Doctor: I picked up attributes in the hospital
Chapter 164 Shocking!Reinforced straight plug head!
Chapter 164 Shocking!Reinforced straight plug head!
Coming out of Gao Jun's office, Zhao Heng felt a little dazed.
Is this going to lead a small team?
Is it too fast.
Entering the office, Zhao Heng saw Xu Manni and Tian Zhen chatting happily, but he didn't know what they were talking about.
"What does Lao Gao want from you?"
Seeing Zhao Heng who came in with a thoughtful look on his face, Xu Manni couldn't help asking.
"The teacher said that 10 beds were coordinated from the ICU and asked me to take charge."
Zhao Heng said.
"ICU? Are these beds dedicated to perioperative recovery and critical first aid?"
Xu Manni asked with some doubts.
The newly established anesthesia and perioperative center, on the one hand, is responsible for anesthesia work, and on the other hand, it is perioperative recovery plus a part of critical first aid.
"Well, it's just a trial right now."
Zhao Heng nodded.
"Then you have more things on hand..."
Xu Manni couldn't help but said.
Although she was happy that Zhao Heng was reused, she also understood that this burden was not easy to shoulder.
In particular, these 10 beds are still from the ICU. If there is no opinion from there, this is impossible.
Where there are people, there are rivers and lakes and competition.
Even in Dongfang Hospital, in fact, there is no clear distinction between departments, and in many cases, there are overlaps in business.
For example, the emergency department can actually carry out many emergency operations, and these operations were originally performed by various departments.
The perioperative period, that is, the recovery of patients after surgery, is a fairly broad range.
In fact, patients need perfect surgery, but also need postoperative rehabilitation.
In this anesthesia and perioperative medical center, the perioperative period refers to perioperative rehabilitation.
Perioperative rehabilitation includes preoperative functional assessment, preoperative functional goal setting, rehabilitation and surgical timing selection, postoperative emotion, nerve, body fluid, nutrition, energy, and physical environment regulation.
In addition, there are precise positioning of postoperative dysfunction points, postoperative biological force lines, fascia, muscle chains, bones, tendons, and systematic functional rehabilitation.
"There is indeed a lot to do in terms of postoperative rehabilitation, but emergency first aid is not easy."
After thinking for a while, Xu Manni said again.
"I can't help it. After all, I need a bed from the ICU. Emergency first aid must be done."
Zhao Heng shook his head slightly and said.
The reason why it is necessary to ask for a bed from the ICU is that only the ICU has these conditions, and anesthesia already includes a part of critical first aid.
Therefore, the new Center for Anesthesia and Perioperative Medicine cannot refuse to diagnose and treat some critically ill patients.
"In this case, at least two nurses and a doctor should be assigned to you. Do you want me to go there?"
Xu Manni thought for a while and said.
"You are at a critical period, and the teacher will arrange it."
Zhao Heng shook his head slightly and said.
Xu Manni is in the critical period before running for the head nurse. If she leaves the operating room now, she may not have such an opportunity in the future.
Hearing the conversation between Zhao Heng and Xu Manni, Tian Zhen, who was standing aside, already had an idea in his heart.
At this moment, a nurse on duty hurried in from outside, and when she saw Zhao Heng, she hurriedly said, "Dr. Zhao, there is a traumatic brain injury patient in the emergency department. Director Liu asked you to come over."
"okay, I get it."
Zhao Heng's expression froze and he nodded.
As soon as he heard Liu Ziang calling him, he knew that it would not be easy.
However, performing surgery with Liu Ziang is actually a kind of improvement for him.
Judging from the previous few operations together, he can still squeeze the wool from Liu Ziang's body for a long time.
After all, Liu Ziang has studied a wide range of subjects and mastered them at a high level.
"I went first."
Zhao Heng greeted Xu Manni and hurried out of the office.
When Zhao Heng left the office, Xu Manni saw Tian Zhen's pensive expression, and couldn't help asking, "Really? What are you thinking?"
"I didn't think of anything."
Tian Zhen shook his head slightly and said.
"This old Gao is really, everything is added to him."
Xu Manni said with some complaints.
the other side.
After Zhao Heng came out of the anesthesiology department, he hurried to the emergency room of the emergency department.
As soon as he entered the emergency room, Zhao Heng saw a shocking scene.
A middle-aged migrant worker wearing a safety helmet was lying on an emergency bed, and his head was inserted straight from the left temple by a steel bar at least 50cm in length, passing through the skull and nasal bones, and directly from the The other side rushed out.
The part where the steel bar pierced not only protruded a big bag, but also protruded the left eye, and sunken the right eye.
At the moment, in the emergency room, two firefighters were standing beside them. In addition, there were Li Yang, the attending doctor of the emergency department, a nurse, and Liu Ziang.
Seeing Zhao Heng coming in, Liu Ziang's eyes lit up.
Even Li Yang felt relieved instantly, because in Dongfang Hospital, Zhao Heng is now recognized as the "golden assistant" by all departments!
As long as he participates in first aid and anesthesia, the success rate will be greatly improved. This is already an irrefutable fact!
"Doctor Zhao, you are here."
Li Yang, the chief doctor in the emergency department, walked up to Zhao Heng, obviously relieved, and greeted Zhao Heng.
"Ah."
"Senior."
Zhao Heng nodded and greeted Liu Ziang again.
"Senior, what's the specific situation?"
Zhao Heng asked Liu Ziang.
"The patient fell from a height of two meters, and the steel bar was directly inserted into the head. Since the length of the steel bar exceeded 50cm, it is now impossible to enter the CT examination cabin."
Liu Ziang said with a serious face.
"That is to say, part of the exposed steel bars must be sawed off before it can be sent for CT."
Zhao Heng thought for a while and said.
The size of the circular scanning frame of a commonly used CT machine is usually between 68-120cm. Now, the steel bar exposed outside the head is only 50cm. This length has exceeded the scanning frame of the CT machine. The outer steel bar was sawn off before the migrant worker could be sent to CT for head scan.
Considering the position of the steel bar, any slight shaking can easily cause secondary injury. Once the burr of the steel bar hits the cerebral artery and causes massive bleeding, the patient may not be sent to the operating room in time.
"The patient has a history of critically high blood pressure, so it is up to you to control blood pressure."
Liu Ziang said with a serious face.
"Ah."
Zhao Heng nodded.
Next, everyone is waiting for the patient's blood pressure to drop, otherwise, the next operation cannot be done at all.
At this moment, what Zhao Heng is doing is to lower the patient's already surging blood pressure. Otherwise, if the blood pressure surges suddenly during the process of handling the steel bars, it is likely to cause cerebral blood vessels to rupture. Caused extremely severe cerebral hemorrhage.
Thinking of this, Zhao Heng looked at the life monitor.
230/120mmHg!
This is already an extremely dangerous number. Under such a high blood pressure, not only is there a possibility of cerebral blood vessel rupture and bleeding at any time, but it may also cause insufficiency or even failure of important organs such as the heart, brain, kidney, and retina. .
(End of this chapter)
Coming out of Gao Jun's office, Zhao Heng felt a little dazed.
Is this going to lead a small team?
Is it too fast.
Entering the office, Zhao Heng saw Xu Manni and Tian Zhen chatting happily, but he didn't know what they were talking about.
"What does Lao Gao want from you?"
Seeing Zhao Heng who came in with a thoughtful look on his face, Xu Manni couldn't help asking.
"The teacher said that 10 beds were coordinated from the ICU and asked me to take charge."
Zhao Heng said.
"ICU? Are these beds dedicated to perioperative recovery and critical first aid?"
Xu Manni asked with some doubts.
The newly established anesthesia and perioperative center, on the one hand, is responsible for anesthesia work, and on the other hand, it is perioperative recovery plus a part of critical first aid.
"Well, it's just a trial right now."
Zhao Heng nodded.
"Then you have more things on hand..."
Xu Manni couldn't help but said.
Although she was happy that Zhao Heng was reused, she also understood that this burden was not easy to shoulder.
In particular, these 10 beds are still from the ICU. If there is no opinion from there, this is impossible.
Where there are people, there are rivers and lakes and competition.
Even in Dongfang Hospital, in fact, there is no clear distinction between departments, and in many cases, there are overlaps in business.
For example, the emergency department can actually carry out many emergency operations, and these operations were originally performed by various departments.
The perioperative period, that is, the recovery of patients after surgery, is a fairly broad range.
In fact, patients need perfect surgery, but also need postoperative rehabilitation.
In this anesthesia and perioperative medical center, the perioperative period refers to perioperative rehabilitation.
Perioperative rehabilitation includes preoperative functional assessment, preoperative functional goal setting, rehabilitation and surgical timing selection, postoperative emotion, nerve, body fluid, nutrition, energy, and physical environment regulation.
In addition, there are precise positioning of postoperative dysfunction points, postoperative biological force lines, fascia, muscle chains, bones, tendons, and systematic functional rehabilitation.
"There is indeed a lot to do in terms of postoperative rehabilitation, but emergency first aid is not easy."
After thinking for a while, Xu Manni said again.
"I can't help it. After all, I need a bed from the ICU. Emergency first aid must be done."
Zhao Heng shook his head slightly and said.
The reason why it is necessary to ask for a bed from the ICU is that only the ICU has these conditions, and anesthesia already includes a part of critical first aid.
Therefore, the new Center for Anesthesia and Perioperative Medicine cannot refuse to diagnose and treat some critically ill patients.
"In this case, at least two nurses and a doctor should be assigned to you. Do you want me to go there?"
Xu Manni thought for a while and said.
"You are at a critical period, and the teacher will arrange it."
Zhao Heng shook his head slightly and said.
Xu Manni is in the critical period before running for the head nurse. If she leaves the operating room now, she may not have such an opportunity in the future.
Hearing the conversation between Zhao Heng and Xu Manni, Tian Zhen, who was standing aside, already had an idea in his heart.
At this moment, a nurse on duty hurried in from outside, and when she saw Zhao Heng, she hurriedly said, "Dr. Zhao, there is a traumatic brain injury patient in the emergency department. Director Liu asked you to come over."
"okay, I get it."
Zhao Heng's expression froze and he nodded.
As soon as he heard Liu Ziang calling him, he knew that it would not be easy.
However, performing surgery with Liu Ziang is actually a kind of improvement for him.
Judging from the previous few operations together, he can still squeeze the wool from Liu Ziang's body for a long time.
After all, Liu Ziang has studied a wide range of subjects and mastered them at a high level.
"I went first."
Zhao Heng greeted Xu Manni and hurried out of the office.
When Zhao Heng left the office, Xu Manni saw Tian Zhen's pensive expression, and couldn't help asking, "Really? What are you thinking?"
"I didn't think of anything."
Tian Zhen shook his head slightly and said.
"This old Gao is really, everything is added to him."
Xu Manni said with some complaints.
the other side.
After Zhao Heng came out of the anesthesiology department, he hurried to the emergency room of the emergency department.
As soon as he entered the emergency room, Zhao Heng saw a shocking scene.
A middle-aged migrant worker wearing a safety helmet was lying on an emergency bed, and his head was inserted straight from the left temple by a steel bar at least 50cm in length, passing through the skull and nasal bones, and directly from the The other side rushed out.
The part where the steel bar pierced not only protruded a big bag, but also protruded the left eye, and sunken the right eye.
At the moment, in the emergency room, two firefighters were standing beside them. In addition, there were Li Yang, the attending doctor of the emergency department, a nurse, and Liu Ziang.
Seeing Zhao Heng coming in, Liu Ziang's eyes lit up.
Even Li Yang felt relieved instantly, because in Dongfang Hospital, Zhao Heng is now recognized as the "golden assistant" by all departments!
As long as he participates in first aid and anesthesia, the success rate will be greatly improved. This is already an irrefutable fact!
"Doctor Zhao, you are here."
Li Yang, the chief doctor in the emergency department, walked up to Zhao Heng, obviously relieved, and greeted Zhao Heng.
"Ah."
"Senior."
Zhao Heng nodded and greeted Liu Ziang again.
"Senior, what's the specific situation?"
Zhao Heng asked Liu Ziang.
"The patient fell from a height of two meters, and the steel bar was directly inserted into the head. Since the length of the steel bar exceeded 50cm, it is now impossible to enter the CT examination cabin."
Liu Ziang said with a serious face.
"That is to say, part of the exposed steel bars must be sawed off before it can be sent for CT."
Zhao Heng thought for a while and said.
The size of the circular scanning frame of a commonly used CT machine is usually between 68-120cm. Now, the steel bar exposed outside the head is only 50cm. This length has exceeded the scanning frame of the CT machine. The outer steel bar was sawn off before the migrant worker could be sent to CT for head scan.
Considering the position of the steel bar, any slight shaking can easily cause secondary injury. Once the burr of the steel bar hits the cerebral artery and causes massive bleeding, the patient may not be sent to the operating room in time.
"The patient has a history of critically high blood pressure, so it is up to you to control blood pressure."
Liu Ziang said with a serious face.
"Ah."
Zhao Heng nodded.
Next, everyone is waiting for the patient's blood pressure to drop, otherwise, the next operation cannot be done at all.
At this moment, what Zhao Heng is doing is to lower the patient's already surging blood pressure. Otherwise, if the blood pressure surges suddenly during the process of handling the steel bars, it is likely to cause cerebral blood vessels to rupture. Caused extremely severe cerebral hemorrhage.
Thinking of this, Zhao Heng looked at the life monitor.
230/120mmHg!
This is already an extremely dangerous number. Under such a high blood pressure, not only is there a possibility of cerebral blood vessel rupture and bleeding at any time, but it may also cause insufficiency or even failure of important organs such as the heart, brain, kidney, and retina. .
(End of this chapter)
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