I Can See Health

The emergency department is divided into emergency outpatient departments (emergency internal medicine, emergency surgery, emergency pediatrics and emergency gynecology?), emergency wards and emergency observation rooms.

After the patient is triaged by the emergency outpatient department, he or she will be sent to the emergency observation room or emergency ward for further treatment.

And Lu Chen's night shift tonight is the night shift in the emergency ward.

…

The emergency clinic is on the first floor.

The emergency ward and observation room are both on the second floor.

At 5:30 in the evening, Lu Chen arrived at the emergency department ward on time.

Lu Chen had been here once before.

It was still the night shift in the endocrinology department, and he was pushing a patient with acute cerebral infarction for rescue.

After changing into a white coat in the duty room, Lu Chen walked through the nurse's station and walked into the doctor's office.

Many students in the day shift are packing their things and preparing to get off work.

"Um, are you a night class student?"

Wang Xiaodong was writing the medical history record for his successor when he found Lu Chen walking in.

"Yeah." Lu Chen nodded.

The doctor in front of me looked somewhat familiar.

It seemed that he was the doctor from the emergency department who saw the endocrinology patient last time.

"Those who are observing or in the ward?" Wang Xiaodong asked with a smile. He did not recognize Lu Chen.

"Teacher, I work the night shift in the ward."

"Don't call me teacher. I've just started working, so just call me senior. Then you can follow me tonight." Wang Xiaodong smiled, "Which subject are you in? What degree are you studying?"

"In the heart, grind one."

"Graduate one, have you just entered school?" Wang Xiaodong was startled.

This is not easy to handle.

Just entering school means that you have little clinical experience and may not know many things.

"You should be able to use the hospital's system, right?" Wang Xiaodong asked tentatively.

"Yes, I have been in the department for a month." Lu Chen nodded. He knew what the emergency doctor in front of him was worried about.

"Okay, junior brother, when the other classmate on the night shift comes, we will go to check the wards."

The night shift in the emergency department ward is often staffed by one undergraduate doctor, two students, and a second-line doctor.

…

People in the emergency department work vigorously and resolutely.

As soon as another student on duty arrived in the ward, they were dragged by Wang Xiaodong for ward rounds.

"Hey, didn't I work the night shift with Yang Lifan today? Why is it you? I don't think I've seen you in the emergency room before!"

The other student on duty is a girl.

She is a third-year graduate student in respiratory medicine and has a good relationship with Yang Lifan.

"Senior sister, Senior Brother Yang has something to do today and asked me to work the night shift for him." Lu Chen said.

Work the night shift for him? Of course He Qin wouldn't believe it. Yang Lifan must have sold the night shift again.

"Oh, it's true, he doesn't come to work." He Qin shook her head helplessly, "Classmate, what degree are you studying?"

"Kenichi."

"Ah?" He Qin showed a hint of disappointment.

He became increasingly angry and dissatisfied with Yang Lifan.

You said he sold the night shift, but he actually sold it to a kid who was in the first year of graduate school.

A first-year graduate student comes to the emergency department, but he doesn’t know anything!

Isn't this a trap for her?

This junior fellow student is also very brave. How dare he come to work the night shift in the emergency department as soon as he is a graduate student?

"Junior brother, then you can do it later. If you don't know how, come and ask me."

When everyone came, He Qin could only silently accept this reality.

…

There are not many patients in the emergency department ward.

Most of them are patients who have been poisoned or attempted suicide.

There are patients suffering from rat poison poisoning, pesticide poisoning, sleeping pill poisoning, and even mushroom poisoning. There are also a very small number of patients suffering from CO poisoning.

"Most of the patients in the ward are in relatively stable condition. Our night shift mainly deals with emergency patients," He Qin said.

He Qin's words were straightforward.

The job of the emergency department ward is to rescue!

Patients who come to the emergency department because of the night shift, generally those whose condition is stable, will be kept in the emergency observation room.

There are also some patients whose condition is more critical. In addition to being admitted to the hospital, some need immediate rescue in the emergency ward.

After the patient is somewhat stabilized, he will be transferred to other departments for treatment.

…

Wang Xiaodong took the two of them and quickly checked the ward.

The purpose of night shift ward rounds is mainly to understand the condition of critically ill patients and to detect changes in their condition in a timely manner.

"Junior Brother Lu, the patient in bed 10 says he is not feeling well. Go and see him." He Qin shouted to Lu Chen.

"Okay." Lu Chen nodded.

The person on bed 10 was an old lady who had taken 30 sleeping pills and was poisoned by psychotropic drugs.

Lu Chen came to the hospital bed.

The health value on the old lady's head is 67.

She was lying on the bed and sleeping, and her family members were sitting next to the bed playing with their mobile phones.

"Is the patient feeling uncomfortable?" Lu Chen asked the family members softly.

"My mother's ECG monitor rang just now." The family member raised his head, glanced at Lu Chen, and continued to play with his mobile phone.

Lu Chen frowned and looked at the blood oxygen saturation, heart rate and respiratory rate on the ECG monitor. They were all normal.

"It's okay, it's all normal." Lu Chen said.

The family member put down the phone and asked doubtfully: "Is it normal? I looked at my mother's heart rate. It was over 100 beats for a while, and jumped to 70 beats for a while. Isn't this normal?"

On the ECG monitor, the numbers on the top row show the patient's heart rate.

Lu Chen paused and said, "The heart rate is not static, and I see on the ECG monitoring that the patient has an irregular heart rate. It should be a heart rate of atrial fibrillation. For this kind of heart rate, the monitor cannot measure it accurately."

"Thank you, doctor." The family members nodded, with doubts in their eyes.

Lu Chen walked out of the ward, but did not receive any thanks.

It seems that the gratitude value of the emergency department is not so easy to earn!

…

Back to the doctor's office.

Lu Chen was just about to open the computer medical record system and look at the medical history and medical orders of 10 beds.

He Qin's voice came from his ears again.

"Junior brother, there is a boy in bed 21 who committed suicide and cut his wrists. He said he was panicked. You go and do an electrocardiogram on him."

"good."

His butt was still hot from sitting, so Lu Chen stood up, found the electrocardiograph at the nurse's station, and went to bed 21.

Lying on the hospital bed was a boy of fourteen or fifteen years old.

He has a handsome appearance, but his lips are slightly white and his expression is dull.

Beside the hospital bed sat an old man in his sixties or seventies.

He stared motionlessly at the boy on the hospital bed.

"Classmate, what's wrong with you?" Lu Chen approached the bed and asked in a low voice.

The little boy pointed to his chest and shook his head slightly, but said nothing.

Lu Chen picked up the stethoscope and auscultated the boy's heart and lungs respectively.

The heart rate was slightly faster and no pathological murmur was heard.

No obvious wet or dry rales were heard in the lungs.

"Then I'll do an electrocardiogram for you." Lu Chen said.

"Yeah." The little boy responded softly.

When he clamped the electrodes, he found that there were many cuts on the little boy's left wrist, which were densely packed and quite scary.

Lu Chen sighed slightly in his heart.

Sometimes, he really couldn't figure out why such a child would choose to seek death. UU reading www. uukanshu.net

"Zizzizi..."

The electrocardiograph comes out with an electrocardiogram.

Lu Chen picked it up and took a look. It was just sinus tachycardia and no other arrhythmias were seen.

"Fortunately, there is nothing abnormal about the electrocardiogram." Lu Chen packed up the electrocardiograph.

"Thank you, doctor." The old man beside him stood up tremblingly.

"Classmate, if you feel uncomfortable, you can call me later."

Lu Chen pushed the electrocardiograph and prepared to leave.

After walking a few steps, he still couldn't help but turn around and ask in a low voice: "Uncle, why did he... this time?"

The uncle shook his head and sighed softly.

"Hey, his parents have been working outside for many years, and I am the only one who takes care of him at home."

"I can't control him. I tell him not to play on his mobile phone or play games. Then he starts to get angry and throw things."

"If you don't give him pocket money, he will run away from home, or even...hey..."

The uncle shook his head helplessly again.

The wrinkles on his face were deeper and uneven, like mottled marks on the wall.

Lu Chen sighed, he turned out to be a left-behind child.

He pushed the electrocardiograph and just walked out of the ward door.

At this moment, he suddenly received a prompt from the system.

"Congratulations, I received a +1 thank you from Ding Yongxiang!"

"Congratulations, I received a +1 thank you from Ding Lei!"

Lu Chen was slightly stunned after receiving 2 points of gratitude.

He looked back at the little boy curled up on the hospital bed, feeling a little sad.

In fact, he is not an ungrateful child.

Or maybe, he just wanted to use this method to attract his parents' attention.