Doctor’s Life Simulator

Under the guidance of Qin Lang, Yang Yi and Yang Yue are now able to complete the Qin Fa treatment very proficiently.

In addition, due to the development of allograft tendon transplantation, the treatment center also undertakes part of the hand surgery patients.

Deputy Director Huang Kaihang is mainly responsible. In order to ensure the strength of doctors, Director Huang also recruited an attending physician from the Department of Hand Surgery.

It is very likely that at the latest hospital meeting, the hand surgery department will face a complete split, part of it will be merged into the treatment center, and part of it will return to the orthopaedic department.

Therefore, the placement of Director Tian Bo will also be the focus of discussion at the next regular meeting of the hospital.

As for Qin Lang, he has also started a new chapter in his medical career, with a six-month rotation in the emergency department.

As a tertiary hospital, the first hospital of the city is also very strong in emergency department, covering two major areas: medical area and support area

The medical area is divided into: triage office, consultation room, treatment room, disposal room, first aid room, observation room, as well as emergency operating room and emergency intensive care unit as standard in tertiary general hospitals.

As for the support area, it is divided into registration, various auxiliary inspection departments, pharmacies, charging and other departments.

The entire emergency department is an independent system with its own emergency building. In order to ensure the effective connection between medical emergency and pre-hospital emergency, the emergency room is also next to the emergency triage office, with emergency beds, emergency medicines, and equipment. , cardiopulmonary resuscitation, monitoring and a series of equipment.

In the new week, Qin Lang followed the resident doctor Peng Yun, who was also the emergency physician on duty in the burn and plastic surgery department.

The emergency department of the First Hospital of Hecheng City has a fixed number of emergency physicians, about 75%, and other than that, physicians from various departments are required to take turns on duty.

The emergency department that Director Zhuang Tong is in charge of now has these three teams, namely the internal medicine group, the surgical group, and the gynecology group, each with a person in charge and three to four regular emergency physicians.

The entire emergency department implements the first-line, second-line, and third-line on-duty system. The first-line inpatient hospital and the general inpatient, the second-line chief physician and above, the third-line is the deputy chief physician and above.

The doctor on duty needs to be on duty for 24 hours. Due to the needs of the condition, some patients, including those with complicated conditions and difficult to diagnose, or those who need to be admitted to the hospital for diagnosis and treatment but have no beds and cannot be transferred out, will stay in the observation room for a short period of time, generally no more than 72 hours.

Therefore, the doctor on duty also needs to check the bed once in the morning and in the evening, and check the bed at any time for severe cases. The attending physician will check the bed once a day and revise the diagnosis and treatment plan in time.

Peng Yun and Qin Lang were assigned to the surgical group, and they were in the triage office with Dr. Liu Peichun, a senior emergency department resident physician, and followed their studies.

Liu Peichun is 33 years old this year, each about 1.6 meters tall, chubby, with some pimple marks on his face. He looks simple and honest, and he is a very experienced emergency department old man.

Dr. Liu still had some opinions on Qin Lang, who was newly sent by the burn department. After all, Qin Lang was too young. Although Qin Lang has been trained in the emergency department, Dr. Liu is still not at ease with him.

Therefore, while taking advantage of the gap, he and Qin Lang set up old qualifications and talked about all kinds of basic knowledge.

Qin Lang does not reject this, after all, it is always good to learn a little more. The more doctors reserve, the more the patient's life safety is.

"Doctor Liu, please give me more advice. What should we pay attention to in our triage office?"

Qin Lang is generous. After all, he is still a newcomer to the emergency department. Although he used to see all kinds of diseases in the community hospital, after all, it is only a community hospital.

Dr. Liu was still satisfied with Qin Lang's attitude, so he said:

"Actually, in our emergency triage office, the focus of triage is mainly two, one is condition triage, and the other is subject triage.

"The types of triage are generally divided into pre-hospital triage, disaster triage, and in-hospital triage, which we now belong to. According to the classification of the disease, it is divided into four levels.

- level, critical. The patient's life is in danger, and the vital signs are unstable and need immediate first aid. such as cardiac arrest

, Severe chest pain, persistent severe arrhythmia, severe dyspnea, severe traumatic bleeding, acute poisoning and senile compound injury.

After listening to Dr. Liu's introduction, Qin Lang also listened carefully.

Peng Yun, who was on the side, turned his head and rolled his eyes. Apparently, when she first came, Dr. Liu also talked about it like this.

"For these patients, we basically take the green channel and the resuscitation room."

"The second level is critically ill. The patient is potentially life-threatening, and the condition may change rapidly. For example, heart, cerebrovascular accident, severe fracture, sudden severe headache, abdominal pain lasting more than 36 hours, developmental trauma, etc."

Qin Lang also remembered it in his mind, and he was really working, and he was really hard knowledge for a novice like him.

"For these types of patients, we let them go to each clinic as a priority, and they are usually treated within 15 minutes. For example, some burn patients will be transferred to your burn department after triage.

Qin Lang said that he understood that, indeed, many patients had been triaged in the emergency department before being sent to the treatment center.

"The third level is an emergency. The patient's vital signs are still stable, and the acute symptoms persist and cannot be relieved, such as high fever and vomiting, mild trauma, mild abdominal pain, etc."

"At this level, just let them go to each clinic to wait.

Dr. Liu's mouth was dry, he took out a cup and took a big sip before continuing:

"The last level is non-emergency. Non-emergency patients who are not going to get worse. They can wait in the emergency department or go to the outpatient clinic...

Qin Lang listened carefully, memorizing Dr. Liu's experience in detail.

Peng Yun's head hurt when he heard it, so he got up and said to Qin Lang and Dr. Liu:

"Doctor Liu, I'm going to the observation room to check a room, you guys continue.

In response, Dr. Liu of course waved his hand and continued to lecture Qin Lang in high spirits. Liu Peichun was very satisfied with Qin Lang's modest attitude, and also saw that Qin Lang became more and more pleasing to the eye.

After talking for another half an hour, Liu Peichun drank a lot of water due to dry mouth. Liu Peichun felt a little urgent to urinate, so he said to Qin Lang, "Qin Lang, you can put a roof over here first. I will go to the toilet and come back soon."

"OK.

Qin Lang was on duty alone at the triage office. At this time, the nurse walked in with a young girl. Qin Lang looked intently, she was still a 17- or 18-year-old girl, dressed a bit thinly, with very heavy makeup on her face, looking old-fashioned.

At this moment, clutching his abdomen, he walked in in great pain.

Qin Lang was a community doctor before, and has been in the burn clinic for a long time. She is still very experienced, so she started to inquire ~www.readwn.com~ The little girl's lips were a little white, and she said in pain:

"Doctor, since yesterday afternoon, I have been bloated and vomited several times during this period.."

Qin Lang performed palpation on her abdomen.

"It hurts, it hurts, it hurts. Doctor, it hurts here and here.

Palpation abdominal tenderness, lower abdomen, right lower quadrant mainly, and rebound tenderness, muscle tension.

Qin Lang checked the patient's body temperature again, and it reached 39C.

“Could it be peritonitis complicated by perforated tail?”

Qin Lang's diagnosis and operation of appendicitis are now entry-level, so he immediately thought of the most typical symptoms. Right lower quadrant pain, fever, muscle tension?

[Ding, new task: Find out the real cause of the patient through single-case simulation. Mission reward: 1 life simulation point. ]