The doctor said that the doctor was a big shot, but he was not very good at it.
Everyone was shocked and felt strange!
Dean Qian has such a busy workload that he rarely comes to the hospital except for internal meetings.
What kind of wind blew today that actually blew Dean Qian here!
However, Chen Fang and several other emergency doctors knew this deputy dean.
But Zhang Yi didn't know him.
The biggest leader in the hospital that he, a small intern, had seen was the director.
At the very least, it was the director of surgery and internal medicine.
Where had he ever seen the dean!
Ignorance is bliss.
Zhang Yi said word by word under Qian Zhenggang's scrutinizing gaze:
"When this patient came in just now, I noticed that the patient's right foot was slightly swollen and the color was almost pale.
Combined with the patient's current symptoms such as decreased blood pressure and accelerated breathing, it is not difficult to suspect that the patient may have lost blood.
But we checked again and found that the patient had no external injuries.
So I inferred that this patient is likely to have this series of symptoms caused by internal bleeding!"
"As for the bleeding site, I guess it is the right leg.
As for the closed pneumothorax or traffic accident stress you mentioned, this is not difficult to rule out.
You can tell whether it is pneumothorax by listening with a stethoscope."
The breath sounds of pneumothorax patients disappear when auscultating, and percussion sounds are drum-like.
But this patient obviously did not have any symptoms of pneumothorax except for the excessively fast breathing rate.
At this time, after listening to what Zhang Yi said, several interns around him gasped!
"Awesome, you can see this?"
"Hmm? Is Zhang Yi stimulated by not staying in the hospital today?"
"I think so too! Why are you so bold all of a sudden?"
"Oh... Zhang Yi is really a newborn calf who is not afraid of tigers! Doesn't he know that the person in front of him is Vice President Qian? How dare he talk in front of the Vice President?!" Someone behind him whispered.
Chen Fang was stunned!
He stared at Zhang Yi without blinking!
How come Zhang Yi... is like a different person? !
When did he observe the patient so carefully?
Even Chen Fang didn't notice that the patient's right leg was gradually turning pale.
After all, it was difficult to see the difference with only the exposed ankle.
At this time, Qian Zhenggang was also shocked.
He slowly moved his sight to the two ankles of the patient.
A closer look showed that the right leg had obviously turned into a pale color due to blood loss.
For a moment, Qian Zhenggang's eyes changed when he looked at Zhang Yi.
This intern observed very carefully! Good!
Then, Qian Zhenggang asked again:
"The right leg has a large area and many blood vessels.
Since you said that there is internal bleeding in the right leg, how can you be sure?"
Next, Zhang Yi did not speak.
Instead, he directly cut a slit in the right side of the patient's pants with scissors.
Then he tore the slit open, exposing the specific bleeding point of the leg skin to everyone's sight.
Zhang Yi pointed to the obvious bulge and bruise on the inner thigh and said:
"It should be the right femoral artery that is bleeding, and from the current shape of the patient's right leg, I suspect that he should have a closed fracture problem. But time is running out, we have to stop the bleeding now!"
Everyone was in an uproar again!
All the people present were doctors, and everyone knew whether there was bleeding at a glance.
"Fuck?! It's really femoral artery bleeding?!"
"It's amazing! Can you infer that it's bleeding from the right femoral artery based on the color of an ankle? Why is Zhang Yi so powerful all of a sudden?!"
The emergency doctor was also confused. How could there be a fracture?
Did they check for broken bones before getting on the bus?
Could it be that the brakes were really the cause?
Wang Chenjun was also stunned watching from the side!
Among a group of interns, Zhang Yi was indeed the best one.
But he had never expressed his doubts and diagnoses in front of so many teachers and leaders like this time!
And...
He got the diagnosis right!
"What's wrong with Zhang Yi? Why is he suddenly like a medical god!"
When Qian Zhenggang noticed the symptoms on the right thigh of the patient, he immediately reacted.
Even if what Zhang Yi said was not 100% correct, it looked like there was bleeding in the femoral artery!
So Qian Zhenggang immediately ordered:
"Hurry up and tie a tourniquet to stop the bleeding! Take him to a CT scan to see if there is a fracture!"
"Okay... okay!" Chen Fang nodded repeatedly.
Zhang Yi saw Chen
Fang looked respectful at the man who was speaking in front of him, secretly guessing that this man might be a big leader of the hospital.
At this moment, Qian Zhenggang was wearing casual clothes, without a white coat and a work badge.
So the new interns didn't know him.
Because it was an urgent patient, the person and the report were sent back in a short while.
As a result, it turned out to be a fracture and femoral artery rupture and bleeding!
Looking at the results of the CT film, Qian Zhenggang was incredible!
"This is too coincidental? Closed oblique fracture?! And the tip of the fracture just punctured the femoral artery?!"
Looking at the results in front of him, Qian Zhenggang couldn't help but look at Zhang Yi a few more times.
It's really amazing, all the young man said it!
Not bad! It seems that this intern named Zhang Yi can be trained well!
"Fortunately, the tourniquet was tied in time, otherwise the patient would have gone into shock immediately. Let's do this, Chen Fang, you arrange for someone to do a reboa quickly, and then notify the orthopedic surgery department to prepare the operating room. Hurry up, the patient's life is at stake."
After thinking for a while, Qian Zhenggang instructed Chen Fang.
"Okay, Dean Qian! I have arranged for the nurses to prepare things."
What?
This person is the dean? !
Zhang Yi was shocked!
So he just showed off in front of the dean? ?
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