world famous doctor

Chapter 18
Considering the bounden duty of a doctor to save lives and heal the wounded, Dr. Zhao must stick to a certain medical technology as long as he can cure patients?

Compared with the lives of patients, what are the rules and regulations of the hospital?
Taking a step back, the patient's family now highly respects Zhou Chen's medical skills.

He actually trusted Zhou Chen's words so much, even if the patient died as expected.

I and the hospital will not be too implicated.

After a while of weighing, with the mentality of letting Zhou Chen have a try, finally, Dr. Zhao nodded in agreement.

"That's fine, Zhou Chen, life is no joke, you have to do your best to treat patients."

"Trust from the attending physician, praised +40"

Afterwards, Zhou Chen was brought into the emergency room by Dr. Zhao.

At the same time, he was made to wear a radiation-proof lead suit weighing 30 kilograms.

Seeing this, Qian Botao showed tears of gratitude on his face.

In the emergency room.

All the emergency doctors and nurses set their eyes on Zhou Chen.

At first, I thought it was the patient's family members who were brought in to bid farewell to the patient.

Unexpectedly, Dr. Zhao said something in a very low and solemn voice.

"You don't need to ask any more questions. We will do our best to assist this doctor Xiao Zhou in the next rescue work for the patient. What's going to happen? I, Zhao Jian, will take care of it."

All the medical staff were very puzzled.

It was a bit hasty to hand over such a critically ill patient to a young man of unknown origin.

If something really happened, it would not only be the responsibility of a few of their medical staff, the reputation of the entire hospital would be affected.

This approach is not only bold, but unprecedented.

But since Zhao Jian, who is the attending physician in the emergency department, has spoken like this, it is forced by his rank status and medical technology experience.

Besides, there is indeed no more effective emergency treatment method for patients at present.

Therefore, the medical staff didn't ask any more questions. They lowered their heads and started to work.

Zhou Chen looked around and couldn't help sighing.

This is indeed the emergency room of the top three municipal hospitals in Jiangzhou City. It has all kinds of advanced medical equipment, and there is even a CT machine.

Tagore has a famous saying: What is the furthest distance?That is the distance between the rescue room and the CT room.

Other hospital layouts, emergency rooms and radiology departments are often in different locations.

When encountering critically ill patients, CT examination often requires transfer from one department to another, or even from one building to another.

This transfer process will undoubtedly delay the patient's first aid time.

The current rescue bed is the CT examination bed.

At this moment, Zhou Chen finally understood why Dr. Zhang had to give himself a lead suit when he just entered the door.

Several doctors looked at Zhou Chen who was in a daze, and they couldn't help having doubts in their hearts.

"Is this young man sure he will rescue the patient?"

"It looks like you have never seen the world."

"..."

Doctor Zhao gently abducted Zhou Chen with his elbow, and reminded: "Doctor Zhou, let's get started."

As he spoke, he also handed Zhou Chen a CT scan of the patient showing a large sheet of low-density lesions in the brain.

Everyone didn't know that Zhou Chen was not in a daze just now, but conducted a detailed and correct physical examination on the old lady through the system in the sea of ​​knowledge.

Zhou Chen didn't even look at the CT scan, so he said in a slightly reproachful tone: "Dr. Zhao, did you test her calcium-binding protein s100b before administering intravenous thrombolysis to the patient? People's Fund Metalloproteinase-9 (MMP-9)?"

Before thrombolytic therapy, if the s100b biomarker shows a high level, it can predict the possibility of cerebral parenchymal hemorrhage.

This is also an independent risk factor for hemorrhagic transformation.

Of course, at the same time, the endogenous coagulation status can also predict the bleeding risk.

MMP9 exists in human blood, and the patient is in the hyperacute stage of the disease. Once the concentration rises, it can be determined as a strong predictor of hemorrhagic transformation after thrombolysis.

Dr. Zhao explained: "At that time, the patient's cerebral infarction worsened, the situation was critical, and time was short, so there was no time to do these tests."

"So, the risk prediction score for sICH symptomatic intracranial hemorrhage has not been done?" Zhou Chen continued to ask.

At this moment, as the director of the emergency department of a tertiary hospital, Zhao Jian, who has been a doctor for decades and has decades of clinical experience, graduated from a medical university with a doctorate, is like a student reprimanded by a teacher in front of Zhou Chen, respectful and humble, Frequently nod and say yes.

Such a scene made all the medical staff present have to give Zhou Chen a high look.

"What is the virtue and ability of this young man? Can Dr. Zhao be so humble?"

Some people have some strange ideas in their minds.

This young man won't be like in the online novel, after taking out the silver needle he carries with him, all diseases will disappear after the silver needle is pricked?
That's just ridiculous.

more than this.

I can also think that Zhou Chen will spread out his hands like in a martial arts novel, injecting true energy into the patient, and instantly bring the dead back to life.

Zhou Chen looked up at the medicine being instilled.

"You gave her intravenous rt-pa thrombolysis?"

"Yes."

"What is the patient's NIHSS score?" Zhou Chen asked again.

"22 points." A nurse stepped forward and replied.

As long as the NIHSS score is greater than or equal to 12, the threshold for urgent repeat imaging studies needs to be lowered.

For patients with a poor natural history like this, the mortality and disability rates approach 50%.

But right now, she is still an elderly patient with multiple complications at the same time, such a critically ill patient, the mortality rate is as high as 99%.

After some questioning, Zhou Chen said in an orderly tone: "Stop intravenous thrombolysis immediately, and strengthen the monitoring of the patient's nerves and cardiovascular system every 30 minutes."

Next, Zhou Chen started his first aid measures.

Doctor Zhao nodded and gave Zhou Chen's order.

All the medical staff are very cooperative and do everything.

"Has the patient's fibrinogen level been tested?" Zhou Chen asked again.

"149mg/dL" Zhao Jian replied.

"Give the patient 15U of cryoprecipitate as adjuvant therapy." Zhou Chen said.

The half-life of rt-pa is very short, and the effect on blood coagulation may be as long as 24 hours or longer. The replacement of fibrinogen with cryoprecipitate is the focus of treatment.

"Calmly deal with it, get praise +20"

It's a waste of time to ask and answer like this.

Simply, Zhou Chen directly brought over all the patient's examination reports and read them carefully from beginning to end.

All the imaging examination reports and blood biochemical examination data of the patient's body were all printed in Zhou Chen's mind.

At this time, he suddenly and belatedly understood a problem.

Why did Dr. Zhao Jian agree to let himself, an outsider, enter the emergency room to treat critically ill elderly patients like Qian's mother.

Indeed, all of their medical staff have been "poor".

This critical illness is no small matter.

When dealing with it, every step of the way is shocking, and there is no room for the slightest mistake.

Now his own level, which is an intermediate doctor, is facing such a difficult medical treatment.

If he was promoted to the level of a national doctor, or even the highest level of a world-renowned doctor in the future, it would be unbelievable to imagine how quickly he would deal with the patients he encountered?
Will not let the dead wood spring?Resurrect the mummy?

Or rescue the unearthed thousand-year-old female corpse?

After a short reverie.

Zhou Chen solemnly demanded: "Give the patient vitamin K and platelet transfusion at the same time."

(End of this chapter)