Chapter 256： One glance, thirty seconds!

Chapter 256 One Look, Thirty Seconds!

Modern convenience, 24 hours of supermarkets, restaurants, street lights always bright at night, all reflect the advantages of a modern country.

In the countryside, the construction of a large number of paved roads has made the past sunny and muddy. Highways extend in all directions, hundreds of kilometers between counties and cities, and galloping at a speed of 120!

The speed limit of high-speed roads can not be restricted for this special vehicle. The state subsidies ambulances to county and township hospitals, which are fully equipped and of high quality! Some large ambulances can directly provide a mobile platform for emergency surgery.

Forty minutes into the city hospital directly, this speed! As a result, the three guys on horseback became motion sick! Man as strong as a mountain, throw up! Baihuahua's milk spit out of a car, blending the smell of semi-fermentation, and the fumigation of the heating in the car, the nose of the emergency nurse was almost twisted!

In the Spring Festival, the land of Huaguo suddenly entered the slow lane train, and the pace of running suddenly slowed down. Supermarkets closed, restaurants closed, government seals, and every household was immersed in a festive atmosphere of joy and peace.

On the third day, Zhang Fan was on duty, twenty-four hours. But there are overtime pay on duty these days! And it's double the overtime pay, triple it? Talk about it, you take it seriously!

In the usual hospital, people come and go. At this time, the patients were extremely rare, and the doctors went to take turns to rest. The outpatient clinic was stopped and the routine surgery was stopped, but the yellow light in the emergency department was always on.

A platform in front of the emergency department is a special device for ambulance delivery. The harsh whine came from far and near. The doctors and nurses in the emergency department were having lunch. They heard the sound as if they were a collection number. At the same time, they had put down their chopsticks, put on a hat and a mask to welcome them. Patient.

Other industries are not clear, but this medical industry, a dean and a department director, is very important. Yes, the country is vigorously supporting development, but if there is a problem with the concept of the leader, then the money is spent a lot, but the effect is difficult to say.

A hospital and a department cannot be separated from the joint efforts of the department staff, but if the road is wrong, it is a long way to go if it is not a waste of effort.

The emergency department of a large hospital is directly a treatment center with integrated diagnosis and treatment. Some emergency operations are handled directly in the emergency department. Under the leadership of a powerful department director, some operations in trauma surgery and general surgery can be monopolized directly.

However, the director of the emergency department of the city hospital was born in pediatrics. Because there was no one in the emergency department, she could not compete with the director of pediatrics. Pediatrics was a small general department, so she was assigned to the emergency department. In medicine, there are few professional pediatric surgeons.

This is the disadvantage of old-fashioned doctors. It has not been fully developed. Although in the emergency department, the idea has not left the pediatrics. The state strongly supports the development of emergency department. However, the emergency department of the city hospital has not carried out the operation. The biggest surgical operation that can be performed is suture. If the wound is too large or too deep, it will be sent directly to the relevant department. high.

The only distinctive diagnosis and treatment is gastric lavage. After drinking pesticides before 90 years, it is no longer necessary to send them to the hospital, it is useless! Because the pesticides at that time were potent pesticides, such as dichlorvos, which everyone is familiar with, a single sip would be a three-step pour! No time to rescue.

In recent years, the control of pesticides has been slightly better. To be honest, drinking this pesticide now is particularly uncomfortable. Pulling into the hospital is gastric lavage.

If it is a weakly acidic or non-alkali pesticide, it is very painful. Suds! The soapy water used in the hospital is not so tall, it is the kind of soap used by ordinary people to wash clothes. After dissolving, it is directly poured into the stomach and poured in a large amount, and then it is induced by vomiting and vomiting. You spit it out. Gastric enemas, a set down, as uncomfortable as punishment.

However, the benefits are also there. Generally, women who drink pesticides are housewives. If they are rescued once, they will never drink pesticides again. This gastric lavage once can be said to keep you from seeing soap in your life!

Ake was sent to the emergency department. There was no obvious abnormality in the blood tests during the emergency department, because the disease has been treated in the county hospital. The disease, especially the abdominal disease, is very similar. If the laboratory test does not have a typical positive test, it is really bad. Judge.

A disease, a rare and atypical disease, said that the doctor can diagnose at a glance, either the doctor has recently seen similar patients, or he has had it himself! At least, this doctor is really good. It takes time for the general doctor to diagnose and treat the disease.

Relying on symptoms, symptoms of many diseases are similar. Laboratory tests, such as current fever, taking antibiotics at home, and giving antibiotics in lower-level hospitals, directly interfere with the course of the disease. If there is no clinical experience, even post-doctoral care Textbooks, moreover, cannot be diagnosed clearly.

That's the case now! There are big tricks in emergency department, laboratory tests are not typical, you can directly enlarge the tricks, anyway, you don't know the disease in that department, you can consult directly!

During the Spring Festival holiday, the big brothers in the department are not on duty, unless the department is too small and the staff cannot rotate. The emergency department called the consultation, and all the young doctors came! And the three days of the Spring Festival, the general department is not on duty to be an old doctor, who makes you young without qualifications, boil it.

Respiratory and general surgery did not say anything about disease for a long time. Physical examination revealed a spotted rash on her body. She had a fever of forty degrees, but her pulse and blood pressure were normal. This makes it difficult for several young doctors. What kind of disease is this? The other inspections at half past one could not come out.

How to do? Simple, expand the scope of consultation! ~ Anyway, it is the Spring Festival, and idle is also idle. We are so busy. The doctors in other departments cannot be idle. Come on, discuss it together! In the absence of big brothers, the young generation of hospitals gathered in the emergency department.

Huaguo's high-end medical care does not say, but it is very effective in controlling infectious diseases. Some young doctors have only seen it in books, but the books are the most classic and typical cases. No real medical records have been seen in reality. Yes, it is difficult to identify and diagnose. If the diagnosis is not clear, it cannot be treated. And this disease is very simple to say, but people are a complex, there are too many similar diseases. At the current medical level, many diseases cannot be diagnosed clearly, which is a symptomatic treatment.

And why is this infectious disease to be strictly controlled?

Say the most infectious disease, cholera! Grade A infectious disease and plague disease, to what extent is this disease dangerous? It is caused by a special bacteria. This bacteria is too powerful. General bacteria enter the stomach and are killed by gastric acid. Vibrio cholerae Not afraid.

Go directly into the intestine through the stomach, and then directly intestinal spasm, which directly causes the sick person to have severe diarrhea and vomiting. How severe is it? It is very direct and direct. Squirt, vomit or intestinal stuff! Unlike normal vomiting is the contents of the stomach.

Diarrhea, severe diarrhea, severe diarrhea that cannot be controlled directly. Exaggeratedly, this patient puts a bucket directly next to the bed to vomit, and then there is a bucket under the butt! Double bucket! At the end of the pull, the water that comes out is exactly the same as the water that washed the rice. This is the body fluid inside the body!

That being said, I can't feel its power. Its power is very great, a cholera patient, to what extent can one day be directly dehydrated, a person weighing two hundred pounds can directly diarrhea to less than one hundred pounds! Directly, the comic actor Sun Yue could even vomit with diarrhea and became Gong Hanlin within a day!

Is it terrible? What is more terrible is that there is no effective medicine for this disease. Simply put, even if you go to the hospital, it will only give you fluids, a lot of fast fluids. Hopeless. The rest is up to you, stand up and count your life! It's unbearable, cremated directly, you can't even see the last side of your family! ~

What's more terrible is that the disease is extremely transmissive. Once an outbreak occurs in an area, the water source must first be controlled. Because this bacteria can quickly contaminate water, it is transmitted through diet and cannot be properly controlled. One infection is a large one, and one death is a large one. This is the terrible thing about infectious diseases!

Department of Infectious Diseases, a separate department, but the medical knowledge is related. Zhang Fan has a habit. After entering the department, he should first liver the disease in this department. Regardless of the subjects opened by the system, he must have the liver again. This is a He learns the new process by learning about it. This kind of effort makes him unpretentious and unreasonable!

The emergency department expanded the scope of consultation. Of course, Zhang Fan had to go. The infectious department was the farthest away, and Zhang Fan was the latest. The young doctors talked eloquently, but no one could confirm the diagnosis.

"Let's make a move, let's take a look at Director Zhang." A new graduate student this year, I don't know whether to hold Zhang Fan or deliberately embarrass Zhang Fan, anyway, it is a little unnatural tone, envy !!

Now Zhang Fan, he really doesn't care about them, because he also knows that it is not a level and has no meaning to care about. Not all doctors have this mentality. There are hundreds of people, all kinds of things, and Zhang Fan ignored him.

"Brother Zhang, show me! Respiratory department does not accept, digestion does not accept, but this person is burned like this, emergency department can't help it. If it doesn't work, I will call the director!" Xiao Li in the emergency department took the medical record Quickly handed it to Zhang Fan.

Zhang Fan looked at the temperature, looked at the vital signs recorded by the nurse, then pulled away Ake's clothes, one hand held the pulse, and one hand opened Ake's clothes and looked at Ake's chest.

In just 30 seconds, just 30 seconds, Zhang Fan said to Xiao Li: "Report to the Health Bureau! This is an infectious disease!" This sentence made other doctors involuntarily walk away from the three steps!

"It's true and false, don't talk nonsense, you have been diagnosed without a laboratory test? This is not a trivial matter once it is reported. It will involve the hospital." The graduate student just felt that Zhang Fan ignored him. , A little unhappy.

Repeatedly challenged the bottom line of others, Zhang Fan turned his head to look at him, and threw his medical record on his chest. "Rose rash! Relatively slow pulse! High fever! How did you graduate!"

"Do a fat test! Blood culture! Send it directly to the infectious disease department!" Zhang Fan said no more and turned to Xiao Li in the emergency department.

"Good! I'll get ready now, Zhang, are you reporting or am I reporting?"

"You are the first doctor. If you don't want to, I'll report it."

"Look at what you said, isn't it because I'm afraid to grab your credit, I don't look like some people, I have to come, I'll go!"

"Dr. Zhang, amazing!"

"Yes, you can see it at a glance!"

Breaking the drums. No way, the graduate student just now is a little embarrassed! Although in a word, lethality is really not small! So many people, he regrets death!

Guessed it?

(End of this chapter)