dehydration and diuresis.
It can be said that it achieves multiple things with one stone.
"Doctor, thank you, you are our family's savior."
The patient's family members held Xiao Chenguang's hand tightly, with tears in their eyes, and kept thanking him.
With the dosage of a bottle of sleeping pills, even family members know that the patient's outcome will not be good.
They were even mentally prepared for the white-haired person to send the black-haired person away.
But Xiao Chenguang used the machine in front of him to bring them hope in despair.
Seeing that the patient is recovering better and better, the atmosphere in the emergency room is no longer silent.
The mother stayed by the bedside, gently rubbing the patient's face and muttering words about silly children.
Although the patient had a tube in his mouth and could not speak, tears of regret flowed from the corners of his eyes.
I couldn't think about it for a while, but it brought so much pain to myself and my family.
The original difficulties, after experiencing life and death this time, everything became no longer important.
As long as you are alive, life can go on.
…
"The patient can be extubated, but it's best to leave the blood filter machine on for another day."
Considering the dual effects of drugs and alcohol, Xiao Chenguang suggested that CRRT should be performed for another day to filter the small and medium molecule impurities in the patient's blood.
After all, a set of pipes and filters was not cheap at the time.
But for family members and patients, no matter how expensive it is, it is worth it as long as they can survive.
"Dr. Xiao, is there anything else you should pay attention to?"
At this moment, Dr. Xiao Liu in the ICU, holding a notebook in his hand, was like a medical student following his instructor, listening to Xiao Chenguang's teachings seriously.
"That's it. According to what I said, the machine will be operated until tomorrow. Then the doctor who went out to study hemofiltration will come back and let her get off the plane."
In CRRT, the difficulty is not getting on and off the machine, but the placement of tubes, sequential treatments, and the unexpected events that need to be dealt with along the way.
However, the machine Xiao Chenguang made, whether it was pipe placement or equipment installation, was all done by him personally. Naturally, it was better than the guidance of experts from the provincial capital, so there would definitely be no problems.
"Okay, I get it."
Dr. Xiao Liu nodded vigorously, and what he said to Xiao Chenguang was like an imperial edict.
Qi Tiancheng felt an inexplicable feeling when he saw this scene.
It seemed that Xiao Chenguang was not a referral doctor from Shengli Hospital at all, but an expert who came from a higher-level hospital to guide their work at the central hospital.
"Dr. Xiao, I would like to ask you why you are so skilled in the operation. Also, what is the trauma center you mentioned before?"
As the patient was transferred to the ICU smoothly, Qi Tiancheng, who came out with Xiao Chenguang, couldn't wait to ask.
Looking at Xiao Chenguang, who looked younger than him, Qi Tiancheng felt like there were a hundred thousand reasons in his heart, and he desperately wanted to know the answer.
"Practice more, watch more, think more, and learn more. There is actually no other way."
Xiao Chenguang also came here step by step.
Even today, he still needs to practice every day to maintain the feel of surgery.
As for the matter of the trauma center, Xiao Chenguang had no intention of hiding it.
This is a first aid process that benefits the whole people. Only through continuous promotion can it realize its due value.
"In fact, like trauma centers, emergency departments will play a more important role in the future."
"Facing the problem of difficult transportation, the emergency department will have its own ward in the future. If we encounter critical patients like today, the emergency department will also have its own ICU."
Xiao Chenguang said slowly, leaving Qi Tiancheng stunned for a long time.
My mind has been evolving and thinking along with his words, as if I saw the future of emergency medicine many years later.
Could it still be like this?
Qi Tiancheng was completely shocked by Xiao Chenguang's unbridled imagination.
In the past, Qi Tiancheng wouldn't have dared to think about it.
But the blood purification treatment performed in the emergency room today made Qi Tiancheng feel that the emergency department in the future, as Xiao Chenguang said, would undergo earth-shaking changes.
"After get off work today, can I come over to visit and learn about the trauma procedures in your emergency department?"
Qi Tiancheng was very interested in everything Xiao Chenguang said.
New branches have sprouted in my heart.
If he hadn't been working now, Qi Tiancheng would have loved to go there to visit and study right now.
"No problem, come tonight, I'll be waiting for you in the emergency room, and you're welcome to come over anytime in the future."
For emergency backbones like Qi Tiancheng, Xiao Chenguang naturally welcomes him to come and communicate.
Even if he is willing to transfer to the emergency department here, Xiao Chenguang doesn't mind helping him.
This is the second fire that Xiao Chenguang is going to burn, abolishing the hospital rotation system and completely fixing the emergency personnel.
Only in this way can the emergency department of Shengli Hospital have a qualitative change.
At the same time, it lays the foundation for the third fire that Xiao Chenguang is preparing.
…
The two walked and talked, and soon came to the emergency door.
At this time, the ambulance of Shengli Hospital was still waiting at the door.
"It's broken, I almost forgot."
Qi Tiancheng slapped his forehead. He was so engaged in chatting with Xiao Chenguang just now that he almost forgot that the car of Shengli Hospital was still waiting for him to go back.
"Sorry, I delayed things. They won't complain about you for this."
"Do you want me to explain it for you?"
As an old emergency person, Qi Tiancheng was complained by the driver master who accompanied him for a long time because he was a newcomer in the first two years of work.
In this era, drivers are still a serious profession and are popular in people's eyes.
Especially for ambulance drivers, the value of A license is comparable to those at the top of the ivory tower.
Not only can they not be offended, but they must also be negotiated with in a nice way.
"No need."
Faced with Qi Tiancheng's kindness, Xiao Chenguang responded lightly.
At this time, the driver who had just lit a cigarette beside the car saw Xiao Chenguang coming over.
He did not smoke the cigarette in his mouth, but directly put it out and put it back into the cigarette box.
He walked towards him, smiling and said respectfully.
"Director Xiao, are you done? Are we going back to Shengli Hospital?"
When these words came out, Qi Tiancheng was dumbfounded again.
Director Xiao?
He looked at the driver in disbelief, but found that the latter's eyes showed great respect.
He is so young, and he is the director, too...
Wait! !
Director Xiao? !
Qi Tiancheng's expression was gradually replaced by shock, and he looked at Xiao Chenguang beside him in disbelief.
The youngest department director in the history of Shengli Hospital.
His last name was also Xiao.
But that person was the director of general surgery.
Qi Tiancheng had heard of him because he was quite popular in Yingcheng.
Since he was too busy with work and had a cross-disciplinary background, he did not go out of his way to get to know him.
Could it be that this person in front of him...
A thought lingered in Qi Tiancheng's mind, and at this moment, Xiao Chenguang also reacted.
Since the first time they met, they have been busy with patients and have not made a formal introduction.
So before leaving, Xiao Chenguang stretched out his hand with a smile.
"Hello, let me introduce myself formally. I am Xiao Chenguang from Shengli Hospital."
It's really him!
Qi Tiancheng was shocked, and quickly stretched out his hands and shook them tightly in response.
"Qi Tiancheng, nice to meet you, nice to meet you, I didn't expect it to be you."
"You are indeed young and promising, admirable."
When he thought of the rumors about Xiao Chenguang in Yingcheng before, he was immediately in awe.
No wonder he can become the director at such a young age, his skills are truly amazing. This makes Qi Tiancheng even more looking forward to his trip to the emergency department of Shengli Hospital tonight.