Chapter 63 Conversation
When the fluid is given, you can actually see that at least the blood pressure no longer drops, and the heart rate no longer keeps rising.
Although the patient is not awake, he is still conscious. There is a saying in the emergency room, as long as he can hum. Fortunately, he is the only car accident patient today, otherwise, if there is someone else who has already passed out, Yes, we have to put his priority back.
This is also the reason why doctors and nurses are slowly slowing down. Since they have time, they should do more preparations and have some time to think about it.
Blood tests are indispensable. They should be infused or drawn without any delay.
At this time, don’t ask whether you are fasting or not. In fact, in daily blood tests, some indicators need to be checked on an empty stomach, but most indicators do not require fasting.
In a situation like this, there is no need to worry about those problems. It is more important to grasp the blood test status as soon as possible.
Blood routine, kidney function, liver function, electrolytes, coagulation, infection, blood type...
At this time, everything I can think of is covered. After all, many of them can be done with just one tube of blood. It’s done, it’s too late to mend it, and it’s not appropriate to smoke it anymore.
For this patient, one intravenous access is not enough.
Li Ming quickly gave the doctor's orders, Ringer, omeprazole...
The amount of liquid that you usually can't drink, now you have to put it into your body, because even so, you may not be able to keep up. The amount of liquid you dispense.
“Are the family members here?”
“They are here, they are outside the rescue room.”
Okay, they are here!
Li Ming breathed a sigh of relief, and Wu Xiaofu was no exception. Only when we really face this situation can we know the importance of the patient's family.
It is said that first aid can be carried out by following the procedures, but it is better if nothing happens. If something happens, the trouble will only continue, but no matter how troublesome it is, saving lives is the first priority. Now the family members Now that we are here, it will be much easier.
Li Ming looked at Wu Xiaofu beside him.
"Xiaofu, come with me."
Wu Xiaofu hurriedly followed after hearing the words. The teacher was willing to help. There is no reason why you should not follow. In fact, in the emergency room, everyone It is knowledge, including conversations with family members, especially conversations with critically ill patients. Calm conversations are easy to talk about. In times of crisis, the doctor's level is tested.
“When working in the emergency room, life-saving is the first priority, but besides medical skills, there is another important thing, which is communication between doctors and patients. Unlike other departments, sometimes the family members of the patients we need to communicate with are more important than the patients. There are many types of patients and family members that other departments cannot see in a year, but we may see them all in one day.
How to deal with the relationship with patients and patients' families is a big question. First, we must have. Be confident enough. When the patient comes, the only one the patient's family can trust is us. If you are not calm, how can we convince the patient's family? Also, be calm. No matter what time, you must not lose the calmness that a doctor should have. and judgment."
Wu Xiaofu nodded quickly to express his understanding, and kept all these in mind. Doctors must always maintain humility, and learning is not just a matter of words.
Many family members of the patients came, four or five in total. At this time, they were all stopped outside the emergency room, their necks stretched out, their faces full of anxiety. Some of them were already stunned.
They had just heard from other patients in the lobby that their family members had bowels coming out. How could they not be anxious or worried about this situation.
"Who are Lin x's family members?"
"I, I am his wife, doctor. Just tell me how is my husband? He is fine, right?"
The eager expectation in her eyes could not be concealed no matter what. At this time, she just wanted to hear a positive answer from Li Ming.
“The patient’s condition is very serious. Of course, with our efforts, the situation has stabilized, but there are still many difficulties to overcome. Surgery is inevitable for open abdominal injuries. You are now Don’t worry, please cooperate with us to understand the patient’s condition first, which will help us treat the patient better.”
It’s very serious! Stabilized! Need surgery!
The patient's family members were really in a state of ups and downs, but she knew from Li Ming's words that her husband was not dead and could be saved. This was more important than anything else.
"Doctor, please ask."
"Does the patient have liver disease, kidney disease or other chronic diseases?"
"He has high blood pressure and has been taking medicine. There is moderate fatty liver, but nothing else." Li Ming nodded, asked about antihypertensive medicine, and then continued, "Are there any infectious diseases? "
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"No, absolutely not."
"Are you allergic?"
"No."
"Do you know your blood type?"
"Type A, when donating blood, I get a demerit."
...
This is another benefit of the presence of the patient’s family members. Through the patient’s family members, the doctor can have an intuitive understanding of the patient’s past condition.
The patient will have to enter the operating room soon. He will not be able to get out of the hospital for a while due to the four infections. Once he is sure that there is no infectious disease, his mood will be different.
Wu Xiaofu wrote down the situation in his notebook.
Li Ming introduced the relevant risks and subsequent treatment to the patient's family. After everything was almost done, he explained to Wu Xiaofu.
"Xiaofu, take your family members to sign the consent form, be careful."
Wu Xiaofu brought his family members to the medical office. The signatures now are all electronic, even though Li Ming has already explained it once. But Wu Xiaofu still introduced the blood transfusion consent form, rescue consent form, medication consent form, and critical illness notification form again.
In the emergency room, general surgery, neurosurgery, cardiology, and thoracic surgery are all here.
The electrocardiogram has come out.
CT of the chest and abdomen, and CT of the brain are urgent arrangements. Fortunately, there is no problem with the patient's brain. The focus is on the problem of the chest and abdomen, with blood and fluid in the chest.
With massive abdominal bleeding, splenic rupture, and an open injury, the indications for surgery were already very obvious.
The Thoracic Surgery Department is performing closed chest drainage. Duan Hao has arrived and is communicating with Deputy Director Li Deyang and Li Deyang, who is on duty at the General Surgery Department, about the condition, which is actually to determine the surgical plan.
"Old Duan, you do it and I do it?"
Li Deyang looked at Duan Hao. This operation was not too difficult for either Li Deyang or Duan Hao.
"Come on, there is someone in my department who is seriously ill. He came here in a hurry."
Without waiting for Duan Hao to answer, Li Deyang said again, and Duan Hao immediately glared at him. The two of them had a good relationship. It could be said that they knew everything about him, so he didn't want to accept it.
Emergency is one of the sources of patients for various departments, but compared with outpatients, all departments basically reject emergency patients because they choose outpatients to be hospitalized, while emergency patients They were forced to accept hospitalization.
Moreover, emergency cases usually involve critically ill patients. For the various departments of the First Affiliated Hospital, they have no shortage of patients. When they encounter emergency patients, they will basically not accept them if they can.
Just like the patient in front of him, if Duan Hao doesn't come, he will accept it. But if Duan Hao is here, it will be easier to talk to him. The relationship is good, and Duan Hao has to give him face.
On Sunday, if he is admitted to the general surgery department, he has to shake people. Moreover, for car accident patients, it is okay if there is no dispute, but it will be even more troublesome if there is a dispute.
Duan Hao glanced at Wu Xiaofu and said nothing more.
"Xiao Fu, prepare to have surgery with me. You should make pre-operative preparations first."
The character Li Deyang is already online. This is a contribution from a book friend, and there is another name for the submission. It will be arranged later. If you have a name you want to contribute, you can leave a message on the character page of the book club.
(End of this chapter)