Start as an Emergency Physician

Sun Meng also immediately became vigilant: "Do you want to call Director He and them over?"

"No, I don't. It is estimated that if Director He is called, Senior Brother Haiyang will be scolded to death. "

Zhou Yuan was about to walk out of the ward.

At this moment, Wang Chun on the hospital bed suddenly convulsed, then tilted his head and fainted.

Sun Meng was taken aback: "Zhou Yuan, Wang Chun fainted!".

"It's too late to check the ECG, send it to the emergency room immediately!".

Zhou Yuan pushed the emergency first-aid bed next to him, moved Wang Chun to the first-aid bed with Sun Meng, and hurriedly ran towards the rescue room.

"The patient has ventricular fibrillation!" said the little nurse eagerly.

"Charge 200 joules. Zhou Yuan said calmly.

Sun Meng immediately began to charge. "Charged!".

"Defibrillation. Zhou Yuandao.

Sun Meng held the defibrillator in his hand and gently pressed the electrodes on the tip of the heart and the bottom of the heart respectively.

Bang.

Wang Chun's body shook.

Zhou Yuan stepped forward and immediately pressed the palm root against the middle and lower 1/3 of Wang Chun's sternum, and began chest compressions.

“1001、1002、1003......"

Thirty chest compressions, two rescue breaths.

After repeating it three or four times, Wang Chun's cough rang out.

"Wake up!" Sun Meng wiped her sweat and said in surprise.

Zhou Yuan breathed a sigh of relief.

"Schedule an electrocardiogram, a chest X-ray. "

After Zhou Yuan finished speaking, he walked to the side with Sun Meng.

"Go and call Senior Brother Ocean. "

Sun Meng also subconsciously lowered her voice: "What's wrong with Wang Chun?"

"I suspect viral myocarditis. Zhou Yuan's face sank.

"Viral myocarditis?!".

Viral myocarditis refers to acute or chronic inflammatory lesions of the myocardium caused by viral infections.

Because the clinical symptoms of viral myocarditis are very similar to ordinary fever and cold, they are fever, body aches, sore throat, fatigue, nausea, vomiting, etc., which are especially easy to be misdiagnosed as ordinary colds.

This is a disease of particular concern in the emergency department, as well as internal medicine, and if viral myocarditis is not treated in time, heart failure, dilated cardiomyopathy, and even sudden death may occur after severe disease.

Similarly, it can cause arrhythmias, heart failure, sudden cardiac death, dilated cardiomyopathy, and more.

It is mentioned in the case of this chapter in the medical textbook that there was a nine-year-old girl who had a fever for several weeks, and the doctors in the local county hospital had been treating it as an ordinary cold.

Zhou Yuandao: "Prepare some lidocaine, propranolol, and amiodarone in advance. "

"Once Wang Chun had arrhythmia, he was immediately given an 80 mg intravenous bolus of lidocaine, repeated once after 30 minutes, and then changed to a 2 mg intravenous bolus of propranolol and 100 mg of amiodarone intravenous bolus. "

Sun Meng realized the seriousness of the problem and immediately pushed the door and walked out.

By the time the ocean arrived, the results of the electrocardiogram and chest X-ray had already been released.

"Senior brother—" Haiyang hurriedly walked over, his face pale.

Zhou Yuan smiled and said, "Don't worry, the patient is fine at present." "

As he spoke, he handed the results of the electrocardiogram and chest CT to Haiyang and said, "The patient's electrocardiogram is abnormal. ST-T changes, common T wave inversion, severe shift of the st segment. X-rays show a slight enlargement of the patient's heart shadow. "

After saying this, Zhou Yuan also breathed a sigh of relief: "It's okay, it's not particularly serious." It is still the pre-middle stage of viral myocarditis. "

Haiyang's hand holding the results of the examination trembled a little, and after a long time, he raised his head and looked at Zhou Yuan gratefully: "Senior brother, thank you!"

If Zhou Yuan hadn't discovered it in time, the ocean might really have died in this pit!

Zhou Yuan waved his hand indifferently.

"The early symptoms of myocarditis are no different from a cold, and they are generally difficult to find, and I also suddenly thought of this, so I can't blame you. "

The ocean bows its head. "Senior brother, I'll apologize to the patient later. Then take the initiative to admit your mistake to the master. I'll only make this mistake once!".

Zhou Yuan was a little surprised.

"Good. "

After speaking, the three of them went to Wang Chun's side together. ，

"Haha, there are actually three doctors here this time! I am very cheap, how can I be so expensive!" Although Wang Chun's lips were pale, he still liked to joke.

The more this kind of patient trusts the doctor, the more painful it is when a conscientious doctor makes a mistake.

Haiyang paused for a moment and bowed to Wang Chun: "I'm very sorry! I'm your doctor, because of my carelessness, I didn't judge your specific condition!".

Wang Chun was stunned for a moment, and then grinned: "I'm still here to pinch it! Doctor Hai, what kind of disease is this, you can quickly prescribe me a medicine!"

"Open... Prescribe medicine?" the ocean froze.

And let him prescribe medicine?!

Wang Chunyi frowned: "You are my doctor, how can I cure the disease if you don't prescribe medicine to me!".

Ocean froze for a few seconds, then smiled again.

"Cytochrome C 15mg intramuscularly injected once a day in the morning and evening. Coenzyme Q10 is taken orally, 30 mg three times a day. There is also a 10 mg intramuscular injection of thymosin. "

Wang Chun lay down reassuringly: "I'm fine, you guys go and get busy! Don't get tired!".

After a pause, Wang Chun noticed Zhou Yuan's badge and encouraged: "Especially you, an intern, you must study hard and become a good doctor in the future!"

————

The eighth shift is sent, and the ninth shift begins!