Emergency Cover in a Cover

Xue Huan, the boss of the Department of Neurosurgery, said expressionlessly: "He now has a large amount of subdural hematoma!"

"The operation must be performed immediately, otherwise he may be brain-dead on the spot!"

There are only two situations of brain death!

One is complete physiological death, and the other is vegetative state.

"No family members, no payment! Do you want to get the general duty authorization?" the doctor in charge also asked directly.

"Hit him! Call the person who brought him here as soon as possible to contact his family."

"Can't delay."

"At least I have to open a window in my head to decompress my head no matter what."

"Contact the anesthesiology department and ICU and be prepared for anesthesia and tracheostomy at any time." The chief resident of the Department of Neurosurgery just gave his own advice.

"Where is the medical record? I'll write a consultation opinion first."

…

The doctor in the emergency department without a badge finished the call: "The general on duty has authorized it, you go back to the operating room first!"

"I will send the patient here immediately. The first four items of blood transfusion and blood type will be drawn as soon as the patient arrives. The coagulation function is currently meaningless, and it is estimated that it will take some time. We will follow up during the operation."

"I just need to trouble you to arrange for someone to contact the blood bank to prepare blood."

"I'm really too busy here."

Hearing this, only Shenwai Xue Huan, who had already finished writing his opinion, hurried back!

Neither Zhou Cheng nor Chu Lin from the Department of Thoracic Surgery moved a single step.

Just stare at that medical record!

Write your opinions slowly and calmly.

Help is help, you have to complete your own tasks.

In an emergency consultation, there is no consultation opinion. In the end, it is the people who have to be held accountable. It is not Zhou Cheng and Chu Lin who are pretending to be arrogant. This is the hospital's rule.

If the emergency department is overwhelmed, call someone.

Their specialized doctors also need to talk and sign, etc.

When the doctor in charge saw this, he could only say helplessly, "Forget it, classmate, help me make a phone call to the blood bank. They say that a large amount of blood is needed in the emergency! Then contact the anesthesiology department for emergency consultation!"

Wang Huan was pointed out like this.

Wang Huan was a little stunned and looked at his teacher Zhou Cheng.

After saying that, he hurriedly ran out to contact the kind person who brought the patient.

But wait until he goes out!

The good Samaritan is no more.

By sending the patient to the hospital, that person showed his kindness.

You can't ask him to pay money either.

He didn't curse anything, and quickly returned to the computer again to quickly open the doctor's orders and materials with various conversations and signatures...

After Chu Lin finished writing his opinions, he immediately handed the medical record to Zhou Cheng and said, "Brother Cheng, we meet again!"

"You two brothers seem to have a lot of luck together."

In medical institutions, the first-diagnosis responsibility system and the consultation system are both core systems.

Among them, the first-diagnosis responsibility is to avoid pushing the patient to run here and there.

The essence of the consultation system is actually to collaboratively diagnose and treat conditions!

Leave specialist issues to specialist doctors to handle,

It is absolutely correct that this patient needs emergency surgery!

However, if Zhou Cheng and Chu Lin did not write consultation records, except for any related department issues, there would be no consultation records and opinions.

No matter how perfect you are on the operating table, no matter how hard and tiring you are, if you make a mistake in the first step, it is all fake and you are completely responsible for it!

If the program goes wrong, it will be very troublesome.

Basically, people who have been attending consultations for a long time will not make mistakes, but they do not rule out meeting some newcomers and stubborn people.

Or people who are not familiar with the core system are often taken over in this way.

For example, who of them made a phone call just now?

Then something went wrong with the patient.

It can range from being fined and interviewed, to the more severe being revoking the qualification to practice medicine.

This is the biggest difference between being a doctor and being a student.

If you practice alone and are responsible alone, you need to take full responsibility for what you do.

Unlike when you are a follow-up physician or a bedside physician, the senior physician is generally responsible.

These are all aspects of growth on the road to becoming a doctor.

Sometimes you have to be cold-blooded and reject some things in order to survive well. Otherwise, what you are waiting for is the word "suicide".

Therefore, even if their condition is extremely urgent, Zhou Cheng and Chu Lin can only finish writing the medical records first, and then call someone to arrange surgery and other matters.

Zhou Cheng finished writing it quickly and then started to call the doctor on duty in the trauma surgery department!

Ask him to prepare the consent form for emergency surgery. He will go up to get it later. He must prepare it...

Wang Huan was in a daze, so Zhou Cheng asked her to help.

Zhou Cheng only needs to be responsible for conversations related to the Department of Orthopedics. He does not need to take care of other departments at all and cannot control them.

However, since I don’t have any family members now, I can only call the chief on duty for authorization first!

After you step down or your family members arrive, sign in as soon as possible!

Zhou Cheng quickly finished writing the consultation record and handed it to the elder brother in charge of the bed. He said, "Teacher, please send the patient to the emergency operating room. I will prepare the materials. If the family members come later,

Got it!"

"I've already called the blood bank and the anesthesia department."

"Please also ask him to be at the door of the operating room. We will talk to him then."

"Thanks for your hard work."

After Zhou Cheng said this, he ran to print the materials.

The computer is connected to the Internet. If the doctor on duty at the trauma surgery department is ready, he can print directly here.

And just then!

However, there were voices about him coming from the outpatient clinic outside the emergency care unit.

"Another patient with trauma from a car accident came in. He seems to have a dislocated hip joint."

"Calling for an orthopedic emergency consultation. Orthopedics has a resident doctor in our emergency department."

This seems to be what a doctor outside is saying to a subordinate or a nurse!

However, someone outside said: "Dr. Liu, it seems that the general hospital of orthopedics is in our emergency department."

"The patient in bed 3 has multiple injuries all over his body."

"It's quite serious. This?"

Dr. Liu said: "Then go and pull out the film and ask him to take a look."

"This patient has no skin trauma for the time being. I will explain it to the patient first, and then listen to what orthopedic treatment needs to be done. I will then check to see if there are any injuries to his chest, abdomen and head."

"If necessary, call other CEOs of the orthopedics department."

Two overarching principles of emergency medicine.

Save your life first.

The bottom line is to save your life!

"Okay!" The nurse walked in quickly.

After hearing this, Chu Lin smiled and said: "Your orthopedics department is quite popular, here comes another one."

"Brother Cheng, I'm going to go first and go to the operating room in advance."

Zhou Cheng nodded, and before he could say anything more, a nurse from outside the door walked in.

"Are you the chief resident of the Department of Orthopedics? Dr. Liu from the outpatient clinic asked you to take a look at this film. It just came out. The patient's feet are very swollen and he can't move. Do you have time to take a look?" The nurse in green clothes walked up to Zhou Cheng.

!

After speaking quickly, he pointed at the computer at the nurse's station.
To be continued...