Come on, Dr. Wu

Chapter 63 Conversation
  Once the fluid is given, you can actually see that at least the blood pressure no longer drops, and the heart rate no longer keeps rising.

Although the patient is not awake, he is still conscious. There is a saying in the emergency room, as long as he can hum. Fortunately, he is the only car accident patient today. Otherwise, if there are others who are already unconscious, they will have to be treated. The priority is put later.

This is also the reason why doctors and nurses are slowly slowing down. Since they have time, they should do more preparations and have some time to think about it.

Blood tests are indispensable. They should be infused or drawn without any delay.

At this time, don’t ask whether you are fasting or not. In fact, in daily blood tests, some indicators need to be checked on an empty stomach, but most indicators do not require fasting.

In a situation like this, there is no need to worry about those problems. It is more important than anything else to grasp the blood test status as soon as possible.

Blood routine, kidney function, liver function, electrolytes, coagulation, infection, blood type...

At this time, I did everything I could think of. After all, many things can be done with just one tube of blood. It would be too late to replenish the blood, and it would be inappropriate to draw again.

For this patient, one intravenous access is not enough.

Li Ming quickly gave the doctor's orders: Ringer, omeprazole...

The amount of liquid you usually can't drink now has to be put into your body, because even so, it may not be able to keep up with the amount of liquid you produce.

"Are the family members here?"

"Here he is, outside the emergency room."

Good to come!

Li Ming breathed a sigh of relief, and Wu Xiaofu was no exception. Only when we really face this situation can we know the importance of the patient's family.

It is said that first aid can be done by following the procedures, but it is not bad if nothing happens. If something happens, the trouble will only continue, but no matter how troublesome it is, life-saving is the first priority. Now that the family members are here, that is good. Too much to do.

Li Ming looked at Wu Xiaofu beside him.

"Xiao Fu, come with me."

When Wu Xiaofu heard this, he hurried to follow. The teacher was willing to help. There is no reason why you should not follow. In fact, in the emergency department, everyone is knowledgeable, including talking to family members, especially talking to critically ill patients. Talking calmly is easy. , in times of crisis, the doctor’s ability is tested.

“When working in the emergency room, life-saving is the first priority, but besides medical skills, there is another important thing, which is communication between doctors and patients. Unlike other departments, sometimes the family members of the patients we need to communicate with are more important than the patients. There are many types of patients and family members that other departments cannot see in a year, but we may see them all in one day.

How to handle the relationship with patients and their families well is a big question. First of all, we must have enough confidence. When a patient comes, the only one the patient's family can trust is us. Even if you are not calm, how can you convince the patient's family? We also need to be calm and never lose the calmness and judgment that a doctor should have at any time. "

Wu Xiaofu nodded quickly to express his understanding, and kept all these in his heart. Doctors must always maintain humility, and learning is not just a matter of words.

There were quite a few family members of the patients, four or five in total. At this time, they were all stopped outside the emergency room, with their necks stretched out and their faces full of anxiety. Some of them were already in despair.

They had just heard from other patients in the lobby that their family members had bowels coming out. How could they not be anxious or worried in this situation?

"Who are Lin x's family members?"

"I, I am his wife, doctor. Just tell me how my husband is doing. He is fine, right?"

The eager expectation in her eyes could not be concealed no matter what. At this moment, she just wanted to hear a positive answer from Li Ming.

"The patient's condition is very serious. Of course, with our efforts, the situation has stabilized now, but there are still many difficulties to overcome later. Surgery is inevitable for open abdominal injuries. Don't be anxious now and cooperate with us first. Understanding the patient's condition can help us treat patients better."

Very heavy! Stabilized! Need surgery!
  The patient's family members were really in a state of ups and downs, but she knew from Li Ming's words that her husband was not dead and could be saved. This was more important than anything else.

"Doctor, you ask."

"Does the patient have liver disease, kidney disease or other chronic diseases?"

"He has high blood pressure, has been taking medicine, and has moderate fatty liver, but not much else." Li Ming nodded, asked about antihypertensive medicine, and then continued, "Are there any infectious diseases? ?”

"No, there is absolutely no such thing."

"Do you have any allergies?"

"No."

"Do you know your blood type?"

"Type A, I will get a demerit when donating blood."

……

This is another benefit of the presence of the patient's family members. Through the patient's family members, the doctor can have an intuitive understanding of the patient's past condition.

The patient will have to enter the operating room soon. He will not be able to get out of the hospital for a while due to the four infections. Once he is sure that there is no infectious disease, his mood will be different.

Wu Xiaofu wrote down the situation in his notebook.

Li Ming introduced the relevant risks and subsequent treatment to the patient's family. When everything was almost done, he explained to Wu Xiaofu.

"Xiao Fu, take your family members to sign the consent form, be careful."

Wu Xiaofu brought his family members to the medical office. The signatures now were all electronic signatures. Although Li Ming had already explained it once, Wu Xiaofu introduced it again, including the blood transfusion consent form, rescue consent form, medication consent form, and critical illness notification. Book.

In the emergency room, general surgery, neurosurgery, cardiology, and thoracic surgery are all here.

The electrocardiogram has come out.

CT scans of the chest and abdomen, as well as CT scans of the brain, were urgent arrangements. Fortunately, there were no problems with the patient's brain. The focus was on the chest and abdomen problems, with blood and fluid accumulating in the chest.

With massive abdominal bleeding, splenic rupture, and an open injury, the indications for surgery were already very obvious.

The thoracic surgery department was performing closed chest drainage. Duan Hao had already arrived and was communicating with Deputy Director Li Deyang and Li Deyang, who was on duty at the general surgery department, about the condition, which was actually to determine the surgical plan.

"Old Duan, you come and I come?"

Li Deyang looked at Duan Hao. This operation was not too difficult for either Li Deyang or Duan Hao.

"Come on, there is someone in my department who is seriously ill. He came here in a hurry."

Without waiting for Duan Hao to answer, Li Deyang said again, and Duan Hao immediately glared at him. The two of them had a good relationship. It could be said that they knew everything about him, so he didn't want to accept it.

Emergency medicine is one of the sources of patients for various departments, but compared with outpatients, all departments basically reject emergency patients because they choose outpatients to be hospitalized, while they are forced to hospitalize emergency patients. Received.

Moreover, emergencies generally involve critically ill patients. For the departments of the First Affiliated Hospital, they have no shortage of patients. When they encounter emergency patients, they will basically not accept them if they can.

Just like the patient in front of him, if Duan Hao doesn't come, he will accept it. But if Duan Hao is here, it will be easier to talk to him. The relationship is good, and Duan Hao has to give him face.

On Sunday, if he is admitted to the general surgery department, he has to shake people. Moreover, for car accident patients, it is okay if there is no dispute, but it will be even more troublesome if there is a dispute.

Duan Hao glanced at Wu Xiaofu and said nothing more.

"Xiao Fu, you are going to have surgery with me. You need to make pre-operative preparations first."

　The character Li Deyang is already online. This is a contribution from a book friend. There is also another name for submission, which will be arranged later. If you have a name you want to submit, you can leave a message on the character page of the book friend circle.

　　
  　
  (End of this chapter)