2938 【2938】Resolution

Nurses are not doctors, and the triage of nurses is very rough, and they can only be divided into general medicine and surgery.

The exact specialist triage needs to rely on the first doctor in the emergency department. Misdiagnosis and calling specialists from the wrong department, the delay in the middle may be fatal for some patients.

So the doctor in the inpatient department is not saying that he is unwilling to go down to save the patient, but that you made a mistake and asked me to go down because something happened to me or something happened to the patient.

A person who has been in the clinic for a long time will know that some medical disputes in the emergency department originated here.

After Dr. Guan listened to what was said outside the heart, maybe he also thought that the injured person's injury had nothing to do with the outside world, so he turned his head and fired at the neurosurgery staff: "Have you finished watching? A patient who has been watching for so long?"

These words are enough to show that the gossip that other people secretly dislike Dr. Guan's long hours of seeing a doctor has fallen into Dr. Guan's ears. Doctor Guan can finally catch other people venting the same dissatisfaction.

As long as others are not good enough, it can be proved that he is not a doctor who is not skilled.

Zhang Desheng and other students who were present felt that they could figure out the small thought that Dr. Zhang might have in his heart.

Zhang Desheng and Li Qi'an immediately looked at classmate Pan and classmate Geng: Hey, hey, work, he said you.

It is impossible to say that they delayed for half a day. Classmates Pan and Classmate Geng had to calculate the time for this point, because they were afraid that they would be laughed at by the song cat as a scumbag if they stayed down there for a long time.

"It took less than 20 minutes for us to come down." Geng Yongzhe said, compared with Dr. Guan, who took a patient to see for more than half an hour, it was faster.

"What's the situation, tell me." Doctor Guan asked him to tell the evidence.

"The injured did not show abnormal symptoms of the nervous system. If the eyes are swollen, you should seek treatment from an ophthalmologist." Pan Shihua and Geng Yongzhe replied.

One and two said that the patient was not from his own department. This made Dr. Guan, who wanted to transfer the patient, a little anxious. He pointed his finger at the patient's face and asked, "His eye is swollen like this. Are you sure there is something wrong in his head?" Will it be all right?"

There was a bruise around the injured person's left eye. The eye is on the human brain, and it is normal to worry about damage to the brain if the eye is damaged. It's just that medicine talks about evidence, not what you think.

Xie Wanying added to what the two classmates had said, and said to Dr. Guan: "Teacher, are you worried about a skull fracture?"

Periorbital injuries, if accompanied by traumatic brain injury, the most common is a skull fracture.

Skull fractures are divided into calvarial fractures and skull base fractures, and skull base fractures are further divided into anterior cranial fossa fractures, middle cranial fossa fractures, and posterior cranial fossa fractures. These categories are based on the anatomical location of the fracture. Therefore, the periorbital anatomically belongs to the anterior cranial fossa. If this patient is considered to have a periorbital skull fracture, it should be a fracture of the anterior cranial fossa.

"Anterior cranial fossa fractures usually manifest as periorbital and subconjunctival congestion, cerebrospinal fluid rhinorrhea, and olfactory and optic nerve damage." Xie Wanying added.

What is the condition of cerebrospinal fluid rhinorrhea? You can refer to the worker who fell from a high altitude in the National Energy Group that was mentioned in the emergency department before.

The patient currently has no nasal discharge.

Olfactory nerve damage is that the injured person's sense of smell shows abnormalities, hyposmia, anosmia, hypersensitivity, olfactory hallucinations, etc. This only needs to take some interesting things to let the patients ask and it is basically clear.

Not all visual injuries are caused by skull fractures.