Chapter 34 Emergency Visit
After a day's work, Yang Ping lay on the bed.
"Thank you, Uncle Er will grill fish at six o'clock tomorrow night!" Su Yixuan sent a WeChat message.
Is this a date with me? It's just a matter of helping to reduce the subluxation of the radial head. It's a simple task, so there's no need to treat me so politely.
"Okay!" Yang Ping replied on WeChat.
Since you are so enthusiastic, it is better to be respectful than to obey.
Lying in bed unable to sleep for the time being, Yang Ping opened WeChat, walked around in several groups, and climbed stairs for a while.
In the university group, there are relatively few bubbles, and only a few are more active. They all relied on the green channel and graduated into better tertiary hospitals.
Someone was posting photos of attending an academic conference abroad with the director, with a sign of participation hanging on his chest, taking photos next to international big shots, and then made a slight complaint: It is not easy to be a doctor, and you have to cross the ocean to recharge.
A few words of praise followed here and there.
Then there are links to vote and bargain, interspersed in the group.
He went to bed a little late at night and woke up early in the morning, feeling a little sleep deprived. Yang Ping went to the breakfast shop next to the hospital to eat a bowl of three-fresh rice noodles. It was a little after seven o'clock when he arrived at the hospital.
Resident doctors Zhang Lin and Xiao Wu were already busy, and the computer keyboards kept clicking.
Yang Ping sat down at his desk, and Xiao Wu gave Yang Ping a brief report on the patient conditions of the previous day, including those who were in arrears, those who overpaid for medical insurance, those who were not reported to the hospital in time, etc., a bunch of messy things. .
Director Han's team actually has two teams under him, one with Yang Ping and Xiao Wu, and one with Song Zimo and Zhang Lin. The patients are managed separately, with Zhang Lin in charge of ten beds and Xiao Wu in charge of ten beds.
Zhang Lin said mysteriously while typing on the keyboard: "Something happened to the spine?"
"What happened?" Xiao Wu was curious.
Zhang Lin nodded: "Do you still remember the three-no personnel? Four sons and two daughters came here. Yesterday, they made a fuss in the department and were forcibly driven away by the security guards."
"Didn't he have no relatives? I called his home before. Didn't he say that he had no relatives?" Not only Yang Ping knew, but also the general practitioners knew about this patient. The patient had a burst fracture of the thoracic vertebrae, damage to the spinal cord at the same level, and total paralysis below the navel. .
Zhang Lin gave a weird smile: "Oh, that's because I was afraid of being pressed for money. I was hospitalized for half a year, but no one came. I called them, and they didn't admit that I had this father. It's good now. They all came, and they said they would be treated by good people." Paralysis, you have to pay money.”
"Compensate? There are no personnel, a fall from a height on the construction site, the foreman ran away, a severe spinal fracture with spinal cord injury, spinal cord damage, paralysis everywhere. Spinal cord injury is a problem in the world, free treatment, free escort, free I was given three meals a day and lived there for more than half a year, and now my relatives suddenly show up and I have to pay for it as soon as they come? "Xiao Wu was angry.
Zhang Lin said: "Yes, Director Zhao from the Medical Department went to negotiate yesterday, and the other party made a condition that they would pay 6 million, and if they didn't pay, they would bloodbath the hospital."
"It looks like there's going to be trouble! Be careful these days and be careful when commuting to and from get off work." Zhang Lin said.
"I'm going to buy some knife-proof clothes. Do you want to put the order together? Also please note that your desk should not face the door, be careful of suspicious people when commuting, and try to wear sneakers to work."
"Is it that serious?" Yang Ping whispered.
Zhang Lin said seriously: "You're right, brother. Not long ago, a doctor was stabbed several times by a patient in Nandu Annex 2. He is still in the ICU. Didn't you see anyone in the outpatient emergency department of our hospital during this time?" Are you measuring with the rolled paper? ”
"Didn't you talk about the renovation of the gate?" Yang Ping was a little interested in this question.
Zhang Lin is well-informed: "Reliable news, in the future, only one door will be opened for outpatient and emergency services, and a security check channel will be set up at the door. This is something that Dean Xia personally took care of. Didn't you know? We also need to strengthen security forces and train doctors in self-defense capabilities. The hospital has launched The three new security policies will be notified on the hospital’s intranet soon.”
"How did you know?" Yang Ping didn't know anything.
Zhang Lin said proudly: "Don't ask about this, just know it. I'm just telling you, don't tell others."
Then he told Xiao Wu, Fang Yan and several others the same thing.
It was widely advertised and kept secret.
Shift handover, ward rounds, and surgeries all follow this routine every day.
Yang Ping performed a replantation of a severed finger by himself, and performed several operations with Director Han. The operation was not performed until after five o'clock in the afternoon.
Director Han performs surgeries quickly and well. It feels like he can perform surgeries as quickly as he wants and as slowly as he wants. He is always confident and has everything planned. While chatting in the locker room, Lao Han received a call and hung up and said:
"Xiao Yang, the emergency department just asked for help. There was an accident at a construction site. A worker's leg was trapped inside by a cement block and he couldn't get out. Rescue is now being carried out. It is estimated that the leg will be amputated on site. You take Xiao Wu there. Now go to the entrance of the emergency department. Emergency The car is waiting.”
This kind of thing cannot be delayed. Yang Ping and Xiao Wu hurried to the emergency department. A Mercedes-Benz ambulance was waiting at the door. When the doctor saw Yang Ping, he opened the door immediately: "Dr. Yang, thank you for your hard work!"
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The emergency department had already sent an ambulance to the scene, but now this one was just sent to Yang Ping. The ambulance roared and headed straight to the construction site.
There are people waiting at the entrance of the construction site, and everyone is given a safety helmet. Several people from Yang Ping wore safety helmets and followed the workers leading the way to the site of the accident.
This is a subway tunnel project. If you go underground, you can see the rudimentary tracks, escalators, pillars, etc.
"There was a corner that had not been reinforced and was not allowed to be entered. The worker was so anxious that he hid inside to defecate. As a result, it collapsed. His upper body was dug out, and one of his legs was pinned down by a cement block." The person leading the way was the construction site leader in charge of safety.
Dr. Lu from the emergency department and a nurse were already standing around, intravenous channels were established, and fluids were being replenished. Dr. Lu reported: "The right lower limb is pressed by hundreds of kilograms of cement blocks. It is difficult to rescue. The machine cannot be used and can only be rescued manually. The internal organs in the abdomen are damaged. I just had a color ultrasound. The liver is ruptured and there is probably a hole in the abdominal cavity." Thousand milliliters of fluid accumulation; there is bleeding under the spleen capsule. This bleeding has a tendency to expand. We need to return to the hospital for a laparotomy as soon as possible. ”
The emergency department has a relatively strong foundation. It has all kinds of portable color ultrasound machines, X-ray machines, and electrocardiographs. There are also fully automated biochemical analyzers in large ambulances. Blood can be drawn on site and results can be obtained on site. Since the establishment of the trauma emergency center, these doctors have been trained every three days, so it is not difficult to get a color ultrasound.
A ruptured liver is dangerous enough. There was bleeding under the spleen capsule and it was progressively enlarging. This was an indication for emergency laparotomy. Otherwise, if the bleeding increased, especially if the spleen capsule was broken, it would be fatal on the spot.
The patient is barely awake now, which is due to his good physical condition and timely rehydration.
Quickly rescue the person and send him to the hospital for a caesarean section. Time is very tight and life and death are speeding up.
The patient's face was pale and his expression was painful. The trousers on his right leg had been cut open, and everything from the lower thigh down was pressed inside. Rescuers used a type of pliers to bite off cement blocks piece by piece.
Yang Ping said: "This can only be amputated, otherwise I can't save my life!"
In an emergency, try to explain the important relationship clearly in one sentence.
Doctor Lu put an informed consent form on a document board and an opened box of ink pads and sent them over: "Please sign here. If it is inconvenient to sign, you can just press a hand mold."
There is no way, as long as you are sober, you have to sign, this is the process.
The worker's face was constantly sweating, and his facial muscles were distorted. It was very difficult to say every word: "Doctor, can I be saved? Help me fight for it. There are old people at the top and small ones at the bottom. Without a leg, the sky will collapse."
"I can't save it, I can't save it. Now, my leg or my life, which one do you want?" Yang Ping said in a strong tone. At this time, there is no need to talk too much. It is useless to speak softly, but to be decisive and decisive is useful.
"Now the lower limb prostheses function very well, and I can walk and work normally in the future." Yang Ping added.
The worker was still hesitating. After all, a living leg was fine a moment ago, but now it had to be amputated, and no one could make a decision about it.
"Doctor, it's cut. Can it be dug out later and taken to the hospital?" The worker tried his best to fight for it.
Yang Ping glanced through the gap between the cement block and the ground. He saw that the calf had been completely flattened and the color had turned into a dead gray. Regretfully said: "Hope is very slim, severe crush injury, no conditions to continue."
"Creatinine has increased!" Dr. Lu interrupted.
This means that a large amount of muscle tissue is squeezed and destroyed, and myoglobin enters the blood, passes through the renal tubules, blocks the renal tubules, damages the renal tubular cells, and forms acute renal failure, which is also fatal.
"Please believe me, amputate your leg immediately! We are all here to save your life. If you hesitate any longer, it will not be your leg that will be lost, but your life!" Yang Ping spoke calmly, and every word was clear.
The worker sighed deeply, closed his eyes, and gritted his teeth: "I believe you, doctor, cut it off!"
Then stretch out your right index finger, dip a little ink pad in it, and press it on the informed consent form.
There was no choice at this time. The liver was ruptured and was already bleeding. If the spleen was still ruptured, he would definitely die on the spot.
He had to amputate his limbs to save his life.
"Xiao Wu, get ready!"
(End of chapter)