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Chapter 254 Medical Ethics Cycle (Part 1)
Chapter 254 Medical Ethics Cycle (Part [-])
What made Chen Tianyang angry was not only the fact that "Sun Lien might be hiding in the economy class and didn't come to help", in fact, what made Chen Tianyang most upset was that Sun Lien didn't come forward to save others.Anyway, you are also an emergency doctor. Even if you are worried that you may get into trouble if you perform invasive rescue outside the hospital, at least you should help treat other injured people, right?I have done the cricothyrotomy and you still can't hide?
In such an emergency situation, a professional emergency doctor, even a rookie in regular training, can outperform most of the general surgery experts.Chen Tianyang really couldn't figure out what Sun Lien was hiding.When the sky fell, he, Chen Tianyang, was still carrying it.
Zhou Jun, who was standing at the door of the cabin, was also very surprised. A fat man from nowhere was scolding Sun Lien angrily with his waist in his waist.The fat white man looked drenched, as if he had just taken a shower with his clothes on.And judging by his expression, he seemed really angry.
"Who are you?" Zhou Jun's protective character inherited Liu Tangchun's characteristics - I can scold the doctors under me, but it is absolutely impossible for a stranger to yell.He came forward and frowned and asked, "Do you have anything to do with Sun Li'en?"
"What do I want from him?" Chen Tianyang waved his hands vigorously, and the sweat on his hands fell directly on Zhou Jun's white coat. "I'm so busy rescuing the injured on the plane, and he, an emergency doctor, didn't know to come out to help? What kind of medical ethics is this?"
"Is he really on the plane?" Zhou Jun suddenly became nervous. He looked carefully at the crowd who had already left the plane, "I didn't see him, is he still on the plane?"
"You didn't see him?" Chen Tianyang was also confused, "Then what kind of son are you calling Sun Li'en?"
"Aren't you also cursing with your hips on your hips?" Zhou Jun rolled his eyes, "You are really capable of scolding someone who is not on the plane at all."
The first meeting between Chen Tianyang and Zhou Jun was full of gunpowder.
·
·
·
"Ah!" Sun Li'en sneezed loudly without warning.The sound was so loud that it even attracted the attention of the flight attendant next to him. "Sir, do I need a blanket for you?"
"No, thank you." Sun Lien rubbed his nose and smiled embarrassedly at the flight attendant.Hu Jia on the side asked with a smile, "What's the matter, someone scolded you?"
"Maybe someone is really scolding me." Sun Li'en replied with a wry smile, "I just don't know who I offended again." He rubbed his itchy nose, "Good guy, I feel that there is something wrong in my nose." It's like being poked with a cotton swab."
The plane that Sun Li'en and Hu Jia took has finished its climb and started to enter a stable cruising stage.Domestic airlines have gradually implemented in-flight WIFI hotspots, which is really a new experience for Sun Lien.He hung up the extremely slow hotspot on the Shanghai Airlines plane with his mobile phone, trying to refresh the webpage on the mobile phone to see how the plane that made an emergency landing in Ningyuan was doing.
"I seem to have forgotten to tell my aunt the flight number." Hu Jia ordered a glass of sparkling wine, squinted his eyes and drank a couple of sips, then suddenly realized that he didn't seem to report the itinerary to Hu Jing. "Lien, can you help me send a WeChat message to my aunt?"
Sun Li'en had never added Hu Jing's WeChat, but this did not affect him getting in touch with the Head Nurse.There are several internal WeChat groups in the emergency department, and head nurse Hu Jing is always the one who speaks most powerfully.Usually, when a group of young nurses who "steal half a day's leisure" gossip in the group, there is a high chance of eliciting a smiling warning from Head Nurse Hu. "Chat on WeChat during working hours, are you planning to ask for this month's performance?"
In hospitals under the sun, the scariest person in every department must be the head nurse.And the head nurse who has practiced shot put and can carry two wax gourds in one hand is the most powerful one among all the head nurses.
After all, no one wants to be thrown 20 meters by the head nurse, right?
Enduring the slow internet speed, Sun Lien finally found Hu Jing's profile picture in the medical group, and then sent a friend request. The content of the request was "Aunt Hu, Hu Jia and I are on the plane. We will land in about two and a half hours."
No more, no less, exactly twenty characters.
"Maybe when we land, we can take the car back in the yard." Sun Li'en explained to Hu Jia that there was an emergency flight before.Then he sighed, "Ten vehicles were sent by the courtyard... I hope the condition of the injured is not too serious."
·
·
·
The condition of the injured is serious.
Others are okay to say, especially the passengers in the economy class, most of them have skin trauma.Although it looks scary with blood and thorns, everyone's condition is actually quite stable.
While floating in the sky, many passengers were directly dragged off by nearby passengers.A few who were not pulled back also fell directly on the heads of the passengers below them.Although more people suffered from head hematomas, there was a buffer after all, and they were not seriously injured.
The most seriously injured was the pale business class male passenger.
"Heart rate 145, blood pressure 108/170, blood oxygen saturation 93%." As the most seriously injured passenger, the man in the business class received the highest level of care.Zhou Jun and Hu Jing and the other two attending doctors are in the tense rescue.
The other injuries of this injured person are easy to say, even the throat spasm is not too serious.After all, there has been a more secure incision and intubation, and with the help of the ventilator, his blood oxygen saturation is slowly recovering.But the pink foam that kept gushing out of the trachea was reminding Zhou Jun that this patient might have symptoms of acute pulmonary edema.
"Intravenous injection, furosemide 20 mg, tilt the stretcher bed and let him lie down with his legs down!" Zhou Jun issued the doctor's order, and then dragged the airport staff aside, "This patient is in a very dangerous condition. We must be sent to the hospital immediately. Let the police car clear the way for us!" He finished these words at the fastest speed, and then grabbed Chen Tianyang's hand, "You and us are in a car, go to the hospital immediately!"
According to Zhou Jun's judgment, the injured is currently in the stage of typical interstitial pulmonary edema.Judging by the degree of the cardiopulmonary monitor, he may have acute left heart failure caused by high blood pressure, which then caused acute pulmonary edema.However, a diastolic blood pressure of 110 mm Hg and a systolic blood pressure of 170 mm Hg can only be regarded as stage II hypertension.Hypertrophy of the left ventricle and damage to some other organs may result.But generally speaking, the patient should still be in the compensation period and will not have obvious symptoms.
This acute left heart failure may have to be marked with a big question mark.
And Zhou Jun dragged Chen Tianyang, of course, not to let him go to the Fourth Central Hospital for an operation to prove his worth. He needed to find someone who had carefully observed the patient and could provide him with the patient's detailed signs and symptoms in the car. Persons with premorbid features.
"Are you sleeping on the plane?!" The ambulance just drove out of the airport control area, and Zhou Jun's roar came from inside the car, "A doctor, you actually slept on the plane? Do you still have medical ethics?"
(End of this chapter)
What made Chen Tianyang angry was not only the fact that "Sun Lien might be hiding in the economy class and didn't come to help", in fact, what made Chen Tianyang most upset was that Sun Lien didn't come forward to save others.Anyway, you are also an emergency doctor. Even if you are worried that you may get into trouble if you perform invasive rescue outside the hospital, at least you should help treat other injured people, right?I have done the cricothyrotomy and you still can't hide?
In such an emergency situation, a professional emergency doctor, even a rookie in regular training, can outperform most of the general surgery experts.Chen Tianyang really couldn't figure out what Sun Lien was hiding.When the sky fell, he, Chen Tianyang, was still carrying it.
Zhou Jun, who was standing at the door of the cabin, was also very surprised. A fat man from nowhere was scolding Sun Lien angrily with his waist in his waist.The fat white man looked drenched, as if he had just taken a shower with his clothes on.And judging by his expression, he seemed really angry.
"Who are you?" Zhou Jun's protective character inherited Liu Tangchun's characteristics - I can scold the doctors under me, but it is absolutely impossible for a stranger to yell.He came forward and frowned and asked, "Do you have anything to do with Sun Li'en?"
"What do I want from him?" Chen Tianyang waved his hands vigorously, and the sweat on his hands fell directly on Zhou Jun's white coat. "I'm so busy rescuing the injured on the plane, and he, an emergency doctor, didn't know to come out to help? What kind of medical ethics is this?"
"Is he really on the plane?" Zhou Jun suddenly became nervous. He looked carefully at the crowd who had already left the plane, "I didn't see him, is he still on the plane?"
"You didn't see him?" Chen Tianyang was also confused, "Then what kind of son are you calling Sun Li'en?"
"Aren't you also cursing with your hips on your hips?" Zhou Jun rolled his eyes, "You are really capable of scolding someone who is not on the plane at all."
The first meeting between Chen Tianyang and Zhou Jun was full of gunpowder.
·
·
·
"Ah!" Sun Li'en sneezed loudly without warning.The sound was so loud that it even attracted the attention of the flight attendant next to him. "Sir, do I need a blanket for you?"
"No, thank you." Sun Lien rubbed his nose and smiled embarrassedly at the flight attendant.Hu Jia on the side asked with a smile, "What's the matter, someone scolded you?"
"Maybe someone is really scolding me." Sun Li'en replied with a wry smile, "I just don't know who I offended again." He rubbed his itchy nose, "Good guy, I feel that there is something wrong in my nose." It's like being poked with a cotton swab."
The plane that Sun Li'en and Hu Jia took has finished its climb and started to enter a stable cruising stage.Domestic airlines have gradually implemented in-flight WIFI hotspots, which is really a new experience for Sun Lien.He hung up the extremely slow hotspot on the Shanghai Airlines plane with his mobile phone, trying to refresh the webpage on the mobile phone to see how the plane that made an emergency landing in Ningyuan was doing.
"I seem to have forgotten to tell my aunt the flight number." Hu Jia ordered a glass of sparkling wine, squinted his eyes and drank a couple of sips, then suddenly realized that he didn't seem to report the itinerary to Hu Jing. "Lien, can you help me send a WeChat message to my aunt?"
Sun Li'en had never added Hu Jing's WeChat, but this did not affect him getting in touch with the Head Nurse.There are several internal WeChat groups in the emergency department, and head nurse Hu Jing is always the one who speaks most powerfully.Usually, when a group of young nurses who "steal half a day's leisure" gossip in the group, there is a high chance of eliciting a smiling warning from Head Nurse Hu. "Chat on WeChat during working hours, are you planning to ask for this month's performance?"
In hospitals under the sun, the scariest person in every department must be the head nurse.And the head nurse who has practiced shot put and can carry two wax gourds in one hand is the most powerful one among all the head nurses.
After all, no one wants to be thrown 20 meters by the head nurse, right?
Enduring the slow internet speed, Sun Lien finally found Hu Jing's profile picture in the medical group, and then sent a friend request. The content of the request was "Aunt Hu, Hu Jia and I are on the plane. We will land in about two and a half hours."
No more, no less, exactly twenty characters.
"Maybe when we land, we can take the car back in the yard." Sun Li'en explained to Hu Jia that there was an emergency flight before.Then he sighed, "Ten vehicles were sent by the courtyard... I hope the condition of the injured is not too serious."
·
·
·
The condition of the injured is serious.
Others are okay to say, especially the passengers in the economy class, most of them have skin trauma.Although it looks scary with blood and thorns, everyone's condition is actually quite stable.
While floating in the sky, many passengers were directly dragged off by nearby passengers.A few who were not pulled back also fell directly on the heads of the passengers below them.Although more people suffered from head hematomas, there was a buffer after all, and they were not seriously injured.
The most seriously injured was the pale business class male passenger.
"Heart rate 145, blood pressure 108/170, blood oxygen saturation 93%." As the most seriously injured passenger, the man in the business class received the highest level of care.Zhou Jun and Hu Jing and the other two attending doctors are in the tense rescue.
The other injuries of this injured person are easy to say, even the throat spasm is not too serious.After all, there has been a more secure incision and intubation, and with the help of the ventilator, his blood oxygen saturation is slowly recovering.But the pink foam that kept gushing out of the trachea was reminding Zhou Jun that this patient might have symptoms of acute pulmonary edema.
"Intravenous injection, furosemide 20 mg, tilt the stretcher bed and let him lie down with his legs down!" Zhou Jun issued the doctor's order, and then dragged the airport staff aside, "This patient is in a very dangerous condition. We must be sent to the hospital immediately. Let the police car clear the way for us!" He finished these words at the fastest speed, and then grabbed Chen Tianyang's hand, "You and us are in a car, go to the hospital immediately!"
According to Zhou Jun's judgment, the injured is currently in the stage of typical interstitial pulmonary edema.Judging by the degree of the cardiopulmonary monitor, he may have acute left heart failure caused by high blood pressure, which then caused acute pulmonary edema.However, a diastolic blood pressure of 110 mm Hg and a systolic blood pressure of 170 mm Hg can only be regarded as stage II hypertension.Hypertrophy of the left ventricle and damage to some other organs may result.But generally speaking, the patient should still be in the compensation period and will not have obvious symptoms.
This acute left heart failure may have to be marked with a big question mark.
And Zhou Jun dragged Chen Tianyang, of course, not to let him go to the Fourth Central Hospital for an operation to prove his worth. He needed to find someone who had carefully observed the patient and could provide him with the patient's detailed signs and symptoms in the car. Persons with premorbid features.
"Are you sleeping on the plane?!" The ambulance just drove out of the airport control area, and Zhou Jun's roar came from inside the car, "A doctor, you actually slept on the plane? Do you still have medical ethics?"
(End of this chapter)
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