Chapter 43
Trauma in a car accident, and it seems that there is also heavy bleeding in this situation, which may lead to shock and death. This is a very dangerous patient.
Chen Fan immediately had a clear judgment in his heart. This feeling was very good and very good! It seemed that Chen Fan was back when Sun Dafei was operating some time ago. This is a good phenomenon, at least it proved that his actual combat level has improved a little. Unlike the previous two days, if it was an exam, Chen Fan would not be afraid at all. Whether it was a diagnosis or a differential diagnosis, including how to treat the treatment plan, Chen Fan was confident that he could write it in a regular and beautiful manner.
This is a typical case of talking about war on paper and being the king. But now, Chen Fan found that the lost IQ seemed to be starting to come back. This made Chen Fan feel much more at ease. It was not because he could re-install a master, but because he was not worried about taking human life.
Chen Fan still knows this. Chen Fan remembered this when he was lying to others. There is no way, Master Chen is so kind.
He thought to himself, but his eyes were still on Wang Yu at all times. He found that Wang Yu's technique was very standard, but the whole process was very slow. He could even see Wang Yu's hand trembling slightly.
This surprised Chen Fan. According to Chen Fan's understanding, Lin Qingya and Wang Yu were the same group of people who entered Chuya Hospital and have been serving as resident doctors for a year. They have been working in the emergency department for a year. It should not be of this level, but Wang Yu actually seems so unfamiliar during the treatment process? This is a bit unreasonable. Given Chu Ya's busyness, each of them has to experience at least a dozen such emergency patients every day. There is no shortage of opportunities to actually operate. It makes sense.
Anyone will have trembling, even senior resident doctors, attending doctors, or even senior deputy chief doctors, or even chief doctors. Young people have never experienced it, their mentality fluctuates greatly, and chief doctors are physical reasons. This is normal.
To judge the quality of a surgeon, it is often just a sentence: whether the person's surgery is stable or not. This stability refers to this small detail.
However, Chen Fan was not confused about these things. From a certain perspective, the unfamiliar Wang Yu was actually very suitable to be the object of Chen Fan's imitation.
Wang Yu asked a few more common sense questions, and then ordered to the young nurse next to him: "The patient is clear and conscious."
"Director Chen, look..." Wang Yu turned around and said.
Chen Fan did not hesitate, nodded and gave an admiring look, encouraging: "Continue, the handling just now was done well, I believe you can stand alone."
Wang Yu was stunned, a little light flashed in his eyes, and he was a little excited, and said, "I understand."
He turned around and looked at the patient, reached out to hold the patient's neck and fixed it upwards. At this time, the patient's breathing suddenly became much more relaxed.
"Infusion, blood transfusion, expand blood volume and brain extracellular fluid! Take the supervision and notify customers and people outside the heart to come and cooperate!" Wang Yu may be because of Chen Fan's encouragement at this moment, all the doctor's instructions were very decisive, precise and neat, without any hesitation.
Chen Fan has a personal experience. This is confidence. But Wang Yu’s confidence comes from himself, where can he find confidence?
As Wang Yu finished speaking, Chen Fan added: "Go to a bedside CT and prepare the autologous blood circulation system. Ask the blood bank. Is the plasma enough? Operating Room No. 1 still empty. Get ready quickly and notify people outside the brain. This patient is not that simple."
This sentence quickly turned into a doctor's order and continued to execute it. Several nurses immediately followed, and the electrocardiogram monitor also followed. The patient looked very scary, but his vital signs stabilized.
As the patient was transferred to the operating room, Wang Yu then gave a thumbs up, his eyes full of admiration: "Director, you are still experienced and thoughtful, and I didn't even think about the problem of brain damage."
Chen Fan smiled indifferently and said, "Car accident patients are often the most common brain damage. You should pay attention in the future. I looked at it and found that there was bleeding in the right ear of the patient, which may be a ruptured eardrum, but even more likely a cerebral hemorrhage. Medicine cannot tolerate any sloppy. Every mistake we make may lead to the death of the patient."
"Well, I will remember the words of the director." Wang Yu agreed sincerely and continued: "Director, it's better to follow you. Not only can I learn something, I have a great chance of getting started."
Chen Fan nodded slightly, but the man stepped out and said to Wang Yu who followed closely: "Don't be too happy too early. Being a doctor means being careful and careful and bold in verifying. You are very good. Do it well."
For emergency departments, it is not as urgent as the TV series. More often than not, it is to treat patients, maintain their lives, and then make basic judgments, either transfer to the department or directly call someone to come for emergency surgery.
The patients in the car accident soon took over from extrabrain, extrabrain and orthopedics. The three departments were linked together and the surgery was performed at the same time. The whole process was tense and orderly. This was the normal rhythm.
The news also made Wang Yu admire him. The entire emergency room was extremely impressed because this patient did have cerebral hemorrhage. If Chen Fan had not reminded him, the patient would have discovered it during the operation, which would have caused very serious consequences.
It was afternoon in a blink of an eye, and at this time, the emergency department also sounded: "Doctor Wang Yu asked to go to the clinic for treatment."
As the notice was issued, Wang Yu ran out immediately, and Chen Fan followed slowly. Although Chen Fan made up his mind to resign, this was also a rare learning opportunity. We can't always have knowledge but no practice.
This is a male patient about forty years old, with two people following him. One is drunk and it seems that he is his friend, and the other is a woman in her thirties, with an anxious face.
The patient was covering his chest and vomiting wildly. The smell of blood came. There was already a pool of blood on the ground.
This is a gastrointestinal bleeding. It seems that this is because of drinking too much. Chen Fan immediately made a preliminary judgment in his heart. At this moment, Wang Yu had already gone up. After some treatment, then he was treated quickly. As the patient lay on the hospital bed, Wang Yu then ordered: "This is a gastrointestinal bleeding. You must be careful when taking care of it, especially keeping warm. In addition, you must not drink it again after drinking. This is pretty good. If you are at home at night, you may be helpless."
"Thank you, the doctor!" the patient's family said gratefully.
Wang Yu smiled slightly. He was about to wave his hand, but Chen Fan next to him spoke: "Apart from these, are there nothing else to give me?"
Wang Yu glanced at Chen Fan and then continued to instruct the patient's family: "You should also read more about your diet, especially during bleeding activities, you should fast..."
"Is there any more?" Chen Fan asked.
Wang Yu tilted his head and thought for a while, and said, "It should be gone."
Chen Fan looked at Wang Yu with a kind look and said, "You, shouldn't the patient's nervousness and fear pay more attention to it?"
Wang Yu suddenly realized and showed a look of shame on his face. He quickly gave repeated instructions to the patient next to him.
After a series of practices, Chen Fan has almost mastered the basic methods of diagnosing and treating patients. There may be some experience shortcomings, but with the knowledge reserve in his mind, he can completely make up for the gap in experience. He has now completed the initial practical accumulation and can't wait to verify his achievements.
It happened that at this time, a patient walked into the hospital with the help of his family. Chen Fan was about to meet him when he saw him. At this time, Wang Yu actually rushed out from the side and said with a smile: "Director Chen, let me do this. You are resting, and I really don't worry, you can always watch it."
Wang Yu, who was proactive, quickly stepped up and checked the patient. Then he easily solved it. Although the diagnosis results of Wang Yu and Chen Fan were the same, Chen Fan still felt a little uncomfortable. Didn’t I just want to practice it myself? Is it so difficult? Why didn’t I even have the chance to treat the patient? It’s unreasonable!
Chen Fan felt a little depressed inside, but he had to look very appreciative on his face. Because Wang Yu was really working hard as he said. It was indeed the patient's symptoms were mild, and four or five patients did not have the chance to take action.
"Forget it, just think that he taught a good apprentice." But Chen Fan knew in his heart that he had actually done nothing, and this was all reflected in Wang Yu's own strength.
With Wang Yu as his younger brother, Chen Fan seemed so relaxed in this busy emergency room. Will other tutors be so envious of them?
Seeing that the shift time was coming, the discouraged Chen Fan was about to get off work and go home. But at this moment, an angry roar came from not far away. This was Sun Zhili's voice: "I told you to be careful, be careful, you don't believe it, there is a problem now!"
Chen Fan frowned immediately. What's wrong with Sun Zhili? He said this in public, is he worried that the hospital will not be in trouble enough? No matter how problems arise, he has to avoid the patients.
Sun Zhili's angry look attracted everyone's attention. Chen Fan looked up and saw the patient lying on the hospital bed next to Sun Zhili twitching, Lin Qingya was crying constantly, and the nurses around were also very panicked.
Chapter completed!