I Can See Health

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Jinghua Second Hospital.

Emergency Department.

At this time, the emergency department ward was in chaos.

The painful groans of patients, the cries of family members and the shouts of medical staff were all mixed together.

The emergency ward was already full, and the corridors were full of wounded people.

There are fractures, trauma, and barotrauma.

There are also some elderly people who already have underlying diseases. After experiencing this accident, their conditions suddenly worsened.

Gong Nannan jogged all the way to the emergency ward.

"Dr. Wang, the patient in bed 5 is going to have a head CT scan. Do you think there are any free graduate students or graduate students who can help get him to do a CT scan?"

Wang Xiaodong was performing tracheal intubation on an apneic patient. When he heard this, he didn't even raise his head and shouted back: "The students here are busy, you go find Brother Xia!"

"I just asked Dr. Xia, and there's no one there either!"

At this time, Wang Xiaodong finally inserted the tracheal intubation, quickly connected the ventilator, and adjusted the parameters.

He raised his arm, wiped the sweat from his forehead, and said to Gong Nannan beside him.

"There is no one left, so we have to wait for the backup people to arrive. Director Dai just said that the hospital has sent extra people to come."

Gong Nannan nodded solemnly, "We have to do it as soon as possible. This is a patient with brain trauma and his condition is very serious."

Wang Xiaodong nodded helplessly.

"Everyone is operating at full capacity now and can only wait for support!"

Critically ill patients are being rescued.

Patients with milder conditions were placed in the emergency observation room before doctors had time to see them.

"Xiaodong, I just received a call from Peng Lei. He is about to send two more patients! The two of us will go to pick him up right away!"

Dai Bin held his mobile phone and walked into the emergency room with an anxious look.

Wang Xiaodong looked helpless: "Director Dai, why are you still sending it to us? There are no doctors or nurses available!"

"These are two seriously ill patients. If we send them to the Third Hospital or other hospitals, it may be too late!" Dai Bin said solemnly, "I have already communicated with them. In the future, patients with mild symptoms will not be sent to us. To reduce the risk, Our burden. But we may still have to take over the critical patients!”

Even though the patients have been triaged out as much as possible, there are still too many wounded.

New wounded people are constantly being discovered, and critically ill patients are constantly being sent to the emergency department of Jinghua Second Hospital.

"Director Dai! The patient with severe burns who came at the beginning can hardly maintain his blood pressure and blood oxygen!"

Xia Yingzheng suddenly sighed loudly.

The emergency treatment wards are all connected. When Dai Bin heard this, he immediately rushed to Xia Yingzheng and said a few words at the same time.

"Xiaodong, you go see the two patients coming from 120 later!"

"good!"

Wang Xiaodong felt that his hands were numb, and he could no longer remember how many times he had performed cardiopulmonary resuscitation.

All he knew was that the nurse kept calling him, and he went back and forth between several emergency rooms.

…

five minutes later.

Peng Lei's ambulance arrived again.

Wang Xiaodong was already greeting him at the door. As soon as the door of the ambulance opened, Peng Lei jumped out.

"Xiaodong, a patient was rescued from the rubble. His whole body is covered with crush injuries! His blood oxygen is no longer good. He may have ards!"

"The other patient is an old man in his seventies. He is still some distance from the vegetable market and has not been affected too much. However, he has basic heart disease. In the accident just now, he suffered a heart attack. Yes, he had ventricular fibrillation twice in the ambulance!"

Wang Xiaodong escorted the patient from the ambulance while listening to Peng Lei's handover.

"Send to the emergency room quickly, we have already vacated two beds."

Wang Xiaodong and several nurses trotted all the way to escort the patient to the emergency ward.

As soon as they arrived at the rescue room, Gong Nannan walked in.

"Dr. Wang, the patient on bed 5 suddenly lost consciousness during a head CT scan and is being rescued in the CT room! Call us from the CT room and ask us to go take a look and bring the patient back!"

It’s really raining all night when the house leaks!

"Who will accompany you for the examination?" Wang Xiaodong asked doubtfully.

"An intern and a nurse went."

"Damn it! Why did you let the intern go?!" Wang Xiaodong said a national curse.

"There's nothing we can do, there's really no one left!" Gong Nannan said helplessly.

"Then we can't let the interns go!" Wang Xiaodong looked around. Everyone was busy. He still had two seriously ill patients on his hands. "Is there anyone else with Director Dai and Teacher Xia?"

"No, the burn patient is being rescued!"

Wang Xiaodong really wants to get a shadow clone now, but he can't leave at all now!

"Brother, let me go!"

A voice sounded in Wang Xiaodong's ears, strange yet somewhat familiar.

For Wang Xiaodong at this time, it was like the sound of nature.

He looked back.

"Are you Lu, Junior Brother Lu Chen?"

Wang Xiaodong's eyes flashed with joy.

"Yeah." Lu Chen nodded.

After he arrived at the emergency department, he immediately ran into the duty room and changed into an unused white coat.

Support also needs to be organized and methodical.

So he found Wang Xiaodong immediately.

"Great, junior brother, go to the CT room quickly, check the patient's condition first, and take him back to the emergency room!"

"good!"

Lu Chen didn't mess around at all. He quickly found an old stethoscope in the cabinet at the nurse's station and immediately ran towards the CT room.

Seeing Lu Chen's leaving figure, Wang Xiaodong finally felt relieved.

As for why Lu Chen came to the emergency room, it was no longer something he considered.

There are two critically ill patients waiting for him to deal with.

…

Fortunately, the CT room was not far from the emergency department, and Lu Chen was very fast.

In less than a minute, he ran to the CT room in the outpatient building.

Before he walked in, he saw a group of people gathering at the door of CT Room No. 1.

In the innermost part of the crowd, three doctors and a nurse gathered around a hospital bed.

Lu Chen pushed through the crowd and saw a young doctor performing chest compressions on the patient.

"How is the patient?" Lu Chen walked forward and saw that the electrodes of the electrocardiogram monitor at the bedside were not connected.

It seemed that it was for inspection, so the electrode pads were temporarily removed.

"The patient had a sudden loss of consciousness as soon as he got off the CT machine after the CT scan." A middle-aged doctor next to him said, "You are..."

"He's from the emergency department," Lu Chen said.

The patient got sick again after the examination, which should be considered a blessing among misfortunes!

The middle-aged doctor looked happy and said quickly: "Come and see the patient quickly, or else, rush to the emergency department."

The doctors in the CT room are actually not doctors at all, most of them are clinical technicians.

He just controls the machine in the operation room and has no rescue skills at all.

Once you encounter this kind of emergency rescue, there is absolutely no other way except giving oxygen and cardiopulmonary resuscitation.

Lu Chen stepped forward and immediately connected the electrodes to the patient and put on the blood oxygen jacket.

"Dududu..."

ECG monitoring resumes work.

The blood oxygen saturation was 95%, and the heart rate was 125 beats/min.

Because of chest compressions, the patient's heart rhythm waveform is disorganized.

Lu Chen conducted a physical examination on the patient.

The patient loses consciousness and has no response to the outside world.

The patient had a trauma to his head, his skull was deformed, and there was a raised hematoma on the surface.

"No more compressions yet!"

Lu Chen's words stunned the middle-aged doctor and several doctors nearby.

"No more compressions?" The young doctor turned to look at Lu Chen doubtfully.

He is an intern in the emergency department.

He was originally sitting in the duty room playing with his mobile phone. When the accident happened, he participated in the first rescue in his life and was sent out to accompany the patient for examination.

"Well, let's not apply pressure for now." Lu Chen nodded.

Because after his physical examination, the patient's breathing and heartbeat were still there.

Not all comatose patients require cardiopulmonary resuscitation!

The standard for cardiopulmonary resuscitation is cardiac and respiratory arrest.

"The patient's heartbeat and breathing have recovered." Lu Chen paused and said.

He did not know the condition of the previous patient.

But based on the patient's current condition, there is no need to continue cardiopulmonary resuscitation.

Hearing Lu Chen's affirmative answer, the intern who was performing chest compressions stopped.

Everyone stared closely at the heart monitor.

On the ECG monitor, the patient's heart rate and blood oxygen saturation were still normal.

Lu Chen's judgment was correct, and everyone breathed a sigh of relief.

"Push the patient back to the emergency department." Lu Chen looked at the middle-aged doctor, "How is the patient's CT result?"

The middle-aged doctor immediately said: "Brain contusion and laceration, intracranial hemorrhage, and signs of cerebral edema."

Lu Chen nodded. It seemed that the patient's consciousness disorder was related to cerebral edema.

Then he, the intern and another nurse pushed the bed back to the emergency department.

"Senior Brother Wang, the patient is back." Lu Chen immediately reported the patient's condition to Wang Xiaodong, "The patient may have cerebral edema and disorder of consciousness caused by intracranial hypertension. Please ask for emergency consultation from the neurosurgery department?"

"Okay!" Wang Xiaodong nodded, "If the patient's family comes, remember to communicate with the family about the condition first. I will take care of this patient and will be here right away!"

Lu Chen immediately started making phone calls to contact the neurosurgery doctor.

…

In less than three minutes, the neurosurgery doctor arrived.

To be more precise, the neurosurgery doctor stayed in the emergency department and never left.

After reading the patient's head CT scan, He Luping said in a deep voice: "According to the CT results and the patient's symptoms, there are indications for surgery, but the patient's family has not come yet. UU Reading www.uukａnshu.net This is not easy to handle."

"Teacher He, we have contacted the patient's family and they will be here in ten minutes," Lu Chen said.

"Well, let's pay close attention to the patient's vital signs, especially breathing and blood oxygen." He Luping nodded, "We will talk about the surgery when the family members arrive."

Intracranial hypertension causes brain herniation and compresses the brain stem, which may cause respiratory and cardiac arrest at any time.

"Okay, Teacher He."

Lu Chen settled the patient with craniocerebral trauma and was immediately called over by Wang Xiaodong.

"Junior brother, a patient with coronary heart disease just came here and has been suffering from ventricular fibrillation. Come and take a look!"

Wang Xiaodong knew that Lu Chen was a cardiologist.

The look in this patient's eyes is different from other patients. On the surface, there is no injury, but he has suffered from ventricular fibrillation several times!

"Brother, I'm here!"