Sure enough, when she heard Tanglou's words, Xu Lanlan's pretty face suddenly turned red, and even her ears felt like frost, which was very cute.

Tanglou couldn't help but be stunned.

"Not serious." Xu Lanlan looked at Tang Lou's handsome face, feeling ashamed and angry, but also a little bit happy.

"Oh, I won't tell you anymore. I came to see Dr. Li for something urgent."

Only then did Xu Lanlan think of business.

"Is Dr. Li not in the ward? I'm looking for him too."

"What should I do? I didn't answer the call." Xu Lanlan stamped her feet anxiously.

"What's the problem? Maybe I can help you?"

Tanglou said with a serious face.

"You? You are an intern..." Xu Lanlan looked at the tenement building, thinking of the scene where he gave Director Shen the reminder that day, her eyes lit up, "Maybe it will work, then you follow me, and I will talk to you while walking. explain!"

"Okay." Tang Lou hurriedly walked towards the emergency department ward with Xu Lanlan.

"A male patient came here just now. He originally made an appointment with the girl he likes to eat pickled fish hot pot in the dormitory today. However, his confession was rejected. The girl took a few bites and left with an excuse."

"The patient was depressed and called a friend to have a drink. The friend arrived about an hour ago and found the patient lying on his side on the bed, confused, smelling of alcohol all over his body, short of breath, and there was a lot of vomit on the floor, but no coffee-like substance."

Xu Lanlan introduced the patient's condition while walking.

"Acute alcohol poisoning?"

"It's not that simple. The test report should be out in a while. Doctor Li was supposed to come over to look at the test report at this time. For some reason, he disappeared and couldn't be contacted. So the head nurse was so worried that he asked me to come over and look for him. he."

Xu Lanlan was very helpless. Dr. Li was already in his forties, and his behavior was like a monk hitting the clock every day, so his reputation in the department was not very good.

This time the chain slipped again at a critical moment.

Tanglou nodded, feeling lucky in his heart that this lazy resident had a chance to perform. It seemed that he had great hope of achieving his small goal!

The two of them quickly ran to the ward.

"Sister Zhang, I'm back." Xu Lanlan waved to the head nurse Zhang Nannan.

"Xiao Xu is back, eh? Where's Dr. Li?" Zhang Nannan is in her forties, her skin is a bit dark, but her face is still very good-looking, and her long hair has just been permed and is curly, very fashionable.

"Dr. Li is not in the office, but I have invited Dr. Xiao Tang here." Xu Lanlan pointed to the tenement building nearby.

Looking at Tanglou's youthful facial features, it is pleasing to the eye, but he is too young.

Zhang Nan frowned: "Doctor Xiao Tang? When did Dr. Xiao Tang come to the hospital?"

"Ahem, Sister Zhang, I am a new intern and I was assigned to the emergency department today." Tanglou's tone was also a little weak.

"Nonsense, you brought an intern here, who will be responsible for any problems? Xiao Xu, do you really have any brains?" Zhang Nannan scolded, and then looked at Tanglou, "An intern doesn't go to the office to stay, what the hell is he wandering around? .”

"This emergency department is really becoming more and more unreliable. Li Fan can't even be contacted by the staff, and here comes another brat." Zhang Nannan scolded and took out her cell phone to contact Li Fan.

"Sorry, the user you dialed is not available..."

"Xiao Xu, you take care of the patients here, and I'll go get the reinforcements." Zhang Nannan ordered sternly.

"And you little guy, just keep it with me and let the doctor who takes you take care of you later."

How could he be assigned to the emergency department? Zhang Nannan had already seen through this.

Looking at the fussy back of the head nurse, Xu Lanlan stuck out her tongue and explained in a low voice to Tanglou: "Sister Zhang, you are a sharp-tongued person and you are scolded because of me."

"It's okay. After all, not every intern is as good as me. Please show me the test sheet."

Tanglou walked towards the patient's bed and saw a man lying on the bed, still in a coma.

"Here, here is the test report that just came out."

Tanglou looked at the basic information:

Wu Weibing, male, 38 years old, was sent to the emergency department by 120 because of confusion, nausea, vomiting and shortness of breath for one hour.

120 On-site blood sugar measurement showed 6.8mol/l, which does not rule out the patient’s acute alcohol poisoning.

Pretending to continue browsing the basic information, Tanglou used the diagnostic technique (one star, 3), and saw a diagnosis certificate appearing in front of him:

[Patient: Wu Weibing, male, 38 years old

symptom:

Blood pressure 96/44 mmHg, R30 beats/min, P 118 beats/min, SPO2 90%.

He looks lethargic and can open his eyes when breathing; he is silent; his lips and fingertips are red; his pupils are equally large and round, with a diameter of about 2.5 mm, and his light reflex is slow.

The neck is soft; the breath sounds in both lungs are thick and there are no rales. The heart rate is 118 beats/min, the heart rate is regular and there is no murmur.

Routine blood test: carboxyhemoglobin concentration 31%, rest normal

Urine routine: nitrite was obviously high, but no other abnormalities

Diagnosis and Treatment:

Significantly elevated carboxyhemoglobin, carbon monoxide poisoning, emergency hyperbaric oxygen treatment for 1 hour

Pay special attention to (easily overlooked in general diagnosis):

If the nitrite is obviously high, acute nitrite poisoning, quickly inject 1% methylene blue 1~2 mg/KG + 50% glucose solution 40 mL intravenously within 15 minutes, and give 4 g of vitamin C added to 10

% glucose 1000 mL intravenously infused.】

"Dr. Xiao Tang, did you see anything?" Xu Lanlan asked expectantly. It was really handsome that Tang Lou looked at the examination sheet just now.

"Ah, of course."

Tanglou was interrupted by Xu Lanlan, who returned to reality from the system diagnosis report and said very calmly: "The patient is suffering from carbon monoxide poisoning and poisoning caused by accidentally ingesting nitrite. He only needs one hour of hyperbaric oxygen treatment and an injection of 1% nitrite.

Methyl blue 1~2 mg/KG + 50% glucose solution 40 mL was intravenously injected within 15 minutes, and vitamin C 4 g was added to 1000 mL 10% glucose for intravenous infusion."

Xu Lanlan was stunned when she heard a bunch of professional vocabulary from Tanglou Barabala.

At first I thought Tanglou was joking, but as a professional nurse, I naturally understand the accuracy of these reagents. Nitrite poisoning is not common in emergency departments, so the configuration of pharmaceuticals for this case is what experienced doctors know.

It depends on the computer system to prepare it.

Tanglou actually said it so casually?

"Are you really an intern?" Xu Lanlan stared at Tanglou with beautiful eyes, trying to see through him.

"I encountered this kind of case in a case class before, and I had to memorize the answer for a long time!" Tanglou also blushed a little and could only make nonsense.

"Tanglou, you graduated from 211, you are really good. You must have been a top student in the past, and your mind was full of cases. When I was studying, my mind was only about Korean dramas and boy bands. You should go to the city or a tertiary hospital."

Xu Lanlan looked at Tanglou with some admiration. What she admired the most was this kind of gentle and handsome doctor with high IQ.

"Doctor Li, hurry up, the examination has come out."

At this time, Zhang Nannan rushed over in a hurry, carrying a middle-aged doctor.

Li Fan is in his forties, has small eyes, a flat nose, and a round face. At first glance, he looks like a broad-minded person.

While trotting, a general's belly was swaying and he was panting.

"Sister Zhang, Dr. Li, Dr. Xiao Tang has just read the laboratory test sheets. The patient is..."

Zhang Nannan stopped Xu Lanlan with sharp eyes: "What are you talking about? Xiao Tang, you and Xu Lanlan are standing on the same side."

This was the first time Li Fan saw Tanglou. He looked at his slim figure and handsome face, and felt a little envious.

"You are indeed a talented person. No wonder Director Shen specially asked me to take care of you."

"You will follow me from now on. The cases in the emergency department are more complicated, but don't worry, as long as they are related to suturing, I will arrange for you to perform the surgery for minor cases."

Li Fan thought about Shen Jun's numerous instructions, and although he didn't take them seriously, it was better to do less than to do more. Since the director said it, he would do it.

"Well, thank you Dr. Li. I have already seen this patient."

Tang Lou was ready to tell Li Fan about his diagnosis.
Chapter completed!