Doctor Peerless

Chapter 639 The right to make decisions about treatment
Zhou Sheng went to the clinic, first saw a patient with upper respiratory tract infection, and prescribed some medicine.

Then a right lower quadrant pain.

The appendix is ​​in trouble.

Zhou Sheng was too lazy to deal with this kind of small boss, so he called Bai Mingming to come and deal with it.

Appendectomy is Bai Mingming's favorite.It's not difficult, and you can earn a hard-earned money steadily.

Bai Mingming happily accepts patients.

At night, there are significantly fewer emergency patients than during the day.

After seeing these two patients, Zhou Sheng was completely free.

See patients who haven't come for a long time.

He left the consulting room and wandered around the emergency center to see where he needed support.

But tonight is quite peaceful, there are some small bosses everywhere, and there is no need to bother Zhou Sheng.

Just when Zhou Yisheng was bored and felt that this night was going to pass so smoothly.

Suddenly 120 harsh sirens pierced the tranquility of the night sky.

In the deep night, a 120 ambulance stopped at the door of the emergency center.

The nurses in the duty room were still chatting. When they heard the voice, as if they had received an order, they rushed out first, and the patient was quickly transferred to the emergency room.

Zhou Yisheng, who was strolling in the emergency center, was the first doctor on the spot.

In the emergency room, the patient was already in shock.

The nurses panicked.

"Who are you looking for?" a young nurse asked.

"In such a serious situation, who else can I turn to? Go to Team Leader Zhou first, and if he has something to do, let Team Leader Liu come!" An older nurse replied.

"Uh-huh!"

Just when the young nurse was going to find Zhou Sheng, Zhou Sheng had already appeared in front of her.

With the appearance of Zhou Sheng, the nurses suddenly had a backbone and became much calmer.

Zhou Sheng took a look and saw a middle-aged man in his 50s lying on the hospital bed. At this moment, he was motionless with his eyes closed, his face was covered with blood, and he looked very scary.

Zhou Sheng hurried forward.

On careful inspection, the patient is still breathing, but very superficially.

Zhou Sheng touched the patient's arm again, it was very cold.

This indicates that the patient has severe blood loss.

"Hey, can you hear me?" Zhou Sheng tried to call out to the patient.

There was no response, and the patient was in a trance.

Cold limbs, weak breathing, confusion, typical performance of hemorrhagic shock.

Must be rescued immediately.

Zhou Sheng immediately began to establish ECG monitoring for the patient.

At the same time, he asked the nurse around him about the patient's condition.

"How did you make it like this?"

"When the 120 arrived, it said it was a car accident."

"Does the patient have any family members?"

Zhou Yisheng asked this question because the patient was in shock and his life was in danger at any time, and the critical illness notification would be issued at any time.

"The traffic police said that no one has been found yet."

"Please take care of the blood on his face, and be careful of the wound."

"Ah."

……

The first week of life, do a good job of ECG monitoring.

Su Quan and Cao Xin also hurried into the emergency room.

The two quickly arrived at Zhou Sheng's side.

Su Quan glanced at the patient and knew that the situation was not good, "Group leader Zhou, do you want to help?"

Compared to Su Quan, he was quite calm.

Cao Xin had never seen such a bloody scene before.He just stood aside without saying a word, completely dumbfounded.

Just now, the two had just sent away a patient in the consulting room.I heard the sound of an ambulance outside.

Although no nurse came to call Su Quan for help, Su Quan rushed over with Cao Xin immediately.

"The car accident is currently estimated to be hemorrhagic shock." Zhou Sheng answered while looking at the ECG monitor. The instrument started to work, and it showed that the patient's heart rate was 120 beats per minute, and the systolic blood pressure was 55mmHg.

"My God, the systolic blood pressure is only 55, which is a symptom of massive bleeding!" Su Quan exclaimed.

Of course, Zhou Sheng knew that the scary blood on the patient's face had been cleaned up. Zhou Yisheng went up to check carefully. Although the blood on his face looked scary, it was actually caused by a scratch on his forehead. Not much, and now after the treatment of the nurse, there is almost no bleeding.

This bleeding would certainly not be regarded as a patient in shock.

Are there other injuries?

Zhou Sheng checked again.

There was no obvious blood on the patient.

This patient has no major trauma!

There was no major trauma, and he fell into hemorrhagic shock, which proved that the injury should be inside the body.

Internal bleeding!

The injury is more complicated and dangerous.

Su Quan could also see the situation in front of him.

This is internal bleeding, and there is a lot of bleeding.

At this moment, Su Quan couldn't help but said: "Group Leader Zhou, please issue a critical illness notice."

"What the hell! There was a car accident, and the family members haven't been contacted yet!"

"Damn it! I'm in big trouble now."

"I know it's troublesome, but I'm still standing, hurry up and get a chest X-ray!"

"Mmm Good."

Su Quan took action.

At this time, Zhou Sheng picked up the stethoscope and placed it on the patient's chest. At the same time, he also turned on the system scan.

Auscultation showed that the patient's heart sounds were far away. During the auscultation, Zhou Yisheng also found that the patient's jugular veins were distended.

The jugular vein is a pressure gauge of the right atrium, which can reflect the changes in the pressure and volume of the right atrium.

For example, a large amount of blood in the pericardium may cause distended jugular veins.

Increased venous pressure, distant heart sounds, decreased systolic blood pressure.Typical Beck's triad.

This is too easy for a person who has scored more than 590 points in the clinical theoretical knowledge test.

The patient is very likely to have a heart injury, the heart may burst and bleed, and there is hemorrhage in the pericardium!

Sure enough, Zhou Sheng did not expect it.

When Zhou Sheng finished his auscultation, the system had already given an authoritative diagnosis.

Heart rupture, bleeding, hemorrhagic shock.

Critically ill.

Treatment can be taken, emergency heart rupture repair.

The current rescue success rate is 90%.

90%, it seems that the probability of rescue is very high.

But this symptom of heart rupture and bleeding.

That is to compete with time for life.

Zhou Sheng knew that with the passage of time, the probability would decrease little by little until the life died out.

Zhou Sheng is here to do a good inspection.

Over there, Su Quan had already started preparing to send the injured to undergo a chest X-ray examination.

Zhou Yisheng asked: "You must follow, just say that the heart is suspected to be ruptured and bleeding, so let them hurry up. I will prepare the operating room here."

Su Quan was a little surprised, "Group Leader Zhou, don't you need to call the Cardiac Surgery Department for consultation on this kind of thing?"

Zhou Sheng said: "It's too late, I will do this surgery."

Su Quan was even more surprised. He had never seen Zhou Sheng perform such a major operation as a chest operation and heart repair.

Cao Xin next to him was also quite shocked. He had spent a year in the Department of Cardiac Surgery, and only observed some open-chest operations under the halo of his uncle.

Unexpectedly, this week, Zhou Sheng had to be the surgeon himself!

However, Su Quan and Cao Xin were unable to object to Zhou Sheng's decision at this moment.

In the emergency center, every second counts for rescue. As the team leader, Zhou Sheng has the highest treatment decision-making power.

……

(End of this chapter)