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198 Curse like grandson

"Hey!" Director Sui was a little angry, but he disdained to argue with a young doctor in other departments, but looked at Wang Chengfa very strongly, "Are you the director or he the director? Let a young doctor with a low seniority preside over the rescue?"

Wang Cheng was stunned for a moment. He was actually already timid.

He hadn't woken up early in the morning, and just arrived at the hospital, he encountered such a bullshit incident and was confused.

And many recent events have shown that Zhou Congwen seems to have matured unconsciously, whether it is emergency treatment or surgery.

Although Wang Chengfa didn't know the reason, he still wanted to quietly and let Zhou Congwen preside over the rescue. After success, he decided to pretend that the rescue was done by himself.

If it fails, follow Wang Chengfa's wishes.

However, Director Sui had no choice but tolerated sand in his eyes, and he didn't care what Wang Chengfa was thinking, so he directly questioned.

Wang Chengfa sat on wax all of a sudden.

"You can directly indicate what the diagnosis is wrong." Zhou Congwen stared at the numbers on the monitor and directly retorted Director Sui's words, "Dexamethasone 10mg intravenous injection."

The anesthesiologist was stunned for a moment, looked at Director Sui, and then looked at Wang Chengfa, and finally his eyes fell on Director Sui.

"Why do you need to command the rescue? Get out!" Director Sui cursed.

"Director Sui, emergency treatment, if you are not sure, shut up." Zhou Congwen's eyes never left the monitor for a moment, "I will record everything you say in the medical record."

"..." Director Sui had never met such a tough little doctor and was stunned for a moment.

"As a director, you can't even diagnose neurogenic shock, and you are not ashamed to stand there and beep, and you are so embarrassed. After graduating from graduate school, is this what your professor at Bai Medical University teaches you!"

Zhou Congwen saw Liu Wei's assistant pushing adrenaline along the three-way line, and coldly pushed Director Sui to the corner.

"you……"

"What do you think I am? If you know how to rescue me, you will have rescued me long ago. You won't tell me such a ridiculous diagnosis of pneumothorax. Can't percussion be done? How did your teacher teach you!"

Zhou Congwen stared at the monitor and instantly switched to the top doctor and academician of the two academies, saying calmly, indifferently and coldly.

Director Sui was silent. He didn't know who gave this little doctor the courage to confront him like this.

"Methoxymin 2mg is intravenously given, and the mask is inhaled oxygen, giving pure oxygen."

"Replenishing fluids, colloids, can be faster."

"Give dopamine faster."

Zhou Congwen was also worried that in 2002 there was not even a micro pump, and there was no way to rescue him in detail.

There are no numbers, so he can only use fast and slow to explain, which makes him very helpless. Just like cooking, how much is a little? It can only be determined by experience, which is particularly unfriendly to engineering students.

Although he can tell the anesthesiologist how many drops a minute,... no matter how accurate the human eyes are, it is impossible to be as accurate as the micro pump.

Worried, Zhou Congwen ignored Director Sui's anger at all.

A sound of footsteps came, and Shen Lang ran in with his chest bottle panting.

It is a problem that the chest bottle cannot be lowered, and it is instantly placed in front of Wang Chengfa.

Director Sui glanced at the chest bottle, then looked at Wang Chengfa, and snorted coldly.

"Prepare salt water, I lower my chest bottle." Wang Cheng said in a deep voice.

"Would you like a lower chest vial if you percussing the patient with clear voice?" Zhou Congwen glanced at Wang Chengfa and said coldly.

In an instant, everyone subconsciously had hallucinations.

It seemed as if the person standing next to the operating table was Wang Chengfa. The glance was full of disdain and strength, which was Wang Chengfa's signature move.

And the moment when this gaze fell on Wang Chengfa, even he was stunned.

"Do you think you can just write a simple stroke in the medical record with a medium amount of gas to pull out?" Zhou Congwen still stared at the electrocardiogram monitor and said coldly.

“…”

Wang Chengfa and Director Sui were speechless.

That's what they think.

The damage to the closed chest drainage is small. Whether there is pneumothorax or not, the tube is first inserted. What if there is?

If there is a problem, gas can be drawn out to prevent the patient from dying due to tension pneumothorax.

If there is no problem, it is just a 1.5cm cutout, and there is almost nothing to do.

But this "unwritten rule" can only be understood but not explained.

Now Zhou Congwen is unscrupulously speaking...

"Shen Lang, go and push the X-ray machine at the head of the bed." Zhou Congwen said, "If you have pneumothorax, you will know if you have a film."

"If the patient dies due to nervous pneumothorax, you must be responsible!" Director Sui's anger finally couldn't suppress it.

Zhou Congwen turned his head slightly and glanced at Director Sui with a strange look.

"As a doctor, can you be more professional?"

"At your level, let your graduate supervisor see how you rescued him. He has to jump down from the building."

"Although orthopedics are relatively rough, the most basic percussion should be understood. If there are too many earwaxes that affect listening, dig them. If you don't understand, go back to school and study hard."

One sentence hit Director Sui's heart like a sharp knife.

"Responsible. If you are really responsible, you will not diagnose the right tension pneumothorax." Zhou Congwen saw that the patient's vital signs were gradually stable. He put his hands behind his back and his waist straightened up unknowingly. He said coldly, "Director Wang, Director Sui is not professional. You are the person in charge of the thorax department, so you are not professional."

“…”

Shen Lang felt the tense atmosphere in the operating room, shivered, and immediately lowered his head and turned around and left.

He immediately went to push the X-ray machine next to the bed. Although the machine was heavy and heavy, it was better than being tortured here.

The two directors were scolded and blew the bloody heads, but before Zhou Congwen finished speaking, he glanced at him contemptuously, "I will record all this in the medical record. Don't ask if I am qualified. Consult on the stage, discuss critical medical records. If you don't understand, go to the medical department for asking."

Wang Chengfa almost cried.

During consultations on stage, the director speaks, especially when encountering patients who are inexplicably shocked, how could the doctor stand up and discuss the condition with the director?

But Zhou Congwen stood up today, and took over the rescue and scolded the two directors, including himself, as if they were grandson.

In an instant, Wang Chengfa even felt that Zhou Congwen was the director.

"Why are you..." Director Sui's angrily reprimanded words were interrupted by Zhou Congwen just after saying four words.

"Why? Then I will tell you why." Zhou Congwen said lightly, "The sympathetic vascular constriction nerve fibers transmit effusion at the center of the vascular movement to maintain the vascular tension throughout the body. When stimulation of severe trauma, severe pain, nerve damage, etc., the vascular movement center is suppressed or the effusion fibers cause the effusion at the fibers are blocked, and the small blood vessel tension is missing..."

This is not a swearing at the nose, but the most professional explanation.
Chapter completed!
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