Chapter 4363 【452】The King

To put it simply, the doctors at the community hospital made the same mistake as Li Qi'an and Xiao Ao last time. As soon as they said the patient needed rescue, they immediately rushed to him. They didn't think about everything carefully and only thought about possible measures.

This is precisely the peculiarity of medicine itself. It is not just rushing to apply measures. Applying wrong measures will either save people or kill them.

On the other hand, clinical medication has always focused on the choice of risks and benefits. This has been mentioned before. It can be known that this drug by no means cannot be used here.

It is indeed the drug of choice for anaphylactic shock, and some of the knowledge that the young doctor memorized by rote is correct.

There is a common misunderstanding in clinical practice. It is not easy to distinguish the concepts of medical terms. For example, when a patient is in shock, the first thing everyone thinks of is that the patient is dead, but it actually does not mean that the patient must have suffered a cardiac arrest.

Professional doctors are very clear about the distinction between these concepts, and these require clinical practice, that is, stepping on enough pitfalls.

It is impossible for community doctors and Li to succeed overnight.

Clinical training can actually be used to study "environmental science" on a daily basis.

For example, infusion reactions have a development process. Even if the patient is in a state of shock in the early stage of the disease, cardiac arrest will not occur immediately unless the patient suffers from a hyperacute heart disease.

Such emergencies generally occur within hospitals, and hospital medical staff should be the first to discover them.

A young doctor can be as calm as a big brother based on this.

Even if a skilled doctor goes out to practice medicine, the first point of observation is always the patient's environment. He can know it at a glance or by asking, so that he can know early on whether there is a delay between the time when the patient's condition occurs and the time when the patient is discovered. , so as to determine the stage of the patient's condition as quickly as possible and take corrective measures.

The young but experienced Dr. Tse Wanying's performance today clearly once again stood out among the young doctors.

The intern trainees who were watching were gradually naming Dr. Xie: Dr. Xie, Teacher Xie, Deputy Director Xie, and then to Xie——The King.

At this time, Dr. Xie Wanying was standing next to the nurse's station, holding a pen in her hand and writing medical orders in an orderly manner.

If a layman sees this, he wonders if he will scold Dr. Xie again for standing here idle without rescuing the patient. Some laypeople have always wanted to complain like this. It is too common in hospitals.

The above two incidents prove that Dr. Xie cannot ignore human life and is doing professional work.

She is a cardiologist, and the heart problem that the patient has to deal with is to prescribe medicine. She has given a verbal order for the nurse to execute immediately: What such patients need is a combination of anti-allergic treatment plus acute coronary syndrome treatment, not ordinary just Treat with anti-allergy treatments.

Is the medication effective? Just watch the patient's heart rate drop from a hundred or dozens of beats per minute to normal levels.

Such measures are far more effective than the young doctor in the emergency department who uses two electrode pads to perform defibrillation.

Dr. Xie is the kind of clinical king who makes a silent move without any layman noticing what is the winning factor.

The patient's other problems are best handled by other specialists. Joining in the fun is reckless unless colleagues send a signal for help and cooperation.

She Xie, the doctor, should seize the time to make up the written medical order in accordance with the legal provisions.

As a series of examination results came out one after another, all the doctors finally came up with a rough explanation for the strange situation happening to this patient.

The patient didn't know when he started suffering from hepatobiliary disease, and he didn't know because he had never had relevant examinations before, so he developed subsequent drug allergies.

Doctors in community hospitals are too eager to use inappropriate rescue measures, which worsens the patient's condition.

Dr. Hao from the ICU sighed on the spot.

I said before that the ICU doctors were the first to be confused when the new district was launched. They wondered whether the new district for difficult and complicated diseases was trying to compete with the ICU for business.

The consultation in the morning and the current case made it clear that it was not the case.

The nature of the new area and the ICU are completely different.

If such a case is sent to the ICU, it is impossible for multiple specialists to consult together. It is not only difficult but also impractical for the ICU doctors to become other specialists to eliminate the causes one by one and find the correct cause.

Cases sent to the ICU are the same as those admitted to other departments. It is best to make a clear diagnosis before sending them.

One of the important meanings of the new area is this. Another meaning should be that experts from various disciplines can be gathered to provide centralized treatment for patients. This is also something that cannot be done by any discipline.

The patient admission and treatment standards targeted by the new district are the above two.