This doctor has a system

Chapter 32 32. Major Traffic Accidents

The work of the administrative class is relatively easy, there are some minor traumas and so on, occasionally a few people who drink too much, anyway, the hall is always very lively.

The next day was the first-line outpatient class. It was the first time for Gao Feng, Hu Jiaran, and Hao Mengpei to take an ambulance. The brand was Daben, and it was full of freshness.

Ma Liang gave them a detailed introduction of the equipment in the car and how to use it. It can be seen that these equipment have been tested for a long time. The paint on the oxygen cylinder has peeled off a lot, which should be caused by bumping back and forth.

The ear-piercing siren sounded, and the nurse at the nurse's station waved at Ma Liang, "Come on!" Ma Liang ran outside with Gao Feng and the three of them.

The nurse had already run into the car with the first aid kit, Ma Liang, Gao Feng, and Hu Jiaran sat in the front, and Hao Mengpei sat in the back with the nurse.

The driver kicked the accelerator and rushed out, and everyone took a tactical back. "Fasten your seat belt." The nurse behind said to Hao Mengpei.

At this time, it was after 9:[-] in the morning, and the urban area was still a bit congested. The driver changed lanes left and right like a mouse.

Ma Liang contacted the patient via mobile phone, "Doctor, where are you? My dad is about to die of suffocation!" An anxious male voice came, "Hurry up!"

"Does your father have any underlying diseases? What was he doing when he got sick?" Ma Liang urged the driver to drive faster, "Don't worry, we're almost there."

The driver started to get a little grumpy.

"Usually high blood pressure, but he has been taking antihypertensive drugs. He just took the medicine and said he choked." The man's tone was a little more relaxed: "It seems to be better!"

Finally arrived at the location, a man in his 20s shouted at them: "Doctor, here! Here!"

In the yard lay a shirtless man in his 50s, very fat, and his family put a pillow under his head.

"What's going on? Uncle, what's wrong with you?"

"I choked when I took the medicine, and the food hasn't gone down yet!" The patient had a painful expression on his face, and kept rubbing his hands back and forth on his chest.

The nurse measured his oxygen saturation, which was normal; his blood pressure was a little high, and his heart rate was also fast.

"Let's go to the hospital!"

Everyone carried the patient onto the stretcher together. More people is better. Such a fat patient didn't need much effort.

When they arrived in the ambulance, the nurse gave the patient oxygen, "Whatever his illness is, just give him oxygen, it looks professional." The nurse's sister explained to Hao Mengpei.

When he arrived at the hospital, Ma Liang gave the patient a chest CT examination. After about 20 minutes, the results came out. The report indicated: a little inflammation in both lower lungs; enlarged heart shadow; hiatal hernia?
Electrocardiogram report: left ventricular high voltage; sinus tachycardia.

The patient's son came to Ma Liang with the report card, "Wait a moment, let's discuss together first." Ma Liang turned to look at Gao Feng and the three of them, and the familiar questioning session came.
"Do all of you teachers like to ask questions?" Hu Jiaran complained inwardly, and he didn't know who was used to it.

But he still replied honestly: "Maybe it's just a choke, the inflammation on this lung is not serious, and it certainly won't cause chest tightness."

"It may be related to this hiatal hernia." Hao Mengpei said: "Esophageal obstruction occurred while taking medicine."

"Gao Feng, what do you think?"

"It should be Ca (cancer) of the esophagus." Gao Feng looked at the film, "The wall of the esophagus is unevenly thickened, and the lymph nodes around the esophagus are also swollen. Look here and here. The possibility of esophageal cancer is very high. Just do a gastroscopy and it will be clear."

Dr. Ma Liang was a little ashamed. Can a CT really see so many things? !

"Well, that's very good, everyone should learn from Gao Feng."

Turning around, Ma Liang started communicating with the patient's family: "I need to be hospitalized for a thorough investigation. There may be a problem with the esophagus. I'll send you to the gastroenterology department."

"Could it be esophageal cancer?" The patient's son asked worriedly, "My grandfather and uncle died of esophageal cancer."

"We have to have a gastroscopy, and the film can only show the outline." Ma Liang dared not say too much.

"Mengpei, pay attention to the follow-up results of this patient." Dr. Ma Liang explained.

I saw a few more patients in the emergency department, and it was almost 11 o'clock.

Gao Feng found that 90% of the patients who went to the emergency department did not meet the emergency requirements, and many of them just felt that there were too many outpatients.

"Isn't this bad? Isn't this preempting the medical resources of emergency patients?" Hu Jiaran was a little puzzled. He just saw an aunt come to the emergency room just to open a box of common lipid-lowering drugs.

"That can't be helped." A nurse said helplessly: "If you don't register for her, you will definitely be complained." "Let's just do our own thing, why bother him so much!"

The siren sounded again, this time the situation seemed to be more serious, and two ambulances set off together.

"There was a car accident on Zhongzhou Avenue. Three cars collided in succession, causing heavy casualties." Ma Liang said solemnly, "The caller said that two of them died."

The driver was very disturbed, "There must be a traffic jam on Zhongzhou Avenue at this point, is there an ambulance nearby?"

"The No. [-] and No. [-] No. [-] Hospitals also have cars, but there is no news yet." Ma Liang kept staring at his phone.

When the car turned onto Zhongzhou Avenue, the traffic police had already carried out road control, and the situation was better than expected.

When Ma Liang and Gao Feng got out of the car, two ambulances were already parked there.

"what's the situation?"

"Three people have been taken away, and two died." A doctor from the Second City Hospital pointed to the front, and the bodies of the two people had been covered with white cloth.

"Three other patients were stuck inside. One had a broken left arm, and his lower limbs should also have fractures. The other was pierced through the chest by a steel bar. The last one was down below and did not know what happened."

"When will the fire brigade arrive?"

"It's coming soon." A man commanding the scene was sweating profusely.

The three of Gao Feng approached and took a look. At the front was a Volkswagen Magotan. The front of the car was pressed against the side road wall, and the rear part was severely deformed. At the back was a van, and a Volvo S3 in the middle was crushed. stuck in the middle.

The driver of the Volvo kept moaning, and the female passenger of the co-pilot was pierced through the back chest by a solid steel bar, and the head of the steel bar came out from above the xiphoid process.

There was another passenger in the back, but the rear compartment was completely deformed, "It's hopeless." Ma Liang shook his head.

The firefighters finally arrived, and the man in command at the scene walked over quickly with a group of people.

The firefighters were the first to use an electric winch to pull the rear compartment open, and a man inside had been crushed to pieces.

"Leave him alone, it's mainly the two in front." Ma Liang couldn't help but say.

The firefighters wiped the sweat from their brows and started cutting with a chainsaw. After half an hour, the driver and passengers were finally rescued.

The driver's problem was not serious. His left upper limb was fractured and his right lower limb was obviously deformed. However, since there was no obvious bleeding, he was conscious.

The situation of the female passenger was not good. She had lost consciousness. She was pierced through the chest by a steel bar about 1.5 meters long. Ma Liang asked the firefighters to cut off the two ends of the steel bar, otherwise the patient would not be able to enter the ambulance.

(End of this chapter)