Chapter 282: 【282】No one is available
Chapter 282 [282] No one is left
Di Di, Di Di, the ECG curve on the monitor fluctuates with the sound.
The patient's blood pressure is somewhat low. The ECG curve is generally normal, but I don't know if there will be an accident with rebleeding.
Luo Yanfen gritted her teeth and decided to give it a try. She said to the nurse, "Hurry up and prepare a three-lumen, two-capsule tube."
The doctor confirmed the doctor's order, and the nurse ran to get something.
Turning around, Luo Yanfen picked up her mobile phone and called the doctor on duty in the department tonight to inform the received patient and her own treatment measures: "Doctor Chen, I am afraid that he will have more bleeding and lower blood pressure in the future."
"Has the blood test report come out yet?"
"I asked someone to take it to the laboratory department. He took a blood test in the emergency room, but the report did not come out. The emergency department brought the patient up first." Luo Yanfen reported the situation.
Dr. Chen in the operating room was not very happy, and complained through the mobile phone that the nurse held for him: "What are you doing here in such a hurry? The operation on my side is not over yet."
The operation that Dr. Chen is doing now was abruptly transferred from the internal medicine ward when he took over, and it is a major emergency operation.
An emergency surgery requires at least two doctors from our hospital, plus one or two internships. It means that in addition to Dr. Chen, there are also doctors in this hospital performing operations in the operating room. If there is an accident in the middle of the operation, it is necessary to call the second and third line back for support. Now I heard that the second line has come back to support in the operating room.
"You're measuring, there's no one left! If it doesn't work, you can call the third line directly, or call your own teacher back!" Dr. Chen shouted from the opposite side.
The front-line duty of the department means: Next, for a long time, they should not expect a front-line to help guide them.
Luo Yanfen's hand scratched her hair. Although she has worked in other hospitals before, she is a doctoral student who resigned to study, and a licensed doctor can prescribe her own doctor's orders, but it is best to listen to the teacher here.
The sub-specialized field of her work and study is not outside digestion, but outside urology. Therefore, during Lunke's paddling, no Xie Wanying could seriously say that this newcomer could not be said, and she thought about it later on for the same reason.
Do you need to call the teacher back? Luo Yanfen turned around and frowned, thinking about the consequences.
Call the teacher. If the teacher comes back and sees that the patient's condition is not serious, she should not lose points for her impression. The best thing to do is to report to the teacher, so that the teacher can feel at ease, and this is the best student. Because she is a student with a practicing license and is a doctor, she is no longer a clinical rookie by the precise definition.
had no choice, she looked back at the patient.
Acute upper gastrointestinal bleeding, the most important thing is hemostasis and observation.
As long as the bleeding is not uncontrolled and the patient is not in imminent shock, there is no need to urgently be sent to the operating room.
Now the key is how to further stop the bleeding.
In fact, this kind of patient can also be sent to the gastroenterology department, which has gastroscope hemostasis technology. It is estimated that the gastroenterology department ran out of beds, so it was sent to their surgery.
The patient's fluid rehydration is linked to aminotoluene acid, which is a commonly used clinical hemostatic agent, commonly known as hemostatic aromatic acid. It is not enough to just hang the hemostatic agent, more aggressive measures must be taken for this kind of massive bleeding.
The nurse pushed the treatment cart in and prepared the three-lumen and two-capsule tube intubation items.
If there is no accident, the nurse can do this operation by himself, and the doctor is watching it just in case.
(end of this chapter)
