Ode to Joy - Healers don't heal themselves
Chapter 40 Chapter 40
Fortunately, the restaurant where the two ate was not far from the hospital. When Su Yaqing and Jiang Zuo arrived at the hospital, several doctors and nurses were already standing at the door of the emergency department, getting ready
"How long will the ambulance arrive?" Jiang Zuo asked the waiting doctor Xu Zhiya when he was approaching the door
"Dr. Jiang, I'll be here in 5 minutes. Dr. Ge is also on his way." Xu Zhiya followed Jiang Zuo's intern and quickly reported the current situation to Jiang Zuo
"Xiao Lei, Chen Pan, the patient will come in a while, and you can classify the injury according to the patient's condition." Su Yaqing was familiar with everyone in the emergency department before, so she was not polite and directly arranged for the intern doctor and the head nurse
"Doctor Su, come to help, do you want to talk to your department?" Chen Pan, the head nurse, looked at Su Yaqing with some concern. Of course it would be better if she could help, but the problems between departments in the hospital can be clearly distinguished. There is no department The director agrees, it's hard to say if something happens to you if you help out.
"Don't worry, I have already greeted our director on the way here." Of course Su Yaqing knew that she could not exceed her authority, so she called the director on the way back to the hospital. Although the director didn't agree with it, she didn't object either. just let her do what she can
"Okay, you two hurry up and change your clothes, hurry up, the patient will come in a while." The attending physician Zhang Mingqiang is eager for Su Yaqing to come, since she has agreed, he hurriedly urges them to change the first aid suit
Both of them are in the emergency department, so the speed is naturally fast. When they came out, the patient's ambulance had already arrived
Shanghai **** Hospital at night is not as quiet as other places.The air is filled with the sound of 120 ambulances, which is frightening
"Doctor... help..."
"Stabilize first, Red...the first emergency room"
"...yellow...the third emergency room"
A few nurses on duty simply classified the injuries and hurriedly arranged for the patients
In the emergency room at midnight, there was a panic everywhere.On the ground and on the wall, red blood splashed everywhere, it is really shocking to see...
Su Yaqing and the other doctors split up to arrange the patient's affairs, frowned when they heard the loud shouts in the corridor, and pushed open the door of the emergency room.I saw that the rescue room was also in chaos.The family members and the perpetrators fought in a circle, crying, noisy, and screaming children, making the whole room noisy.
Su Yaqing pushed away the crowd, walked to the side of the cart, saw Xiaojuan, the nurse on duty, and quickly asked, "What's going on, it's such a mess?"
"The family members are so excited that they don't want to wait outside. There are too many people and I can't control it. There are not enough people in the security department, and I'm dying of anxiety." Xiaojuan explained hastily, full of tears.
Su Yaqing took a deep breath, stepped onto the desk next to her, picked up a piece of white paper, rolled up the bell, and shouted loudly: "Everyone be quiet~Everyone be quiet... I am a doctor in the emergency department, Everyone listen to me!!"
Su Yaqing's hoarse voice echoed throughout the room.The family members turned their heads to look at Su Yaqing, and they all fell silent in an instant.
"In order to save the rescue time of patients and ensure the best treatment for the lives of our loved ones, everyone please leave the rescue room and cooperate with us, okay? We will set up a reception desk at the door, please go to register the injured family members It is convenient to confirm the identity. Then record the patient’s family history and allergy history in detail. As long as you think important information, you can register in detail. We will also vacate a room next to it to provide simple drinking water and meals , so that everyone can rest." Su Yaqing said sincerely to the family members.
"Please believe that we will go all out to rescue every injured patient. Everyone knows the level of treatment in our hospital. Please rest assured. Now every minute is very important to patients. I'm here, and once again I ask everyone to cooperate, is that okay?"
Su Yaqing looked at the bewildered intern Xu Zhiya not far away, and shouted: "Doctor Xu, please arrange for everyone to register at the door, is that okay?"
Dr. Xu suddenly woke up, and while persuading the family members, directed everyone to go outside.
"Doctor Su, after all, you are not in the emergency department. I'm afraid it's inappropriate for you to arrange this." Ge Meijuan's apprentice Gao Min said to Su Yaqing in a strange way while preparing for rescue.
"Why don't you tell Dr. Ge not to rescue and come here to arrange these things, or you have the ability to deal with this chaotic situation!" Su Yaqing knew that Gao Min was Ge Meijuan's apprentice, and she couldn't understand her coming to the emergency department from the beginning, fearing that she would rob him Ge Meijuan's position as the director, so that she can not be evaluated for the title
After talking, turn around and go to work
The other doctors in charge were all in the rescue rooms. Su Yaqing could only stop and arrange the current situation in an orderly manner.
"Xiaojuan, the nursing team came and called all the people in the dormitory. Triage the patients, and move the internal medicine patients to the small room next to them for treatment. Don't move the seriously injured surgical patients, and rescue them on the spot .” Su Yaqing walked towards the busy Xiaojuan.
"About 10 or so, the others may be far away from the hospital and haven't arrived yet." Xiaojuanhui reported
"In this way, you arrange five people to go to the door to appease the family members, and by the way, cooperate with Dr. Wang to register to ensure that the family members do not enter here. The remaining five stay here to help. Do you understand?" Su Yaqing calmly arranged, ignoring Gao Min next to her With dissatisfied eyes, the patient's life is passing by every minute, and saving lives is the most important thing.
"Doctor Wang, what's the situation with this patient?" Shan Ming asked, looking at the patient that Xiaojuan and Wang Xiaolei, an intern he had brought, were rescuing.
"Male, about 40 years old. Open pneumothorax, multiple rib fractures. The venous access is open 2 ways, and the vital signs are basically stable. I have closed the wound, and I am putting on the chest belt to fix the ribs. I have notified the thoracic surgery department and they are in contact. In the operating room, the operation will be performed immediately." Wang Xiaolei was sweating profusely as he reported the patient's condition in detail while doing treatment for the patient.
"Okay. Then I'll leave this to you." Su Yaqing listened carefully to the analysis.
"Doctor Su, come here, this patient's blood pressure suddenly dropped." Xiaojuan called again.
Su Yaqing trotted over without hesitation and asked about the situation.
"This patient was previously in charge of Dr. Wang. Just now, the vital signs were stable and there was no obvious trauma. The B-ultrasound and CT just finished, and the family members went to get the report." Xiaojuan explained the patient's situation in detail.
While listening to the situation, Su Yaqing began to check the body.The patient's complexion was already pale, his pulse was thin and his breathing was rapid, Su Yaqing glanced at the monitor, the heart rate was 110, and the blood pressure was 80/60.Su Yaqing immediately picked up the stethoscope and auscultated the chest.There are obvious moist rales in the lungs.Su Yaqing picked up the checklist next to her and studied it.
"Both red blood cells and hemoglobin have dropped significantly. X-rays also showed that the shadow of effusion exceeds the level of the hilum, a large dense shadow of the whole chest, and mediastinal shift. Hemothorax, the blood volume is estimated to have exceeded 1500ml. Xiaojuan opened another channel and went to the hospital. Colloid. Prepare blood immediately, notify the thoracic surgery department and the operating room immediately, and prepare for emergency surgery." Su Yaqing ordered decisively.
"Doctor Su, I'm afraid it's too late. The blood pressure has dropped again." Xiaojuan reminded again nervously.
Su Yaqing quickly looked at the monitor, and there was already an alarm on it.Heart rate is 160, blood pressure is 60/30, pulse oxygen is only 85%.
"SHIT, Xiaojuan, dilute 2mg of norepinephrine to 10-20ml, push it statically immediately." Su Yaqing cursed softly, and made a will decisively.
Su Yaqing stared at the patient's vital signs on the monitor with a serious face, and began to establish a deep vein for the patient.
"It seems that I really can't wait any longer. Is the blood in the blood bank ready? Xiaojuan, prepare for the emergency operating room. I'll go in for a chest inspection." Su Yaqing went around and found that everyone was busy dealing with the sick numbers in her hands. , no one can come and help.In the end, he could only call out to the head nurse who was arranging interns at the door: "Chen Pan, is there any intern who stopped?"
"Ah...it should be..." Before Chen Pan finished speaking, he was interrupted by a male voice
"I...I'm an intern who just arrived. My name is Wang Hao. I can try to help." Wang Hao raised his hand confidently. He has been in the emergency department for almost half a month, and he has not been allowed to enter the operating room. He was recommended to this hospital because of his excellent grades in school. Although coming to the emergency department is not in line with his ideal, it is better than going to some ordinary second-rate hospitals.
"Okay, just you and Xiaojuan." Su Yaqing looked at this young but confident boy, seeing that the head nurse, Chen Pan, confirmed that he was an intern, and no one else had to agree.
There was silence in the emergency operating room, except for the mechanical sound of "dip~dip~dip~" from the monitor.The anesthesiologist is giving general anesthesia to the patient, and Xiaojuan is laying down the sterile table in an orderly manner.
"Wang Hao, have you never been on the operating table? Don't be nervous, just do as I say." While brushing her hands, Su Yaqing felt Wang Hao's nervousness, so she comforted her.
"En! I will work hard." Wang Hao replied seriously. Although the theoretical knowledge in school is very good, but this is his first time on the operating table, he is inevitably a little nervous and embarrassed.
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
Before the operating table, there was silence.Only Su Yaqing, Xiaojuan, and the anesthesiologist made the final confirmation of the patient before the operation.
At 23:45, the operation began.The indicator light on the wall lit up and the timer started.
The epidermis, dermis, subcutaneous fat, muscle tissue, Shan Ming skillfully sliced it off...
The entire operating room was shrouded in unease, and the silent patient was lying on the operating table, and his life was slowly dying.The whole room was filled with the harsh metallic sound of surgical instruments rubbing against each other.
As time passed by, Su Yaqing focused on the operation.Wang Hao, however, was drenched in sweat, his nervous hands trembling.Although I have taken anatomy courses in school before, I have also watched many live teachings of operations on the Internet.But it was the first time I entered the operating room, and I really witnessed this bloody scene, and I couldn't help but feel sick in my stomach.
"I'm going to cut the ribs and go into the chest. The anesthesiologist pays attention to the blood pressure and prepares for the recovery of autologous blood." Su Ya calmly arranged.
"Xiaojuan, put on the rib scissors!" Xiaojuan handed it over skillfully.
"Crack" was accompanied by the separation of the ribs and muscles, and a large amount of bright red blood continued to flow out of the gap.
"Wang Hao, why are you in a daze. Suck your blood and take it back." Su Yaqing looked at the pale Wang Hao opposite and reminded.
Wang Hao immediately regained consciousness, suppressing his uncomfortable nausea.Constantly using the suction device to suck the blood emerging from the chest cavity.
Didi... Didi... The monitor kept beeping.
"Doctor Su, the blood pressure can't be stabilized. Please ligate the blood vessels quickly." The anesthetist reminded anxiously while skillfully administering the medicine.
"Xiaojuan, give me a blood vessel clamp. I saw it, probably a branch of the pulmonary artery. It must be blocked immediately, or you will die." Su Yaqing anxiously searched for the source of the bleeding in the narrow chest cavity.
"Blood pressure 90/50, heart rate 100, pulse oxygen 97%. Great, it's blocked." The anesthesiologist reported excitedly.
When Su Yaqing heard the news, the stone in her heart fell, and she said: "The patient is saved, Wang Hao"
Su Yaqing raised her head to face Wang Hao, and smiled gratifiedly.
Wang Hao also looked up at Su Yaqing, his eyes flushed with excitement.His face, which was pale just now, now looked like he couldn't laugh or cry.The patient who was still on the verge of life and death just now was rescued.This feeling is indescribable.It's nervousness, excitement, maybe even a little bit of pride...
"Doctor Su, the thoracic surgeon is already outside the door."
"Well, let the people from the thoracic surgery department quickly come over and take over, just say what I said. There are still many patients outside." Su Yaqing ordered.
Feeling relaxed, Wang Hao finally held back and ran off the operating table, ran out the door and vomited.
After completing the handover procedures, Su Yaqing walked out of the door of the operating room, and saw Wang Hao sitting on the floor at the door, with his hands hugging his knees, his head lowered, his whole body trembling, and the back of his white coat was soaked with sweat.
Thinking of the first time she entered the operating room, Su Yaqing stretched out her hand and patted him on the shoulder softly to comfort him: "How is it? Is it better? It will be uncomfortable when you encounter this for the first time. There are still many patients outside. You are waiting for us, whether you continue to recall the feelings just now, or go out and continue to challenge, it is up to you."
After finishing speaking, Su Yaqing walked to the emergency room without hesitation, ignoring Wang Hao who was still sitting on the ground. After all, this is what every intern has to go through, especially the doctors in the emergency department!
Wang Hao raised his head and looked straight at Su Yaqing's back not far away, his eyes filled with a trace of unconfidence.
At the door of the emergency room, Dr. Xu Zhiya at the reception desk had disappeared, and only a few family members were sitting on chairs in the corridor.It seems that the patients are almost treated, Shan Ming thought, pushing the door open and entering.
Sure enough, there were only a few patients in the emergency room, and they were still under observation.On the chair in front of the desk, a bunch of busy nurses and interns sit crookedly
Su Yaqing glanced at it, then walked straight to the patient's bed to ask about the situation.
"How is it?" Su Yaqing asked Jiang Zuo beside the bed.
"Multiple traumatic fractures, the orthopedic department has already contacted the operating room, and we will go for surgery as soon as the blood preparation arrives." Jiang Zuo replied while looking at the examination report
"Where's your side?" Jiang Zuo thought of the situation when the head nurse Chen Pan described Su Yaqing's resolute arrangements for family members and patients after the chaos ended.
"The operation was successful, but..." Su Yaqing thought of the emotions of the intern Wang Hao outside the operating room just now
"Why, what happened?" Jiang Zuo stopped his hands and looked at Su Yaqing
"No. What about other patients?" Su Yaqing shook her head with a smile, she could only hope that he could adjust himself
"The vital signs are basically stable. One anonymous person is trying to contact his family members from the medical office, and the other two are from other places, and they are still waiting for their family members to come and go through the hospitalization procedures." Wang Xiaolei went through the details one by one as before when he followed Su Yaqing. report.
"You kid, I've never seen you and I give such a detailed report." Zhang Mingqiang looked at Wang Xiaolei pretending to be angry.
"Dr. Zhang is jealous? Dr. Wang used to be with Dr. Su." Ge Meijuan came to me with a thermos cup and teased Zhang Mingqiang.
"Then I took him with him when he entered the emergency department, really... the world is getting worse." Zhang Mingqiang shook his head sadly
"No...Master...I...I didn't..." Wang Xiaolei's bewildered expression made everyone laugh
After a busy night of rescue, all the patients and their families have finally been arranged, and everyone can laugh and relax
"It seems that life in the operating room is not easy today..." Xu Zhiya shook her head and said.
"Serial car accidents must be like this. We are not the only ones in trouble. Look, those traffic policemen are even more troublesome." Su Yaqing talked with them.I saw a white figure walking in the door, with his head down and his steps slow.
Su Yaqing looked up at the wall clock on the wall, the pointer pointed to 5 o'clock in the morning.
"Okay, everyone has worked hard. Dr. Jiang treats guests to breakfast. Wang Hao, you are responsible for shopping." Su Yaqing clapped her hands to attract everyone's attention.
"Why did I invite you?" Jiang Zuo looked at Su Yaqing in a daze
"Don't I, a surgeon, come to help the emergency department for free overnight, isn't it worth your treat?" Su Yaqing raised her eyebrows and signaled that she was sacrificing her rest time to help for free
"That's right, Doctor Jiang"
"Doctor Jiang can't be too stingy"
"It's rare for Dr. Su to return to our emergency department. You are still alumni."
"Okay~ okay~ okay, let me treat you." Jiang Zuo saw all the nurses and doctors booing, and knew that everyone was very tired this night, not to mention that these attending doctors would often treat everyone to dinner, but I didn't expect Su Yaqing to mention it suddenly, but I also knew that she should have something to say.
Then he turned around and walked towards Wang Hao who was not far away, and stuffed 2 red banknotes into his hand.
"YES, I'm starving to death."
"Doctor Jiang, long live..."
"Wang Hao, I want to eat soy milk fritters."
"Dr. Jiang's treat must be high-end. I want to have KFC breakfast..."
The group of people who were sluggish immediately revived with full blood, jumped up excitedly, and surrounded Wang Hao.
Wang Hao was at a loss, picked up a paper and started to take notes.Looking at the excited smiling faces in front of him, the unhappiness just now was instantly forgotten in the back of his mind.
"Okay, okay, don't mess around. It's only 5 o'clock now, where is the KFC? I want to eat something good. Next time I have a rest, I will treat guests to a seafood buffet. Let's make a living today. Wang Hao, go to Yonghe across the road Just order." Su Yaqing looked at Wang Hao who was busy writing, and couldn't help but make a rescue.
Not long after, Wang Hao entered the emergency room with a hot breakfast.Everyone couldn't help but go up and loot.Zhang Mingqiang immediately asked everyone to take turns eating in the doctor's office to ensure that someone stayed behind in the emergency room.
"Except for the staff on duty, everyone will go back to the dormitory to have a good rest after breakfast. All the interns will have a meeting in the conference room at 2 o'clock this afternoon. Xiaojuan, report the situation to the head nurse later and ask her to arrange the doctor's work during the day." After finishing speaking, Jiang Zuo picked up two breakfasts and walked to his office with Su Yaqing.
"Tell me, why did you suddenly ask me to treat you just now?" Jiang Zuo put the warm soy milk with a straw in front of Su Yaqing
"It's nothing, it's just that Wang Hao entered the operating room for the first time, and he couldn't accept the scene. I hope to divert his attention and let him feel the warmth of the emergency department." Su Yaqing took a sip of warm soybean milk, feeling After feeling comfortable all over, I told Jiang Zuo about the previous situation
"You remember the first time you entered the operating room." Jiang Zuo looked at Su Yaqing jokingly, remembering the way Su Yaqing called him to complain and complain after coming out of the operating room for the first time, he couldn't help laughing up
"Well, but I guess it will be good to enter a few more times in the future." Su Ya said lightly
"You think everyone is you, and if you can't accept it, you force yourself to accept it." Although Jiang Zuo complained about her, the love in his eyes did not hide it
"Then what can I do, I don't have that much time to make adjustments." Su Yaqing said helplessly remembering her original self
For the first time, she was worse than Wang Hao. She couldn't eat for a few days. She barely ate it and closed her eyes. It was a bloody scene in the operating room, and she immediately vomited it out. She forced herself to observe and study in the operating room for several days in a row, and even kept watching the videos taken in the operating room after returning to the dormitory. Finally, she forced herself to accept this. It takes a while for most people to get used to it, but she was stunned. In less than a week, she was able to do it calmly. Later, other students in the same period asked her how she did it, and she just said lightly, 'I'm used to it'
"Knockout~Knockout"
"Come in" the knock on the door interrupted the conversation between the two, Jiang Zuo looked outside the door
"That Dr. Su, the previous patient had a fever, and the family made a fuss to find the attending doctor." Wang Hao looked at Su Yaqing with some hesitation.
"As an intern resident, it's rare that you don't know how to solve it?" Jiang Zuo looked at Wang Hao sternly. He always felt that it would be difficult for an intern to grow up if he asked the attending doctor for everything.
"I tried my best to appease the family members, but..." Wang Hao said to Jiang Zuo a little aggrieved and angry. He didn't rest all night, and his emotions didn't fully come out of the shocking scene in the operating room, so his tone was unavoidable.
"Okay, I'll go take a look with you." Su Yaqing raised her hand and pressed Jiang Zuo's hand, signaling to him that everyone is tired now, and the mood is naturally not good, so she got up and went to see the patient with Wang Hao
"You are the attending doctor, hurry up and see how my husband is doing." The family members grabbed Su Yaqing's hand tightly
"Eldest sister, let me go first, I'll go check on the situation." Su Yaqing gently patted the hands of the family members, and said softly to her
"Sister, don't worry, Mr. Li just has a normal postoperative fever, and he will be fine after a while. There are nurses watching over here. You can go to the patient cafeteria of the hospital to buy some porridge, and you can eat it when the patient wakes up." Su Yaqing inspected Later, it was found that the patient had a normal fever, and some antibiotics were added to his drip. After comforting his family, he took Wang Hao out of the ward
"Doctor Su, why didn't you tell your family members that there might be an infection problem?" Wang Hao asked Su Yaqing, staring straight at her.
"You saw the fierce reaction of the family members just now. It seems that she is a rural woman. Instead of telling her these medical principles, it is better to give her a stable explanation." Su Yaqing turned to look at Wang Hao with a smile
"Why, and our doctors are obliged to explain the patient's condition to the family members." Seeing Su Yaqing looking at her, Wang Hao was a little nervous, but he still said what was in his heart
"Let's put it this way, in fact, most of the time, there is nothing you can do. At most, you can only give them some comfort and care. Sometimes it is more effective than injections and medicine." Su Yaqing smiled and patted Wang Hao's arm
"You may not fully understand it now. Let's discuss it after you think it over. This patient is handed over to Dr. Jiang. You can learn a lot from Dr. Jiang in the future that you couldn't learn in school." Su Yaqing encouraged Wang Hao with a smile
"But...he might not accept me, I just..." Wang Hao looked at Su Yaqing with some hesitation, thinking of his attitude towards Jiang Zuo in the office before, and also heard that Jiang Zuo seemed easy to talk, but in fact very principled
"He's just hard-spoken and soft-hearted. You just say that I asked you to find him, and by the way, tell Dr. Jiang that I'm going home first." Su Yaqing handed the medical record to Wang Hao, turned around and walked towards the locker room
"I will try my best to catch up with you." Wang Hao clenched his fist and looked at Su Yaqing's back to cheer himself up
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Here comes a big update!
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"How long will the ambulance arrive?" Jiang Zuo asked the waiting doctor Xu Zhiya when he was approaching the door
"Dr. Jiang, I'll be here in 5 minutes. Dr. Ge is also on his way." Xu Zhiya followed Jiang Zuo's intern and quickly reported the current situation to Jiang Zuo
"Xiao Lei, Chen Pan, the patient will come in a while, and you can classify the injury according to the patient's condition." Su Yaqing was familiar with everyone in the emergency department before, so she was not polite and directly arranged for the intern doctor and the head nurse
"Doctor Su, come to help, do you want to talk to your department?" Chen Pan, the head nurse, looked at Su Yaqing with some concern. Of course it would be better if she could help, but the problems between departments in the hospital can be clearly distinguished. There is no department The director agrees, it's hard to say if something happens to you if you help out.
"Don't worry, I have already greeted our director on the way here." Of course Su Yaqing knew that she could not exceed her authority, so she called the director on the way back to the hospital. Although the director didn't agree with it, she didn't object either. just let her do what she can
"Okay, you two hurry up and change your clothes, hurry up, the patient will come in a while." The attending physician Zhang Mingqiang is eager for Su Yaqing to come, since she has agreed, he hurriedly urges them to change the first aid suit
Both of them are in the emergency department, so the speed is naturally fast. When they came out, the patient's ambulance had already arrived
Shanghai **** Hospital at night is not as quiet as other places.The air is filled with the sound of 120 ambulances, which is frightening
"Doctor... help..."
"Stabilize first, Red...the first emergency room"
"...yellow...the third emergency room"
A few nurses on duty simply classified the injuries and hurriedly arranged for the patients
In the emergency room at midnight, there was a panic everywhere.On the ground and on the wall, red blood splashed everywhere, it is really shocking to see...
Su Yaqing and the other doctors split up to arrange the patient's affairs, frowned when they heard the loud shouts in the corridor, and pushed open the door of the emergency room.I saw that the rescue room was also in chaos.The family members and the perpetrators fought in a circle, crying, noisy, and screaming children, making the whole room noisy.
Su Yaqing pushed away the crowd, walked to the side of the cart, saw Xiaojuan, the nurse on duty, and quickly asked, "What's going on, it's such a mess?"
"The family members are so excited that they don't want to wait outside. There are too many people and I can't control it. There are not enough people in the security department, and I'm dying of anxiety." Xiaojuan explained hastily, full of tears.
Su Yaqing took a deep breath, stepped onto the desk next to her, picked up a piece of white paper, rolled up the bell, and shouted loudly: "Everyone be quiet~Everyone be quiet... I am a doctor in the emergency department, Everyone listen to me!!"
Su Yaqing's hoarse voice echoed throughout the room.The family members turned their heads to look at Su Yaqing, and they all fell silent in an instant.
"In order to save the rescue time of patients and ensure the best treatment for the lives of our loved ones, everyone please leave the rescue room and cooperate with us, okay? We will set up a reception desk at the door, please go to register the injured family members It is convenient to confirm the identity. Then record the patient’s family history and allergy history in detail. As long as you think important information, you can register in detail. We will also vacate a room next to it to provide simple drinking water and meals , so that everyone can rest." Su Yaqing said sincerely to the family members.
"Please believe that we will go all out to rescue every injured patient. Everyone knows the level of treatment in our hospital. Please rest assured. Now every minute is very important to patients. I'm here, and once again I ask everyone to cooperate, is that okay?"
Su Yaqing looked at the bewildered intern Xu Zhiya not far away, and shouted: "Doctor Xu, please arrange for everyone to register at the door, is that okay?"
Dr. Xu suddenly woke up, and while persuading the family members, directed everyone to go outside.
"Doctor Su, after all, you are not in the emergency department. I'm afraid it's inappropriate for you to arrange this." Ge Meijuan's apprentice Gao Min said to Su Yaqing in a strange way while preparing for rescue.
"Why don't you tell Dr. Ge not to rescue and come here to arrange these things, or you have the ability to deal with this chaotic situation!" Su Yaqing knew that Gao Min was Ge Meijuan's apprentice, and she couldn't understand her coming to the emergency department from the beginning, fearing that she would rob him Ge Meijuan's position as the director, so that she can not be evaluated for the title
After talking, turn around and go to work
The other doctors in charge were all in the rescue rooms. Su Yaqing could only stop and arrange the current situation in an orderly manner.
"Xiaojuan, the nursing team came and called all the people in the dormitory. Triage the patients, and move the internal medicine patients to the small room next to them for treatment. Don't move the seriously injured surgical patients, and rescue them on the spot .” Su Yaqing walked towards the busy Xiaojuan.
"About 10 or so, the others may be far away from the hospital and haven't arrived yet." Xiaojuanhui reported
"In this way, you arrange five people to go to the door to appease the family members, and by the way, cooperate with Dr. Wang to register to ensure that the family members do not enter here. The remaining five stay here to help. Do you understand?" Su Yaqing calmly arranged, ignoring Gao Min next to her With dissatisfied eyes, the patient's life is passing by every minute, and saving lives is the most important thing.
"Doctor Wang, what's the situation with this patient?" Shan Ming asked, looking at the patient that Xiaojuan and Wang Xiaolei, an intern he had brought, were rescuing.
"Male, about 40 years old. Open pneumothorax, multiple rib fractures. The venous access is open 2 ways, and the vital signs are basically stable. I have closed the wound, and I am putting on the chest belt to fix the ribs. I have notified the thoracic surgery department and they are in contact. In the operating room, the operation will be performed immediately." Wang Xiaolei was sweating profusely as he reported the patient's condition in detail while doing treatment for the patient.
"Okay. Then I'll leave this to you." Su Yaqing listened carefully to the analysis.
"Doctor Su, come here, this patient's blood pressure suddenly dropped." Xiaojuan called again.
Su Yaqing trotted over without hesitation and asked about the situation.
"This patient was previously in charge of Dr. Wang. Just now, the vital signs were stable and there was no obvious trauma. The B-ultrasound and CT just finished, and the family members went to get the report." Xiaojuan explained the patient's situation in detail.
While listening to the situation, Su Yaqing began to check the body.The patient's complexion was already pale, his pulse was thin and his breathing was rapid, Su Yaqing glanced at the monitor, the heart rate was 110, and the blood pressure was 80/60.Su Yaqing immediately picked up the stethoscope and auscultated the chest.There are obvious moist rales in the lungs.Su Yaqing picked up the checklist next to her and studied it.
"Both red blood cells and hemoglobin have dropped significantly. X-rays also showed that the shadow of effusion exceeds the level of the hilum, a large dense shadow of the whole chest, and mediastinal shift. Hemothorax, the blood volume is estimated to have exceeded 1500ml. Xiaojuan opened another channel and went to the hospital. Colloid. Prepare blood immediately, notify the thoracic surgery department and the operating room immediately, and prepare for emergency surgery." Su Yaqing ordered decisively.
"Doctor Su, I'm afraid it's too late. The blood pressure has dropped again." Xiaojuan reminded again nervously.
Su Yaqing quickly looked at the monitor, and there was already an alarm on it.Heart rate is 160, blood pressure is 60/30, pulse oxygen is only 85%.
"SHIT, Xiaojuan, dilute 2mg of norepinephrine to 10-20ml, push it statically immediately." Su Yaqing cursed softly, and made a will decisively.
Su Yaqing stared at the patient's vital signs on the monitor with a serious face, and began to establish a deep vein for the patient.
"It seems that I really can't wait any longer. Is the blood in the blood bank ready? Xiaojuan, prepare for the emergency operating room. I'll go in for a chest inspection." Su Yaqing went around and found that everyone was busy dealing with the sick numbers in her hands. , no one can come and help.In the end, he could only call out to the head nurse who was arranging interns at the door: "Chen Pan, is there any intern who stopped?"
"Ah...it should be..." Before Chen Pan finished speaking, he was interrupted by a male voice
"I...I'm an intern who just arrived. My name is Wang Hao. I can try to help." Wang Hao raised his hand confidently. He has been in the emergency department for almost half a month, and he has not been allowed to enter the operating room. He was recommended to this hospital because of his excellent grades in school. Although coming to the emergency department is not in line with his ideal, it is better than going to some ordinary second-rate hospitals.
"Okay, just you and Xiaojuan." Su Yaqing looked at this young but confident boy, seeing that the head nurse, Chen Pan, confirmed that he was an intern, and no one else had to agree.
There was silence in the emergency operating room, except for the mechanical sound of "dip~dip~dip~" from the monitor.The anesthesiologist is giving general anesthesia to the patient, and Xiaojuan is laying down the sterile table in an orderly manner.
"Wang Hao, have you never been on the operating table? Don't be nervous, just do as I say." While brushing her hands, Su Yaqing felt Wang Hao's nervousness, so she comforted her.
"En! I will work hard." Wang Hao replied seriously. Although the theoretical knowledge in school is very good, but this is his first time on the operating table, he is inevitably a little nervous and embarrassed.
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
"Patient Li**, male, 33 years old, with left closed pneumothorax, ready for surgery."
Before the operating table, there was silence.Only Su Yaqing, Xiaojuan, and the anesthesiologist made the final confirmation of the patient before the operation.
At 23:45, the operation began.The indicator light on the wall lit up and the timer started.
The epidermis, dermis, subcutaneous fat, muscle tissue, Shan Ming skillfully sliced it off...
The entire operating room was shrouded in unease, and the silent patient was lying on the operating table, and his life was slowly dying.The whole room was filled with the harsh metallic sound of surgical instruments rubbing against each other.
As time passed by, Su Yaqing focused on the operation.Wang Hao, however, was drenched in sweat, his nervous hands trembling.Although I have taken anatomy courses in school before, I have also watched many live teachings of operations on the Internet.But it was the first time I entered the operating room, and I really witnessed this bloody scene, and I couldn't help but feel sick in my stomach.
"I'm going to cut the ribs and go into the chest. The anesthesiologist pays attention to the blood pressure and prepares for the recovery of autologous blood." Su Ya calmly arranged.
"Xiaojuan, put on the rib scissors!" Xiaojuan handed it over skillfully.
"Crack" was accompanied by the separation of the ribs and muscles, and a large amount of bright red blood continued to flow out of the gap.
"Wang Hao, why are you in a daze. Suck your blood and take it back." Su Yaqing looked at the pale Wang Hao opposite and reminded.
Wang Hao immediately regained consciousness, suppressing his uncomfortable nausea.Constantly using the suction device to suck the blood emerging from the chest cavity.
Didi... Didi... The monitor kept beeping.
"Doctor Su, the blood pressure can't be stabilized. Please ligate the blood vessels quickly." The anesthetist reminded anxiously while skillfully administering the medicine.
"Xiaojuan, give me a blood vessel clamp. I saw it, probably a branch of the pulmonary artery. It must be blocked immediately, or you will die." Su Yaqing anxiously searched for the source of the bleeding in the narrow chest cavity.
"Blood pressure 90/50, heart rate 100, pulse oxygen 97%. Great, it's blocked." The anesthesiologist reported excitedly.
When Su Yaqing heard the news, the stone in her heart fell, and she said: "The patient is saved, Wang Hao"
Su Yaqing raised her head to face Wang Hao, and smiled gratifiedly.
Wang Hao also looked up at Su Yaqing, his eyes flushed with excitement.His face, which was pale just now, now looked like he couldn't laugh or cry.The patient who was still on the verge of life and death just now was rescued.This feeling is indescribable.It's nervousness, excitement, maybe even a little bit of pride...
"Doctor Su, the thoracic surgeon is already outside the door."
"Well, let the people from the thoracic surgery department quickly come over and take over, just say what I said. There are still many patients outside." Su Yaqing ordered.
Feeling relaxed, Wang Hao finally held back and ran off the operating table, ran out the door and vomited.
After completing the handover procedures, Su Yaqing walked out of the door of the operating room, and saw Wang Hao sitting on the floor at the door, with his hands hugging his knees, his head lowered, his whole body trembling, and the back of his white coat was soaked with sweat.
Thinking of the first time she entered the operating room, Su Yaqing stretched out her hand and patted him on the shoulder softly to comfort him: "How is it? Is it better? It will be uncomfortable when you encounter this for the first time. There are still many patients outside. You are waiting for us, whether you continue to recall the feelings just now, or go out and continue to challenge, it is up to you."
After finishing speaking, Su Yaqing walked to the emergency room without hesitation, ignoring Wang Hao who was still sitting on the ground. After all, this is what every intern has to go through, especially the doctors in the emergency department!
Wang Hao raised his head and looked straight at Su Yaqing's back not far away, his eyes filled with a trace of unconfidence.
At the door of the emergency room, Dr. Xu Zhiya at the reception desk had disappeared, and only a few family members were sitting on chairs in the corridor.It seems that the patients are almost treated, Shan Ming thought, pushing the door open and entering.
Sure enough, there were only a few patients in the emergency room, and they were still under observation.On the chair in front of the desk, a bunch of busy nurses and interns sit crookedly
Su Yaqing glanced at it, then walked straight to the patient's bed to ask about the situation.
"How is it?" Su Yaqing asked Jiang Zuo beside the bed.
"Multiple traumatic fractures, the orthopedic department has already contacted the operating room, and we will go for surgery as soon as the blood preparation arrives." Jiang Zuo replied while looking at the examination report
"Where's your side?" Jiang Zuo thought of the situation when the head nurse Chen Pan described Su Yaqing's resolute arrangements for family members and patients after the chaos ended.
"The operation was successful, but..." Su Yaqing thought of the emotions of the intern Wang Hao outside the operating room just now
"Why, what happened?" Jiang Zuo stopped his hands and looked at Su Yaqing
"No. What about other patients?" Su Yaqing shook her head with a smile, she could only hope that he could adjust himself
"The vital signs are basically stable. One anonymous person is trying to contact his family members from the medical office, and the other two are from other places, and they are still waiting for their family members to come and go through the hospitalization procedures." Wang Xiaolei went through the details one by one as before when he followed Su Yaqing. report.
"You kid, I've never seen you and I give such a detailed report." Zhang Mingqiang looked at Wang Xiaolei pretending to be angry.
"Dr. Zhang is jealous? Dr. Wang used to be with Dr. Su." Ge Meijuan came to me with a thermos cup and teased Zhang Mingqiang.
"Then I took him with him when he entered the emergency department, really... the world is getting worse." Zhang Mingqiang shook his head sadly
"No...Master...I...I didn't..." Wang Xiaolei's bewildered expression made everyone laugh
After a busy night of rescue, all the patients and their families have finally been arranged, and everyone can laugh and relax
"It seems that life in the operating room is not easy today..." Xu Zhiya shook her head and said.
"Serial car accidents must be like this. We are not the only ones in trouble. Look, those traffic policemen are even more troublesome." Su Yaqing talked with them.I saw a white figure walking in the door, with his head down and his steps slow.
Su Yaqing looked up at the wall clock on the wall, the pointer pointed to 5 o'clock in the morning.
"Okay, everyone has worked hard. Dr. Jiang treats guests to breakfast. Wang Hao, you are responsible for shopping." Su Yaqing clapped her hands to attract everyone's attention.
"Why did I invite you?" Jiang Zuo looked at Su Yaqing in a daze
"Don't I, a surgeon, come to help the emergency department for free overnight, isn't it worth your treat?" Su Yaqing raised her eyebrows and signaled that she was sacrificing her rest time to help for free
"That's right, Doctor Jiang"
"Doctor Jiang can't be too stingy"
"It's rare for Dr. Su to return to our emergency department. You are still alumni."
"Okay~ okay~ okay, let me treat you." Jiang Zuo saw all the nurses and doctors booing, and knew that everyone was very tired this night, not to mention that these attending doctors would often treat everyone to dinner, but I didn't expect Su Yaqing to mention it suddenly, but I also knew that she should have something to say.
Then he turned around and walked towards Wang Hao who was not far away, and stuffed 2 red banknotes into his hand.
"YES, I'm starving to death."
"Doctor Jiang, long live..."
"Wang Hao, I want to eat soy milk fritters."
"Dr. Jiang's treat must be high-end. I want to have KFC breakfast..."
The group of people who were sluggish immediately revived with full blood, jumped up excitedly, and surrounded Wang Hao.
Wang Hao was at a loss, picked up a paper and started to take notes.Looking at the excited smiling faces in front of him, the unhappiness just now was instantly forgotten in the back of his mind.
"Okay, okay, don't mess around. It's only 5 o'clock now, where is the KFC? I want to eat something good. Next time I have a rest, I will treat guests to a seafood buffet. Let's make a living today. Wang Hao, go to Yonghe across the road Just order." Su Yaqing looked at Wang Hao who was busy writing, and couldn't help but make a rescue.
Not long after, Wang Hao entered the emergency room with a hot breakfast.Everyone couldn't help but go up and loot.Zhang Mingqiang immediately asked everyone to take turns eating in the doctor's office to ensure that someone stayed behind in the emergency room.
"Except for the staff on duty, everyone will go back to the dormitory to have a good rest after breakfast. All the interns will have a meeting in the conference room at 2 o'clock this afternoon. Xiaojuan, report the situation to the head nurse later and ask her to arrange the doctor's work during the day." After finishing speaking, Jiang Zuo picked up two breakfasts and walked to his office with Su Yaqing.
"Tell me, why did you suddenly ask me to treat you just now?" Jiang Zuo put the warm soy milk with a straw in front of Su Yaqing
"It's nothing, it's just that Wang Hao entered the operating room for the first time, and he couldn't accept the scene. I hope to divert his attention and let him feel the warmth of the emergency department." Su Yaqing took a sip of warm soybean milk, feeling After feeling comfortable all over, I told Jiang Zuo about the previous situation
"You remember the first time you entered the operating room." Jiang Zuo looked at Su Yaqing jokingly, remembering the way Su Yaqing called him to complain and complain after coming out of the operating room for the first time, he couldn't help laughing up
"Well, but I guess it will be good to enter a few more times in the future." Su Ya said lightly
"You think everyone is you, and if you can't accept it, you force yourself to accept it." Although Jiang Zuo complained about her, the love in his eyes did not hide it
"Then what can I do, I don't have that much time to make adjustments." Su Yaqing said helplessly remembering her original self
For the first time, she was worse than Wang Hao. She couldn't eat for a few days. She barely ate it and closed her eyes. It was a bloody scene in the operating room, and she immediately vomited it out. She forced herself to observe and study in the operating room for several days in a row, and even kept watching the videos taken in the operating room after returning to the dormitory. Finally, she forced herself to accept this. It takes a while for most people to get used to it, but she was stunned. In less than a week, she was able to do it calmly. Later, other students in the same period asked her how she did it, and she just said lightly, 'I'm used to it'
"Knockout~Knockout"
"Come in" the knock on the door interrupted the conversation between the two, Jiang Zuo looked outside the door
"That Dr. Su, the previous patient had a fever, and the family made a fuss to find the attending doctor." Wang Hao looked at Su Yaqing with some hesitation.
"As an intern resident, it's rare that you don't know how to solve it?" Jiang Zuo looked at Wang Hao sternly. He always felt that it would be difficult for an intern to grow up if he asked the attending doctor for everything.
"I tried my best to appease the family members, but..." Wang Hao said to Jiang Zuo a little aggrieved and angry. He didn't rest all night, and his emotions didn't fully come out of the shocking scene in the operating room, so his tone was unavoidable.
"Okay, I'll go take a look with you." Su Yaqing raised her hand and pressed Jiang Zuo's hand, signaling to him that everyone is tired now, and the mood is naturally not good, so she got up and went to see the patient with Wang Hao
"You are the attending doctor, hurry up and see how my husband is doing." The family members grabbed Su Yaqing's hand tightly
"Eldest sister, let me go first, I'll go check on the situation." Su Yaqing gently patted the hands of the family members, and said softly to her
"Sister, don't worry, Mr. Li just has a normal postoperative fever, and he will be fine after a while. There are nurses watching over here. You can go to the patient cafeteria of the hospital to buy some porridge, and you can eat it when the patient wakes up." Su Yaqing inspected Later, it was found that the patient had a normal fever, and some antibiotics were added to his drip. After comforting his family, he took Wang Hao out of the ward
"Doctor Su, why didn't you tell your family members that there might be an infection problem?" Wang Hao asked Su Yaqing, staring straight at her.
"You saw the fierce reaction of the family members just now. It seems that she is a rural woman. Instead of telling her these medical principles, it is better to give her a stable explanation." Su Yaqing turned to look at Wang Hao with a smile
"Why, and our doctors are obliged to explain the patient's condition to the family members." Seeing Su Yaqing looking at her, Wang Hao was a little nervous, but he still said what was in his heart
"Let's put it this way, in fact, most of the time, there is nothing you can do. At most, you can only give them some comfort and care. Sometimes it is more effective than injections and medicine." Su Yaqing smiled and patted Wang Hao's arm
"You may not fully understand it now. Let's discuss it after you think it over. This patient is handed over to Dr. Jiang. You can learn a lot from Dr. Jiang in the future that you couldn't learn in school." Su Yaqing encouraged Wang Hao with a smile
"But...he might not accept me, I just..." Wang Hao looked at Su Yaqing with some hesitation, thinking of his attitude towards Jiang Zuo in the office before, and also heard that Jiang Zuo seemed easy to talk, but in fact very principled
"He's just hard-spoken and soft-hearted. You just say that I asked you to find him, and by the way, tell Dr. Jiang that I'm going home first." Su Yaqing handed the medical record to Wang Hao, turned around and walked towards the locker room
"I will try my best to catch up with you." Wang Hao clenched his fist and looked at Su Yaqing's back to cheer himself up
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?乛?乛??乛?乛?
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