Emergency Department Observation of Medical Records

Li Panqiu went out to communicate with his family members again, and several people over there were still on their own phone calls, and they might be consulting someone.She looked at the time, half an hour had passed since she was admitted to the hospital.Patients who come to the Affiliated Hospital of C University generally have a high degree of trust in the doctors here, and those who come in from the emergency department like this almost obey their orders.Since she was in the hospital, there were patients in the green channel almost every day. In winter, there might be four or five thrombolysis interventions in one night, and she never encountered a decision that could not be made after such a long delay.

Time is too precious, she doesn't want to waste it like this, she walked over and urged: "How about it? Have you thought about it yet?"

The eldest son hung up the phone and came over with a strong tone: "Doctor, we agree to thrombolysis, but we still need to consider intervention. Because I have already inquired, there are consumables for intervention, and I need to understand the cost of your intervention first."

Li Panqiu tried his best to maintain a good temper, and gave them the paperwork for thrombolysis to sign.At the same time, the details of the intervention were explained again.She has already decided that if the family is entangled in the cost issue, they will talk about the direction of giving up.At this time, the eldest son changed his attitude again: "Doctor, we actually trust your hospital. C University Hospital is the best hospital in the province. We mainly don't understand it. Don't blame us for asking too much. We discussed it just now, and the patient’s treatment is all up to your arrangements! Our family members will fully cooperate! How much money you want, our family members will definitely give the money.” Then he took the informed consent form for intervention, and swished Signed, "We are not afraid of risks. We have all come to the Affiliated Hospital of C University. I know your doctors will be fine!"

This kind of tone...is the most difficult in Li Panqiu's experience.But time cannot be wasted. The patient's family members have signed the agreement and the risks have been explained. The patient must be sent to the intervention room with thrombolysis as soon as possible. Now is not the time to argue.Li Panqiu went back to the emergency room with the consent form full of worries, and greeted the emergency patients.The nurses in the intervention room who sent the patients to the intervention room waited for a while. After watching Li Panqiu's instructions, they pushed the bed and sent the patients to the intervention room.

On the way, the patient became short of breath and hummed softly. "Quick, quick!" Li Panqiu yelled, "VF again, I'm going to the catheterization room right away, and I'll defibrillate when I go in! Teacher Zhu! Teacher Zhu! Get out the defibrillator quickly!"

The calling room has already been pushed to the door of the intervention room. Director Jiang of the Department of Cardiology has changed his lead clothes and came to pick up the patient to check the situation.The defibrillator was brought over, Director Jiang shouted to evacuate, and hit the patient's chest.

In an instant, the smell of scorched flesh and the patient's feeble moan of pain came out from the electric shock, and a group of people shouted at the door of the intervention room that had just been closed: "What's the sound? Why did the door close after entering?"

Director Jiang's attention was not on the noise outside at all, he stared at the display screen of the ECG monitor, frowning together: "No cardioversion, no, I need another electric shock."

Again, the patient's voice was crying with fear.The family members outside started banging on the door.

"What are you doing! Are you trying to kill people by closing the door? Open the door quickly! The door of the intervention room is a metal door, which was shaken by several family members.

"Okay, okay! The P wave is here! The heart rhythm is okay!" Director Jiang put down the defibrillator and pushed the patient into the intervention room. "Too much time has been wasted. We can't delay any longer. Let's get started."

Wang Bin, the first assistant, was young after all, without Director Jiang's concentration and cultivation, he was disturbed by the noise outside, and said to accompany Li Panqiu to go out and talk to his family.Director Jiang also nodded: "Say it well, it's all for saving lives, so the family members don't have to worry. Be careful that they get too excited."

Li Panqiu opened the door of the intervention room, and before he could say a word, the other side involuntarily snatched the medical records from her hand and threw them on her head.Li Panqiu was defenseless, completely dumbfounded, the hard medical record card was hit on her head, she felt the severe pain in her head almost a few seconds later, she had no way to speak to explain, she could only cover her head instinctively, and lowered herself head, bent over to squat down.A foot kicked her on the back, and she fell to the ground. Someone snatched her stethoscope and smashed it on her head and back. She was so frightened that she completely curled up and lay on the ground, daring not to move.Her face was pressed against the ground, but she couldn't feel the coldness of the ground at all.

A group of people shouted and cursed "buzzing buzzing", probably saying things like "the doctor killed someone!"She couldn't hear clearly at all, she could only hear her own heartbeat, and there was a rumbling sound in her eardrum.

Wang Bin was also stunned for a few seconds, and when he saw Li Panqiu collapsed, he hurriedly pulled people to yell, "Securities come quickly."He himself was attacked several times with fists and feet, but they were better than Li Panqiu. He pulled people away and helped Li Panqiu up.Li Panqiu trembled all over and was so frightened that he couldn't stand up.

When Director Jiang heard the movement outside, he tore off his gloves and came out. "What are the family members doing?" He yelled out, "The doctor is saving your father's life, you don't know the situation! If we fight today, none of us will do it!" He is old and has a strong aura. The scene freezes.

Wang Bin didn't care about getting angry, and quickly explained the reason why the patient was crying in pain and how the doctor rescued the old man in the intervention room.Everyone in the intervention room was shaking with anger, but the patient was already lying on the stage waiting for help, and no one dared to entangle with the patient's family.Nurse Zhu took Li Panqiu from Wang Bin, arranged for a nurse to push the wheelchair over, and asked Li Panqiu to be taken to the emergency department to the surgical treatment room for trauma treatment.

The news of Li Panqiu being beaten quickly spread in the emergency department.The boss of the surgical emergency department took pictures of Li Panqiu's medical records in the emergency department and sent them to the WeChat group: "Chief complaint: Head trauma caused by blunt instrument trauma for 10 minutes." The director and the supernatural boss all read the film: "Subcutaneous hematoma, nothing in the head."

When Li Panqiu came back from the CT room, everyone looked at her like a hero.Anyone who is a little free comes over to say hello to her and comfort her.

Zhao Bin brought the students over to see her, and asked Luo Mingyao to buy her milk tea. "I've wronged you." Zhao Bin said, "I should have given up on talking with them at the time. This family has a problem with their tone of voice."

Li Panqiu shook his head wearily: "Forget it. I have to talk about everything." Her injuries were subcutaneous bruises, which were invisible on the scalp and back.She took off her white coat at the moment, and inside it was a short-sleeved green dress from the operating room. The bosses were too lazy to change and wash their clothes, and they all went to the operating room to get hand washing clothes.There were a lot of redness and swelling on her elbows and arms, and it was estimated that there would be large bruises in a few days, but she couldn't see anything when she put on the white coat.

"No dizziness and headache, right? Is it nauseating?" Zhao Bin looked at her face carefully and made sure that she was fine, but she was just scared.I just sat back in the lounge with confidence. "Does your department give you a day off?" he asked her.

"It's a day off this afternoon. Let's take Saturday's day off tomorrow." Li Panqiu still couldn't lift his spirits, and his hands and feet slumped on the chair. I called to say hello, but it is estimated that I will have to self-review when I report it.”

"Why?" Zhao Bin's tone was tired when he said this, "Why..."

Both were silent.

When Luo Mingyao came back, the room was so quiet that he almost thought they were all gone.I looked around inside and dared to go in only when I saw someone.

"Thank you," Li Panqiu took the milk tea and took a sip. "What is your name?"

"Luo Mingyao." Zhao Bin answered for him, "Go back and review the cardiopulmonary resuscitation process. I saw the patient's family members guarding the door today. It's hard to say. You didn't press the mask tightly during the first cycle! A good patient mainly has heart problems, no respiratory failure, and his chest was still heaving when I checked him, otherwise if the rescue is not successful today, you are medical negligence!"

Luo Mingyao bowed his head to be scolded.

"Okay, Zhao Bin." Li Panqiu was really tired today, and didn't want to listen to Zhao Bin's bad temper scolding the students, so he interrupted him politely, "Can't you talk to the students well? It's so annoying!"

"President Li calm down..." Zhao Bin shut up.His eyes signaled Luo Mingyao to get out quickly.

Luo Mingyao left work dejectedly.On the first day in the emergency department, I didn't adapt to the rhythm at all, and almost made a big mistake.When Mr. Zhao heard about Mr. Li, he scolded him in the consulting room, and then asked him to take off his clothes and go out to stay. The matter subsided before he came back.His first shift was a night shift, and he went back to rest at noon.The little bit of ambiguous thoughts he had previously had because he accidentally learned about Zhao Bin's sexuality, after a whole morning of ups and downs, was yelled at and disappeared. Now thinking about Teacher Zhao, he feels flustered and short of breath.But no matter what, the teaching teacher still has respect in his heart.When he came to work at six o'clock, he brought Zhao Bin a dinner.

Zhao Bin didn't expect him to be so caring, but he had eaten dinner when he came to work, thanked him, and instructed him to deliver the meal to a hospital chief who hadn't eaten in the lounge.There were not too many patients that night, and they were relatively mild. Zhao Bin's temper improved a lot, and he told Luo Mingyao a lot of things.After ten o'clock in the evening, no patients came in, Luo Mingyao asked him if he wanted supper.Zhao Bin happily took the money for him, and asked him to buy a few doctors on duty to come back.

Luo Mingyao didn't see anything by himself, but Zhu Zhenzhen reminded him the next day after hearing about it, Teacher Zhao was helping you.After taking a few meals, several teachers and bosses got to know each other, and everyone left a good impression on him.Sure enough, I am always willing to talk to him a few more times.The departments where I practiced before did not have such a good atmosphere.

Luo Mingyao is still very meticulous. He paid attention to the matter of bringing meals. When he was on day shift, he woke up early and bought ten buns to bring to the rest room. Stand and ask a circle of people.He looks delicate, and he speaks shyly. Once he shows a caring look, no one in the whole department doesn't like him, especially the female doctors.

Li Panqiu has already returned to work, and happened to have no breakfast, Luo Mingyao even put all the buns and soy milk in front of her: "Teacher Li, you eat."

"What's the teacher?" Li Panqiu smiled and drank the soy milk, "Just call me senior sister."

"Ms. Li..." Luo Mingyao bowed his head a little embarrassedly.Seeing that Li Panqiu ate some steamed stuffed buns, some oil came out, so he quickly grabbed some tissues and gave them to her.

"It's too warm!" Li Panqiu looked at him more and more pleasing to his eyes.I couldn't help pointing him out, "Mr. Zhao, don't be afraid of him. His temper comes and goes quickly, and his temper quickly dissipates. He is angry with you because he wants you well. Listen, don't take it too seriously. , he is still very good at doing things and lecturing.”

"Ahem!" Zhao Bin heard Li Panqiu talking nonsense to his students when he walked to the door.

Li Panqiu quickly helped Luo Mingyao cover up: "Student Xiao Ming, go, first help Mr. Zhao write the medical record of the first patient."

After get off work at noon, Zhao Bin ordered a takeaway to come in, and continued talking to Luo Mingyao about the case in the morning while eating.

"In fact, your foundation is very good," Zhao Bin said while putting away the lunch box. "The theoretical knowledge is very solid, but you are short of clinical experience. Take it slowly. You also lack self-confidence. I think you are always afraid Don’t be afraid of doing wrong things and saying wrong words. During your internship, you must be bold enough to participate in all the clinical work you can get in touch with. At this time, your teacher will allow you to make mistakes. Make more mistakes now, and you will really go to clinical practice by yourself in the future , in order to make fewer mistakes.”

Luo Mingyao boldly refuted him: "Some mistakes should not be made in the first place." Facing Zhao Bin's gaze, he blushed and said, "Clinicians still have to be cautious."

"Why are you so cautious..." Zhao Bin was so choked by him that he couldn't refute. After a pause, he said in a low voice, "I know that every person who has just entered the clinic has fear in his heart. It's not that he is afraid. Being scolded is not because you are afraid of punishment, but because you are in awe of life in your heart. The more a good doctor understands diseases and life, the more he is full of responsibility for his profession, and the more he respects life. Your caution is actually out of This kind of awe. But don't let awe restrain you." He leaned over and patted Luo Mingyao's shoulder encouragingly, "You are very good, don't be afraid, the teacher will help you watch, you just let go and do it. "

Luo Mingyao lowered his head, feeling a strange feeling in his heart.It mixed his heartbeat when he saw Zhao Bin's glamorous photo, and the never-before-seen joy and passion close to blood.Zhao Bin's hand on his shoulder seemed to be the most powerful support, which made him suddenly feel stronger.