Chinese medicine: When you do things to the extreme

Chapter 287 Closing remarks!

Saturday, April 11.

Saturday's double-day off has nothing to do with the trauma center.

At 8:10 in the morning, after Zhou Yanqing finished treating a patient with tendon injury who arrived before the shift change, he took off his gloves, washed his hands, and then pushed open the office door and walked in.

Zhou Yanqing handed over the instructions to Tian Chao about what the patient should pay attention to after returning home.

Tian Chao took the initiative to apply to Tan Zhongyu to follow Zhou Yanqing. He will officially join the department next month, and he arrived early on the last weekend of this month to familiarize himself with the environment.

"Tian Chao is a straightforward person. He simply chooses not to do basic scientific research and focuses on clinical research." Zhou Yanqing nodded as he pushed the door open.

Zhou Yanqing pushed the door open and walked in, then quickly closed the door, trying not to disturb the shift change inside.

Even though Zhou Yanqing's movement was slight, his action of pushing the door still attracted Professor Yang Lingchong's gaze.

Zhou Yanqing pressed his hand to indicate that he was not here to ask for help, and Yang Lingchong continued, "Our trauma center has been operating for nearly a month, and the results are encouraging."

"According to current statistics, due to the establishment of the trauma center, the monthly mortality rate in the emergency department has dropped from 2% to 1.58%!"

"Although the decline is small, our emergency department has 1.2 patients per month, 10 patients died in October, 256 patients died in September, and only 9 patients have died so far in November."

"Based on this ratio, with three days left this month, we expect to be able to keep the number of deaths to around 220."

"This is what our trauma center is for!~"

After Yang Lingchong finished speaking, he paused, glanced at everyone's expressions, and then said, "We are part of the emergency department, which has one of the highest mortality rates in the hospital. So although the numbers are cold, we must face them head-on."

"The reason why I get these statistics every day is that I hope everyone can face them and see the significance of our work."

"Zhou Yanqing, come here and sit down." After Yang Lingchong said this, he waved at Zhou Yanqing, indicating Zhou Yanqing to sit down beside him.

Zhou Yanqing also followed suit.

Currently, those who come to the emergency trauma center are all young people, and there are no particularly senior people, so special attention needs to be paid to those who are promoted based on seniority.

So even if Yang Lingchong asked Zhou Yanqing to sit closer, the others didn't have much objection.

"The most important task of our trauma center is to provide emergency treatment to trauma patients, and the most important task is to complete emergency hemostasis! ~"

"So, I suggest that Dr. Zhou Yanqing explain to us the application of this hemostasis technique and its corresponding branches..."

"Yanqing, please tell us something." Yang Ling rushed forward.

When Zhou Yanqing heard this, his expression became bitter like everyone else's. He didn't know what to say. Maybe what he said would be useless to others.

But since Yang Lingchong said so, Zhou Yanqing said: "When shock occurs and before it occurs, we must actively deal with the primary disease that caused the shock!"

“Shock is a state-based symptom, a pathophysiological process characterized by absolute or relative lack of blood volume, disordered cell metabolism and impaired function.”

"Among them, insufficient oxygen supply and increased demand for tissue cells are the essence of shock. But its specific manifestation is the reduction of effective circulating blood volume and insufficient tissue irrigation."

“According to the classification, it can be divided into hypovolemic, infectious, cardiac, neurogenic and allergic.”

"Among them, hypovolemia is the most dangerous and the disease progresses most rapidly."

"Hemostasis is actually a general term for an operation. Any effective hemostasis can be used in the rescue process."

"It includes but is not limited to gauze packing and manual hemostasis."

"Fundamentally speaking, it can be divided into mechanical hemostasis, instrumental hemostasis, and drug hemostasis."

"The most commonly used methods in our trauma center should be mechanical hemostasis and instrumental hemostasis, so that we can complete the emergency hemostasis requirements in time." "The hemostasis here is different from the electrocoagulation hemostasis in elective surgery, because the trauma center is mostly facing bleeding from large arteries and veins!"

"Therefore, the most effective way to stop bleeding is to stop bleeding manually or clamp the blood vessel."

"I have read a lot of materials, but none of them have summarized the specific application process of these two hemostasis methods. However, Professor Yang has given me this task, so I will share my personal experience with you teachers."

"Bleeding is similar in nature to leaking, whether it's closed or open, and the first thing we have to do is diagnose it."

“The simplest and quickest diagnosis is physical examination and palpation.”

"Personally, in the process of emergency rescue, I think that physical examination, proficiency in anatomical structures and hemostasis are equally important."

"Physical examination is for general positioning. Familiarity with basic anatomical structures can help us quickly figure out which arteries may be bleeding. To stop the bleeding, it is generally recommended to clamp with hemostatic forceps or wrap with gauze!"

"..."

As Zhou Yanqing was talking, he saw Huang Yaqin and others lowering their heads. Zhou Yanqing was just short of reciting the textbook.

Fortunately, there are some personal understandings in the last few sentences, otherwise they would just be reading the book repeatedly.

It's useless and doesn't help them improve their strength at all.

Yang Lingchong also frowned: "Yanqing, are you done?"

It seemed like I heard it, but it also seemed like I didn’t.

Zhou Yanqing nodded: "Yeah!~"

"Then give a closing speech? What do you think they could learn from what you said if they were in their shoes?" Yang Lingchong asked.

Zhou Yanqing's face darkened when he heard this and he shook his head.

Yang Ling rushed and said, "Yanqing, this is a teaching hospital, so you have to slowly learn and figure out the teaching ability and the teaching process."

"A great doctor cannot catch up with a great teacher, at least in terms of overall social significance."

Zhou Yanqing nodded, his face serious: "Okay, Professor Yang, I will try my best."

Everyone else was in a state of confusion, wanting to laugh but not daring to.

"Okay, let's end the handover." Yang Ling rushed.

Zhou Yanqing immediately felt the dark clouds retreating, the smoke and fog dissipating, and the scorching sun shining down!

When everyone else stood up, he said, "Professor Yang, you are really putting me in a difficult position. Don't call me next time. It would be more useful to call Sister Qin or Brother Guodong instead."

"I'll guard outside from now on." Zhou Yanqing begged for mercy directly.

In terms of teaching ability, Zhou Yanqing may not be as good as Yan Huanyu here, and he has not improved in this direction.

Yang Lingchong also followed suit, stroking his chin with a smile: "Okay, you will guard outside from now on!"

As they were talking, an emergency patient came in on a cart with blood all over his abdomen.

Yang Lingchong's pupils shrank when he saw this, and his voice tightened: "I'll guard inside first!"

He was afraid of something that Zhou Yanqing was not so afraid of.

(End of this chapter)