Li Min followed Director Chen into the innermost observation room, and saw that the three beds here were all lying patients.Tonight's two night shift doctors are busy anxiously."
Director Chen, you're here, let's take a look at her first.The patient was thrown out of front when the bus braked sharply and hit the crossbar in front of the engine with the top of his head.Vomited once before being admitted to the hospital. ”Chen Wenqiang walked over and first used a flashlight to shine on the pupils of the patient lying there without a sound."
The pupils are normal on both sides, equal to the perfect circle, and the light reflex is normal."
Li Min reported the results of Director Chen's physical examination."
What's your name?
How old are you?
”"Liu Xiuming.Fifty-seven years old. ”Conscious and able to respond to inquiries normally."
What's uncomfortable right now?""
I had a headache, I was nauseous, I didn't dare to move at all.As soon as you move, the world spins around and you want to vomit. ”Thinking clearly and answering simply and clearly."
Why did you come to the hospital?"
The patient hesitated, shook his head, and finally waved his hand in denial.Is this concussion of recent oblivion appeared?
Chen Wenqiang stretched out his hand to check the collision of her head, and Li Min followed up to do a physical examination, and then quickly took out a small notebook to record the relevant physical examination results."
Give her a CT of the head."
Chen Wenqiang instructed Li Min."
Doctor, I only have a few dollars on me, not enough for CT."
The patient lies in bed and gets up in a hurry.Li Min brushed the CT examination list for her, and also paid attention to the physical examination that Director Chen continued to do for her, and took the time to explain to the people who accompanied her: "I made a note here, you go to do CT first, and then talk about the payment later."
Director, please sign here. ”At this time, there is a commission for opening a CT examination order, and the proportion is 10%-15%.Li Min asked Chen Wenqiang, who proposed to do a brain CT examination, to sign, because he didn't want the radiology department to give him the commission in the end.Chen Wenqiang hesitated, but still signed his name.This patient's CT fee still has to be paid.The next patient had just been moved from the bed to the flat cart, and the person was reluctantly lying on his side on the narrow flat cart, his hands covering his upper abdomen."
This one was also thrown out when the brakes were on.The abdomen hit the chair handle of the first few seats. ”"You suspect it's internal organs.""
Yes.I want to do an abdominal ultrasound for her first. ”This is a doctor who rotates from the orthopaedic ward to the surgical outpatient.A tall man in his forties.No self-confidence.It seems that it should be a classmate of Dr.
Yang and Dr.
Liu.Another male doctor is also a newcomer this year, not tall, and feels a little obscene.With pimple marks all over his face, he really didn't dare to compliment his appearance.He is a four-year undergraduate graduate of a medical school in other provinces.After coming to the provincial hospital, he was directly sent to the outpatient clinic."
You lie down first, and I'll see what's wrong with your stomach."
Chen Wenqiang arrived in the emergency room, and he was about to take over the serious trauma patient.Because he has the title of deputy director of trauma surgery and the technical title of deputy chief physician.The female patient was relatively young, she looked like she was in her early twenties, and she looked at Li Min with her eyes and her movements slow."
Director Chen, this patient didn't cooperate with the physical examination just now.I took an ultrasound based on what she said about the area of the impact. ”The orthopedic surgeon complained from the sidelines.Chen Wenqiang rubbed his hands, what age is this.When I go to the hospital, is there a distinction between men and women?"
You push that screen over.There are so many people in the emergency room, and people come and go, so the little girl naturally refuses.It's not that there is no screen. ”The male doctor with pimple marks on his face, under the command of Director Chen, worked quickly and quickly.Li Min stepped forward and said, "Director, I'll give her a physical examination."
Give me a piece of gauze, and I'll have to wipe her lipstick. ”When the woman saw that the screen was on the block, and there were only Li Min and the people accompanying her, she immediately closed her eyes and lifted her blouse very cooperatively.After the lipstick was wiped off, Li Min noticed that the color of her lips was a little pale."
The abdomen is flat, the abdominal muscles are slightly tense, the whole abdomen is not obvious to tender, and there is a slight discomfort on the left side of the upper abdomen.Come, take a deep breath.Director?
”"In.What do you suspect?
”Li Min pushed the screen away a little, pointed to the marks of the patient's abdomen, and asked Chen Wenqiang to see: "According to the location and signs of the patient's impact, it is suspected that there is a splenic subcapsular injury."
It's just that the time of injury is short, and Kehr's sign is not obvious.I am in favor of an abdominal ultrasound prescribed by the emergency doctor to rule out the possibility of splenic rupture and to rule out contusion of the liver lobe. ”Director Chen waved his hand, "First draw blood, and then send it for B ultrasound, you remember to open a blood test list, do blood crossing and other preoperative preparations." ”"Yes."
Li Min immediately asked the nurses to be busy: opening fluid pathways, drawing blood, etc.I pulled out a stack of preoperative checklists prepared by the emergency room, clipped them into the medical records, and looked at the last injured person.The last patient, who also appeared to be in her fifties or sixties, was also thrown out when braking, but she fell sideways onto the steps in front of the engine.For this, the orthopedic doctor is full of confidence, "This patient is conscious and has not hit his head.After the examination, I suspected that she had a fracture of her right femur. ”Director Zhang came in with Dr.
Yang and Dr.
Liu in his voice."
Alright, we've got this patient in your hands.You two can go and deal with the wounded in the hallway. ”The two doctors on duty were immediately relieved, they had already screened the injured in the corridor once, and the rest was to stitch up and open the inspection list step by step.Director Zhang instructed Dr.
Liu to open an X-ray examination form, and he and Dr.
Yang worked together to carefully carry the patient to the flat car like a rare treasure.Chen Wenqiang walked quickly behind the flat car pushed by Li Min, and they were going to push the patient to the ultrasound room.The female doctor in the ultrasound room was in her early forties, her dyed hair was permed with tiny curls, and small pieces of white tape were attached to her ears.Li Min knew that it was Wang Buliu.She painted exaggerated red lips and stepped on high wedges half the length of adult shoes.These shoes are said to be good for weight loss.The attitude was super vicious, looking at Li Min's eyes, which made Li Min fight a cold war with excitement.She only let Director Chen go in to see the B-ultrasound examination.Like a fly, he blasted Li Min to the door and guarded it.Li Min looked at the door that closed with a "bump" in front of her, and gave her a sentence in her heart, "The old witch who is pregnant for five months".Bow your head and fill out the medical record.About ten minutes later, Chen Wenqiang opened the door and "notified the operating room to prepare for splenectomy." ”Li Minru's spinning top, which was full of clockwork, immediately began to spin at high speed.She squeezed into the ultrasound room and grabbed the phone before the curly-haired lady came to catch her."
Operating room?
I'm a trauma surgeon.Director Chen immediately took someone to have a ruptured spleen. ”......
"Yes, a surgical kit for exploratory laparotomy." ”......
"Yes, push the patient over now." ”The female doctor was very angry but couldn't grab the phone, so she could only stare at Li Min and dial the number again."
Blood bank?
I'm a trauma surgeon. ”......
"Yes, it's the list of blood crosses I sent, and I asked for blood." ”......
"Well, okay, excuse me."
Thank you very much. ”"Trauma surgery?
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Director Liang is not there?
”......
"Yes, it's me, he's going to the clinic?"
Okay, I know.Thank you. ”"Outpatient?
I'm a trauma surgeon.Please send someone to the emergency department immediately to find Director Liang of the Department of Trauma Surgery.He was told to go to the operating room immediately for emergency surgery, which was an exploratory laparotomy. ”Whether it is to notify the operating room, or to notify the blood station and Director Liang, it is an urgent and necessary matter.Li Min finished the phone call unhurriedly, turned around and went to chase the flat car that pushed out the door.As for the face of the curly-haired female doctor, it was not in her consideration.What's wrong?
Did I recruit her and provoke her?
Li Min's heart was full of unhappiness."
Xiao Li, that Doctor Fang is like that, the young girl is beautiful, she will definitely show her face first.The next time you see her, you have to call her Sister Fang first, and you have to praise her for being beautiful.Our clinical departments can't afford to provoke these auxiliary departments. ”Li Min looked sideways at Director Chen, "The director is afraid of her?"
”"I'm not afraid of her.It's just too lazy to take care of her.You think she's sick with her heart. ”Director Chen sneered, a little weak-hearted."
Hmm.Thank you, Director. ”The speed of the elevator was a little slow, and Li Min stared at the beating red letters and bit her lip."
These are all imps who can't be provoked, and the director of the B-ultrasound room is still good, and his skills are also exquisite.We are unlucky to meet her on duty today. ”"yes.Otherwise, I can go in and see the spleen under the ultrasound. ”Li Min's displeasure was obvious."
I asked her to print three photos.Oh, you can look back carefully, if there is something you don't understand, take this and ask the director of the ultrasound room, he will explain it to you very clearly. ”Chen Wenqiang took out three paper prints from his pocket, each about 10×10.Li Min's depression immediately turned into a cloud of smoke, and he said to Chen Wenqiang with a smile: "Thank you, director." ”The woman who accompanied them in the cart praised Li Min: "Doctor Li is so beautiful when he smiles." ”Li Min sneered at her, and said slightly, "I'm not pretty." ”The elevator worker looked Li Min up and down, "Director Chen, is this the female doctor of your department?"
”"Yes, the trauma surgeon has entered the female doctor, don't you know?""
You know, isn't this just for the Master?!
That, that, Dr.
Li, you said you were a doctor!
I just hate those nurses squeezing elevators back and forth. ”"Well, it's fine."
The hats of doctors and nurses are different, so you can't tell the difference.Director Zhang, who had just been promoted to the medical department, waited anxiously at the door of the operating room with the bald old director of the medical department who was about to retire."
Director Chen, does this patient have to be operated?"
Chen Wenqiang coldly handed over the B-ultrasound list in his hand, "You are also from a clinical background, can you see if you can be treated conservatively?"
”Director Zhang took a look at the conclusion, and immediately said, "Director Chen, I either doubt your clinical judgment, or just ask as usual." ”"Hmm.Dr.
Li gave the consent form to the director and the director for signature.You go in first to get shabu-shabu. ”Li Min immediately held the prepared documents, and Director Zhang and the two signed at the designated position, and she stepped forward to ring the doorbell."
Then, Director, I'll go in first."
Li Min greeted Chen Wenqiang and entered the operating room through another passage.※※※※※※※※※※※※※※※※※※※※ in an emergency department, when the patient's family member is required to sign but no family member is present, the medical department will sign on behalf of the patient.This is the practice of 90 years.() The distance is a bit far