Chapter 2939 【2939】Scared
If you want to identify vision, you need the cooperation of ophthalmologists, and non-neurosurgeons can handle it. This is called specialization in art.
I am really worried about a skull fracture, so I can take a film first to confirm the general situation, and then do a CT scan if necessary. Therefore, if Dr. Guan had thought about neurological damage in this area at the first time, he should have ordered an X-ray examination instead of arguing with Dr. Wang on the phone about queuing up for CT.
CT is not like MRI. The time for each patient to be scanned is relatively fast, and the time for the doctor to read the film is slow. The imaging doctors who are on duty at night in tertiary hospitals are actually very experienced. If there are a lot of patients crowded together, I will scan all the scans before you read the films, so as to avoid complaints from patients and family members waiting in line.
All in all, what does this doctor think?
The doctor is considering whether to call the ophthalmologist to deal with it.
Eye trauma is very special, not to mention the diagnosis. If there is an eye trauma wound, eye trauma suturing is an independent professional skill of ophthalmology, which requires in-depth study. If the seam is not correct, it will directly affect the patient's vision and make it completely visually impaired.
What Dr. Guan said to the nurse at the time was that any surgeon can sew the wound, it was just playing the piano. Now that Dr. Guan thinks about it, he knows that his words are lacking in consideration.
The patient's eyes now have no obvious exposed wounds. There must be some damage to the eyesight, it's a bruise after all. Let the ophthalmologist come down to test the visual acuity of the injured, and other more detailed examinations probably cannot be done at night. It is better to let the wounded observe in the hospital overnight, and if there is nothing wrong, they will go to the professor of ophthalmology in the daytime. The level of doctors on duty at night has never been very good.
After all, isn't it true that the injured person is going to lie down in the emergency department and cannot be admitted to the inpatient department.
The ophthalmology department does not accept patients. This is to say that the Department of Ophthalmology of the National Association of China is not well-known. It is a very small department with a small number of beds.
Think that's all there is to it?
Xie Wanying said again: "Teacher, this patient needs to get an EKG."
"What?" Doctor Guan asked in surprise.
The cardiothoracic surgeon said that he had checked just now and judged that the injured man's heart was fine.
Mi Wenlin and Mi Siran looked at Xie Wanying who was speaking in unison, with dissatisfaction in their eyes, and suspected that Senior Xie was just trying to find fault with them.
"Does your chest hurt?" Xie Wanying lowered her head and asked the injured again.
"Yes—it hurts—" the wounded man's weak voice came out of his mouth.
Doctor Guan heard something was wrong this time, approached the injured and asked, "Where is your pain? Isn't your head hurting?"
"Here—it hurts." The patient tried to raise his hand.
Everyone could clearly see that the wounded man's hand was trying to point to the chest.
"Impossible." Mi Wenlin and Mi Siran said decisively, pointing at the injured man's shirt, "No wound, no pneumothorax, no bleeding. The heart does not sound murmur, and the heart rate is within the normal range. He may be The ribs are hurt a little bit. Otherwise, take a chest X-ray."
The ribs are really damaged. Generally speaking, there will be some bruises on the skin surface. Now the patient said that his chest hurts so much that he can hardly speak. If there is a chest trauma, it is impossible to say that there is no skin manifestation.
As for whether this junior and senior sister can really hear the murmur of the heart. Brothers at the scene, Zhang Desheng and the others wanted to make question marks. Heart murmurs are easy to hear if they are obvious.