Chapter 560： Circle

In the rescue hall of the emergency center, the residents were orderly.

In terms of experience, the residents of the Yunyi Emergency Center are all experienced.

Not to mention whether they have been in medical school for 5 years or 10 years. After graduation, they have to experience internship, training, and hospitalization as a dog, ranging from three or four years to as many as five or six years.

In other industries, those who have graduated for four or five years have already dared to say that they have "little success", and most of them are still irrelevant majors in college.

It's really the medical industry's fault tolerance rate is too low. It is also fragmented by a car accident. Regardless of whether it is Bentley or Jetta, it should be scrapped, and the new one should be replaced with a new one, but the patient must be rescued. .

If it is an ordinary car accident or emergency, the residents at Yunyi Emergency Center are really not afraid. Zheng Pei, the most senior resident here, has been in hospital for more than 4 years. When encountering critical patients, stabilizing the patient's vital signs and refering to a professional clinic, they can all do it.

However, three ambulances delivered four patients in one breath, slightly exceeding their capacity.

In fact, if there were more patients, Zheng Pei summoned Director Huo directly, then the problem would be solved.

The patient is a little less, he has nothing to worry about, just work with peace of mind.

Four patients, one endangered and one critically ill, plus two injured are not light. The pressure on the current emergency center happens to be the greatest.

This situation cannot summon the director.

The director of the hospital at night is equivalent to a spirited sword. The spirit sword needs to see the blood when it comes out of the sheath. The chief of an emergency center such as Huo Congjun went to the rescue room to see that the number and quality of the patients were not enough. When he turned and opened his mouth, he called. People eat it.

Not to mention the chief director, Zheng Pei did not dare to call even the third line. The deputy chief physician is not a dog, but also has a family life. Only when the situation is urgent and the attendants can't handle it, will he come over at night.

There is nothing the hospital can do about it. Today's hospitals haven't talked about eight-hour work, five-day work days, or annual vacations, but they want doctors to work 24 hours-currently only Ling Ran.

When Ling Ran appeared in the rescue room, some flustered residents suddenly calmed down.

Ling Ran is an independent doctor, and theoretically can be a third-line doctor.

When he arrived, he brought not only human resources and technical resources, but also responsible resources—the current ultimate responsible person of the emergency center, which undoubtedly became Ling Ran.

"Doctor Ling." Zheng Pei, who had a big eyebrow, hurried to say hello to Ling Ran, and then said, "Come on, let us all listen to you."

If Ling Ran didn't come, Zheng Pei would be the top person in the rescue room. For Zheng Pei, a senior resident, the night shift patient who had a chest pain would be busy dying in one breath, 4 powerful things-he could do it. It's even better to have a backbone.

"What's the situation now?" Ling Ran never thought of shirk responsibility.

As far as his life experience is concerned, shoving in advance is very meaningless, and it is not in line with his mentality.

Zheng Pei didn't have much contact with Ling Ran. When he saw that he was in charge, he felt relieved and busyly reported: "Four people, one endangered in a coma with abdominal open wounds, one critically conscious, with multiple bleedings, and another He suffered a broken leg and multiple injuries to his limbs. The most mildly broken arm ... "

"Notify orthopedics, general surgery and neurosurgery, and thoracic surgery also come here ..."

"The consultation has been notified." Zheng Peidao.

"Well, I will assign the task in a while, everyone is neatly dressed." Ling Ran said with the help of the nurse, put on clothes, then put on goggles and masks, plus double gloves.

The resident doctors in the rescue room were staring at Ling Ran, and after seeing such a process, they also learned.

"Wear double gloves." Ling Ran checked the dress of the people in turn, and walked to a resident doctor, reminding him.

"Double gloves are inconvenient ..." the hospital doctor muttered.

Ling Ran calmly said: "We don't have time to do five infections, so we don't know whether the patient is a carrier of HIV or a hepatitis patient ..."

"It won't be so coincident ..." the resident muttered softly.

"Give him another glove." Ling Ran didn't argue, but just called.

Nurse Liu, the supervisor on duty, quickly took a pair of rubber gloves, and then gave the hospital doctor a severe glance, and said, "For you, put it on."

The young resident was a little bit shameless and couldn't help but say, "Dr. Zhao didn't have such a request."

This time, no one ignored him.

The young resident looked left and right, hesitated for a few seconds, and put on the second glove.

The relationship between superiors and subordinates in the hospital tends to be stricter than the typical colleague relationship in ordinary units, because superior doctors can always occupy the commanding heights of technology.

In the face of sudden emergencies, it is right to wear a layer of gloves, and it is more correct to wear double gloves. There is no way for young residents to be tough on this issue to prove their attitude. Simple commands cannot resist higher doctors, and difficult commands cannot resist higher doctors. Occasionally, the order to buy instant noodles and cigarettes becomes difficult to resist.

"Arrive in 30 seconds." The nurse at the reception desk took the last phone call, and quickly stepped forward, ready to help.

The emergency at night is no better than during the day, and it is not realistic to ask everyone to perform their duties. Go to bed when it's okay, and go together when it's okay.

Ling Ran stood at the forefront of the consultation room, with both hands tied to her chest, as if going to the operating room.

In fact, emergency rescue is an extremely dangerous operation.

Compared to ordinary surgery, the "urgency" of emergency surgery is both an urgent time requirement and an urgent time for preparation.

It is also a major operation such as liver resection. If it is performed in hepatobiliary surgery, a preoperative examination for one or two days or even three or four days is normal. Patients with many basic diseases may have to consult a medical practitioner first, and adjust the blood pressure, blood glucose, liver function and other indicators before surgery.

And in the emergency department, if you encounter a liver rupture patient, if you can't do it yourself, that is to ask hepatobiliary surgery or general surgery to come across, and there is no such thing as regulating blood sugar and liver function.

Similarly, the condition of the liver is not as clear as elective surgery.

For any department, the first- or second-level emergency patients are very dangerous patients, and the specialized departments of weaker hospitals tend to transfer patients to higher-level hospitals, which is why.

It is also a hepatobiliary surgery. For a hospital like Wuxin First Hospital, they have to choose a good condition, and patients with a simple course will do it themselves. They suddenly encounter an emergency liver resection and they dare not accept it.

Similarly, the emergency department of the First Hospital of Wuxin City is afraid to accept patients with liver rupture. It can be seen that it is difficult to develop the emergency department without a large number of specialized departments.

The Yunyi Emergency Center can rely on many specialized departments of Yunyi.

Ambulance parked.

The two rushed up quickly and helped lift the patient down.

While listening to the data reported by the first responder, Ling Ran quickly conducted a physical examination.

Master-level physical examination played a huge role at hand.

"The spleen was ruptured, the liver was ruptured, and hemorrhagic shock was suspected. It was sent directly to the operating room, supplemented with crystals and fluid, and took a CT ..." Ling Ran took the first patient and made a judgment.

For such patients, splenectomy and liver resection are the preferred options.

Zheng Peidao: "Is it transferred to the general public or is hepatobiliary surgery?"

According to the division of Yunyi, the spleen is general, and the liver is hepatobiliary surgery.

Ling Ran shook her head without hesitation: "I'll do it."

Zheng Pei took a moment. He looked at the lights of the ambulance, and was thinking about how to refer to him. At this time, he suddenly realized that Ling Ran had already taken liver and gallbladder surgery for liver resection.

"Oh ~ www.novelhall.com ~ OK ..." Zheng Pei hesitated, and said, "I can be an assistant for splenectomy, but liver resection is not ..."

At this time, it is not the time to grab surgery, especially for liver resection. If one is not good enough to die, let Zheng Pei directly go to the operating table to help, but the result is that the person was bleeding during the discussion.

Ling Ran said "En" and said, "Zuo Cidian sew skin upstairs, and sent a personal notice to him."

"Yes." Zheng Pei quickly agreed, without Ling Ran's order, and then hurriedly arranged various inspections.

At this time, the second patient also pushed down.

Ling Ran quickly changed a pair of gloves, and then stepped forward for a quick examination, and said: "The spleen is ruptured and chipped. Call the urologist for consultation and send to the operating room."

After a short pause, Ling Ran added an additional sentence: "The spleen and I will do it. Zheng Pei, follow this one, and stabilize it first."

A few men at the scene stunned, and then realized that Ling Ran actually gave Bao Yuan two serious illnesses.