"What's wrong..." In the office of the emergency department of Rongcheng First Hospital, Chang Pu looked at the paper medical records in his hand, a little strange.

"Hey, let's take a look. In the past two days, seven patients with upper respiratory tract infection have come to our emergency department for treatment. I feel that the number of patients with viral infections has increased a little recently. Is there an influenza?"

Chang Pu greeted several colleagues in the office to look at the cases in his hands and expressed his opinions.

Qi Shouliang, a senior attendant in the emergency department, glanced at the cases a few times and saw that several patients had typical upper respiratory tract infection symptoms such as low fever, runny nose, sore throat, dry throat, fever, etc., and smiled and said casually: "It's a bit strange, what's so strange about winter flu? One day, there's no case of influenza in Rongcheng."

To put it bluntly, it is just a slightly more serious cold. The patient will be cured after taking some medicine and recuperation in a few days.

But it should be said that it is not serious. Sometimes unlucky people will suffer from respiratory failure after the condition worsens, and they need first aid, and the situation is quite dangerous.

But overall, it is still a relatively mild disease, which is more troublesome to contagious.

Qi Shouliang still remembers that one year there was a large flu outbreak in Rongcheng. That winter, Rongcheng Hospital alone received more than 6,000 influenza patients, which was the busiest winter since he entered the emergency department.

Thinking of this, he couldn't help but sigh: "I hope it's not a big flu, otherwise we will be busy and it's really fucked to do emergency diseases. Whenever there is any public health incident, we will always go first. Only when we are tired can we change people."

Smash it, smash it, and Qi Shouliang said regretfully: "When I was young, I was ignorant, and I thought emergency doctors were cool, and I always had first aid, snatching people from the hands of the god of death. When I really entered the emergency department, I realized that I had the most work, the most tiring, the least earned, and I would be beaten if I accidentally."

He sighed and touched his lower back, which was a little painful. It was the one who was hammered by an aunt when he was on duty last night!

"I knew I had chosen ophthalmology or dentistry when I was in school. I made a lot of money and it was easy, and there were fewer medical troubles."

Chang Pu smiled and shook his head, ignoring Qi Shouliang's complaints. He had long been used to it.

When he first entered the hospital two years ago, Qi Shouliang was his superior doctor. Every day, he could hear some words from Qi Shouliang envy other departments.

Today I envy the dentistry for ease, tomorrow I envy the orthopedics for making a lot of money, the day after tomorrow I envy all major surgery in my heart. Anyway, as long as it is another department, it is better than the emergency department in his eyes.

At first, Chang Pu thought Qi Shouliang really hated to have emergency diseases, and once asked him in confusion.

Since you don’t like to have emergency diseases, you can find ways to transfer to departments such as general surgery, respiratory and digestive tracts. These departments are somewhat related to emergency diseases, and can be considered a good area within Qi Shouliang’s ability.

However, I remember that time Qi Shouliang sneered and said to him: "Who said I don't like to do acute illness? Acute illness saves people is the most fulfilling thing. The silly and the stingy people who swing saws in orthopedics and those who smell bad breath every day have no sense of accomplishment at all."

"Last time I passed by the orthopedic surgery room, I thought it was a big stew inside, the aroma of meat and the sound of sawing big bones. I didn't know when the operating room would be changed into a kitchen."

Qi Shoujing patted his chest with lingering fear and said, "The people in orthopedics are so scary. I would rather die of overwork in an emergency than go to orthopedics to cook bones!"

"It's not okay for ordinary people. I'm holding my intestines every day and playing with it. I feel shit all over my body. It's so disgusting."

As if he had thought of something unsightly, Qi Shouliang vomited and added: "The digestive tract is the same. I guess the doctors of the digestive tract have seen more shit in their life than we have pulled them. It's so terrifying."

Well, Chang Pu rolled his eyes at that time. He understood. Qi Shouliang envied other departments, but in fact he still had an emergency heart in his heart.

From then on, when Qi Shouliang said these words again, Chang Pu never took them seriously, and he was all about the old and arrogant and had an attack again.

After a little dispelling the messy thoughts in his mind, Chang Pu knocked on the table and returned to the main topic: "Old Qi, should we report to the director and let him react to the hospital leaders that there may be influenza, so that the Health Bureau will give the public a vaccination so that it will not turn into a large flu again."

Qi Shouliang thought for a while, nodded and stood up and said, "Okay, then I'll go find Director Wei and react to him. Although seven cases in three days are not serious, I have to pay attention."

He was turning around and about to open the door and go out, but the office door was pushed open from outside. A nurse with a panting and nervous expression supported the door and shouted: "Doctor Qi, the patient with respiratory infection who was admitted the night before yesterday has acute respiratory failure!"

"What?"

Qi Shouliang cursed inwardly, he was really afraid of anything he was going to do!

He picked up the white coat hanging behind the door, put it on in a few seconds, and then hurriedly followed the nurse to the observation room of the emergency department. While running, he did not forget to instruct the nurse: "Xiaowei, go to the respiratory department for consultation, hurry up!"

The office was very close to the observation room. In less than a minute, Qi Shouliang ran into the observation room. He saw a patient who had lost consciousness surrounded by two nurses at a glance.

"What's the situation?" he walked up quickly and asked anxiously.

"Doctor Qi, the patient was fine just now, but suddenly he had difficulty breathing." The young nurse rudely tore open the patient's clothes and put a few electrode pieces on her body. A series of parameters were immediately displayed on the monitor pushed by the side.

"The patient's tachycardia, heart rate, rhythm abnormality, and blood pressure begins to drop! Hypoxemia is serious!"

Qi Shouliang stepped forward and did a quick physical investigation, and data quickly rose in his heart.

"The patient's body temperature rises, his pulse speeds up, his breathing rate accelerates, his skin is wet and cold, and his lips and nails are cyanotic, which determines acute severe respiratory failure!"

After making a quick diagnosis, Qi Shouliang picked up the scalpel and quickly performed tracheotomy and tracheal intubation on the patient to establish an artificial airway.

After intubation, Qi Shouliang took two steps back, gave up the operating space, and said to the two nurses: "The ventilator is ready to provide oxygen therapy to the patients!"

The two nurses quickly pushed an invasive ventilator from the corner of the wall and directly supplied high concentrations of pure oxygen to the patient from the artificial airway established by Qi Shouliang.

After high-purity oxygen enters the patient's body through the artificial airway, the patient's indicators quickly dropped, his heart rate and blood pressure gradually returned to normal, his breathing frequency slowed down, and the color of his lips no longer turned black and purple, and gradually became rosy.

Qi Shouliang then took a long sigh, looked at the monitor and returned to normal physical indicators, and ordered the nurse:

"You should focus on this patient and notify the patient's family. When the respiratory department comes, they will transfer the person to them and ask them to take them back for treatment."

Finally, after looking at the patient who was still in a coma, Qi Shouliang inserted his pocket and left the observation room.

As soon as he entered the office door, Chang Pu asked curiously: "Are you back? How are the patient?"

Qi Shouliang raised his eyebrows and said confidently: "Of course I saved it. My tracheotomy is my strength. With my skills, the emergency department cannot lack me."

He waved his left hand and was very proud that Qi Shouliang had won the favor of Director Wei by relying on a rapid tracheotomy that could be completed in thirty seconds before he could get a shortage of staff in the emergency department of Rongcheng First Hospital.

After all, tracheostomy is the most commonly used first aid sorcerer in the emergency department, and the word "fast" is the word "fast"! Sometimes it may lead to accidents of suffocation and death after being slower by more than ten seconds.

After boasting a little, Qi Shouliang smashed his mouth and said with some concern: "Respiratory failure caused by respiratory infection is usually symptoms that only severe patients will have. This patient was only mild when he was examined yesterday. There is no reason why he worsened so quickly."

Qi Shouliang didn't have time to think too much when he was first aid just now, and the more he thought about it, the more he thought about it, the more he thought about it, the more he became, the more he was wrong.

He raised his head and said solemnly: "No, I have to talk to Director Wei. It seems not that simple."

I don’t know if Director Wei is in the office or dealing with the patient, so Qi Shouliang simply took out his cell phone and called Director Wei.

"...Well, that's the thing. Director, please take a look and grasp the situation."

After reporting the situation to the department director, Qi Shouliang stood up and said to Chang Pu: "Let's go to the observation room to do a careful examination for the patient with acute respiratory failure to confirm the cause."

"I feel that maybe he is not an ordinary viral infection."

As soon as these words were said, Chang Pu's face changed immediately. Everyone was a doctor and knew very well that if it were not for an ordinary virus infection, the matter would be serious. Any type of virus infection would cause some inestimable and serious public health incidents.

His mind immediately passed through sars, mers, h1n1, Ebola and other transmissible mutant viruses!

"Go and go and have a look!"

The two of them immediately put on masks and rushed back to the observation room with great strides.

Not only him, Director Wei of the emergency department who received the news and a attending doctor from the respiratory department who came to refer the patient were also undergoing examinations for the patient with respiratory failure in the observation room.

After a careful examination, Director Wei pondered: "It may be community-acquired pneumonia, but the condition is a bit serious. I'll send it to ICU for observation first and use some antibiotics to treat it, so you should be able to control the condition."

"That's good!" Qi Shouliang saw that Director Wei, who was experienced, thought it was just an ordinary community-acquired pneumonia, not a mutant virus infection, so he breathed a sigh of relief.

Qi Shouliang wiped the fine sweat from his forehead and said with lingering fear: "I was shocked. I thought it was a type of pneumonia."

Director Wei turned his head and glared, what was he talking about in public!

Qi Shouliang also immediately reacted. The observation room was full of patients. If they misunderstood, they would not cause panic.

"Missing the tongue, missing the tongue." Qi Shouliang said with apologies, rubbing his hands and smiling.

"Then send it to the ICU as soon as possible." Director Wei let him go and turned to the young doctor who came to the respiratory department.

"Okay." Liu Zhuzhi from the respiratory department nodded and directed the nurses to push the patient out of the observation room of the emergency department and take him to the ICU ward.

"I hope the patient is fine." Chang Pu said with some sigh at the patient who was covered with electrode tabs and cannulation.

Qi Shouliang nodded and looked at the figure gradually moving away from the hospital bed. For some reason, he always felt something was wrong, but he couldn't tell the reason.

Maybe he was thinking too much, Qi Shouliang shook his head and led Chang Pu into the disposal room. It was time for them to go to the disposal room to change shifts.

Anyway, the patient's condition has stabilized now, so nothing should happen.
Chapter completed!