medical simulator

Zhou Cheng couldn't empathize with the heart of being a parent, but he also saw the shadow of his parents in him.

Zhou Cheng didn't even know if he could do what he did when he had a child in the future.

And in fact, Huang Xiaolong went to inquire about which experts and professors are skilled, this is also human nature, it is an instinctive reaction.

He hurriedly joked: "Brother, you make me feel really embarrassed when you say that."

"You can still choose me after asking around for the last time. My weight is not enough, I'm going to float."

Huang Xiaolong immediately straightened his expression: "My friend is absolutely convinced by you, Dr. Zhou, and it's all right."

"I take it!" He gave a thumbs up.

"My wife and my daughter are still waiting for me outside, so I won't bother you, Dr. Zhou, to rest."

"Okay!" Zhou Cheng nodded, and pushed Huang Xiaolong out with support.

In fact, Zhou Cheng didn't understand what Huang Xiaolong meant, but he could probably guess it. He hoped that he would stop talking so as not to cause secondary harm to her daughter.

But what should be said, Zhou Cheng has already informed.

Just on the way...

"Jingle bell! Jingle bell!"

The general hospital duty phone in Zhou Cheng's pocket rang loudly.

"Sorry, call for consultation." Zhou Cheng explained to Huang Xiaolong.

Then the voice was immediately serious, no longer the joke before: "Hello, orthopedics."

"Well, okay, the emergency surgery clinic, right? I'll be right over." Zhou Cheng ran away, leaving Huang Xiaolong staring at him.

But after squinting his eyes, Huang Xiaolong could only call his wife and ask him to pick him up.

This is not the kind of wheelchair that is easy to control, he is afraid that he will hit the wall.

If it was before, Huang Xiaolong definitely thought that Zhou Cheng was deliberately arrogant, what an emergency, and ran away without saying hello.

But when he came to the emergency department, he realized that some people's running away is not necessarily fake.

Zhou Cheng ran directly to the emergency surgery clinic, and after entering, he asked, "Which teacher here invited the orthopedic emergency consultation, and where is the patient?"

Hear the voice!

A white coat without a badge also came up and asked, "Is it the orthopedic teacher? The traumatized patient just now has been sent to the emergency room."

"I'll take you there."

As he spoke, he opened the way forward and said briefly; "The patient was injured in a car accident. He suffered a degloving injury at the knee joint of his right lower extremity. There was a lot of bleeding, and he also had head trauma and chest trauma."

"The relevant departments have been called for emergency consultation, and the patient is currently in a coma."

"The amount of bleeding on the leg was very large. My teacher was afraid that the patient would go into shock due to blood loss, so he invited the orthopedic department for consultation to see if emergency surgery was needed."

Zhou Cheng frowned when he heard the word "car accident injury".

Traffic accident injury is a very broad pronoun, it can be big or small, it can be disabled or dead, and it is the most dangerous cause of emergency surgery.

none of them.

In light terms, there are soft tissue contusions, avulsion fractures, ligament injuries, backbone fractures, mutilation injuries, and even cardiac arrest directly on the way to rescue.

"Has the patient had a head CT scan, how is his consciousness and vital signs?"

"What about the CT of the abdomen and the CT of the chest?"

Zhou Cheng asked three questions in a row, but in fact there was only one question, how is the patient's vital signs?

This person doesn't have a badge, either he just entered the department's regular training, or he just came here for advanced studies, so he didn't have time to make a badge!

But judging by his age, it is estimated that the possibility of regular training is more likely.

The badges for professional graduate students are generally communicated by the graduate department and the hospital.

A batch will be made directly in advance.

"Deep coma!"

"It's been about an hour and a half since the injury. The doctor who followed the car at 120 performed a simple bandage to stop the bleeding. At present, the dressing is oozing a lot."

"Head CT and thoracic and abdominal CT have been done, and the teachers of Shenwai, general surgery, and chest surgery are all reading the films. I don't know the specific situation."

"But it's definitely not okay to bleed like this now!" The white coat without a badge spoke very fast, and his thinking was clear at such a fast speaking speed.

The medical history is very detailed.

Zhou Cheng soon saw the patient. The patient's right knee joint was obviously swollen and covered with a lot of gauze and cotton pads.

After the bandage was applied, there was still a lot of oozing to the surface, the amount of bleeding was very large, and it must be active bleeding.

If you continue to let it go, you will definitely go into hemorrhagic shock.

Zhou Cheng made a judgment immediately and said: "The current situation requires immediate emergency surgery, but the patient may not even be able to go to the operating table now!"

"The status of the head and thoracoabdominal trauma is unclear."

"Did people from the Department of Surgery and General Surgery come to see it? Do you have any other opinions? I'm from the Department of Orthopedics."

Zhou Cheng introduced his identity at the end, and first talked about the treatment, just to point out the key point that surgery is necessary.

"We called the emergency department to see the external surgery and the chest surgery, and they all said that the operation should be done immediately. However, the general surgery department saw the CT and said that the situation is good for the time being. There is no active bleeding, but there is contusion of the spleen. There is a high probability of delayed rupture of the spleen at any time."

"People outside of the mind and chest also suggested immediate surgery."

"But they are afraid that when they perform the operation, people will bleed to death."

"It's just that, the patient was hit by three places at the same time, and people may not be able to recover!" The doctor who was working with Zhou Cheng before replied.

The words are also on point, without any nonsense.

This should also be an undergraduate doctor who came to the emergency department.

This situation seems to be a dead end.

"What is the opinion of the family members?" Zhou Chengcheng asked.

In this situation where there is no way to choose, only family members can choose.

The dark circles under the eyes of the doctor in charge are in stark contrast to the white coat!

At this moment, he said helplessly: "The family members haven't come yet, and the driver who caused the accident has fled."

"Even the money for doing CT is paid for by the chief on duty who asks for instructions."

no family.

No money.

The patient will die immediately.

This is an unsolvable problem that emergency departments face all the time.

At this moment, the staff from the supernatural and thoracic surgery department hurried over almost at the same time, and said at the same time: "The patient needs emergency surgery immediately, family members? Call one family member to pay the money, and one family member to sign!"

"Immediately call for emergency surgery and ask someone to complete the medical records." The person who spoke was the boss of the neurosurgery department, but it was not Zhuo Zhigang who met yesterday.

There are a total of three wards in neurosurgery, and there are three general hospitalizations!On his badge, the name written is Xue Huan.

The head of the thoracic surgery department is still Chu Lin, and the inpatients of the thoracic surgery department are on duty every month.Zhou Cheng had seen him before, so he was probably called to see this patient.

4 Chapter Twenty

Xue Huan, the boss of Neurosurgery, said blankly: "He has massive subdural hematoma now!"

"Surgery must be performed immediately, otherwise brain death may occur on the spot!"

Brain death, there are only two situations!

One is a complete physiological death, and the other is a vegetative state.

"No family members, no payment! Do you want to call the general on-duty authorization?" The doctor in charge also asked directly.

"Hit! Tell the person who sent him to contact his family as soon as possible."

"I can't delay."

"At least no matter what, the head window should be decompressed."

"Contact the Department of Anesthesiology and the ICU, and prepare for anesthesia and tracheostomy at any time." The general inpatient of neurosurgery just gave his own advice.

"Where is the medical record? I'll write a consultation opinion first."

……

The doctor without a badge in the emergency department finished the phone call: "The chief on duty has been authorized, you go back to the operating room first!"

"I will send the patient up here immediately. The first four items of blood transfusion and the blood type of the patient have been taken as soon as they arrive. The blood coagulation function is meaningless at present, and it may take a while. Let's catch up during the operation."

"I just need to trouble you to arrange someone to contact the blood bank to prepare blood."

"I'm really busy here."

Hearing this, only Xue Huan, who had finished writing his opinion, hurried back!

Neither Zhou Cheng nor Chu Lin from the thoracic surgery department moved.

Just stare at that medical record book!

Write your own opinion without rushing.

To help is to help, and I have to finish my task.

For emergency consultation, there is no consultation opinion, and finally there is accountability, not Zhou Cheng and Chu Lin's hypocrisy, this is the hospital's regulation.

If the emergency department is too busy, call someone.

Their specialist doctors also need to talk and sign.

Seeing this, the doctor in charge could only helplessly say, "Forget it, this classmate, you can call the blood bank for help. They said that the emergency department needs a lot of blood! Then contact the anesthesiology department for an emergency consultation!"

Wang Huan was pointed at like this.

Wang Huan was a little stunned, and looked at his teacher Zhou Cheng.

As he said that, he ran out quickly and contacted the kind person who brought the patient.

But when he goes out!

The good man is gone.

That person sent the patient to the hospital, it was his kindness.

You can't ask him to pay the money either.

He didn't scold anything, and quickly returned to the computer again to quickly open the doctor's order and write various signed materials for the conversation...

After Chu Lin finished writing his opinion, he immediately handed the medical record to Zhou Cheng and said, "Brother Cheng, we meet again!"

"Why are you two brothers working together, it seems a bit lucky."

In medical institutions, the first-diagnosis responsibility system and the consultation system are both core systems.

Among them, the responsibility for the first diagnosis is to avoid prevarication of patients running here and there.

The essence of the consultation system is actually to cooperate in the diagnosis and treatment of diseases!

Hand over specialized issues to specialized doctors.

There is nothing wrong with this patient needing emergency surgery!

However, if Zhou Cheng and Chu Lin did not write the consultation records, once there are no consultation records and opinions except for any problems related to the department.

No matter how perfect you are on the operating table, no matter how hard and tiring you are, if you make a mistake in the first step, it is all fake and you are fully responsible!

If the program goes wrong, it will be troublesome.

Basically, people who go to the clinic regularly will not make mistakes, but it does not rule out encountering some newcomers and top experts.

Or people who are not familiar with the core system are often taken over in this way.

For example, who of them called just now.

Then something went wrong with the patient.

At the least, they will be fined for talking, and at worst, their qualifications to practice medicine will be revoked.