Chapter 554 Too Evil!

Bai Jianming's words are correct. For these patients whose temporary diagnosis is unclear, but the problem is not serious, it is more appropriate to transfer to another department.

After all, if the patient's condition is stable, free up emergency resources as soon as possible to make room for those who need rescue.

Moreover, after arriving at a specialist, you can better receive diagnosis and treatment. The doctors are also specialists, and the funds spent are relatively small, the proportion of reimbursement, etc., are all different.

The cost of emergency services is still relatively high.

However, at this time, Chen Cang frowned suddenly when he saw the film.

"I... can I watch the movie?"

Bai Jianming glanced at Chen Cang and was stunned for a while: "Xiao Chen?"

Chen Cang smiled: "Hello, Director Bai."

Bai Jianming nodded and handed the film to Chen Cang: "Well, for you."

Chen Cang took the film and looked at it carefully. He didn't see it clearly from behind him just now, but now that he was close, he could see it more clearly.

Indeed, the mediastinal shadows on the chest radiograph were normal, and no significant bleeding was seen.

But...he found the difference in a subtle place!

After seeing it, Chen Cang couldn't help but say: "Director Bai, I think... let's do a CT scan and a retrograde aortic angiography first. I'm worried that the patient has a laceration of the innominate artery."

Hearing Chen Cang's words, Bai Jianming picked up the film and watched it carefully.

But...not many significant features were found.

Then he looked at Xiao Chen, but he didn't look down, but said lightly: "If it is the injury of the innominate artery, the shadow of the mediastinum on the same side can be seen widening on the x-ray.

Furthermore, the ipsilateral radial and/or carotid artery pulses disappear or weaken, and signs of severe internal bleeding, cardiac tamponade, or tracheal compression may occur immediately. "

While talking, I took Chen to the emergency room. After checking, I found that the pulses were all normal, not to mention the manifestations of cardiac tamponade and tracheal compression.

Chen Cang hesitated for a moment. Could it be that he was thinking wrong?

But his chest imaging was perfect!

He vaguely remembered that there was a possibility of innominate artery contusion in this film.

Thinking of this, Chen Cang decided to remind him.

"Director Bai, in fact, not all innominate artery injuries will have significant X-ray manifestations, such as distal injury, in fact, the pulse can be normal, and the X-ray examination is not obvious, and the diagnosis is very troublesome, so I still I think we should at least take a ct first and then talk about it..."

Bai Jianming frowned slightly, and seemed a little dissatisfied with Chen Cang's question.

But he didn't speak, just smiled faintly: "Well, I see."

Chen Cang saw that the blood pressure in all aspects on the patient's monitor was normal, and he was clearly conscious, but he didn't say anything.

Thinking of this, Chen Cang didn't say much, and he was reminded that he should be reminded, but if he had been checked in the emergency room in advance, he would be better prepared.

If it is delayed due to transfer procedures, etc., it is inevitable that the time will be delayed.

But...it won't have much impact.

So Chen Cang turned around and left, walking directly towards the Cardiac Surgery Department.

Seeing this, Wu Peng glanced at Bai Jianming embarrassedly, and said, "Director Bai, why don't... let's do a CT first?"

"Retrograde aortography and do it again?"

Seeing Wu Peng like this, Bai Jianming looked at the patient, thought about it, and then shook his head: "It's okay..."

Just when Bai Jianming was about to speak, Wang Xiangjun walked in.

"director!"

"Director Wang!"

The two nodded.

Wang Xiangjun hummed: "What's the condition of the patient?"

Wu Peng explained it, and then took out the film.

After watching the film, Wang Xiangjun didn't find anything, but watching Chen Cang leave just now, he asked, "I saw Xiao Chen come over just now, what advice does he have?"

Wu Peng said: "Dr. Chen's meaning is to have an examination as soon as possible and then transfer to a department. He is worried about the injury of the distal side of the innominate artery, and said that the film does not show anything..."

Bai Jianming smiled: "It's okay, Director, I know it."

After Wang Xiangjun heard it, he was stunned for a moment.

Although he clearly knew that Chen Cang and Bai Jianming's qualifications, knowledge, and comprehensive level were still quite different, for some reason, Wang Xiangjun still tended to believe in Chen Cang's choice.

Thinking of this, Wang Xiangjun said, "Xiao Wu, take the patient to have a CT scan quickly. Just to be on the safe side, don't let anything really happen, and show the film to Doctor Bo when it comes out."

When Wu Peng heard this, he nodded quickly, turned around and gave a doctor's order, and took the patient for an examination.

Emergency examinations are relatively fast, which is equivalent to the meaning of the green channel, basically without queuing.

And if it is sent to the inpatient department, even if you write "urgent investigation"!

But it's a lot worse than the emergency room.

Seeing Wang Xiangjun speaking in person, Bai Jianming was too embarrassed to say more, so he waited.

After more than ten minutes, Wu Peng ran over, panting, with the film in his hand.

After seeing Wang Xiangjun and Bai Jianming, he immediately said anxiously, "There is really a problem!"

When the two heard the words, their expressions suddenly changed!

I hurriedly took out the film and saw the difference!

After Bai Jianming saw it, he was a little dumbfounded. This... was all guessed by Chen Cang!

wrong!

This should not be guessed, Chen Cang must have seen something strange on the X-ray.

But... this x-film is basically normal!

Is there any detail that I haven't discovered?

Thinking of this, Bai Jianming couldn't help but feel a little scared. Fortunately, he did an examination in time. If he really waited until he was transferred to a department, the patient's life might not be in danger, but... there was too much toss and panic.

Well now, you can deal with it calmly!

Organize surgery in time!

Thinking of this, although Bai Jianming was reluctant to admit it, he was full of curiosity and admiration for Chen Cang in his heart!

This Xiao Chen is really...something.

In fact, the reason why Chen Cang didn't specify it is because it is not statistically significant. X-films are normal, but there are some subtle differences that can be used for reference. , understand these details very thoroughly!

And Wang Xiangjun took a deep breath!

Xiao Chen is too evil, isn't he?

Can this be found?

Wu Peng saw the appearance of the two, and his heart was full of waves. Chen Cang was not very old, and he was not much worse than Director Bai, who was in his forties.

But the iron evidence is like a mountain in front of us, which makes people feel a little emotional.

Dr. Chen is too powerful, right?

The three looked at each other and saw emotion and happiness in each other's eyes.

Wang Xiangjun said immediately: "Check blood and prepare for surgery in time."