This doctor is very stable

Chapter 124
After Lin Ran finished speaking, Fan Jianye looked at his computer, smiled mischievously, and said, "Doctor Lin, it's wrong to come to the office area on duty to write papers, but I see that there are no patients below, so..."

Lin Ran nodded, Fan Jianye was at least writing a thesis, which was better than the following two gamers!
Looking at the time again, Lin Ran smiled and said, "Doctor Fan, it's eleven o'clock now, you should go on duty in two hours! It's not convenient to be on the second floor, and there are computers in the duty room. "

Fan Jianye nodded, "Okay, I'll go down in two hours. I was also in the duty room just now, but Dr. Qian and Dr. Liu were playing games, so I ran up."

People who play games have no soul if they don't argue or discuss!

Moreover, Qian Xuan and Liu Chengtao belong to the kind of people who are both good and playful.

After spraying this and spraying that, it's endless!

Lin Ran could also understand that Lin Ran also had a headache after leaving the office meeting.

After all, he was too young, so Qian Xuan and the others found it easy to talk.

However, if Lin Ran really insisted on asking them to be on duty, he felt unreasonable.

After all, there are no patients, they only play games and write papers.

If Lin Ran really talks about this kind of thing, he is afraid that it will affect the unity!

But if you don’t say it, it’s definitely not enough. Once this person starts playing the game, he doesn’t care about anything, and his mind is all about the content of the game.Compared with boring work, the confrontation game specially designed by the game company is definitely more fun!
And once a person deserts, he tends to capsize in the gutter.

Since ancient times, friends and superior authority cannot have both!
If you want to maintain the balance between the two, you can only take more care of yourself.

But it will definitely not work in the long run. We have to find a way to deal with Qian Xuan and Liu Chengtao.

After thinking about it for a while, Lin Ran didn't think of any good solution, so he could only go to the first floor of the emergency department by himself.

It's not easy to be a good doctor and a good superior who can convince others!

And Xu Hong told himself that he would not care about things after he was on duty, which meant that he should let himself face this problem.

Thinking about the problem in his mind, Lin Ran had arrived on the first floor of the emergency room without knowing it.

Tian Xiaoyan at the front desk of the nurse was drinking milk tea. Seeing Lin Ran going back and forth again, she asked, "Doctor Lin, aren't you on the second-line shift? Why don't you go to sleep for a while?"

"Doctor Qian and the others are busy, so I'll come out and have a look if I'm not sleepy."

"Doctor Lin, why don't you go to the lounge to sleep for a while, our nurse is here! We will call you when a patient comes."

"How about that?"

Lin Ran didn't know about the other doctors on duty, but Lin Ran thought that there should be a doctor watching in the lobby on the first floor of the emergency room.

Otherwise, what if a patient needs emergency treatment?
There is a big difference between one second earlier and one second later in emergency rescue. Sometimes even a second difference can determine the patient's life or death.

"No, I'm not sleepy either."

While Lin Ran was talking, a young man ran in with an uncle in his 50s on his back.

He was followed by two young and beautiful girls, all wearing homely pajamas.

"Doctor...Doctor..."

"Quick, hospital bed."

Lin Ran had already walked up to meet him quickly, only to see that the uncle behind the young man had fallen into a coma.

Lin Ran stretched out his hand to feel his pulse first.

Fortunately, there is a pulse.

He glanced at the patient's face again, it was as pale as paper!

"Has the patient eaten anything unusual? Did he have any special symptoms when he was seriously ill, and did he have any other medical history."

Just after Lin Ran finished asking, the nurse had already pushed the hospital bed over.

Li immediately said again: "Put the patient down first."

After the patient was placed on the hospital bed, Lin Ran immediately took out the flashlight to check the patient's pupils.

"Doctor... My dad has bullae and has been taking medicine to control it. He was fine when he ate. Just now he complained of chest tightness and pain for some reason, and then passed out."

After checking the pupils, Lin Ran heard that the patient had bullae, so he quickly untied the patient's clothes.

"Does the patient have a history of smoking?"

"Yes, my dad is an old smoker. We stopped smoking after he got bullae, but he just couldn't help smoking secretly!"

After listening to the patient's family member's medical statement, Lin Ran quickly made a judgment.

Bullae burst.

severe pneumothorax
Or rupture leading to massive hemorrhage.

Looking at the symptoms, pale face, shortness of breath, thin pulse, it should be hemothorax.

Lin Ran's thought just flashed through, and the system's prompt also arrived.

【V3 patients】

[Ding: The left chest cavity is red...the bullae of the lung under the chest cavity are ruptured and bleeding...thoracentesis is required...closed drainage...the bleeding needs to be stopped in time...]

"Quickly push to the emergency room, prepare the puncture kit, go to the lounge and call Director Xu over."

The rupture of the bullae can lead to the risk of massive bleeding and hemothorax. After the thoracentesis is performed to discharge the accumulated blood, surgery is required to stop the bleeding.

Lin Ran can't do it alone!

At this time, Qian Xuan and Liu Chengtao, who were playing games in the corner of the cat in the duty room, didn't know what was going on outside!
As for Fan Jianye on the second floor, he didn't even know about it.

The patient was pushed into the emergency room, and Lin Ran immediately put on gloves, "Put on the life monitor, take blood, intubate, and give me the disinfectant."

After speaking, Lin Ran immediately began to disinfect the patient's left chest.

As long as the pleural hemorrhage is drained in time, the patient's breathing can be quickly restored.

As long as the patient's vital signs are stabilized, the situation will not get out of control.

After quickly finishing the disinfection, Lin Ran reached out to take the scalpel handed over by the nurse.

Quickly cut a small incision in the patient's left intercostal space, put down the scalpel, took the puncture needle prepared by the nurse, and immediately inserted it along the incision.

Dark red blood immediately rushed out along the hollow hole of the puncture needle.

At this time, the vital signs monitor is also on.

"Dr. Lin, the intubation is complete, the monitor has been used, the blood pressure is low, the breathing rate is fast, the heartbeat is fast, and the blood oxygen concentration is low..."

Lin Ran kept watching the puncture needle expel the accumulated blood.

He glanced sideways at the life monitor, "Confirm the patient's blood type, and then transfuse 400ml of blood immediately."

In terms of emergency clinical rescue, patients without cardiothoracic and shock are not considered high-risk patients.

At this time, Xu Hong opened the curtain and walked in, asking, "What's the situation? Does it matter?"

"A patient with pulmonary bullae, the rupture of the bullae caused bleeding to form a hemothorax, and he is currently expelling the accumulated blood to keep his breathing unobstructed..."

"Yes." After Lin Ran explained, Xu Hong looked at the life monitor, nodded when he saw that the situation was still under control, walked out, picked up the medical record, and walked out of the emergency room to consult the patient's family and the patient's basic situation.

…………

Two to 10 minutes later, after the blood transfusion, the patient's vital signs basically stabilized.

Xu Hong did not leave the patient in the emergency department for surgery this time, and directly transferred the patient to the thoracic surgery department.

Because Lin Ran was alone in the emergency room just now!

When the rescue was over, Xu Hong came to the duty room and almost passed out from the anger.

Playing games during work hours?
After asking about Fan Jianye's location, Xu Hong's face turned livid.

In the end, the four of Lin Ran were taken to the emergency department by Xu Hong and entered the duty room.

Xu Hong looked at Qian Xuan and Liu Chengtao with a sullen face, "I'm resting in the waiting room, so you guys are going to be lawless, right! You let Lin Ran rescue the patients alone. If there is a problem with the patients, don't you feel guilty about it one by one? What about your medical ethics, have you forgotten the medical ethics when you were studying medicine?"

"And you, Fan Jianye, are not at your job when you are on duty. You go to the second floor to write a paper? You don't know the regulations in our department or you don't know that you can't leave your job when you are on duty. The emergency room is a life-saving place. It’s not the place where you get promoted and get rich, understand?”

"Especially Liu Chengtao and Fan Jianye, you two are also senior residents. You can even make the most basic and low-level mistakes? You are on duty to play games and leave your post to write a thesis. You can figure it out."

After being scolded by Xu Hong, Qian Xuan's face turned blue and red.

Finally, Xu Hong turned his attention to Lin Ran, and said angrily, "Lin Ran, you are in the second-line position, and you are still the deputy head of the operation team. You saw them lax and slack in their work, and instead of stopping them, you even indulged them. If something happens to the patient, you have to pay the main responsibility.”

Why didn't Lin Ran ask the nurse to call Qian Xuan just now?
He really didn't think of it!In the case of rescue, the only idea is to get the patient out of danger quickly!Where do you want to get so much?
As for calling Xu Hong, it is purely for surgery!
What's more, calling Qian Xuan and the others couldn't help with things that he could save!

So Lin Ran was really wronged.

Seeing that Lin Ran was being scolded, Qian Xuan and the others couldn't help shrinking their necks, not daring to say a word.

But not speaking, doesn't mean Xu Hong stopped scolding, "I know you must be thinking, we in the surgery team are good at surgery!"

(End of this chapter)