Chapter 3 Life at the Fingertips
When Qin Chuan arrived at the hospital, a horn suddenly came from behind.
Qin Chuan looked back and saw Wu Xiaoming sitting in the car. Wu Xiaoming was a doctor who was transferred to the emergency department in the surgery department, so he was naturally much more affordable than Qin Chuan, a newcomer who just started working. It is said that he bought a house in the best community in Tanshan City, and he drove an imported car with circles and circles.
I don’t know what’s going on, but Qin Chuan always feels that Wu Xiaoming is always incomparable to him, and I don’t know which muscle this person is wrong.
Qin Chuan smiled and continued to walk forward.
Wu Xiaoming sat in the car and smiled contemptuously at Qin Chuan. Then he drove the car to the parking lot. The doctors in the hospital had special parking spaces in the parking lot.
Qin Chuan went to the locker room to change into a white coat and habitually hung the stethoscope around his neck. In the hospital, doctors with stethoscopes on their necks are mostly emergency doctors, because there are only emergency doctors, and they have to race against death at any time, so they can't afford to delay in any delay. Naturally, doctors in other specialist clinics will not be in such a hurry.
"Qinchuan, are you here?" He Xuedong, who had not yet handed over the class, greeted Qinchuan warmly. Although He Xuedong had a wide flesh on his face, his pores were very thick, and he had two big moles. He had one or two thick and long hairs on the mole, and his two big eyes looked like two big lanterns. He was very enthusiastic and took good care of the new Qinchuan.
"Doctor He, how was the situation last night?" Qin Chuan asked.
"Fortunately, several patients with fever came last night. After the fever subsided, there was no major problem. I was discharged from the hospital in the morning. It was better." He Xuedong said.
"Then there is no problem. You can hand over the shift and go back and have a good rest." Qin Chuan said.
"Oh." He Xuedong replied.
Wu Xiaoming walked in, looked at Qin Chuan contemptuously, and sat in front of his desk arrogantly and turned on the computer.
Qin Chuan looked at Wu Xiaoming, too lazy to pay attention to him. He turned on the computer and looked at the electronic cases in the emergency department. The beds in the emergency department were all full, and some temporary beds were also placed on the aisle and in the hall. Of course, several three "three-no" patients and a nail household in the emergency department had to be added.
These "three no's" means "cannot be cured, cannot be cured, cannot be returned home". This is a problem that has existed in the emergency department for many years. If you want to say that it is not sick, people are indeed sick, but they are all untreated diseases. The specialist refuses to accept it, and the patient's family is unwilling to be discharged from the hospital. So it stagnates in the emergency department. The emergency department was originally a life-saving place, but now it has become a hotel for these people. It occupies several valuable beds in the emergency department.
This is not an exaggeration. The most overwhelming thing is the nail household. Qin Chuan heard of him as soon as he came here. Yao Sihai occupied three beds alone and lived in the emergency department for a long time. He heard that he came five years earlier than Qin Chuan. For five years, he has not paid a penny of medical expenses. He has been in the emergency department and refuses to leave, and the hospital has no choice but to do anything to him.
Qin Chuan glanced at these people. Such things were not something that ordinary doctors could control.
He Xiaokang walked in: "Xiao Qin, did you come quite early?"
"My mother called me up early in the morning. She was afraid that I would be late, so she prepared breakfast for me. What can I do?" Qin Chuan said with a smile.
As soon as Gao Zhanting walked in, he continued the topic: "Are you showing off your happiness? I wish someone would be in charge of it every day."
Gao Zhanting's hometown is in another market, and it is far away. Not long after graduation, he went directly to the emergency department. It turned out that he studied obstetrics and gynecology. But now he has a lot of talents in obstetrics and gynecology. How can a young man who has just graduated and has no qualifications (mostly because he has no connection) have the opportunity to enter?
"Actually, I really envy you. It's so free to rent a house outside alone." Qin Chuan said this in his heart.
"You are obviously in a blessing and don't know how to be blessed. Forget it, I'm too lazy to say that you have to go to the rounds." Gao Zhanting picked up the medical record and walked out the door.
At this time, a sweet woman's voice came from the speakers of the emergency department: "A patient, a 46-year-old woman, was sent to the long-distance bus station. She refused to respond and would arrive at our hospital in three minutes. Please ask the emergency department doctor to go to the door to receive the treatment."
Several doctors on duty in the emergency department immediately stood up and walked towards the emergency passage.
As soon as I reached the door, I heard the sound of an ambulance roaring.
As soon as the car stopped, it opened behind it.
The patient called 120 by kind people, and he was not accompanied by his family. Naturally, he could not know any information about the patient, and he could not confirm whether the patient had a previous medical history.
"Hand up!" Qin Chuan said.
Several male doctors in the emergency department carried the patient out of the car and rushed to the emergency department emergency room.
The patient's face was blue and purple and he had no response to the doctor's call.
Cheng Guanhua, the director of the emergency department who rushed over, asked: "What's the situation?"
"Respiration stops, the pulsation of the major artery disappears, the heart sound disappears, the blood pressure is 0, the pupils are fixed, the diffuse is large and the edges, and the reflex to light disappears. The diagnosis is sudden death, which meets the criteria for cardiopulmonary resuscitation." Qin Chuan said after the examination.
"Then you will do cardiopulmonary resuscitation." Cheng Guanhua said.
Qin Chuan nodded and said, "Continue external chest compression; open airways and balloon mask to breathe artificially. Establish an intravenous channel, give 1 mg of adrenaline, 1 mg of atropine, and 0.375 mg of colamin; intravenous infusion of dopamine."
The doctors and nurses in the emergency department often do this and cooperate very skillfully. They do their own things immediately without specific assignments.
Continuous external chest compression, mechanical ventilation assists breathing. 1 mg of adrenaline, 1 mg of atropine, 0.375 mg of colamin 3 times. 150 mg of ethylamide iodophoron.
Then tracheal intubation was performed. The tracheal intubation was smooth, and a large amount of hemorrhagic secretions were sucked out of the intubation and connected to a ventilator to assist in breathing.
Several emergency doctors took turns to work, and everyone was sweating profusely. The rescue lasted for nearly half an hour. If the patient's heart stopped beating, it meant that the rescue failed this time. The patient's life missed Qin Chuan and others.
"Come on!" Qin Chuan couldn't help but say.
At this time, the electrocardiogram showed that the patient interrupted recovery of autonomous rhythm.
"There is a heartbeat." Gao Zhanting said in surprise.
The chest compressions did not stop, and Qin Chuan's forehead was covered with sweat beads. Nurse Jiang Lingling quickly helped Qin Chuan wipe off the sweat beads on his forehead. However, this scene made Wu Xiaoming very unhappy. Wu Xiaoming had been chasing Jiang Lingling for a long time, but Jiang Lingling was always lukewarm to Wu Xiaoming. Instead, she was very unusual to the new Qin Chuan.
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Chapter completed!