Chapter 4362: 【451】Alert
The new area and the emergency department are only one floor apart, so you can get there in a blink of an eye.
In the emergency room, the emergency doctor held two electrode pads to show that he had just performed electric defibrillation on the patient.
Mr. Xiao waved his hand, and Dr. Song, the lazy cat, did not dare to be slow. He jumped in front of everyone to check the patient's pupils.
Such patients should be most wary of brain death.
Family members outside the rescue room hugged each other and cried.
It is said that the patient is not very old, in his fifties, married late, and has underage children.
The patient's wife was crying with her two children in her arms. What should she do if the breadwinner of the family was gone?
Death due to infusion reaction is the focus of medical disputes, and patients' families cannot accept it on a daily basis.
It seems that Dr. Fu will not be slapped in the face this time. Dr. Xie Wanying just said: "Transfer the patient to the new district."
Everyone was shocked: Doctor Xie, are you telling the truth?
Generally, other departments will not want to close the patient when they see this situation. If they accept it, it means that the patient is likely to die in their own hands.
The new district will accept such patients on the first day it opens? !
“Take it,” said Dr. Fu Xinheng, doing his best to provide Dr. Xie with logistical support.
In fact, this is a test of the National Association's true ability and whether it can provide a guarantee for hierarchical diagnosis and treatment.
The expressions of all the doctors who understood this changed. Don’t forget what the common people often say: the National Association is the last resort for the common people in the country to rely on for medical treatment.
While the patient's heartbeat is still breathing, immediately move to the new area on the second floor.
The new district nurse team was like crazy pushing all the equipment they could get to the new patient's bedside so that doctors could have the tools at their fingertips to save lives.
The patient was previously suspected of having hepatobiliary disease, and a newly introduced bedside B-ultrasound machine was installed at the bedside. There happened to be a B-ultrasound doctor in the expert group, so he started the operation immediately.
Hepatobiliary surgeons and gastroenterologists stood next to the instruments and stared at the screen.
Respiratory physicians and anesthesiologists are intubating and suctioning patients.
The cardiovascular physician reviews the patient's electrocardiogram, blood pressure and other indicators.
The neurosurgery and neurologist discussed that they would not rule out the possibility that the patient had a brain disease and would decide whether to do an imaging examination depending on the situation. The hematologist has not detected any blood disease indicators in the patient for the time being.
The orthopedic surgeon touches the patient's bones and can't feel what's wrong with the patient's bones yet.
Mentioning that the Traditional Chinese Medicine Group is now a combined group of Traditional Chinese Medicine and Acupuncture, Dr. Wen Zihan, the selected expert in the Acupuncture Department, was not present because of something, and Teacher Tian from the Traditional Chinese Medicine Department gave advice on Traditional Chinese Medicine.
Teacher Tian felt the patient’s pulse and concluded that it was a rootless pulse.
meaning a person who is about to die.
What should I do if I ask a Chinese medicine practitioner?
Teacher Tian:…
You Western doctors should have known that Dr. Wen was not in the National Association of Traditional Chinese Medicine. Dr. Xie said that he was about to become Dr. Wen's direct disciple. It is better to hope that Dr. Xie would be more reliable.
The truth is actually slowly emerging. The expressions of gastroenterologists and hepatobiliary surgeons were grim. Many clinical cases were not investigated but they were shocked.
B-ultrasound showed that the patient had gallstones, liver cysts, and cholangitis. Cephalosporins can also be used for cholangitis, however -
Dr. Tao and Teacher Ming, both of whom have extensive clinical experience, agreed in unison: do a gallbladder puncture.
The reason is that the patient is afraid that the patient will be infected with drug-resistant bacteria.
On the other side, the young people watching were discussing: "Should the patient continue to use the combination of epinephrine and dopamine when the patient's condition is not relieved?"
One of them reminded in a low voice: "Doctor Xie removed the bag of medicine from the emergency department first."
These words spread throughout the ward, and many people woke up from a dream.
“Kunis Syndrome.” Dr. Lin Chenrong praised Mr. Xie for his great skills, saying that he was undoubtedly the strongest cardiologist in the hospital. He could identify the patient’s cardiovascular problems at a glance faster than all the cardiologist on site.
Doctors like to use epinephrine for rescue when anaphylactic shock is suspected due to an infusion reaction, but they always forget that the instructions clearly emphasize that in non-cardiac arrest, a small dose of intramuscular injection should be used instead of direct intravenous injection. Little do they know that epinephrine used here may cause more complications. Bad consequences.
This is because severe allergic reactions may cause Kunis syndrome, that is, allergic angina and allergic myocardial infarction (this disease is so rare that doctors often ignore it and even junior doctors have not learned about it), and the use of epinephrine aggravates myocardial ischemia. Inducing coronary vasospasm and arrhythmia is also known to make matters worse.
The emergency doctor downstairs turned pale again and again. Fortunately, Dr.
Thank you for your support, good night, dear friends~
(End of this chapter)
