Chinese medicine: When you do things to the extreme

Chapter 250 Emergency is not about human relations (Subscription required)

"Yanqing, those who are capable should do more work. I actually wanted to follow Brother Ning Zhu before, but Brother Ning Zhu couldn't spare so much time."

Lin Yuxuan forced a smile: "But Yanqing, you can definitely handle this."

The learning cycle of medicine is very long. Even if you are extremely talented, you still need a teacher to guide you, rather than relying on blind recklessness.

Even if you act recklessly a hundred times and fail once, you will be doomed.

The reason why professors or associate professors dare to lead a group is because they can cover the clinical foundation.

If he can't keep this bottom line, the medical department of the hospital or the hospital's leaders will talk to him...

"Okay, Brother Lin, Brother Yue, Xiao Chao, you should be ready to answer the phone at any time. It's best not to have a situation where the phone can't get through."

"You don't necessarily have to live in the department with me. There are only four beds in the duty room, and you and the doctors on duty can take them all. If a teacher steps down and wants to find a place to rest, there will be nowhere to find..." Zhou Yanqing said.

The matter was settled. It seemed that Zhou Yanqing was responsible for three people, but in fact they could also reduce some of Zhou Yanqing's basic workload.

If Zhou Yanqing keeps focusing on tendon sutures now, it would be a waste of time and would have no practical significance.

Of course, this was their own will, and Zhou Yanqing didn't force them to do it and have to accompany him on the resident shift.

"Easy to say!~"

"From now on, except for surgery days, please come to the department to have breakfast." Lin Yuxuan waved his hand, intending to pay for it all.

Breakfast for four people, even if the whole place is booked for a month, is only a little over a thousand yuan. In exchange for a teacher like Zhou Yanqing, it is a huge profit!
……

Emergency Department.

In the director's office, Zhou Yanqing knocked on Director Li Xiangming's door and walked in with a shameless face.

"Director Li, I'm sorry to bother you again." Zhou Yanqing forced a smile and stood properly.

Li Xiangming looked Zhou Yanqing up and down. The more he looked, the more he loved her. But the more he looked, the more he felt sorry for her.

It would be great if this seedling was my student.

"Yanqing, please sit down! Don't talk while standing." Li Xiangming stretched out his hand.

Zhou Yanqing replied, "Director Li, I have a fellow student who is doing emergency debridement and suturing in the operating room outside. I have to go over and take a look, so I won't sit down."

"I don't know. Did the hospital respond to the matter I mentioned to you last time, Director Li?"

Li Xiangming heard this and patted his head: "Oh!~"

"I forgot. I haven't reported it to the Logistics Support Department yet."

"How about this, Yanqing, when you're on duty in the future, you can go to the emergency operating room or ICU and change into scrubs and isolation suits!"

"What you mentioned is indeed a problem."

"Otherwise, it would be a huge financial burden to throw away several pieces of clothing a day. The most important thing is that we might not have enough time to buy more..." said Li Xiangming.

No one in the emergency department had ever responded to such a situation before!

The main reason may be that many people are not as decisive and violent as Zhou Yanqing in performing rescue operations. Zhou Yanqing's rescue method is somewhat similar to battlefield emergency or military medical emergency.

Sometimes you have to throw away two sets of clothes in one day, which is really not cost-effective.

Moreover, if your personal clothes are stained with the patient's blood, it is not cost-effective to send them to a special store for cleaning and disinfection.

Even if it is washed clean, Zhou Yanqing's "cleanliness obsession" can be understood.

"Thank you, Director Li. I'm sorry to bother you." Zhou Yanqing said with a smile.

Going in and out of the operating room and going to the ICU to get isolation suits will increase the "partial expenses" of the emergency department. If Li Xiangming does not express his opinion, Zhou Yanqing will not be able to do so directly.

If you encounter a problem, of course you should raise it first.

……

After Zhou Yanqing left the director's office, he put on a mask and entered the operating room. Inside, Tian Chao was carefully performing debridement and suture on the patient's hypothenar eminence.

While carefully explaining to the patient and calming her emotions.

The patient was a girl in her twenties. It was probably her first time cooking and she cut her hand and injured it.

The condition could have been treated nearby, but she was worried, so she took a taxi and drove nine kilometers to Xiangya Hospital.

Zhou Yanqing put his hands behind his back and carefully looked at Tian Chao's level. He felt that his previous "attention and feeding" were all worth it.

Tian Chao is currently in his first year of doctoral studies, but his basic skills in suturing have reached an expert level, and his proficiency in tendon suturing has also reached a skilled level.

Compared with people of the same class, he is far ahead.

Although Tian Chao was not able to pass the special professional channel for doctoral admission, his achievements when he graduated with a doctorate would not necessarily be worse than Yu Yue's, and he is indeed a good seedling.

The main thing is that he is willing to work hard, learning surgery during the day, reading books, and going to the laboratory at night...

This fighting spirit made Zhou Yanqing see his own shadow in him, so he tended to prefer him.

He favors him more than Senior Brother Yu Yue. Even though Tian Chao had "collided" with him before, that was a few years ago.

It is never shameful to take the initiative to learn and strive for learning opportunities.

1/5 of expertise, 2/3 of proficiency, you have reached the right level and can slowly move up!

The current level of accumulation is enough to give Tian Chao certain guidance so that he can improve in the direction of vascular suturing.

Zhou Yanqing watched for a while, and suddenly his ears pricked up. The piercing sound of the wheels rubbing against the ground outside the operating room rolled rapidly.

Zhou Yanqing instinctively took a few steps back and then looked out through the crack in the door.

"Traffic accident injury, multiple arterial injuries in the femoral artery and both lower limbs."

"Emergency pressure bandage to stop bleeding at the femoral artery..." The 120 doctor on the vehicle spoke in an urgent tone but spoke clearly.

Zhou Yanqing was not in a hurry. He closed the door calmly and carefully before rushing towards the cart.

The emergency patients who come in are human beings who need rescue, but the patients with tendon injuries in the operating room are also human beings who also need humanistic care.

As Zhou Yanqing approached quickly, Deputy Chief Physician Zhang Mu, who was in charge of the emergency rescue area 1, arrived just in time!
At the same time, Liao Fan from the surgical clinic quickly pushed the crowd away and said, "Emergency rescue, get out of the way!"

However, when Liao Fan saw Zhou Yanqing, he took a few steps back.

"Someone is seeing the patient. Why don't you continue to queue?" Liao Fan said.

The patient being treated by Liao Fan complained: "How can you be such a bad doctor? You came to see me, but you ran away?"

Liao Fan heard this and said, "Brother, this is just a small wound on your forehead. Put a Band-Aid on it and it may heal on the way here."

"You want to do an MRI, right? Sure, do it! I'll help you with the procedure." Liao Fan replied patiently.

The patient himself requested a careful and comprehensive examination, and there was no reason for him to refuse.

……

"No need to call the orthopedics department, the chief resident is right here, push the rescue area, and prescribe a debridement kit immediately."

"ECG monitoring, oxygen inhalation, blood pressure measurement." After Zhang Mu recognized the person as Zhou Yanqing, he replied decisively.

Zhou Yanqing asked the man in green: "Are the only injuries to the lower limbs at the scene?"

"Yes!~"

"There were multiple injuries to both lower extremities and multiple arterial injuries, and temporary measures were taken on the scene to stop the bleeding."

"The main reason is that the patient himself has some medical knowledge. After being injured, he knew to use his down jacket to compress the wound tightly."

"It has been delayed until now." After saying this, the man in green clothes went to report the situation to Zhang Mu.

"The vital signs in the car are..."

The patient is still awake and explained excitedly: "I watched the popular science video before, and I didn't expect to use it now."

"Do not talk!"

"Are you feeling any other discomfort?" Zhou Yanqing quickly began to perform an abdominal examination while observing the patient's face.

The patient shook his head: "No more."

"It was just that the blood spurted far away, and I was almost scared to death." "Okay, okay!" Zhou Yanqing nodded, put down his hands, and then looked at the patient's left groin.

"I'm going to cut your clothes open." Zhou Yanqing said.

"It's okay, just cut it as you like!" The patient nodded.

As he was speaking, two young doctors from the emergency department took the signed document and pressed his thumbs to stamp it with a red mark.

"There's no time to explain any further. You need to be conscious. These are all necessary procedures for emergency rescue. Please sign first and we will handle it."

"Okay..." The patient tilted his head.

However, Zhou Yanqing turned his head back with his right hand: "Just answer the question, don't turn your head, look at me."

Zhou Yanqing was doing a physical examination and couldn't see the patient's face clearly, so he might have misdiagnosed the patient.

Upon hearing this, the patient smiled at Zhou Yanqing again.

Finally, when Zhou Yanqing's fingers touched the outer area of ​​the left abdomen, the patient's brows couldn't help but frown.

Then his eyeballs bulged out slightly, obviously the pain was a bit too much.

Zhou Yanqing immediately let go upon seeing this, and the patient felt better.

I pressed down a little more gently, and the patient's frown reappeared.

Zhou Yanqing immediately said, "Director Zhang, please ask the urology and gastrointestinal surgery departments to consult. The patient's arterial bleeding is currently not bad, and compression hemostasis is effective."

"I suspect the patient has other more pressing problems. Call someone over while I take care of the arterial bleeding temporarily."

"We'll go on stage together later." Zhou Yanqing said.

The patient was a man in his forties. He turned pale when he heard this: "Brother, don't scare me!~"

"You never go too far wrong."

"If I am careless, I will only lose my reputation, and you may have to lose some flesh. Do you think I should scare you?" Zhou Yanqing asked back.

"It's a car accident, bro."

"Don't move! You have a fracture in your lower limbs and it will hurt when you twist it." Zhou Yanqing said.

After saying that, Zhou Yanqing began to put on sterile gloves.

The current situation is not so urgent, so Zhou Yanqing certainly does not need to violently tear off the simple examination gloves. He still has to respect the principle of sterility.

Be more meticulous if you can.

After putting on the examination gloves, Zhou Yanqing even used complex iodine to simply disinfect the surrounding area.

Then he pressed the proximal end of the femoral artery with his left hand and said to a master's degree student in the emergency department, "Brother, help me cut off the bandage here!"

"This is a package for stopping bleeding!~~" The boy was a little hesitant.

He was taught in the emergency department not to open the pressure-controlled hemostatic bag easily.

However, his superior was on the other side: "Hong Zhong, you have to cooperate with Dr. Zhou and do whatever he tells you to do."

Zhou Yanqing did not become famous in the emergency department in one battle, but he became slightly famous after several battles.

Associate Professor Xiang Miao and Yang Lingchong from the Department of Vascular Surgery spoke highly of Zhou Yanqing, which led to many people hearing about Zhou Yanqing.

The man named Hong Zhong then unwrapped the packed gauze and the cotton pad inside.

After untying it, he immediately took a small step back, fearing that blood would splatter on him!

However, there was only a very small amount of blood oozing out of the wound, and there was no arterial bleeding.

Moreover, Zhou Yanqing stood there calmly, not moving a single muscle.

This made Hong Zhong, who had heard the legend of Zhou Yanqing, a little disappointed.

Zhou Yanqing asked: "Will it be disinfected?"

"Can you help me disinfect the wound?"

"Ah? Disinfection?" Hong Zhong was stunned.

Zhou Yanqing had previously used his hands to reach directly into the patient's abdomen, earning him the nickname "Bloody Hands". How could he be so polite?

"You don't sterilize the surgery?"

"Give me the cotton ball and I'll do it myself." Zhou Yanqing laughed angrily.

Hong Zhong immediately did as he was told and expanded outward in a circular shape.

At the same time, the young nurse also prepared a debridement bag for Zhou Yanqing!

"Make the bed!~"

"Forget it, go to the emergency surgery clinic and call a brother for me!" Zhou Yanqing was numb.

Are these people idiots?

After hearing what Zhou Yanqing said, Hong Zhong’s superior came over personally to cooperate with Zhou Yanqing.

He cursed, "You guys memorized the things I taught you normally very well, but now that you're at the scene, you're all confused, right?"

All medical students have the concept of aseptic principles, and disinfection and draping are also basic skills.

Even if it is not done well enough, there will be a certain foundation.

Soon, the small square towels and hole towels in the debridement bag were laid out.

One of Zhou Yanqing's hands was covered, and he continued to press with his bare hands to stop the bleeding. Then he picked up the hemostatic forceps with his right hand and quickly peeled off the femoral artery sheath.

After exposing the ruptured segment, Zhou Yanqing temporarily clamped it from the proximal end!
"Prepare the vascular sutures!" Zhou Yanqing said again.

The condition of this patient's lower limbs was not that urgent, and there was no abdominal bleeding, so he could handle it very calmly.

"The emergency department doesn't have special sutures for blood vessels. They are only available in the emergency operating room. Do you want to get some?" asked the nurse next to her.

This is the rescue area, only rescue, no surgery!
The operation was performed in the emergency operating room.

Zhou Yanqing shook his head: "Then you don't need to take it."

"Please prescribe me some more cotton balls, gauze, and cotton pads to cover this place again."

"I'll go deal with the bleeding elsewhere." Zhou Yanqing said.

……

Zhu Mingming from the Urology Department came across from Zhou Yanqing, took a quick look, and asked, "What's the condition of this patient?"

"I just had a physical examination and I suspect there is tenderness in the kidney area, but I don't know the specific situation."

"We are now preparing to send him in for a CT scan of the abdomen and lower limbs." Zhou Yanqing explained.

Upon hearing this, Zhu Mingming tilted his head to look at Zhou Yanqing, and feeling that he was not very familiar with him, he personally checked him twice.

With just a rough press, he saw the patient's reaction.

Then, Zhu Mingming quickly performed percussion of the mobile dullness, but because the patient had a fracture in his lower limbs, his performance was not very standard.

"Send to the CT room!" Zhu Mingming ordered quickly.

Everyone quickly took action.

At this moment, although the resident chief of general surgery has not arrived yet, the examination must be completed after the patient's temporary hemostasis is completed.

After the patient was pushed away by the nurse, Zhu Mingming said, "Brother, you are quite enthusiastic, aren't you?"

“This was supposed to be a matter for the emergency department.”

According to the safest approach, Zhou Yanqing just needs to do his own job well.

Zhou Yanqing said: "I just did it because I felt that the violence here might cause damage to other organs."

"Then I thank you on behalf of the patient!~" Zhu Mingming stretched out his hand, but when he saw blood on Zhou Yanqing's gloves, he retracted it in disgust.

(End of this chapter)