I can see the status bar

Chapter 539 Deviation

The characteristics of emergency work can be summed up in three words-dirty, tired, and bitter.

Tiredness is easy to explain, regardless of internal medicine and surgery, as long as the patient comes, he has to pick it up.There is no rest time, as long as there are patients, you have to rush upwards.And when you’re working, you can’t just stop if you want to – you’re nervously doing hemostasis and chest compressions on one side, and on the other side you suddenly realize that it’s the end of the day, and then you want to pat your ass and leave... How is that possible? ah?
Suffering is formed on the basis of tiredness.The salaries of emergency doctors are generally not high, and many doctors' medical certificates also indicate the "direction of emergency medicine".This also means that even if you really can't continue to work and resign, unless you re-examine your qualifications or simply change your career, even if you change to another hospital, you can only go in the emergency direction.

Domestic emergency medicine can be roughly divided into two directions: "emergency" and "critical care".However, the research content of "emergency" and "critical illness" actually have a very large overlap.Multiple trauma, reperfusion injury, poisoning, post-cardiac arrest syndrome, etc. are all involved in the research field of critical care medicine.

But emergency medicine jobs generally don't pay as much as intensive care medicine.If an attending doctor with the same background works in the emergency department of a hospital in an economically developed area, the basic salary plus miscellaneous subsidies can be about [-] a month.Compared with the average level of the entire city, this income is by no means low, but it is certainly not high either—doctors can save money to buy a toilet after working without food or drink for a year.

But it will be different if you can work in the ICU.Although depending on the region, the income of ICU doctors also varies.Generally speaking, the salary of a doctor in the ICU will be more than twice that of an emergency doctor, and in some places the difference can even be ten times.

The work pressure is high, the work content is various, the income is not as good as that of peers, and it is even difficult to change careers.The emergency doctor is tired and bitter.

As for being dirty... just look at Dr. Cao and Sun Li'en.

Working in the emergency department, being spat all over, splashed with blood, and even being poured with feces are all objective facts.The Fourth Hospital even has the habit of "celebrating the first time the regular trainees and interns are spit all over their bodies".After Sun Lien just came to the hospital and was vomited, the consolation gift he received was a bottle of Coke.

The work of the emergency doctor is dirty, tiring and hard.This has directly led to a shortage of emergency hospitals across the country.Those who don't want to be a doctor will definitely not go to the emergency room. Even if they are pregnant with the desire to save lives and help the world, wouldn't going to surgery, internal medicine or ICU also achieve their goals?

It has to be said that the "big emergency" mode practiced by the Fourth Hospital is currently the best hope to break this strange cycle.In this mode, the function and importance of the emergency department are multiplied, and in the end, these patients basically need to be sent back to the specialist for formal treatment before being discharged.This model not only allows the emergency department to dominate most of the diagnosis and treatment activities in the hospital, but also improves the income level of emergency doctors, and at the same time ensures the income and operation of other specialties.

The performance salary of the four hospitals is calculated by the hospital office and distributed to each department.This is still a little different from the previous departments working on their own.

However, even so, it is not easy to persist in the emergency department.

"..." Ever since he was sprayed on the neck, Dr. Cao Yanhua kept his mouth tightly shut.His face was pale and stern.

Even after working in the dirty, tiring and hard-working emergency department for so long, the experience of being sprayed with feces on the neck by a patient with bacillary dysentery still completely exceeded Dr. Cao Yanhua's tolerance.Sun Li'en watched his back as he staggered away from the emergency room and went to the rest area to take a bath, and sympathized with the chief resident from the bottom of his heart.

I don't know if he can heal his inner wounds this time through things like the Eight Treasure Chestnut Pigeon.

It was about three or four o'clock in the morning, and ordinary people were already asleep in bed.During this time period, the number of patients sent to the hospital due to various traumas will be greatly reduced.Staying at home and not going out can greatly reduce the possibility of injury to yourself or others.

But it also means that if there are trauma patients, it could be very, very serious.

"120 emergency center, forecast a patient with right arm avulsion injury." The phone on duty at the Fourth Hospital suddenly rang, Sun Lien grabbed the phone, and the voice of the 120 emergency center dispatcher came directly from the opposite side, "the patient lost a lot of blood , unconsciousness."

At four o'clock in the morning, why are there patients with avulsion injuries?Sun Lien was stunned for a moment, but the long-term emergency work had made him respond to the forecast first. He stood up and began to organize the medical staff to gather for rescue. "The forecast avulsion injury..." He paused, "I will take over, Aunt Hu, arrange five nurses for me."

At this time, most second-line doctors are resting.Sun Li'en calculated the time, and calling Zhou Jun now would definitely not be very effective - Zhou Jun only fell asleep about an hour ago, and now is the time when he is sleepy.Instead of waking him up, it's better to deal with the patient's situation first - anyway, Dr. Cao Yanhua has been washing for half an hour, no matter how hurt his heart is, he should be done washing.

"Xiao Guo, come here." Sun Lien took out a T-shirt from his bag, and threw it to the nurse Xiao Guo, "Go to the lounge to find Dr. Cao Yanhua, and ask him to change and come over right away." After a slight pause, he said seriously to the male nurse who came to the emergency room to support him, "If he dares to dawdle, just drag him out of the shower room for me."

One patient suffered severe trauma and is now likely dying.Sun Li'en was not in the mood to care about Dr. Cao's psychological trauma anymore—if he couldn't do it, he could just buy two eight-treasure chestnut pigeons.It is important to save people now.

The ambulance rushed to the rescue comrades in the Fourth Hospital with its siren on, and Sun Lien and several nurses immediately went up to greet them.Started to help transfer the patient out of the car.

"Male, 21 years old." The first responders in front of the hospital quickly opened the door of the carriage, and while carrying the patient down, they quickly conveyed the basic situation to Sun Lien. "The right arm should have been twisted in by the machine. The comrades in the fire department took a lot of effort to disassemble the machine."

Sun Li'en took a quick look at the status bar above the patient's head, then turned around and started pushing the ambulance to the hospital without saying anything.

"Zheng Xin, male, 21 years old. Comminuted fracture of the ulna, radius, and humerus of the right arm (00.48.32), small skull defect of the humerus (00.46.22), 40% skin defect of the right arm (00.46.22), right arm muscle Cutaneous nerve, median nerve, ulnar nerve, radial nerve defect (00.46.22), right arm ulnar artery, radial artery, brachial artery defect (00.46.22), right arm deep vein, superficial vein defect (00.46.22) bleeding status (00.36.22. [-])."

It wasn't a right arm avulsion at all.Sun Lien ran fast on both legs, and shouted to the emergency room while running, "Prepare the blood type, the prepared RH negative type O blood will be transfused into two units immediately!"

Where is this the performance that an avulsion injury should have?This is obviously damage!

(End of this chapter)