Start as an Emergency Physician

One carelessness is a fatal thing.

Sun Meng is still young in the end, he is still only a resident doctor, and he will be ready to be promoted to attending physician next year.

In large hospitals, especially tertiary hospitals, doctors who want to be promoted from resident to attending physician must engage in medical work as a "resident chief physician" for one year.

It's a nightmare position, and it also symbolizes a promotion to a job title.

Hospitalization always requires staying in the hospital 24 hours a day, that is, being on duty around the clock without any rest time.

Generally, the general inpatient needs to serve for one year in a row, and some are two years, working six days a week, 24 hours a day on duty in the hospital's clinical frontline, emergency, ward rounds, surgery, teaching, emergency treatment of patients' critical situations, responding to the emergency consultation of the whole hospital at any time, temporarily handling various administrative affairs of the ward, regulating doctor-patient disputes...

Rotating day and night, his status in the hospital is higher than that of a resident doctor, but not as good as an attending physician, and as for the salary, it is not much higher than that of a resident doctor.

Twenty-four hours is a cycle of work, life, and rest for ordinary people, and for the chief resident physician, it is just the most ordinary day of guarding the patient's bed, and in the hospital, the resident chief physician who has the most sudden deaths...

After Zhou Yuan refused the title of vice president appointed and dismissed by President Fang, he became the attending physician, but in fact, he had already skipped the chief resident physician in the middle.

But Sun Meng, Haiyang and others are just ordinary people, even if they have medical talent, they are actually in the category of normal people, and they have no academic success or special talents, so they can only be promoted step by step.

Both of them happen to be the same batch of medical students, and at this time, they also happen to be at the age of years, and they can become attending physicians after completing the hospitalization.

Of course, although it is said that you need to stay in the hospital 24 hours a day, six days a week, it is not impossible to rest, the hospital has beds, and there are special places for doctors to rest, and they can lie down when they are free.

However, this year is destined to be the chief resident physician needs to be isolated from the world, love, holidays and anything else do not exist, as long as the pager on the body rings, he must get up immediately to check the situation.

Sun Meng also started serving as the chief resident physician today, and from this moment on, she can no longer leave the hospital until the next Sunday arrives, a day off, or... Sleep at home all day, then start a new round of perseverance.

Zhou Yuan stood up, recorded Lin Hai's condition and treatment methods in detail in the medical record, and instructed Zhang Ling next to him: "Record the urine output for 24 hours, indwelling deep veins, indwelling gastric tubes, blood pressure and electrolytes in the lateral arteries. "

Zhang Ling nodded, "Write it down." "

Sun Meng also walked in at this time.

Although she can't deal with such a serious patient, she can still handle it according to the instructions, besides, now Zhou Yuan's position is the attending physician, and she can be regarded as Sun Meng's superior...

"Zhou Yuan, you tell me the specific situation, and there are measures to deal with it, and then leave it to me. Sun Meng wanted to show her meaning, she didn't want Zhou Yuan to pull herself too far.

Zhou Yuan nodded, saw Sun Meng's thoughts, and said: "Next, potassium supplementation, micropump potassium is enough, pump 10% of the original solution with 30 ml, the specific dose and pumping speed are all recorded in the medical record, you can check it yourself." "

"Potassium supplementation is accompanied by continuous pumping of low-dose insulin, and ceftazidime fights infection. The patient has fever, symptomatic treatment of fever and other complications, the patient's disease may appear agitation, anger and other symptoms, can be given midafile, propofol sedation, if dyspnea, endotracheal intubation and ventilator to assist ventilation..."

Zhou Yuan thought for a while, and then said: "Also, remember to improve the bedside chest X-ray and cardiac color ultrasound and other auxiliary examinations, I was in a hurry when I came, and I didn't have time to rule out cardiovascular damage and other aspects." With such high blood sugar, cardiovascular, liver and kidney functions may have been abnormaled to a certain extent, so the right medicine is prescribed. "

One by one, Zhou Yuan explained everything in detail.

He had to be cautious, although he didn't know why the patient had survived until now, but his blood sugar had reached a terrifying one hundred and thirty, almost more than thirty times that of a normal person, and any mistake or wrong handling could become the last straw that crushed Lin Hai.

Sun Meng looked at the medical records in his hand and nodded, "I'll take care of it." "

It just so happens that she is now the chief resident physician and can take care of patients 24 hours a day, and what Lin Hai needs is round-the-clock body data monitoring.

Lin Hai's parents heard Zhou Yuan's discussion, and finally realized the seriousness of the problem at this time, and they all fell silent and did not say a word.

Zhou Yuan sighed.

What could he say? What he saw told him that Lin Hai was undoubtedly a giant baby, and at the age of twenty-five, he was still enjoying the excessive pampering of his parents, and he had finally developed to this point...

Zhou Yuan, Sun Meng, and Zhang Ling walked out of the ward and returned to the emergency department hall.

"Zhou Yuan, I'm already the chief resident physician!" Sun Meng was a little proud.

However, as soon as she finished speaking, she was a little lost again.

It is actually rare for Sun Meng to become a resident chief physician at this age, but compared with Zhou Yuan, he is completely inferior all of a sudden.

A few months ago, this little intern doctor, who still wanted to call himself senior sister and superior, not only climbed on top of herself, but also climbed a high mountain that she couldn't look up to...

Zhou Yuan saw Sun Meng's loss, patted Sun Meng's shoulder, and joked: "Don't die suddenly!"

Sun Meng was still sad, but he was immediately amused, and scolded with a smile: "You just died suddenly! Aren't you just a resident chief physician, next year I will survive the resident chief physician and be the attending physician!"

After being silent for a moment, Sun Meng's expression became solemn again, and he whispered: "Actually, I'm also a little scared... The sudden death of a doctor is not a matter of one or two, just our Yanjing Traditional Chinese Medicine, there have been two deaths on the job this year, but you haven't graduated at that time, so you just missed it..."

Zhou Yuan was stunned: "There are doctors who died suddenly in our hospital?"

The sudden death of a doctor is not an isolated case, it just reflects the high risk of this profession, and Zhou Yuan is also aware of this, but when these things happen around him, Zhou Yuan feels afraid.

In fact, many news media have reported these things, and many medical industry workers hope that the relevant departments can pay attention to the current situation of the industry and formulate effective measures to protect the rights and interests of medical care. _

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