"Excuse me." Two nurses pulled the stretcher trolley, one in front and one behind.
Senior attending physician Zhao Leyi followed in small steps and reported to Huo Congjun, "The patient was injured in a car accident. There is an open wound of 20 centimeters on the abdomen. Some of the intestines and greater omentum are exposed, and there is active bleeding. Sterile dressing has been used to protect the intestines …"
Huo Congjun followed the stretcher trolley, and Ling Ran followed Huo Congjun.
The two family members were blocked at the back. They were at a loss, and their bodies were cold.
From the perspective of an ordinary person, this was a disaster that would cause the sky to fall. The so-called exposed intestines meant that the intestines were exposed.
Of course, if it was in a hospital, it would not be considered a minor case. Non-tertiary Grade A hospitals might not be able to handle it, so they deliberately sent the patient to Yun Hua Hospital.
However, this was the end of the serious view.
Yun Hua Hospital's Emergency Department had similar patients sent to them almost every month, and there were more patients with different but more serious injuries.
While Huo Congjun listened, he performed a check-up on his own. Then, he explained to Ling Ran and Zhao Leyi, who was also an attending physician in the same field, "Ribs 3-12 on the left are obviously dislocated. Heart rate is 105. Severe bleeding.
He did not speak quickly, and he did not have the sense of urgency like those people on television.
The main reason was that the patient was not in a critical condition.
In the hospital's Emergency Department, doctors always spoke based on the patient's vital signs. In the Emergency Department's classification, such a patient was classified as a Level 2 critical patient, and the degree of urgency was not as high as the patient who was in a coma just now.
Since this was the case, they could consider more before making a decision and do it slowly.
Zhao Leyi had worked in the Emergency Department for nearly ten years. He was experienced and familiar with Huo Congjun. He translated Zhao Leyi's words and quickly checked on the emergency checklist. "Draw venous blood, check blood routine, kidney function, blood type, electrolytes, the first four items of blood transfusion, blood coagulation function …"
As he spoke, he also filled in the emergency checklist. Huo Congjun looked at it, nodded, and passed the checklist.
At this time, the nurse also adjusted the patient's position, started to inhale oxygen, connected the monitor, and measured the vital signs.
"Establish the second venous access, 500 ml of Ringer's solution." Huo Congjun did not give Ling Ran a chance this time. He quickly made a decision and said, "10 ml of omepra needle, 10 ml of normal saline, one intravenous injection."
After that, Huo Congjun looked at the blood pressure, heart rate, breathing, and other vital signs, then said to Zhao Leyi, "Continue resuscitation. I'll go talk to the family members.
"Yes." Zhao was so busy that he could not lift his head.
Huo Congjun led Ling Ran and said as they walked, "Aside from medical skills, the most important thing when working in the Emergency Department is to handle the relationship with the patient and the patient's family well. Even if I tell you a lot now, you won't be able to remember. First of all, you have to be confident, calm, and calm when you speak. "
"Huo" Huo, Huo was. "Hu, Huo Huo said.
He was already a department head. If he had been in a military hospital of the same rank, he would have just happened to be at the rank of a division commander. Unless the situation was dire, he would not go into battle easily.
Of course, the frequency of the Emergency Department running out of supplies was relatively high, and Huo Congjun had to go to the field occasionally.
Huo Congjun smiled when he saw Ling Ran nod and said, "Don't talk. Just watch and remember."
"Yes." Ling Ran nodded again.
Two of the patient's family members were stopped outside the resuscitation room. They craned their necks anxiously.
When Huo Congjun came out, he put on a gentle expression. He no longer looked as fierce as he was in the resuscitation room.
"Hello, are you Mister Lai Zhongde's family members?" Huo Congjun remembered the two people who got out of the ambulance, but he still asked.
"Yes, I'm his wife." The older woman wiped her tears and asked, "Doctor, how is my husband?"
"Mister Lai is still resuscitated. I'm the doctor in charge, and I want to ask you a few questions. Does the patient have liver disease or other chronic diseases? "
The patient's wife shook her head and explained, "He has alcoholic liver. My husband is a civil servant, and he has high blood pressure."
Huo Congjun nodded and asked, "Is there any infectious disease?"
"No, we have a medical examination every year."
"Is there any hepatitis B or other problems?"
"No."
"What about other infectious diseases? At this time, we need to fully understand the patient's condition. "
"No," the woman answered affirmatively.
Huo Congjun then made a tick on the paper and asked, "What about allergies? Is he allergic to anything? "
"He has a little pollen allergy, but it's not serious." The patient's wife tried her best to remember.
Ling Ran listened to the conversation between the two and silently memorized it and verified it with what he knew.
There was a fixed procedure for asking patients, but how to ask and the order of the questions still had to be paid attention to.
For example, since the patient in front of him was a civil servant and had regular medical examinations, he should know what chronic diseases or allergies he had. There was no need to ask too many questions. However, infectious diseases were often hidden by the people involved. Huo Congjun also asked the most questions and was the most serious.
After asking a few more questions about drinking and taking medicine, Huo Congjun said, "From our observation, the patient has lost a lot of blood, and he needs to be given a blood transfusion. Do you know if he has received a blood transfusion before? Is it a special blood type?"
"He has type A blood, and he has donated blood before …"
Huo Congjun asked the patient to sign the blood transfusion consent form, the informed consent form, and the resuscitation consent form. He then asked the patient's family to pay before he brought Ling Ran back to the resuscitation room. On the way, he said, "You must remember to ask the patient to sign the consent form in the future. This is to protect you and the patient, understand?"
"Yes."
"What do you think about my conversation with the patient just now?"
Ling Ran recalled the process of Huo Congjun's questioning and said slowly, "Control the rhythm of the conversation."
"Not bad. What else?"
"Firm attitude …"
"Yes, this is very important. Don't give the patient unnecessary illusions. It's very difficult to be amiable, and the patient doesn't need it. The main task of the Emergency Department is still to save lives." Huo Congjun stopped when he said this.
He would not say these words to other interns or resident doctors.
Huo Congjun only explained patiently because he had taken a liking to Ling Ran.
The tasks of the Emergency Department were heavy, and it was easy for them to make mistakes. However, no mistakes could be compared to the doctor-patient relationship. Now, if he could not handle this well, he would not be a doctor for long.
"Department Director Huo." The attending physician who was busy in front of the resuscitation bed saw Huo Congjun, and his voice became louder.
"How is it?" Huo Congjun heard the attending physician's anxiety.
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