I Can See Health

Yang Chunlai is the deputy chief physician of the emergency department of Jinghua Second Hospital.

However, he is already fifty years old this year and has no projects or papers.

If you want to be promoted to a high position, there is basically no hope.

So Yang Chunlai spent every day in the emergency room just hanging around and getting by.

But he is good at not causing trouble to the emergency department.

If you have any questions, ask each department for consultation and try to triage the patient to other departments.

"Xiao Wang, what's going on in the ward?" Yang Chunlai's face looked a little ugly.

After finally lying down in the duty room for a while, I was called up.

"Director Yang, there are three people here. I really can't handle it, so I have to ask you out." Wang Xiaodong looked anxious and ignored Yang Chunlai's complaining face. "The patient's condition is not stable. One is unconscious and there is... Possible acute cerebral infarction; chest pain and extremely high blood pressure.”

Yang Chunlai walked into the emergency room and looked at two patients respectively.

"Patients who are in a coma should be consulted by the neurology department, and patients who have chest pain should be consulted by the cardiology department. The blood pressure should be lowered first, and then cardiac enzymes and D-dimer should be checked urgently."

Wang Xiaodong complained in his heart about Yang Chunlai's doctor's advice, but he liked to blame others as always, without any practical effect.

"Director Yang, we have invited all the consultations. Please see if there are any other measures." Wang Xiaodong said.

"That's it for now."

Yang Chunlai is conducting a physical examination on a patient with chest pain.

Suddenly, the patient rolled his eyes and spit out a few mouthfuls of foam, mixed with a lot of food residue.

His person has no consciousness at all.

"Dududu..."

The ECG monitor next to the bed also began to alarm frantically.

"Damn, ventricular fibrillation!"

Wang Xiaodong glanced at the ECG monitor and cursed in his heart. The movements of his hands were not slow at all.

He quickly ran to the hospital bed and immediately performed cardiopulmonary resuscitation on the patient!

"The patient is in ventricular fibrillation! Quick, get the defibrillator!"

Wang Xiaodong shouted loudly for a round.

Fortunately, this is the rescue room, and the defibrillator is placed next to the hospital bed.

The nurse immediately became alert and quickly pushed the defibrillator over.

Yang Chunlai, who was on the side, immediately said to He Qin: "Classmate, please call the cardiology department again for emergency consultation!"

Yang Chunlai nodded quickly and hurried to the nurse's station to call the cardiology department.

Wang Xiaodong felt like crying without tears!

Although it is important to consult a cardiologist, this patient may be suffering from an Aspergillus attack.

But at this time, wouldn't it be a waste of time to send a capable force out to make phone calls?

However, Wang Xiaodong can't control so much.

Because the patient's ventricular fibrillation continues!

"Charging completed!"

After Wang Xiaodong applied the conductive paste, he placed the two electrode plates on the patient's body.

"Discharge!"

He stared closely at the waveform on the ECG monitor.

When the discharge ended, Wang Xiaodong breathed a sigh of relief.

"Sinus rhythm restored!"

Zhang Huan has been performing balloon-assisted ventilation on patients.

At this time, it was noticed that the patient's blood oxygen saturation dropped from 95% to 86%.

"Dr. Wang, the patient's blood oxygen has dropped!"

Wang Xiaodong's heart skipped a beat.

He quickly looked at the ECG monitor, and sure enough, the patient's blood oxygen saturation was progressively declining.

"The patient's blood oxygen is no longer good! Director Yang, intubate him!" Wang Xiaodong looked anxiously at Yang Chunlai aside.

"Okay, you intubate him. I will communicate with the patient's family about the condition."

Yang Chunlai nodded, then walked out of the rescue room with his hands behind his back.

"This..." Wang Xiaodong sighed softly, feeling helpless.

It is indeed important to communicate about your condition, but, Director Yang, are you being too stupid? !

…

The rescue operation was in full swing in the next room.

But no one cared about the patient who was poisoned by rat poison.

"Doctor, how long will it take before my mother comes to perform gastric lavage?" The young woman became increasingly nervous.

Although it was less than three minutes since Wang Xiaodong left at this time.

But for her, every minute and every second is extremely painful.

Lu Chen's heart sank.

Compared with the two rescued patients next door, the condition of this patient poisoned by rat poison is relatively stable.

However, gastric lavage also needs to be performed as soon as possible.

Otherwise, if it goes on for a long time, toxins will be released into the blood, which may cause irreversible damage to liver and kidney function.

Gastric lavage is usually performed by nurses.

But several nurses in the emergency ward are now rescuing people next door!

The nurse next to Lu Chen now named Nan Nan is just a new nurse who has just come to the emergency department.

"Sister Nannan, can you do gastric lavage?" Lu Chen looked at the pretty nurse beside him.

"Teacher Zhang Huan taught me, and I did a few cases with her cooperation." Nan Nan shook her head, "But now I can't perform the operation without the authorization of the superior teacher."

"Sister Nan Nan, then you stay here first." Lu Chen said, "I'll go next door and ask Teacher Wang."

The poisoned patient cannot continue to delay!

…

Lu Chen came to the rescue room next door.

As soon as he walked in the door, his eyelids twitched.

Two patients were lying on the hospital bed.

Their health points.

A 31!

A 45!

It's no wonder that Wang Xiaodong has not come over for a long time. These two patients are at risk of death at any time.

"Tracheal intubation successful!"

At this time, Wang Xiaodong finally breathed a sigh of relief.

After using the ventilator, the patient's blood oxygen saturation became stable!

Lu Chen hurried forward and took the time to ask: "Brother, the family members of the patient next door are a little anxious and asked us when we will perform gastric lavage on the patient."

"There are too many patients. The nurses in the emergency ward are all rescuing them. They can't spare any manpower. Let's let the patients wait for a few more minutes. Oh, by the way, Gong Nannan is also next door. I remember she did it. You want to put the stomach in first?" Put the tube in." Wang Xiaodong shook his head slightly.

"Yeah." Lu Chen nodded.

At present, this seems to be the best solution.

"That's it. Let's not talk about it for now. The consultant doctor from the cardiology department is here."

Wang Xiaodong dropped these words and immediately went to greet the cardiology doctor.

Lu Chen looked at the door. He also knew the doctor from the cardiology department who came for consultation.

It's Li Qinghua, the chief resident of the Department of Cardiology.

…

Return to the rescue room.

Lu Chen pulled Gong Nannan aside.

"What did Doctor Wang say?" Nan Nan whispered.

"He asked you to do it." Lu Chen glanced at the patient's family members not far away and said softly: "Can you do it?"

"Of course." Nan Nan's little face was full of confidence, "Although I have only inserted gastric tubes twice, Teacher Zhang was beside me and praised me for being very skilled."

"Okay, then hurry up." Lu Chen said, "The patient can't delay any longer.

"Yeah." Gong Nannan nodded.

Gastric lavage is part of basic nursing.

The difficulty of gastric tube lavage, UU Reading www.uukanshu.net is the insertion of gastric tube.

Lu Chen really wanted to do it, but he currently did not have any qualifications or authorization from a superior doctor.

Once there is any mistake, it is not a minor problem.

…

The tools for gastric lavage are ready.

Lu Chen confirmed with the patient's family again.

The patient had no previous contraindications to gastric lavage, including gastrointestinal bleeding, esophageal varices, aortic aneurysm, and severe heart disease.

After confirmation, the family members were invited to the rescue room.

"Lu Chen, let me start."

Gong Nannan coated the front end of the sterilized stomach tube with paraffin oil, held the stomach tube with gauze in his left hand, and wrapped 5 to 6 cm of the stomach tube with gauze in his right hand.

From the nasal cavity, slowly insert the gastric tube.

The gastric tube was inserted smoothly.

Gong Nannan continued to advance the gastric tube.

1cm, 3cm, 5cm……

The process went very smoothly, and the nervous look on Gong Nannan's face slowly disappeared.

The gastric tube slowly started to go deeper.

8cm.

10cm.

until 11cm.

"Cough... cough cough... cough cough cough..."

Suddenly, the patient coughed violently.

This shocked Gong Nannan.

However, the movements of her hands were very steady, and she immediately comforted the patient and said, "Auntie, don't be nervous. A little reaction is normal."

Gong Nannan continued to push in the gastric tube.

Lu Chen frowned.

Something seems wrong!

at this time.

The patient's eyes suddenly opened wide, his hands tightly grasped the guardrail of the hospital bed, and he gasped for air.

"Sister Nan Nan, get out quickly! You have inserted the trachea!"