There was nothing to do all night, just when Li Min, who got up early, went to the eleventh floor to make an early round, was looking at the admission list, and was rejoicing with the nurse on duty for the peace that had not been seen for many years, the phones on the twelfth and eleventh floors rang one after another.The piercing ringing of the bell in the quiet early hours of the morning somehow made Li Min, who was talking to the nurse, feel creepy.She preempted the nurse and grabbed the microphone."
Hey, look for Li Min."
Dr.
Liu's voice was hurried and flustered."
Doctor Liu, I am."
Li Min was so led by him that he was about to speak."
I just called the twelfth floor and didn't find you.You call Director Li to come over to the outpatient clinic quickly.The clinic sent a couple of food poisoning cases.Don't scare him.You bring an old nurse here. ”The food poisoning is called surgery, and he said don't scare Director Li, this is obviously a big deal.But Director Li is going to go to the emergency department to be the director after retirement, which is already a certainty.Just wait for his retirement time to come, and then change to the emergency room.As for not scaring Director Li, he was afraid that he would fall in a hurry on the way to the emergency room.I don't know if it's the "lack of morality", and I always like to pee at the turn of the emergency room.The security guards caught me many times but didn't catch anyone.Quite a few people have slipped over that place."
Okay, okay, I'll call him."
Li Min hurriedly agreed.But he immediately dialed the phone and said to Nuan: "You know about the emergency, right?"
You go to Director Li and say that there is an emergency.Don't talk about poisoning.Just said I called. ”Wen Wen understood what Li Min meant, and immediately replied to her: "I understand." ”Putting down the phone, he went to knock on the door outside Director Li's office.Li Min put down the phone and said to the nurse on duty on the eleventh floor: "Xiao Wang, you go with me to the emergency department to participate in the rescue." ”Xiao Wang had heard Dr.
Liu's shout just now next to Li Min, and she immediately said, "Yes." ”"Director Li, Director Li, have you gotten up?""
What's the matter?"
The muffled voice obviously means that the person has not woken up or gotten up."
Dr.
Li called you to go to the outpatient clinic and said that there was an emergency."
Warmth tries hard to keep the sound steady.But this little trick can't be fooled in front of Director Li.Doctor Liu is on duty, and Li Min has to look for himself in the past, so it must be a big deal."
Okay, I'll go over right away, you call me a medical elevator first.""
Okay."
Director Li slept soundly this night, and after he was warmly woken up, he still went to the bathroom first.When he returned, the medical elevator also stopped on the 12th floor and waited for him.* Li Min sped up her pace as soon as she got out of the elevator, and the speed at which she walked was not much worse than running.Xiao Wang, who came with her, trotted behind her and chased after her, panting.Xiao Wang didn't understand, how could Li Min, who was wearing high leather boots, walk so fast, wasn't she afraid of broken feet?
Why didn't she stumble?"
Doctor Liu, Doctor Liu."
Li Min shouted at Dr.
Liu when he entered the emergency room.This is the fastest way to find Dr.
Liu.Dr.
Liu yelled without looking back: "Dr.
Li, hurry up and come over for tracheal intubation." ”Doctor Liu's roar came from the large observation room in the emergency room.Li Min went in and saw that there were people on the four observation beds, and there was a female patient lying on each bed, and there was no moaning/moaning quietly.But Li Min glanced at it and found that there was white saliva at the corners of the mouths of the two of them, and the slightly closed eyes could see the trembling eyeballs under the upper eyelids."
Is there a vomiting induce?
No gastric lavage?
Dialysis or not?
What is the poison?
Dr.
Dou?
”Li Min went to the disposal car to find gloves to wear.She rudely tore open the paper envelope and asked Dr.
Dou a series of questions aloud while putting on gloves."
The patient had vomited up the contents of his stomach before he came to the hospital.I just lavaged my stomach and notified the dialysis room.They're already starting the dialysis machine. ”Dr.
Dou is also busy, and he also has a patient who is preparing for endotracheal intubation.Doctor Liu shouted at him: "Old Dou, you let Xiao Li do the intubation, you go to disinfect the next one, and the two of you cooperate faster." ”"Okay, Dr.
Li, come over here."
The patient on Dr.
Dou's side had already laid out a small hole towel.Li Min hurriedly followed Dr.
Liu's instructions and walked to the patient who had finished Dr.
Dou's disinfection.She reached out and touched the front of the woman's neck, and then grabbed the open tracheostomy bag and began to work: along the midline of the neck, the patient was padded under the neck and the head was tilted back to inject anesthetic.She was followed by a student who had already practiced surgery in the first half of the year.When he saw Li Minxuan's position, he asked, "Teacher Li, is this too high?"
”"She's not tall, she's tall, her neck is longer than the average woman, and my index finger is on the thin side.Although the lower edge of the thyroid cartilage is required to be raised about a finger above the sternal notch, we need to feel the position of the cartilage ring before local anesthesia. ”Li Min spoke, but the movements in his hands were not affected at all, and he had already cut the skin and subcutaneous tissues, found blood vessels in the fat tissue of the neck of this fat woman, and lied them one by one, and quickly began to explore the tracheal isthmus.By the time the intern finished cutting the stitches, she had already exposed the tracheal ring.When Dr.
Dou finished disinfecting the last patient, he looked back to see how Li Min was doing, and saw that Li Min had already picked open the hose ring with a knife, threw down the sharp knife and grabbed the endotracheal intubation cannula.It's so fast!
At this time, I should still be separating the subcutaneous tissue.Sure enough, it lives up to its name."
Suctifier."
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Li Min shouted.The nurse in the emergency room quickly moved the suction device over.In the buzz, Dr.
Liu sighed: "This is much better than those in the operating room." ”"There's one last one of them, which of you two will do it."
Seeing that Dr.
Liu and Li Min were busy, Dr.
Dou immediately greeted.Dr.
Liu said while changing his gloves: "Together."
Dr.
Li, change your gloves. ”Director Li was already standing at the door, and he saw that Dr.
Dou was directing the rescue, and Dr.
Liu, Li Min and a dozen or so nurses were very cooperative, so he quietly watched without saying a word.Xiao Wang, who had just come over beside him, was sleepy-eyed, as if he had not fully woken up from his sleep, and looked at the four endotracheal intubated patients in front of him in a bit of a daze.Because he should be in the emergency room.But seeing that he was like that, he was going to go to the cat's sleep, so that he missed the emergency rescue, which caused Dr.
Liu to call the ward to find someone.Within minutes, all four patients had fluid access and endotracheal intubation.Dr.
Dou kept instructing the four people to administer medicine.…… A small nurse in the emergency room rushed in and said, "The phone from the dialysis unit says it's time to drop the patient." ”* Two flat carts followed.Dr.
Liu and Dr.
Dou were ready to "hold the ball" and follow the car to the dialysis room.Director Li stopped and said, "Suction the phlegm first, your patient's breathing sound is wrong." ”After another rush, the other two patients were also lifted onto the flat car.Dr.
Liu said, "Director Li, you can take a look here first."
Dr.
Li and Dr.
Wang, both of you go with the car. ”Dr.
Dou saw that Dr.
Liu's envoys were all surgeons to follow, and Director Li was in charge of the emergency department, so after suctioning sputum on the patient, he called the nurse and then pushed the patient he was responsible for.The dialysis room is brightly lit.Due to the installation of a lot of dialysis machines in the new building of the Department of Internal Medicine, the original three rounds of dialysis per day in the inpatient building here have already been changed to one round, so it has always been on the machine at 8:30 every day.But now, because the emergency department suddenly came to the plane at 6 o'clock, the nurses who came were all living in the single dormitory.Li Min was surprised to see that Gu Lihua was also among them, she was actually directing the transfer of two little nurses, and the three of them were busy without touching their feet."
Dr.
Dou, these patients all need femoral venous puncture.Also, the nephrology doctor didn't come, so you have to stay and help. ”Gu Lihua hurriedly asked Dr.
Dou, who had finished moving the patient and had not yet straightened his waist."
You didn't call Director Tan?"
Dr.
Dou didn't want to stay in the dialysis room, one was that he was not familiar with dialysis, and the other was that he was the only one on duty in the morning of the emergency department.Gu Lihua replied with emotion: "The dormitory administrator called us, and we came over."
How do you know how your emergency room is arranged?
”Doctor Dou can't do it, these four patients can't just be handed over to these three nurses.He immediately shouted, "Doctor Li, you come to do femoral venipuncture."
Dr.
Liu, please help call Professor Tan and ask him to come and see the patient quickly. ”"Okay.""
Okay."
Li Min and Dr.
Liu immediately agreed loudly one after another, and began to move according to Dr.
Dou's instructions.As soon as Li Min finished a femoral vein puncture, Dr.
Liu came back and said, "Director Tan said he would come over immediately."
Two more poisoned ones were sent from the emergency room.Xiao Wang, you go back with me first.Dr.
Li, you can go back in a while. ”"Yes."
Li Min agreed, and quickly fixed the puncture tube.Seeing that the little nurse took over the pipeline for the patient to start dialysis, she hurried over to Gu Lihua's side.Gu Lihua has just done a femoral vein puncture, and the patient has been disposed of on the machine.The rest of the fat woman who was sterilizing happened to be the one who was intubated by Li Mincai."
I'll do it."
Li Min looked at the patient's exposed big thick legs, and was very worried that Gu Lihua would not be able to do the puncture smoothly."
Thank you."
Gu Lihua thanked in a low voice, and immediately took a big step back to make way of position.The patients she usually does are blood vessels with fistula, indwelling cannula, or thin, and it is easier to find the femoral artery.It's a little more difficult, and there is head nurse Ji watching and backing her up.She left Dr.
Dou in the dialysis room because she was worried that these female patients would not be able to do femoral venous puncture.Dr.
Dou's progress didn't go well.He has not done a few cases of femoral venous puncture, so he is naturally not as good as Gu Lihua, a "newcomer" who has been immersed in the dialysis room every day for the past six months.However, the two that were difficult to pierce, they invariably chose to leave it to Li Min.The rest of the four is the hardest of the four."
Dr.
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Li, how's it going?"
After Dr.
Dou finished the one in his hand, he asked Li Min."
That's it."
Dark red blood poured into a translucent plastic tube more than ten centimeters long.The waiting nurse immediately connected the dialysis tubing, and the last patient was successfully on the machine.Gu Lihua silently took two steps and reached out to help Li Min fix the puncture tube with adhesive tape.The patient is not sure about himself, and it is very likely that the puncture will fail.But when she saw Li Min's successful piercing, she immediately knew where the gap between her and Li Min was.- Li Min's fingers are stronger than his own, and he can quickly find the femoral artery; She is also very accurate in her judgment of the depth of the femoral vein under the skin.Just by looking at how much she pressed down the patient's firm, tight skin, it was not something that the three fingers of her left hand could do.At the same time that Li Min was pressing the femoral artery, she kept subconsciously using the fingers of her left hand to follow Li Min's movements."
Thank you, Dr.
Li."
Gu Lihua's thanks were very sincere."
You're welcome.If you encounter such a patient again, you can find the femoral artery with a little effort. ”Li Min took off his gloves and threw them on the disposal car, stretching out the fingers of his left hand, the discomfort caused by excessive exertion."
Uh-huh."
Gu Lihua nodded again and again.Li Min saw that he couldn't intervene or help with the rest of the work in the dialysis room, so he turned to Dr.
Dou and said, "Dr.
Dou, I'll go back to the emergency room first." ”"Okay.Excuse me, please and Director Li for helping.After a while, Director Tan will come, and I will go back. ”"You're welcome."
Li Min smiled and left the treatment room and walked towards the emergency room.Behind her, Dr.
Dou was instructing Gu Lihua: "Open two more dialysis machines and get ready." ”*If the same food poisoning occurs, the later the patient arrives, the more serious it will be.Li Min took Xiao Wang and hurriedly walked back, but fortunately, Dr.
Liu and Xiao Wang pushed the remaining two flat cars back.Otherwise, she and Xiao Wang would have to push the cart, and the speed would not be faster.Li Min rushed to the emergency room, and sure enough, it was just as she expected.Both patients entered a coma, with Director Li in charge, and opened fluid access, gastric lavage, and tracheal intubation......
The preliminary work of the emergency room has been completed, and I am waiting for a call from the dialysis unit to send someone over."
Doctor Li, you have to follow in a while."
Dr.
Liu said Li Min."
You're going to go over and do a femoral vein puncture, and you can't count on the dialysis room.""
Who's in the dialysis room?"
Director Li asked."
The little Gu from the hospital office is presiding."
Doctor Liu glanced at Qin Zhang, who had just come over, and said."
She's not bad, it's only been half a year, and the patient's puncture just now is quite fast."
Dr.
Liu concealed that the patient was thin and the basic conditions were better.Director Li nodded, and he could connect the patient to the dialysis machine."
Who's that, you call and ask, when can you send these two patients over?"
Director Li pointed to the intern and spoke.The intern said yes and immediately turned around and left, almost bumping into the nurse who came in."
Oops, how are you walking?"
The nurse blamed him and immediately reported to Director Li: "Dr.
Dou said that the patient can be sent over." ”The little intern apologized again and again: "I'm sorry.I wanted to call the dialysis unit, but I didn't notice. ”"Forget it, it's fine."
The little nurse covered her chest with her hands and stepped out."
It's over.Hurry.Director Li, just hold on to the car. ”Dr.
Liu commanded Xiao Wang, Li Min and the interns to carry people together.* The flat car moved forward, and Li Min squeezed the airbag vigorously with both hands according to the rate of breathing.Doctor Liu called Xiao Wang and said, "Xiao Wang, go and change with Dr.
Li."
She's going to have to get a puncture in a while, and her fingers cramp won't work. ”Dr.
Wang came to replace Li Min, and Li Min pushed the patient to follow Dr.
Liu's group and then to the dialysis room.On the way, I met Dr.
Dou who came back from the dialysis room, and Dr.
Dou hurriedly came up to replace Dr.
Liu with the ball.He said as he walked, "Director Tan has arrived at the dialysis unit.Before he came out, he asked his family to call Director Sun, and Director Sun came over immediately. ”This is the best news for this busy morning, and it also makes Dr.
Dou and Dr.
Liu see that there is hope for success in rescuing these people.
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——The arrival of Director Sun of the Department of Clinical Laboratory will help to analyze the poison in the end, and help to determine the next targeted treatment in clinical practice.Much more effective than they take this universal gastric lavage, dialysis, etc.
*Director Sun hurried to the emergency room and was immediately led by the nurse to see Director Li."
Director Li, these people are all on the morning shift in the same unit?""
Yes.It's the bus stop not far from us.They left at half past five, and these people all had breakfast before departure. ”"What did you eat?""
Steamed buns, eggs, and chopped green onion egg soup.It's pretty much the same for the usual morning shift. ”Director Li just chatted with the bus driver and others who sent people over."
Come here."
Director Li greeted the dispatcher at the station.The bus driver was going back after seeing the patient, and she had to stay and wait for news of the treatment."
This is Director Sun of our laboratory department, he has something to ask you.""
Director Sun."
The dispatcher was nervous."
Do you have any breakfast left?""
Yes, the egg soup is still in the cauldron.There are quite a few people who haven't had time to eat, so I'll go back and get it for you.Do you want to bring the steamed buns?
Each person also had a boiled egg, and some people ate it and some people didn't. ”The dispatcher clutched tears on his chest as he spoke, and began to cry."
In the morning, there were several buses on each of the four routes.I don't know who got on the bus after breakfast. ”The important content is in the latter part of this sentence.Director Li was so angry that he couldn't break open the woman's head to see if there was tofu scum inside.Why didn't you just say that?"
Director Sun, the water for gastric lavage is numbered and locked next door.""
Okay, I'll go next door and get a sample.But who will pick up the samples at the bus stop?
”"Go to the police.It is not a trivial matter that so many people have been poisoned.You're busy with yours.I'll take care of this side of the matter. ”Director Li gave an order and went to call.We have to get the police to track down the buses on those four routes.He not only called the nearby police station, but also called Chen Wenqiang to tell him about the matter in detail.As soon as Chen Wenqiang sat down at the dining table, he heard that there were six people who had food poisoning and had already had a tracheotomy and sent to dialysis.You should take care of it first. ”"Director Tan has already arrived at the dialysis room, and the old grandson of the laboratory department has gone over to take samples.""
Hmm.That's good," "I've called the nearby police station and asked them to track down the rest of the buses from this station. ”"Good, you're doing so well.I'll go right over. ”Chen Wenqiang put down the phone and went to grab the down jacket.He walked to the door while getting dressed, and said to Xiao Yin: "You hurry up and call Lao Shu, there is a collective food poisoning incident at that nearby bus station."
At present, there are six people who have been sent to the hospital, all of whom have been gastric lavage, tracheal intubation, and are on dialysis.Let him hurry to the emergency room. ”"Hmm.I'll call right away.You put your hat on, you've been coughing several times this winter. ”"I know."
Chen Wenqiang went downstairs at a speed that did not match his age and sprinted towards the east gate of the hospital.When he arrived at the emergency room, Director Li looked at him like that and said, "How many fell on his heels?"
Rolling such a snowy body. ”"Hey, hey.I didn't fall a few times, and I walked a little hurriedly. ”Chen Wenqiang grinned.Then he asked, "How's it going?"
Can there be follow-up poisoners?
What is poisoning?
”"I haven't sent poisoned anyone for the time being.Lao Sun went to the sample and went back to the laboratory to analyze the gastric lavage.This poisoning is like Qiu's rat poison but not like it.Therefore, Dr.
Dou did not dare to use the antidote treatment against Qiu's rat poison. ”Chen Wenqiang nodded, if it wasn't for Qiu's rat poison poisoning, then the antidote was not only not a special effect, but it would be another "poisoning" to the patient.Director Li clasped his arms together and said, "Steamed buns, boiled eggs, green onion and egg soup."
That's all there is to it for breakfast. ”"Then it's probably egg soup."
Chen Wenqiang and Director Li looked at each other and smiled bitterly.The scallion egg soup poisoned so many people, it is definitely a vicious case.Dean Shu then came over, and after a few questions, he said, "Lao Chen, you hurry up and change your clothes, we have to go to the dialysis side to see the patient."
The emergency department has to be presided over by Director Li, you have to work hard first. ”Director Li nodded and said, "You guys are busy, I'm watching from the emergency department today." ”With Director Li in charge of the emergency department, Dean Shu and Chen Wenqiang were much more relieved.The two hurriedly went back to the office to change into white coats, and then hurried to the dialysis room.
*The dialysis room was brightly lit, and Director Tan took Gu Lihua to inspect the patients back and forth.After Li Min and Dr.
Liu helped to do the puncture just now, they went back with Dr.
Dou and others.They happened to be staggered with the two deans."
Old Tan, how are these people?""
The first four got on the plane twenty minutes early.Later, when I came to the hospital late for a while, it looked like the poisoning was a little deeper.After the completion of dialysis, the liver and kidney function will be tested, and it depends on whether the poison-causing substances can be detected on the grandson's side. ”Dean Shu and Chen Wenqiang accompanied Director Tan around the dialysis room for a while, and Dean Shu said to Chen Wenqiang, "You go back to the shift."
I'm here to watch. ”"Alright, you can be here first.I'll come over after the shift. ”Director Tan said, "Dean Shu, you should also hurry up, I can be here alone in the dialysis room."
After a while, the head nurse Ji and the others all came to work. ”Dean Shu thought that with Director Tan's level, he would be useless here.So he said, "Then it's hard for you, old Tan."
You bother, I'll go to the emergency room and watch.You call the emergency room for something.Even when I leave the emergency room, I will explain where the nurse is going. ”Chen Wenqiang also explained to Director Tan: "These patients were all sent to the ICU after dialysis.I'll make arrangements with the ICU in a moment. ”Director Tan understands the impact of this poisoning incident on the society and the impact of the patient's treatment on the provincial hospital.He nodded again and again to reassure Dean Shu and Chen Wenqiang that he would insist on staying here.The day was bright, and the medical staff at work walked into the provincial hospital one after another.The emergency room is starting to get lively.The well-wishers, who had learned of the poisoning of the patient, dared to gather in the corridor of the emergency room to find out who had poisoned them.() The distance is a bit far