The sweet wife of the doctor is a big shot

Chapter 135 154 Are you not afraid of being struck by lightning?
A huge fire broke out in the urban area of ​​Juzhou. The major hospitals in the urban area spent an entire night rescuing the wounded, and the first round of rescue work finally came to an end.

Severely injured patients who could be rescued were sent to the intensive care unit for close observation, 24 hours, 48 ​​hours, 72 hours... These severely injured patients still have several checkpoints to go through, at least after 72 hours, vital signs Only when it is stable, it is possible to basically pass the dangerous period.

The condition of burn patients changes repeatedly, and there are many complications. If you have a large area of ​​burns, your physical fitness is not good, and you have experienced collisions or tramples when you escaped from the fire, then, The condition of such a wounded person must be very dangerous!

The duty of a doctor is to treat illnesses and save lives. However, in many cases, when faced with patients with dangerous, complex and critical conditions, what doctors can do to treat patients is actually limited!

Not every wounded person can persist until being sent to the hospital by ambulance, nor can he persist in a long-term complicated treatment operation after reaching the hospital. Even if he persists in the first two, he may not be able to survive the dangerous period... …

Even with the rapid development of medical technology, there are still many things that doctors can do nothing about.

Doctors are not gods, and they can't bring people back to life by blowing fairy breaths. In many cases, even if they try their best, even if they exhaust all their life's knowledge, they still can't save a life.

When the first light of dawn tore through the endless darkness, the morning light suddenly appeared, and a new day was ushered in. However, the atmosphere in the entire Juzhou People's Hospital was oppressive and heavy!

Bai Cardamom slept in the duty room for more than three hours, handing over shifts with swollen walnut eyes.

Before going to sleep in the middle of the night, Bai Doukou cried. The heavy and helpless emotions in her heart could not be vented. In the end, she cried for a long time suppressed, and she fell asleep after crying until she was too exhausted.

Nianhua called Bai Doukou at 07:30 in the morning, and Bai Doukou was woken up by the ringing of the phone.

Bai Doukou learned that Nianhua had just stepped off the operating table, and that night, Nianhua performed five complicated craniotomies, and he completed all the complicated and delicate parts, and replaced the rest with his assistant, so that he could complete the five operations in a row.

The two chatted briefly, and someone called Nianhua again, and Nianhua hung up the phone in a hurry.

Cardamom got up and washed, ready to go to work.

After last night's hard work, the colleagues in the department were all exhausted. The colleagues who were not on duty for the night shift and who could be transferred were urgently transferred to work overtime. Still going to work for the next day.

A group of staff finished their shifts in the doctor's office, and then went to the ward for bedside shifts.

Bai Cardamom is still on the office shift in the delivery room, so she doesn't need to follow her into the ward for bedside shift shifts. The head nurse Zhang Dan sent her to the burn department to monitor the fetal heart rate of pregnant women.

The pregnant women sent from the scene of the fire last night were admitted to the obstetrics hospital for treatment if their condition was not serious.

The burn department admitted two pregnant women with serious burns. Last night, after consultation with the two pregnant women, the director of the obstetrics department, Ma Aojun, and the deputy director, Yang Qiulan, confirmed that the fetus in the pregnant woman's abdomen was temporarily safe. Hurt.

Of the two pregnant women, one had a leg burn, and the other had a shoulder and back burn, and the burns were deep. As long as the fetus is temporarily safe, the pregnant woman's own injury must be dealt with first.

Bai Doukou took the order and went on a "business trip" to the burn department with the fetal heart rate monitor.

In order not to waste time, Bai Doukou brought two fetal heart rate monitors to monitor the fetal heart rate of the two pregnant women at the same time.

Because the two pregnant women were sent at different times last night, and the beds in the burn department were tight last night, the two pregnant women were arranged in two wards, and the two wards were one at the beginning and one at the end.During the time when Bai Cardamom was monitoring the fetal heart rate of the two pregnant women, she ran back and forth seven or eight times.

The time for fetal heart rate monitoring is set at 20 minutes. If conditions permit, nurses or midwives who perform fetal heart rate monitoring for pregnant women must accompany pregnant women, so that they can keep abreast of changes in fetal heart rate monitoring.

If white cardamom stays with one pregnant woman all the time, it cannot monitor the fetal heart rate of two pregnant women at the same time.If fetal heart rate monitoring is not carried out at the same time, a pregnant woman will have to wait 20 minutes longer.

It's not that Bai Cardamom doesn't want to watch for an extra 20 minutes, but she is worried about changes in the fetal heart sounds of pregnant women. She also monitors the fetal heart rate at the same time, so she can feel at ease if she confirms that the fetal heart rate is normal.

"Head nurse, can you transfer two pregnant women to the same ward? I saw an empty bed! I'm going to shatter the floor of the corridor in your burn department!" Running back and forth After five or six times, Bai Cardamom was panting on the workbench of the nurse's station in the burn department, and couldn't help but make a suggestion to the head nurse of the burn department.

"Dabai! I think so too! From last night to now, our entire department has been completely overwhelmed, even the nurses are too busy, and now there is no time to change beds. You run first, and I don't care if the floor is broken." I'll ask you to pay for it." The head nurse of the burn department responded to Bai Doukou and was called by a doctor to help.

Bai Cardamom hurriedly ran to check on the pregnant woman.

After checking the results of the fetal heart rate monitoring of the pregnant woman with a leg injury, Bai Diao stood by the hospital bed and waited for a minute, then talked to the pregnant woman softly and politely. Seeing that the fetal heart rate was normal, she ran to check on another patient with burns on her shoulder and back. pregnant woman.

As soon as she arrived at the door of the ward, Bai Doukou smelled a tangy smell of high-end perfume. She walked into the ward clutching her nose, and saw Li Mengxi, whom she hadn't seen for a while.

It turned out to be Li Mengxi!

Li Mengxi was standing by the window, talking on the phone displeasedly.

"Why is there someone in my room? Didn't it be agreed that no one should be arranged?"

"I don't care about the shortage of beds! There are no wards for corridors!"

"I don't care! Anyway, this is your business! I want you to clean it up for me immediately!"

Li Mengxi hung up the phone angrily, turned around and saw Bai Doukou who entered the door, the expression on her face became even more displeased...

Seeing Li Mengxi, Bai Doukou knew that the empty bed in this ward must be occupied by Miss Li's family!
After Li Mengxi was doused with concentrated sulfuric acid by Song Xijun, she stayed in the burn department for several days.Unlike the obstetrics department, the burn department does not have a VIP ward. Li Mengxi, the eldest lady of the Li family, has her status there, so she does not have a VIP ward, so she has to live in a private room, and it is the single room at the front!
Bai Doukou thought that Li Mengxi was officially discharged from the hospital when she went home to recuperate, but she didn't expect that her eldest lady was not used to sleeping in the hospital bed, so she went home early, and you will go through the discharge procedures when you get home!What are you doing occupying the hospital bed!
Of course, this Juzhou people's doctor is the "back garden" of Li Mengxi's family. No matter how capricious Miss Li wants to be, someone will help her!Hearing her bossy tone of voice on the phone, he could tell. As for who the caller was on the phone, Bai Doukou didn't need to guess, it must be Vice President Li Xiangbai!

No wonder the head nurse of the burn department still refused to transfer the two women to the same room even though there was an empty bed in the room. She must not be able to bear Miss Li's "blame"!

Bai Doukou was quite dissatisfied with Li Mengxi's behavior.

Therefore, the two looked at each other, "cracking" and "lightning and thundering". After five hundred rounds of fighting in the eyes, they both looked at each other and hated each other. They turned their eyes away and looked away.

Bai Doukou walked to the bedside of the pregnant woman to check the situation. Li Mengxi continued to stand in front of the window, crossed her hands on her chest, and looked at the pregnant woman with burnt shoulders and back with interest.

After checking that the fetal heart rate monitoring of the pregnant woman was normal, Bai Cardamom went to another ward to check on the pregnant woman with leg burns.

When she came back again, Bai Doukou had just arrived at the door of the ward. When she opened the door, she heard the alarm of the fetal heart rate monitor, and her heart skipped a beat.She saw Li Mengxi standing next to the bed of the pregnant woman with shoulder and back burns, holding the printed part of the fetal heart rate monitoring results, meditating.

Bai Doukou swept away the expression on Li Mengxi's face, she ran to Li Mengxi's side, snatched the fetal heart rate monitoring result from Li Mengxi's hand to check, and immediately became angry!

Bai Doukou tried her best to swallow the angry scolding that came to her throat, but she just gritted her teeth and whispered something in Li Mengxi's ear: "Li Mengxi, you are doing well! You are not afraid of being struck by lightning, are you?"

Bai Doukou immediately left the ward, and called the department in the corridor some distance away from the ward. She didn't elaborate on the phone, but said that the pregnant woman's fetal heart sounds were abnormal, and she asked her colleagues to notify the doctor on duty to come to the burn department to check as soon as possible.

After hanging up the phone, Bai Doukou immediately rushed back to the ward. When he entered the door, Li Mengxi happened to be going out. Bai Doukou kept walking and continued to walk into the ward. Li Mengxi looked at Bai Doukou with disgust, as if he was afraid of being touched by Bai Doukou. She took a few steps back and let the cardamom enter the door first, before walking out by herself. Before leaving, she looked back at the cardamom, with a playful smile on her lips...

Bai Doukou didn't care about Li Mengxi, she let go of the probe that captured the fetal heart sound, reapplied the gel, and re-detected the best place to hear the fetal heart sound on the pregnant woman's belly.

The fetal position of this pregnant woman is the head position, and the place where the fetal heart sounds are usually heard is below the navel. After searching, the sound heard by Bai Cardamom is still the one with the slow frequency.

The normal fetal heart sounds are 120-160 beats per minute, but this pregnant woman's fetal heart sounds are only 80-90 beats per minute, which is not normal.

When doing fetal heart rate monitoring for pregnant women, because the fetus in the pregnant woman's womb will rotate, the best position for monitoring fetal heart sounds may change accordingly. White cardamom senses the decrease in fetal heart sounds, so it will naturally first check whether the fetal rotation has changed Therefore, the probe that captures the fetal heart sound does not capture the fetal heart sound, but instead captures the sound of the blood flow frequency in the umbilical vessel.

"Nurse, why did my fetal heart sound decrease?" The pregnant woman asked in confusion when she heard the alarm from the fetal heart rate monitor and saw the display on the screen of the fetal heart rate monitor.

"Don't worry, it may be that the baby has moved and the position has changed. Please sleep on the left side, and I will help you search for the baby's fetal heartbeat." When Bai Doukou heard the pregnant woman asking this, she knew that the pregnant woman was also pregnant. With some relevant knowledge, at least she knows the normal range of fetal heart sounds.

Because of the burn on the right shoulder and back, the pregnant woman was originally in a semi-left lying position. Bai Cardamom assisted the pregnant woman to lie on the left side and put her in a knee-bending position on the left side.

White cardamom comforted the pregnant woman politely and gently. She was not sure that the deceleration of the fetal heart sounds must be due to intrauterine hypoxia. Misunderstanding, even causing bad influence.

Bai Cardamom was doing the necessary treatment within her authority, waiting patiently for the arrival of the obstetrician.

In order to avoid intrauterine hypoxia, the two pregnant women have been maintaining low-flow oxygen inhalation.White cardamom assists the mother to lie on the left side, and can also strengthen the blood perfusion of the placenta to the fetus, and strengthen the blood supply to the fetus. The blood supply provides both energy and oxygen.

Oxygen inhalation and left lying position are both to provide oxygen to the fetus and avoid or relieve fetal hypoxia in the uterus.

Five minutes later, obstetrician Li Shu rushed to the burn ward. While Li Shu was looking at the results of fetal heart rate monitoring, Bai Doukou also reported to Li Shu how she dealt with the abnormality.

"Dabai, send him to the operating room immediately." Li Shu ordered.

"Okay!" Hearing what Li Shu said, Bai Doukou knew that her guess was right, the situation of the fetus in the pregnant woman's womb was not optimistic.

After Bai Cardamom responded, she immediately went to the nurse's station of the burn department to explain the situation to the head nurse of the burn department.

The head nurse of the burn department immediately sent someone to assist Bai Doukou to take the parturient to the operating room.

A nurse and a doctor from the White Cardamom and Burns Department pushed the mobile bed that the pregnant woman was bouncing on and connected some equipment for detecting vital signs, and went directly to the operating room through the green passage.Because of the burn on the right shoulder and back of the pregnant woman, the burn doctor accompanied the pregnant woman to take care of the injury during the caesarean section.

at the same time.

The head nurse of the burn department called to inform the operating room to prepare for the emergency caesarean section, and also asked someone to contact the family members, because the family members of the pregnant woman just went out for breakfast and hadn't rushed back yet.According to Bai Cardamom's instructions, a nurse was sent to guard the bedside of the pregnant woman with leg burns, to check whether the fetal heart rate monitor had an alarm, and to wait for the midwife from the obstetrics department to hand over.

Because white cardamom has to send pregnant women with shoulder and back burns to the operating room, and has no time to spare, they cannot take care of fetal heart rate monitoring for pregnant women with leg burns. The situation usually deteriorates in a very short period of time. Therefore, to be on the safe side, the head nurse of the obstetrics department sent Before someone came to take over, Bai Doukou found the head nurse of the burn department and sent a nurse to guard the pregnant woman.

Even if the nurses in the burn department do not understand fetal heart rate monitoring, if the fetal heart rate is abnormal, the fetal heart rate monitor will call the police. If there is an alarm, the nurse can report it in time.Instead of being like Li Mengxi, who obviously heard the siren and knew that the pregnant woman's fetal heart sounds were abnormal, so she didn't make a sound!
When Bai Doukou saw Li Mengxi appearing in the ward of the pregnant woman with shoulder and back burns, the results of the fetal heart rate monitoring were normal. When she went to the ward of the pregnant woman with leg burns and returned, she was in the ward. The alarm sound of the fetal heart rate monitor was heard at the door. She took a look at the printing paper of the fetal heart rate monitoring result. The printing paper showed that the fetal heart sound had decreased. The time has been nearly 2 minutes, and it has not returned to the normal range in the middle.

Fetal heart sounds that are not in the range of 120-160 beats per minute are all abnormal. Abnormal changes in short-term fetal heart sounds may be related to changes in the fetal position or the position of the pregnant woman. It will return to normal after a period of time, suggesting that there may be mild hypoxia in the uterus, and the symptoms of hypoxia can be relieved, which can basically be improved.

However, the long-term abnormal changes in fetal heart sounds, and the symptoms of hypoxia cannot be restored to normal, which means that the fetus is severely hypoxic in the uterus, and even symptoms of fetal distress have appeared.

Moreover, low fetal heart sounds are more dangerous than high fetal heart sounds!Also more serious!
If the fetal heart sound is lower than 120 beats/min, the fetal heart sound is too low. If the fetal heart sound is too low, it will return to normal in a very short time, indicating that the fetal distress is not serious. The low duration lasts for a long time, and it has not been able to return to the normal range of fetal heart sounds, and the frequency is still declining, which means that the fetal heart sounds have slowed down, indicating that the symptoms of fetal distress in the uterus are already very serious...

The fetal heart sound of the pregnant woman with a shoulder and back injury that Bai Cardamom observed was the one that kept decreasing.

When Bai Cardamom left the ward of the pregnant woman with shoulder and back burns, the fetal heart sounds were still normal.When she checked the fetal heart rate monitoring results of the pregnant woman with leg burns and returned, she found something abnormal.

It took more than two minutes to run back and forth between the two wards, plus the time that the white cardamom stayed in the ward of the pregnant woman with leg burns, and the fetal heart sounds displayed on the printing paper were reduced for nearly 2 minutes.Therefore, judging from the time displayed on the printed paper of the fetal heart sound results, the decrease in the fetal heart sound of pregnant women should be a few seconds after the white cardamom left the ward.

At that time, Bai Doukou had just left the ward of the pregnant woman with shoulder and back burns, but Li Mengxi was still in the ward. It is impossible for Li Mengxi not to hear the alarm sound of the fetal heart rate monitor!

Li Mengxi did hear the siren and picked up the fetal heart rate monitoring results to check, but she just watched and did nothing else.

As long as Li Mengxi called Bai Doukou to stop, Bai Doukou, who had just gone out and hadn't run far, would definitely brake in time and run back. In this way, there was no need to delay the two minutes.

In just 2 minutes, sometimes it is nothing at all, and sometimes it is the gap between life and death!

If Li Mengxi wasn't a professional obstetrician, Bai Doukou wouldn't be so angry with her!
Doctors who are not obstetrics may not know the possible harm caused by the reduction of fetal heart sounds.

Li Mengxi is a professional obstetrician, even though she is on sick leave now, not working hours, but when she sees a situation that may cause danger, she is actually indifferent, silent and do nothing!
Bai Doukou felt that Li Mengxi was ashamed of her white coat!

Although Bai Doukou was on duty, Yu Gong, she couldn't accuse Li Mengxi of "inaction" because Li Mengxi was not wearing work clothes and was not on duty.Personally, Bai Doukou thinks that no matter you are on duty or not, as long as you are a medical worker, you should not stand idly by when you encounter matters in your profession and can deal with them within your capabilities!
Although, if Li Mengxi was not in the ward at that time, after Bai Doukou returned to the ward and found that the fetal heart sounds of the pregnant woman had dropped, the treatment method would be the same, but the 2 minutes delayed by Li Mengxi's "inaction" behavior made Bai Doukou angry and annoyed Endless!
Bai Cardamom sent the pregnant woman to the operating room, and handed over to her colleagues who were on the day shift of the caesarean section in the operating room. After the handover was completed, she rushed back to the burn department to see another pregnant woman with a leg injury.

Colleague Jin Canlan stood by the bedside of a pregnant woman with leg burns to check the results of fetal heart rate monitoring.

"Dabai, why did you come here? Didn't the head nurse tell you to return to the department after delivering the pregnant woman?" Jin Canlan asked in surprise when he saw Bai Doukou.

"I'll go back after I have a look." Bai Doukou stepped forward to check the fetal heart rate monitoring results, and let out a sigh of relief when she found nothing abnormal.

"Hurry back! The department is too busy." Jin Canlan urged.

"How is the arrangement here?" Bai Cardamom asked one more time.

"I'm here to watch, continue to monitor the fetal heart rate, and wait for the operation. Dr. Qian has already gone to talk to the family." Jin Canlan explained.

"Oh!" Bai Doukou responded, waved to Jin Canlan, and hurried back to the obstetrics department.

Bai Doukou returned to the obstetrics department and went directly to the head nurse, Zhang Dan. She knew that the head nurse told her to send the pregnant woman back to the department immediately, and she wanted to ask her for details.

When Bai Doukou saw the head nurse, she immediately and truthfully reported the whole process of her monitoring the fetal heart rate of the two pregnant women, and did not miss Li Mengxi. , she didn't say any words of her own subjective will. As for what the head nurse would think after hearing this, that's none of her business.

The reason why she didn't miss the part when she met Li Mengxi was that Bai Doukou was to prevent Li Mengxi from using this incident to trip her up and play tricks. She first explained to the leader in a down-to-earth manner, even if there would be disputes after this incident, then She can't be tricked by Li Mengxi again!
"Dabai, I have already understood the matter. You go back to the delivery room to assist with the work. You will stay in the delivery room at work these few days and don't come out." After listening to Bai Doukou's story, the head nurse Zhang Dan summed it up and gave Bai Doukou a drink. A "no-foot" order was issued.

Head nurse Zhang Dan's "foot-free" order is actually to protect Bai Cardamom.

One after another, Bai Doukou guessed that she might go to the vice president's office to drink tea again...

(End of this chapter)