Chapter 4362 [451] Vigilance

The new area and the emergency department are only one floor apart, so you can get there in a blink of an eye.

In the emergency room, the emergency doctor held two electrode pads to show that he had just performed electric defibrillation on the patient.

Mr. Xiao waved his hand, and Dr. Song, the lazy cat, did not dare to be slow and took the lead in checking the patient's pupils before everyone else.

Such patients should be most wary of brain death.

Outside the emergency room, family members hugged each other and cried.

He said that the patient was not too old, he was in his fifties, he got married late, and his children were underage.

The patient's wife was crying with her two children in her arms, wondering what to do if the breadwinner of the family was gone.

Deaths due to infusion reactions are the focus of medical disputes, and patients' families cannot accept them on a daily basis.

It seems that Dr. Fu will not be slapped in the face this time. Dr. Xie Wanying said: "Transfer the patient to the new district above."

Everyone was shocked: Doctor Xie, are you telling the truth?

Generally, other departments will not want to close the patient when they see this situation. If they accept it, it means that the patient is likely to die in their own hands.

Will the new district accept such patients on the first day it opens? !

"Take it." Dr. Fu Xinheng said, doing his best to provide Dr. Xie with logistical support.

In fact, this is a test of the National Association's true ability and whether it can provide assurance for hierarchical diagnosis and treatment.

The faces of all the doctors who understood this changed. Don't forget what the people often say: the National Association is the last resort for people in the country to seek medical treatment.

While the patient's heart is beating and breathing, immediately move him to the new area on the second floor.

The new district nurse team was like crazy pushing all the equipment they could get next to the new patient's bed so that doctors could have the tools at their fingertips to save lives.

The patient was previously suspected of having hepatobiliary disease, and a newly introduced bedside B-ultrasound machine was installed at the bedside. There happened to be a B-ultrasound doctor in the expert group, so he started the operation immediately.

Hepatobiliary surgeons and gastroenterologists stood next to the instruments and stared at the screen.

Respiratory physicians and anesthesiologists intubate and suction patients.

The cardiovascular physician reviews the patient's electrocardiogram and blood pressure, among other indicators.

The neurosurgery and neurologist discussed that they would not rule out the possibility that the patient had a brain disease and would decide whether to undergo an imaging examination depending on the situation.

The hematologist has not yet detected any blood disease indicators in the patient.

The orthopedic surgeon felt the patient's bones and could not feel what was wrong with the patient's bones for the time being.

Mentioning that the Traditional Chinese Medicine Team is now a combination of Traditional Chinese Medicine and Acupuncture, Dr. Wen Zihan, the selected expert of the Acupuncture Department, was not present due to something, and Teacher Tian from the Traditional Chinese Medicine Department gave TCM advice.

Teacher Tian felt the patient's pulse and concluded that it was a rootless pulse.

Having no roots means a person who is about to die.

What should I do if I ask a Chinese medicine practitioner?

Teacher Tian:......

All Western doctors should have known that Dr. Wen was not present in the National Association of Traditional Chinese Medicine. Dr. Xie said that he was about to become Dr. Wen's direct disciple, so why not hope that Dr. Xie would be more reliable?

The truth actually gradually emerged. The expressions of gastroenterologists and hepatobiliary surgeons were grim. Many clinical cases were not investigated but they were shocked.

B-ultrasound showed that the patient had gallstones, liver cysts, and cholangitis. Cephalosporins can also be used for cholangitis, but——

Dr. Tao and Teacher Ming, both experienced in clinical practice, agreed in unison: do a gallbladder puncture.

It is feared that patients will be infected with drug-resistant bacteria.

On the other side, the young people watching were discussing: "Should the patient continue to use the combination of epinephrine and dopamine when the patient's condition is not relieved?"

One of them reminded in a low voice: "Doctor Xie removed the bag of medicine from the emergency department first."

These words spread throughout the ward, and many people woke up from a dream.

"Kunis Syndrome." Dr. Lin Chenrong praised Mr. Xie for his greatness, saying that he was undoubtedly the strongest cardiologist in the hospital. He could identify the patient's cardiovascular problems faster than all the cardiologist on site at a glance.

Doctors like to use epinephrine for rescue when anaphylactic shock is suspected due to an infusion reaction, but they always forget that the instructions clearly emphasize that in non-cardiac arrest, a small dose of intramuscular injection should be used instead of direct intravenous injection. Little do they know that epinephrine used here may cause more complications. Bad consequences.

This is because severe allergic reactions may cause Kunis syndrome, that is, allergic angina and allergic myocardial infarction (this disease is so rare that doctors often ignore it and even junior doctors have not learned about it), and the use of epinephrine aggravates myocardial ischemia. Inducing coronary vasospasm and arrhythmia is also known to make matters worse.

The emergency doctor downstairs turned pale again and again. Fortunately, Dr. Xie took away the medicine as soon as he hung it up. The doctor at the community hospital had already turned pale...

Thank you for your support, good night, dear friends~