Start From Emergency Doctor

Chapter 377

One carelessness is a matter of death.

Sun Meng is still young and just a resident, and will be promoted to attending physician next year.

In large hospitals, especially in the top three hospitals, if a doctor wants to be promoted from a resident to an attending physician, he must engage in medical work as a “resident physician” for a period of one year.

This is a nightmare position, but it also symbolizes the promotion of the title.

You always need to stay in the hospital 24 hours a day for hospitalization, that is to say, you are on duty around the clock without any rest time.

Generally, inpatients always need to serve for one year continuously, and some are for two years, working six days a week, 24 hours a day on the front line of the hospital, emergency department, ward rounds, surgery, teaching, emergency treatment of patients in critical situations, Respond to the emergency consultation of the whole hospital at any time, temporarily handle various administrative affairs in the ward, and regulate and control doctor-patient disputes…

Working around the clock, the status in the hospital is higher than that of the resident, but not as good as the attending physician. As for the salary, it is not much higher than that of the resident.

Twenty-four hours is a cycle of work, life, and rest for ordinary people, but for the chief resident, it is just the most ordinary day of the days guarding the patient’s bed. In the hospital, sudden death The most are also chief resident physicians…

Zhou Yuan became the attending physician after rejecting the appointment and dismissal of the vice-president of the president Fang. In fact, he had already skipped the chief resident physician in the process.

But Sun Meng, Haiyang and others are just ordinary people. Even if they have medical talents, they are in the category of normal people. Besides, they don’t have any academic success or special talents. Naturally, they can only be promoted step by step.

Both of them happened to be the same batch of medical students, and at this time they had just reached the age limit, and they could become the attending physician after finishing the general inpatient.

Of course, although it is necessary to stay in the hospital 24 hours a day, six days a week, it is not impossible to rest. The hospital has beds and special places for doctors to rest. You can lie down when you are free.

However, this year is destined for the chief resident physician to be isolated from the world. Love, vacation, etc. do not exist. As long as the pager on the body rang, you must get up and check the situation immediately.

Sun Meng also only started serving as the chief resident doctor today. From this moment on, she can no longer leave the hospital until the next Sunday arrives and takes a day off, or…to sleep at home for a whole day, and then start a new one. Perseverance of the wheel.

Zhou Yuan stood up, recorded Lin Hai’s condition and the method of treatment in detail in the medical record, and then told Zhang Ling next to him: “Remember the 24-hour urine output, indwell deep veins, indwelling stomach tubes, and lateral arteries. Blood pressure, blood gas and electrolytes~ “.”

Zhang Ling nodded, “I wrote it down.”(Read more @ wuxiax.com)

Sun Meng also walked in at this time.

Although she can’t handle such a serious patient, she can still handle it according to Zhou Yuan’s doctor’s advice. Besides, Zhou Yuan is now an attending physician, which can be regarded as Sun Meng’s superior…

“Zhou Yuan, please tell me about the specific situation, and there are measures to deal with it, and then leave it to me.” Sun Meng wanted to show what she meant, but she didn’t want Zhou Yuan to pull herself too far.

Zhou Yuan nodded and saw Sun Meng’s thoughts, and said: “Next, we will supplement potassium, and just use a micro-pump potassium. Use 30ml to pump 10% of the original solution, the specific dosage and pumping speed, etc. I have it all in the medical record, you can check it yourself.”

“Potassium supplements are continuously pumped in small doses of insulin at the same time, ceftazidime is anti-infection. Patients have fever, and symptomatic treatment of fever and other complications, patients may have symptoms such as restlessness and anger, and mida Sedation with file and propofol. If breathing is difficult, use a tracheal intubation to connect to a ventilator to assist ventilation…”

Zhou Yuan thought for a while, then said: “Also, remember to perfect the auxiliary examinations such as bedside chest X-ray and heart color Doppler ultrasound. I was too rushed to rule out cardiovascular damage. Blood sugar is so high, cardiovascular , The liver and kidney functions may have been abnormal to a certain extent, and the right medicine should be prescribed.”

One by one, Zhou Yuan explained everything in detail.

He must be cautious. Although he does not know why the patient has survived until now, his blood sugar has reached a terrifying 130, which is almost 30 times that of a normal person. Any mistake or mishandling may become stressful. The last straw that broke the forest.

Sun Meng looked at the medical record in his hand and nodded, “I will take care of it.”

It just so happens that she is now the chief resident physician, who can take care of patients 24 hours a day, and what Lin Hai needs is all-weather physical data monitoring.

When Lin Hai’s parents heard Zhou Yuan’s talk, they finally realized the seriousness of the problem, and they fell silent and said nothing.

Zhou Yuan sighed.

What can he say? What he saw told him that Lin Hai is undoubtedly a giant baby, who is still enjoying the excessive pampering of his parents at the age of twenty-five, and finally developed to this point…

Zhou Yuan, Sun Meng and Zhang Ling walked out of the ward and returned to the emergency department hall.

“¨ˇ Zhou Yuan, I have become the chief resident physician!” Sun Meng was a little proud.

However, she was a little bit lost just after speaking.

It is actually very rare for Sun Meng to be the chief resident at this age, but it is completely inferior to Zhou Yuan.

A few months ago, this little intern who still called her senior sister and superior not only climbed on top of herself, but also climbed a mountain that she couldn’t even look up to…

Zhou Yuan saw Sun Meng’s loss, patted Sun Meng on the shoulder, and joked: “Don’t die suddenly!”

Sun Meng was still in distress, so he was amused and scolded (for money); “You died suddenly! Isn’t it a chief resident? Next year, I will survive the resident and become the attending physician. !”

After a moment of silence, Sun Meng’s expression became solemn again, and said in a low voice, “Actually, I am also a little scared… The sudden death of a doctor is not one or two things. We, Yanjing Chinese Medicine, have two deaths this year. At the job, it’s just that you haven’t graduated yet and you just missed it…”

Zhou Yuan was stunned: “Does our hospital have a doctor who died suddenly?”

The sudden death of doctors is not a single case. It just reflects the high risk of this profession. Zhou Yuan is also aware of this, but when these things happen around him, Zhou Yuan feels afraid.

In fact, many news media have reported on these things, and many medical industry workers hope that relevant departments can pay attention to the status quo of the industry and formulate effective measures to safeguard the rights and interests of medical care. .