"The patient is here."

As he spoke, Fang Han hurriedly met him.

Of course, there have always been patients queuing around the triage desk, but the triage desk has nurse arrangements. If it is not an emergency department, there will be doctors from the green area responsible for it, and the emergency department also has clinics.

Although the emergency department of Yanjing Hospital is busy, it is not messy. The zoning system is very clear. The green area has permanent doctors. Emergency patients need to be rescued, critically ill patients need to be treated. At the same time, non-emergency patients cannot be allowed to wait without restrictions.

Fang Han said that the patient was coming, and a nurse was already pushing a flat cart in the emergency passage.

"What's the patient?"

Fang Han responded and asked while checking the patient's condition.

"Dr. Fang."

When the nurse saw that it was Fang Han, she hurriedly said, "The patient was accompanying another patient to see the patient. She suddenly fell into a coma and had difficulty breathing..."

"The family of the accompanying patient?"

Fang Han understood that if the patient was accompanied by his family, it would mean that the patient had not had a long time to onset. If it was sent by an ambulance, how much time was delayed on the road should be considered.

For emergency patients, the length of onset time is particularly important. Short onset time often means that there is little impact on the organs, rescue is easier, and the patient's tolerance is also high. However, if the patient's onset time is long, the function of the organs will often be affected.

"Dr. Fang."

Li Junxian followed closely, and Xian Fen followed behind, but he didn't come forward to disturb him.

The patient was in his early sixties, a man, had poor breathing and was in a coma. Fang Han reached out to take the pulse and patted the patient's cheek, and the patient responded slightly.

After that, Fang Han put his ear on the patient's chest and listened, raised his head and said, "The phlegm is blocked."

"Doctor Fang, do you need to prepare a sputum suction device?"

"Prepare, try it with the Twitching Nose Powder first." Fang Han nodded.

"Doctor Fang, nose twitching."

The patient had just walked to the door of the emergency room when a nurse ran over with her nose twitching. Fang Han used a spoon to make a little, put it in the patient's nostril and blew it gently...

"Ah Yeh!"

The patient suddenly sneezes and the sputum was sprayed out, and the patient woke up immediately.

"Okay, I won't need a sputum suction device. I'll take the patient's blood pressure and do a full body examination."

The nurse pushed the patient to have an examination.

"Doctor Fang, you are so awesome." Li Junxian flattered with a smile.

"This is a very common first aid method." Fang Han smiled.

Xian Fen interrupted and said, "Fang Han, this is not simple. Don't look at it as a simple nose twitching powder. Although the medicine is simple, you must have a detailed understanding of the patient's condition before you can use the medicine, otherwise you will not be able to do this."

"Dr. Xian is right." Li Junxian said with a smile: "I really didn't know that Chinese medicine is so powerful first aid."

The twitching nose used by Fang Han just now came from "Medical Mind Enlightenment" compiled by Chen Guopeng of the Qing Dynasty. It is a prescription for treating stroke symptoms or throat symptoms, tight teeth, unconsciousness and other diseases.

Tzumi Powder is also known as Tzumi Tongtian Powder. The prescription is very simple, and it is just three medicines, asarum, soap bean, Pinellia, and grinding ingredients, which are packed in a closed porcelain bottle or packaging.

The main function of Twind Nose Powder is to treat some patients who are unconscious or have tight teeth. After Twind Nose Powder is blown into the patient's nostrils, the patient will sneeze. Some cases such as foreign objects blocking the trachea are very likely to be solved by sneezing.

This is a very common first aid method used by traditional Chinese medicine.

If there is no twitching nose, you can also use irritating powders such as chili noodles instead, or use chicken feathers to stimulate the patient's nostrils to make the patient sneeze and squirt out foreign objects.

However, as Xian Fen said, it doesn’t matter whether the method is simple or not, but it focuses on dialectics. Whether it is traditional Chinese medicine or Western medicine, diagnosis is the most important thing. As a doctor, you must first understand what the patient is in.

What causes coma to the patient, and then the patient can be treated with the symptoms.

"What do you say? Although traditional Chinese medicine has many first aid methods, traditional Chinese medicine is indeed not as good as Western medicine in first aid." Fang Han smiled.

Xian Fen said: "Well, this is undeniable. The most difficult thing in Chinese medicine for emergency treatment is decoction. Many times, some patients with acute illness do not wait for decoction. Acupuncture, massage and other methods are not effective, and patients do not wait for decoction, so the consequences are often unpredictable."

"Brother Xian said it well."

Fang Han said: "In terms of first aid, Chinese and Western medicine are actually the same. When encountering emergency patients, they will save their lives first. The simplest and most convenient method must be used for both prescriptions and usage. The shorter the time it is delayed, the greater the probability of the patient being rescued. At this point, modern first aid methods and rescue instruments are indeed unique."

Fang Han is not biased towards anyone in terms of traditional Chinese and Western medicine. Although he prefers traditional Chinese medicine, Fang Han has no prejudice against Western medicine.

Modern rescue methods, such as tracheal intubation, electric shock, blood transfusion and other first aid methods, are not available to traditional Chinese medicine. No matter who brags about traditional Chinese medicine, you say that you can diagnose bleeding types by diagnosing pulses, it goes without saying that it is nonsense. For patients with severe blood loss, blood transfusion is the most convenient and effective method. Even if traditional Chinese medicine has methods to replenish blood and replenish qi, there are also preface questions. There are many patients who cannot be rescued due to excessive blood loss since ancient times.

Especially for trauma patients, Chinese medicine basically only has no choice but to stare at them.

As he was talking, Li Junxian's cell phone rang. He answered the phone and listened to a few words. He hurriedly said to Fang Han: "Doctor Fang, Director Qian said that a patient with liver rupture will be delivered to you soon. Let you prepare, and the ambulance will arrive soon."

"Let's go."

Fang Han did not delay and hurriedly walked outside. Qian Xiaolin also arrived as soon as the person arrived.

"A car accident, according to the situation reported from the emergency center, is very likely to be a ruptured liver and spleen."

"Yes." Fang Han nodded.

After waiting for about three minutes, the ambulance roared and the flat car from the emergency department came forward to pick up the person.

"It can be confirmed that the liver rupture and bleeding a lot. There is no time to do other tests, so I will send it to the operating room." Fang Han followed him up and gave the patient a test, which was basically confirmed.

"Xiao Fang, are you sure?"

"Let's check it out again when you go in. The patient's condition cannot be delayed. Rescue first." As he said that, Fang Han looked back at Li Junxian: "Have Dr. Li undergoes surgery?"

"I've had it once or twice and had a simple general surgery." Li Junxian said hurriedly.

"Okay, Dr. Li will go to the surgery together. Director Qian is arranging two people."

"I went there myself, the operating room is ready." Qian Xiaolin glanced at Li Junxian, and Fang Han was nostalgic for this kid.

In fact, Qian Xiaolin had already arranged the operation room, Fang Han took the lead in the surgery, and he personally went there, and some people from Ersuke and Sansuke were also selected. However, since Fang Han planned to let Li Junxian go there, Qian Xiaolin would not object, and he would just change one person at that time.

"Director Qian, can I go into the surgery to observe?" Xian Fen also asked.

"Let's go." Qian Xiaolin nodded.

The flat car was pushed away, and Fang Han, Qian Xiaolin, Li Junxian and Xian Fen also came to the operating room.

"Director Qian."

The doctor who was already waiting in the operation area saw Qian Xiaolin and hurriedly greeted him.

Qian Xiaolin nodded and said, "Xiao Yang, forget it today, let Li Junxian go." He said very casually.

A young doctor standing at the door of the operating room was subconsciously stunned, and his tone was instantly aggrieved: "I know Director Qian."

It is common for Qian Xiaolin to change people at any time, and there is no need for any reason. As he spoke, Qian Xiaolin and Fang Han entered the operating room. Li Junxian did not look sideways and followed him in.

"Don't be discouraged, there is still a chance next time." A doctor next to Dr. Yang patted Dr. Yang on the shoulder and followed him in.

"next time?"

Dr. Yang was almost crying. There were so many opportunities. He was selected today because there were not many idle doctors at this moment, but he didn't expect that he would change people in the last battle.

This is a liver resection.

Don’t think it’s just a surgery, it’s also a surgery to do it?

It is completely different to having major surgery and minor surgery. Not to mention getting started, even if you stand next to you, you can go out to brag about it. I have seen liver, bloody liver...

"Dr. Fang."

The nurses in the operating room were the same as Fang Han had last surgery, so some nurses hurriedly came up to help Fang Han put on the surgical gown.

Someone also came forward to help Qian Xiaolin, but as for Li Junxian, he had to do it himself.

After putting on his clothes, washing his hands, and wearing masks and gloves, Fang Han raised his hands and walked into the operating room.

"How is the patient's current condition?" Fang Han asked about anesthesia.

"Blood pressure has been falling, and vital signs are very unstable..."

"Control blood pressure, monitor the patient's condition at any time, and start the surgery."

As he said that, Fang Han walked to the main surgery position. The instrument nurse hurriedly stepped forward and handed the scalpel to Fang Han. Fang Han held the scalpel in his hand and stroked it casually...

"Xiao Fang, your incision this time is very big." Qian Xiaolin said.

"We are not very clear about the patient's situation this time. There are all kinds of accidents. The larger incision is convenient for investigation and it is also convenient for some emergencies. If it is not just a rupture of the liver and spleen, there is no need to increase the incision."

"Yes." Qian Xiaolin nodded.

This time the patient was in an emergency room and was in an emergency. After being sent, there was no time to undergo other examinations. This operation was considered a strictly emergency surgery.

When it comes to surgery, especially major surgery, many people subconsciously become very urgent and dangerous.

In fact, this is not the case. According to the condition and the patient's condition, surgery can generally be divided into three types: first aid surgery, non-first aid surgery and elective surgery.

First aid surgery, also known as acute surgery, means that the surgery must be done immediately and cannot be delayed. Some first aid surgery has a time limit requirement. How long does it take to complete? It cannot exceed the time limit. If it exceeds the time, it will be life-threatening.

In first aid surgery, time is life, and the patient's life may be lost at any time. Every time a minute is delayed, immeasurable consequences may occur. Therefore, in first aid surgery, many examinations and preoperative preparations cannot be done. Every examination is delayed, so this kind of surgery is the most difficult and uncontrollable factors are the most.
Chapter completed!