Great Doctor Ling Ran

"Make a let." The two nurses pulled the flat car one after the other.

Senior attendant Zhao Leyi followed in small steps and reported to Huo Congjun: "The patient was injured in a car accident, an open wound of 20 cm in the abdomen, part of the intestine, the omentum was exposed, and active bleeding. The intestine was protected with sterile dressings ..."

Xiu Huo followed the flat car, and Ling Ran followed Huo.

Two of his family members were stopped behind, confused and cold.

From the perspective of ordinary people, this is a disaster that is about to fall. The so-called exposed bowel is that the bowels are exposed.

Of course, it ca n’t be said to be mild in a hospital. Non-third-level hospitals may not be able to handle it, so they will be sent to Yunhua Hospital on purpose.

Alas, that's the end of the serious view.

Because of the emergency department of Yunhua Hospital, almost every month there are similar wounded, and there are more different types of more serious injuries.

Huo Congjun listened and checked himself, then introduced it to Ling Ran, and explained it to his counterpart Zhao Leyi. He said, "The left 3-12 ribs are obviously misaligned, the heart rate is 105, and the bleeding is serious. We need to prepare blood transfusion ... ... "

说 What he said is not fast, far from the urgency on TV.

The main reason is that the patient is not in a hurry.

医生 In the emergency department of a hospital, doctors always speak with vital signs. In the emergency department classification, such patients are classified as critically ill patients, and their urgency is not as good as that of endangered patients who are unconscious.

Which is the case, you can think more and make it slowly.

Zhao Leyi has been working in the emergency room for nearly ten years. He is experienced and familiar with Huo Congjun. He translated his words steadily, and quickly checked on the emergency checklist: "Vacuum blood emergency check blood routine, renal function, Blood type, electrolyte, four items before blood transfusion, coagulation function ... "

While he was talking, he also filled out the emergency checklist. Huo Congjun nodded after seeing it, and handed it out.

At this time, the nurse also adjusted the patient's position, began to inhale oxygen, connected the monitor and measured vital signs.

"Establish a second venous access, 500 ml of Ringer's solution." Huo Congjun did not give Ling Ran the opportunity to take a test this time, and quickly made a decision. "Omela needle 10 ml, 10 ml normal saline, 1-way static Push."

完 After doing this, Huo Congjun looked at blood pressure, heart rhythm, breathing and other vital signs, and then said to Zhao Leyi: "You continue to rescue, I will talk to my family, Ling Ran, you follow me."

"Yes." Zhao cheerfully looked up.

Huo Congjun took Ling Ran as he walked and said, "Working in the emergency room, the most important thing besides medical skills, is to handle the relationship with the patient and the patient's family. Now I can tell you a lot, you ca n’t remember, first , You have to be confident, calm, and speak calmly. "

Under normal circumstances, Huo Congjun would not take the initiative to talk to his family. This kind of meticulous work.

He is already the director of the department. If it is in the military hospital of the same level, it just happens to be the civilian title of the division, and it will not be easy to enter the battlefield before it is exhausted.

Of course, the emergency department's frequency of exhausting food is relatively high, and Huo Congjun occasionally goes to battle.

Seeing Ling Ran nodded, Huo Congjun smiled and said, "You don't need to talk for a while, just read more and remember."

"Yes." Ling Ran nodded again.

病人 The family members of two patients have been stopped outside the rescue room, their heads are stretched out, anxious.

When Huo Huo came out of the army, he put on a mild expression, and there was no evil look in the rescue room.

"Hello, may I ask Mr. Lai Zhongde's family?" Huo Congjun had an impression of the two people coming down from the ambulance, but still asked.

"Yes, I am his wife." The older woman wiped her tears and asked, "Doctor, how is my husband?"

"Mr. Lai is still in the rescue. I am the doctor in charge and ask you a few questions. Does the patient have liver disease or other chronic diseases?"

The patient's wife shook her head and explained, "I have alcoholic liver. My husband is a civil servant. He has a problem with three highs."

Wu Huo nodded and asked, "Is there an infectious disease?"

"No, we have medical examinations every year."

"Are there any questions such as hepatitis B?"

"No."

"What about other infectious diseases? At this time, we need to have a comprehensive understanding of the patient's condition."

"No," the woman replied affirmatively.

Then Huo Congjun ticked the paper and asked, "What about allergies? Are you allergic to anything?"

"He is a little allergic to pollen, not serious." The patient's wife tried to remember.

Ling Ran listened to the conversation between the two, remembered silently, and corroborated with what they knew.

Inquiring patients has a fixed program, but how to ask, and the order of the methods of inquiry, are about elaborate.

Like this patient right now, since it is a civil servant who has regular physical examinations, what chronic diseases or allergies should be known, UU reading books www. uukanshu.com does not need to ask more, but instead it is an infectious disease, which is often easily hidden by the parties.

I asked a few questions about drinking and taking medicine. Huo Congjun said: "From our observation, the patient has a lot of blood loss and needs to be transfused. Do you know if he had transfused blood before, is it a special blood type?"

"He is type A blood, donated blood before ..."

Huo Congjun asked the patient to sign the blood transfusion consent, informed consent and rescue consent, and then asked the patient's family to pay the money before returning to the rescue room with Ling Ran. He said on the road: "You must remember to sign the consent in the future Book, it's protecting you, it's protecting the patient, understand? "

"Yes."

"I just talked to the patient. What do you think?"

Ling Lingran recalled the process of Huo Congjun's questioning and slowly said, "Master the rhythm of conversation."

"Yes, what else?"

"Resolutely ..."

"Yes, this is very important. You don't give patients unnecessary fantasies. It is difficult to be kind to the patients. The patients don't need them. The main task of our emergency department is still to treat patients and save people." Stopped.

With these words, he would not speak to other interns or residents.

I also fancy Ling Ran, Huo Congjun will take the trouble to explain.

The emergency department's tasks are heavy and error-prone, but no mistake can be compared with the doctor-patient relationship. Nowadays, it is not possible to deal with this well, the doctor is not long.

"Director Huo." The busy doctor in front of the rescue bed saw Huo Congjun, and his voice was twice as loud.

"How?" Huo Congjun heard the agitation of the attending.

"Can't stop the blood." The governor gritted his teeth and squeezed the words out of his throat.