EFB Chapter 110 Request!
Chapter 110 Request!
Chapter 110 Request!
The emergency room has absolutely nothing to do with tidiness!
There are several patients here right now, the beds are a mess, the operating table is a mess, and the staff in white coats are standing in a mess.
The sound was also chaotic.
When Peng Jingye called out that he had arrived, someone from the internal medicine team shouted even louder, "Continue with the nephrotic index drug!"
"Keep chest compressions going!~"
"The people and things around you are none of your business!"
Guo Ziyuan rinsed the bloodstains off his hands briefly, then turned around and reported: "I am Guo Ziyuan from the control room. I just happened to be passing by and saw that the patient was bleeding profusely from the femoral artery, so I took emergency measures."
"This is Dr. Peng Jingye from our emergency department, and also the doctor on duty today."
"The patient hadn't even entered the emergency room yet; this was considered an emergency evacuation."
"Professor Peng has arrived, and the patient has been taken to the emergency room. You can take over from him now."
"I can come over and sign if needed."
Guo Ziyuan didn't know the patient's condition, nor did he need to know.
He only intervened because he saw that the patient had bleeding from the femoral artery, and the attending physician was unable to handle Cao Qiongshan and was unable to free his hands. The patient was in a state where no one could take care of him and he was about to die.
Every word Guo Ziyuan uttered was an explanation, a rationale for his actions in accordance with the rules of medical procedures.
The man in green was stunned by what he had just heard, staring at Guo Ziyuan in disbelief as he tried to process the meaning behind his words.
Peng Jingye quickly stepped closer, saying, "Xiao Guo, don't go!"
"Since we're already here, why rush to leave?"
Peng Jingye called out as he approached the emergency bed.
The nurse hurriedly reported the data: "Blood pressure 85, heart rate 135! No hematoma or foreign object in the throat, airway is clear, breathing is rapid."
"Immediately establish intravenous access, establish dual access, and rapidly replenish colloid and crystalloid."
"Quickly get an electrocardiogram, make phone calls, and request consultations from cardiology, trauma surgery, and general surgery."
"The airway is clear, increase the oxygen concentration a bit more."
"Prepare for intravenous infusion of the renal vein!~"
Peng Jingye first gave the doctor's orders, and then asked the transporting doctor, "What's the patient's condition?"
"He had a wound in his lower right abdomen. When we saw him, he had already lost a lot of blood."
"We provided emergency treatment, starting intravenous infusion in the vehicle and establishing a single intravenous access."
"We've replenished 1,000 milliliters of fluid!" The 120 ambulance transport doctor quickly handed over the case to Peng Jingye.
"Draw electrolytes, liver and kidney function tests, pre-transfusion panel (four tests), and creatinine."
"Wu Xianliang—" Peng Jingye subconsciously gave the order, but Wu Xianliang was currently helping Cao Qiongshan treat the patient on the next emergency bed.
Guo Ziyuan then said, "Professor Peng, then I'll go write the doctor's prescription."
Peng Jingye cannot simply walk away. This patient with massive arterial bleeding is currently in a pre-shock state and must be attended to by someone.
There weren't that many patients in the emergency room at Yilan Central Hospital.
Therefore, the surgical department does not have a sufficient number of on-call doctors.
"Aren't you leaving yet!"
"Go check on Cao Qiongshan, I'll find someone else." Peng Jingye decisively left Guo Ziyuan behind.
Guo Ziyuan's abilities are very useful, but he himself doesn't want to cause trouble or add to the department's burdens, so he has been hiding in the control room.
Peng Jingye could understand, but he didn't support Guo Ziyuan's choice and actions.
Guo Ziyuan has already been admitted to the emergency room, so we certainly can't let him leave immediately. We have to wait until the current emergency treatment is over.
Guo Ziyuan had no choice but to obey orders and head towards Cao Qiongshan's bed.
However, Cao Qiongshan had almost finished the tracheotomy, and after the patient was ventilated, the blood oxygen level gradually increased.
This patient has respiratory dysfunction caused by laryngeal edema, and there is no obvious external injury!
There were no injuries to his limbs orthopedics, which is not Guo Ziyuan's comfort zone.
Guo Ziyuan stood at attention, waiting for help.
Cao Qiongshan glanced at Guo Ziyuan, and seeing that Guo Ziyuan didn't seem inclined to speak, he said, "Wu Xianliang, take the patient to the CT room!"
"If there's nothing unusual after the chest and abdominal CT scans, I'll contact the ICU immediately."
Wu Xianliang immediately took the patient to the examination room with a nurse!
When the patient first entered the emergency room, his lips were cyanotic and he was breathing rapidly, which was clearly due to airway obstruction.
In such cases, if it is necessary to make a clear diagnosis for the patient immediately, it is better not to attempt resuscitation.
Cao Qiongshan then walked over to Guo Ziyuan, his voice confident: "Your operation just now was very skillful, Dr. Guo."
Femoral artery injury can be fatal!
Cao Qiongshan certainly had experience in treating such patients, but he knew that his speed and precision were far inferior to Guo Ziyuan's.
Of course, Cao Qiongshan didn't ask why.
Guo Ziyuan explained that he only performs basic procedures, including hemostasis, which is something he excels at.
Guo Ziyuan didn't practice actual surgery, but he mastered the most basic skills to a level that is unimaginable to ordinary people!
Guo Ziyuan calmly replied, "It's just manual pressure hemostasis and instrument hemostasis, basic procedures for surgeons."
Guo Ziyuan in his previous life knew how to handle this, but he certainly wouldn't have done it as well as he does now.
Even Guo Ziyuan in his previous life could reverse it!
It's not some ingenious or magical technology; it just saves a lot of time.
"Basic operations are basic operations, but being able to complete them effectively in ten seconds is a true mastery of basic skills!"
Cao Qiongshan added another compliment, then asked, "Professor Peng, how is the patient's condition?"
"Requesting blood transfusion and fluid replacement."
"The chest and abdomen are in good condition. It should be a simple right lower abdominal injury without damage to internal organs."
"Once the patient's vital signs stabilize a bit more, we still need to send them to the CT scan room!"
As Peng Jingye replied, he glanced at the angle at which Guo Ziyuan inserted the hemostat into the femoral artery sheath and clicked his tongue in amazement: "That angle is really tricky."
"High skill breeds boldness."
Guo Ziyuan said, "Teacher Peng, in order to save time, we have to give up some of the operating steps."
"If the patient's condition is not so extreme, we should definitely follow the steps."
"The standard procedure is to apply pressure to stop the bleeding, make an incision to expose the area, and then use instruments to clamp and stop the bleeding under direct vision."
Peng Jingye raised his hand: "Alright, alright, that's enough, brother, you're my older brother."
"I know you are Xiao Guo, a sensible Xiao Guo, and a Xiao Guo who doesn't want to cause trouble."
"I know everything, don't explain anymore—"
"If you can take action, you won't need to explain yourself anymore, okay?" Peng Jingye was exasperated.
Was he questioning Guo Ziyuan about why he did that? He was simply sincerely praising Guo Ziyuan for doing a good job.
However, Peng Jingye could understand Guo Ziyuan's perspective: "We are Yilan Central Hospital, where we only focus on results and don't dwell on the process and theories."
"Of course, rules are rules, but actually, there aren't that many tall people here, nor are there as many as in your previous hospital."
"We'll do our best, and the rest is up to fate!"
"It won't be that demanding."
Guo Ziyuan nodded: "Okay, thank you, Teacher Peng."
Peng Jingye's words were meant for Guo Ziyuan, but they were also meant for the nurses.
Listen carefully, from now on, all actions taken by Guo Ziyuan will be considered as authorized by me, so please don't make things difficult for him.
This guy is a master at avoiding trouble!
The direct causes of death for surgical patients are almost always shock or multiple organ failure; only occasionally is there a risk of sudden death due to arrhythmia, heart failure, or myocardial infarction.
Therefore, most trauma patients have normal cardiopulmonary function. As long as the key issue of blood loss is resolved, their chances of survival are very high.
However, if the blood loss cannot be treated, the chances of survival are very high!
It's not something that can be reversed by simply using a bunch of random medications.
When the patient returned from the CT room, doctors from various departments arrived one after another. They began to conduct various examinations of the patient based on their own specialties and wrote down their consultation opinions.
This consultation is to determine which department should take over the patient's care.
The mission of the emergency room is to save patients' lives and give them the opportunity to receive treatment!
The patient treated by Cao Qiongshan was taken away by the ENT department.
The patients treated by Guo Ziyuan were taken to the emergency operating room by both the general surgery and orthopedics departments.
The emergency room's responsibility procedures for patients have now come to an end.
After Peng Jingye and Cao Qiongshan each wrote their names on the patient's written notes and medical records, they sent the patient's simple medical records into the operating room!
Cao Qiongshan put the pen back in his breast pocket and walked towards Guo Ziyuan: "Xiao Guo, thank you for your hard work."
Guo Ziyuan shook his head: "No, no, Teacher Cao, I just helped out as a favor."
"Even if I weren't here, Teacher Peng would have handled it the same way."
"The subsequent CT scan wasn't anything special!"
Cao Qiongshan's gaze narrowed slightly: "It's good if there are no special cases. I wish we had no patients here every day."
"Who wants to be treated differently?"
"Our fear is that if there's a special case, we might not notice it and treat the patient as if there were no special cases—"
'
Cao Qiongshan's words were very cryptic.
I don't want too many patients to die because of my limited abilities.
When I'm on duty, I feel much more at ease if there's an expert sitting next to me at all times.
In the few years I've worked in the emergency department, I've personally witnessed the passing of hundreds of people.
We don't mind having one more, but we also hope to have one less.
"I can't help it if my abilities are limited, and I didn't want it to be this way myself." Cao Qiongshan's tone suddenly became abrupt.
Upon hearing this, Guo Ziyuan immediately replied, "Doing our best is the limit; we've done our duty to the patient!"
"Brother Cao, it's not that I don't want to help in the emergency room, it's just that I don't have much skill, and it's not a good fit for the emergency department!"
Guo Ziyuan is just a trauma surgeon. He came to the emergency department to hone his skills.
He's not an emergency room doctor, and his theoretical knowledge is no match for Cao Qiongshan and others. Why should he take up a position?!
Debridement and suturing are acceptable!
The requirements for debridement and suturing are not high. With Guo Ziyuan's current skills, patients would be lucky to have debridement and suturing done at any hospital.
Even renowned hospitals like Peking Union Medical College Hospital and West China Hospital in Kyoto wouldn't have the resources to have someone like Guo Ziyuan, who is skilled in debridement, constantly on duty in the operating room.
There's no psychological burden about it.
Cao Qiongshan could understand Guo Ziyuan now: "So that's how it is. I thought..."
Guo Ziyuan responded, "Brother Cao, we're all adults. There's no need for us to wear our incompetence on our sleeves and beg for pity, is there?"
"If I don't know, I just don't know!"
"If you haven't studied it, your participation will be limited —"
"I don't want to become a troublemaker who raises questions but can't solve them."
Cao Qiongshan nodded first, then said, "But actually, Xiao Guo, your current abilities are just right for us in the emergency room."
"Such a strong ability to accurately interpret images and such good ability to clean and stop bleeding can actually benefit many patients."
"That's precisely why Peng Jingye and I wanted you to come and have some fun in the emergency room."
"You don't need to take responsibility; you just need to get a diagnosis from time to time."
Guo Ziyuan didn't come to Yilan Central Hospital; it was simply not meant to be.
Guo Ziyuan is here, and his abilities are such a good match for the emergency room. Under such circumstances, it would be a waste not to make use of him.
"Okay, that works too."
"I won't say anything out of line!"
"Besides, I can't lose the control room either."
"The teachers didn't send me here to the emergency room."
"Brother Cao, you can understand, right? That way I can explain to the teachers later." Guo Ziyuan set his bottom line.
He knows city-level hospitals too well; they don't pursue grand theories, they only seek practical therapeutic effects.
If you can do the work, then do the work for me. Don't give me any empty talk.
If you can perform surgery, then go ahead and do it. If you can write articles, that's fine too. Do your job well, then go back and write slowly.
Guo Ziyuan did not want to become a puppet in the emergency room, without any autonomy.
This really turns into a disguised form of employment, where people treat you like someone who watches videos or operates robots!
Guo Ziyuan prefers to be proactive rather than passive.
"Of course, we will handle this well."
"Actually, Wu Xianliang did the cleaning and debridement work in the operating room!"
"Besides, these patients can just wait, what's the big deal?" Cao Qiongshan said.
"Is that right, Xiao Guo?"
The minor trauma patient in the operating room, after waiting for two hours, was still lively and energetic, yelling and cursing at the doctor.
If a patient in the emergency room is kept in the emergency room for just thirty seconds longer, their family can start preparing for the meal.
"Brother Cao is right, I'll listen to Brother Cao." Guo Ziyuan wouldn't do something hypocritical, and since he had already agreed, he didn't bother to find any more excuses.
Expert-level image reading and hemostasis skills may not be considered top-tier at the Provincial People's Hospital, but they are invaluable at Yichang Central Hospital.
It can serve as a backup plan for emergency treatment.
Perhaps the chief physicians here are also at that level, but they also have their own duties and cannot stay in the emergency room all the time.
There are always blind spots in time, and at these times, Peng Jingye and Cao Qiongshan have to step up and take the lead, just like the director.
If you're going to imitate an adult, you can simply copy them.
To truly be a good adult, one needs to spend the rest of their life playing the role; there are no shortcuts.
You either live with dignity, or you live as humbly as your parents, whom you may have looked down upon, or even more humbly than your parents.
After taking the patient into the operating room, Wu Xianliang returned and asked, "Teacher Peng, Teacher Cao, should I go buy dinner, or should we order together?"
"Just get straight to the point, I'll have someone bring it over." Peng Jingye had just finished signing the papers and completing the medical orders when he came out, all smiles.
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