Chinese medicine: When you do things to the extreme

Chapter 270: Can’t just sit back and do nothing! (Subscribe)
The patient was quickly rushed to the trauma center and connected to oxygen and ECG monitoring.

At the same time, He Qingqing from the emergency department quickly auscultated the patient's heart and lungs...

Associate Professor Yang Lingchong was responsible for checking the patient's current hemostasis condition. While watching, he turned his chin back and forth in the direction where Zhou Yanqing was standing.

The result of the operation was still very good, and there was no need for him to intervene again.

However, this time Zhou Yanqing's operation was more skilled, and it only took a little more than a minute from receiving the patient to pushing the patient into the trauma center.

Zhou Yanqing had already completed emergency hemostasis and was now reviewing the patient's X-ray film taken on 120.

Whether the patient needs to be transferred to the CT room for further examination requires a comprehensive assessment of his vital signs.

The purpose of the examination is to make a clear diagnosis. The significance of a clear diagnosis is to rescue and keep the patient alive, so determining vital signs is particularly important.

Zhou Yanqing felt a head behind his shoulder.

Because the human body has a heat field, when outsiders approach, it will emit weak thermal radiation.

Zhou Yanqing's senses were not so sharp before, but since his physical examination skills improved, Zhou Yanqing's various senses have become sharper.

The imaging equipment on the 120 was rather simple, and it only took simple X-rays of the skull, chest, and abdomen.

Zhou Yanqing put down the skull X-ray first.

Then he picked up the chest and abdomen films one by one, scanned them for 30 seconds, and suggested to Yang Lingchong: "Do an urgent CT scan of the chest and the entire abdomen!"

“Pay special attention to the gastroduodenal area.”

After hearing Zhou Yanqing's suggestion, He Qingqing immediately put away her stethoscope: "I heard coarse rales in the lungs, and my heart rate and pulse rate are normal."

"The patient's blood pressure is normal but slightly low, but not yet at the point of shock. Send him to the CT room and then directly to the emergency operating room..."

Yang Lingchong followed suit and waved his hand: "Open the CT scan! Send for emergency surgery!"

Zhou Yanqing picked up the X-ray of the upper abdomen and squinted his eyes and said, "Let's ask for a consultation from the gastroenterology department."

After hearing what Zhou Yanqing said, the people watching him were a little confused: "Why did you ask the gastroenterology department to come for this kind of emergency traumatic disease? I just called the gastrointestinal surgery department."

"Traumatic stress injury to the gastrointestinal mucosa. It is not ruled out that the patient had a primary ulcer in the duodenum before. At this moment, the ulcer is actively bleeding."

"Teacher, look, there are some unclear foggy shadows here, some of which look like bleeding foci in the digestive tract." Zhou Yanqing did not ask who the other party was, but reported what he knew truthfully.

The middle-aged man pushed his glasses, took the film from Zhou Yanqing, located the area Zhou Yanqing pointed to, and began to look for the anatomical structure and distinguish the layers.

About thirty seconds later, the middle-aged man put down the X-ray in his hand, and said in a weird tone with a tangled expression: "How can you, an orthopedic surgeon, look at something like this? This shouldn't be possible."

He supported Zhou Yanqing's diagnosis, but he was even more confused.

"That's how you see it. It's always been there." Zhou Yanqing answered with a smile, quite philosophical.

Middle-aged professor: “…”

Yang Lingchong's eyelids twitched violently when he heard this. He felt conflicted and complicated, and even a little happy.

Finally, someone became a 'victim' like him.

Zhou Yanqing's temper is enough to suffocate several people with weak hearts.

After twisting his face for a while, the middle-aged professor stepped back and begged for mercy on the spot!
Of course, he was not without doubts, but he did not forget today's mission.

The emergency rescue is over, the patient's vital signs are temporarily stabilized, and what remains is the specific surgical procedure in the emergency operating room.

This gave the inpatients plenty of time to fully display their skills or release the forbidden technique 'Great Summoning Technique'!
Zhou Yanqing glanced at the patient's blood pressure, and after it stabilized at 100/64 mmHg, he walked to the computer nearby to register the electronic emergency medical record.

Yang Lingchong has already asked someone to write the emergency medical record, but the electronic medical record has not yet been transcribed. This is also a very important medical record document and needs to be completed.

……

The emergency patient, who looked very dangerous, was pushed out in an orderly manner. Huang Yaqin from the hepatobiliary surgery department was not there, so Liao Huatong asked cautiously, "Yanqing, is there anything wrong with this patient's liver?"

"I think something is wrong here." Liao Huatong didn't care about the presence of other professors and still asked.

This is actually a case of 'Zhou Yanqing Syndrome'.

Zhou Yanqing's film reading skills are far ahead of others, and after discovering many hidden lesions, more people have realized the amazing benefits of film reading skills.

So I am also moving closer to Zhou Yanqing.

"This is not the case. This may be a residual hematoma from active bleeding in the abdomen."

“The layering of the hematoma after liver contusion is different from that of the external hematoma.”

"According to the level of X-ray development..." Zhou Yanqing gave Liao Huatong a brief explanation.

It's just that the explanations were too stiff, and they all relied on basic skills to read the film and explain. Liao Huatong's own skills were not good enough to experience it so deeply.

But this is Zhou Yanqing, he has no choice but to remember it first and then slowly comprehend it.

Liao Huatong firmly believes that Zhou Yanqing's film reading skills are at least at the level of an associate professor of hepatobiliary surgery, or even higher.

……

In the morning, 11:20.

Zhou Yanqing held the tablet up to the light, and then looked at the delivery boy in front of him: "You are lucky, but not very lucky."

"There is no fracture, but there is a shoulder dislocation, and this dislocation is quite complicated to treat."

"I can't handle it. I need to find someone who can handle it for you. Can you just sit over there and wait for a while?"

"I'll go see the patient first..." Zhou Yanqing explained very carefully and asked for his opinion.

The delivery guy came first, with a dislocated joint causing deformity of his right shoulder.

When the delivery guy came to read the films after finishing the examination, a patient with trauma was pushed in from outside.

Zhou Yanqing was treating orthopedic patients, so he couldn't just leave the delivery boy behind and go over.

But you can ask his opinion.

The delivery boy looked at the middle-aged man opposite him who was bruised and screaming in pain, and nodded reluctantly: "Then please help me call someone first."

Zhou Yanqing immediately turned around and said, "Brother Gong, please call Yan Huanyu for me, thank you."

After saying that, Zhou Yanqing reached into the right pocket of his white coat to grab the examination gloves.

The middle-aged man who was sent in later was an emergency trauma patient from the construction site, with an open abdominal injury...

There was no head injury, so Gong Zhenyu, the resident chief of neurosurgery, worked as an assistant.

Yang Lingchong and Du Guodong from the gastrointestinal surgery department carried out emergency treatment and rescue work on the patient.

Hearing Zhou Yanqing's voice, Gong Zhenyu immediately jumped two steps away: "Yanqing, come here!"

"I'll call right away."

Gong Zhenyu then immediately walked towards the delivery boy: "Brother, don't worry, I'll help you make the call..."

The delivery guy was about to nod.

The steel bars embedded in the middle-aged man's abdomen were hit, and he let out a terrible roar "Ah~~~", which made the entire trauma center silent.

At this time, the surgical professor had already started wearing sterile gloves!
Emergency treatment is not a joke. Assessment is assessment, and rescue is rescue. People are here, and we cannot just sit back and do nothing...

(End of this chapter)