Chapter 27 Medication
The junior treasure chest once again prescribed a bottle of energy potion, which increased Ling Ran's accumulation to 6 bottles.
As a contestant who has obtained 6 primary treasure chests and obtained 7 bottles of energy potions, Ling Ran doesn't care much about another primary treasure chest.
However, as a medical student who has just begun an internship, Ling Ran still cares a little about the "heartfelt thanks".
The nurse was lazy and handed over the work of changing the dressing to the intern doctor. Ling Ran deliberately took it lightly and was extremely gentle.
The 19-year-old girl was tricked by the handsome guy for a few minutes and her whole face turned red.
"I have changed the medicine. Be careful not to see water in the wound in the next few days. Remove the stitches on time, and the scars will be shallow..." Ling Ran made the medical advice as usual, unlike an old doctor who is as fond of words as gold. If Ling Ran did not say the complete medical advice, he would be heartbroken.
The family nodded repeatedly when they heard this, and the little girl also asked: "Doctor... can I come to you for doing it when removing the stitches?"
"The stitch removal can be done anywhere, and other hospitals or clinics can also do it." Ling Ran answered according to the hospital's policy.
"I want to find you to remove the stitch..." the little girl pouted.
"It's okay to find me, but by the time, I may not be on duty."
"It's okay, I'll wait for you to go to work." The girl nodded vigorously.
"You can't wait to remove the stitches." Ling Ran's tone suddenly became serious, and he said: "Removing the stitches in time can reduce the hyperplasia of scar tissue. It can be slightly ahead of time, but it cannot be delayed, do you understand?"
The little girl was stunned by the question, and the family next to her quickly said, "We understand, we will definitely remove the stitches on time."
Ling Ran nodded with satisfaction, looking very imposing.
The little girl held her arm, her eyes full of stars.
The inspection of dozens of beds did not take much time. A group of people came to the rescue room in the middle, but did not disrupt the director's pace. He just sent a senior attendant to solve the problem.
After a while, everyone returned to their posts. Huo Congjun left the observation room and returned to the rescue room. He also looked left and right to inspect.
Ling Ran followed Huo Congjun and looked left and right.
The emergency department of Yunhua Hospital receives nearly 1,000 patients every day, but most of them are solved in the treatment room. Some other patients will be transferred to other departments after simple treatment.
The number of patients who really need rescue is not too many every day. When there are relaxed times, there may be one or two critically ill patients a day.
Of course, this kind of ease is hard to come by, so most of the time, the rescue room is in a mess.
Patients with shock or coma who have been plugged into a respirator, patients with large-scale burns are the most common patients with dyspnea. They are between Class I and Class II severe illness and are frequent visitors to the emergency room.
“Ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
The middle-aged man in the bed next door suddenly twitched all over, and the family members around him were in a mess, and quickly "doctor" and "doctor" shouted.
An associate chief physician immediately walked over quickly, looked down at the jogging hospitalist: "Prepare a defibrillator."
The nurse next to him started to establish an intravenous pathway in preparation for infusion without giving instructions.
The nurse on the other side pushed the rescue cart over and performed electrocardiogram, blood pressure and blood oxygen monitoring on the patient.
Huo Congjun took Ling Ran and stood a few meters away, suddenly asked, "How to use medicine?"
"Uh..." Ling Ran's understanding of rescue medicine only exists in books and can only recall it desperately.
"It's time to give orders." Huo Congjun was obviously doing simulation training, or on-site teaching.
The same question may only be worth five points on the final exam paper of the medical school, but in the atmosphere on the scene, it makes people sweat.
Ling Ran felt the tension from all around him, took a deep breath and said, "Adrenaline, lidocaine push. Then...glucose injection, lidocaine drop..."
As soon as he finished speaking, the deputy chief physician in charge of rescue ordered: "Adrenaline, lidocaine."
Immediately afterwards, the deputy chief physician took the initiative to do CPR, followed by defibrillation and injection.
Immediately, I heard him continue to order: "5% glucose, 250 mg of lidocaine remain silent."
The standard rescue operation was tense and orderly, and in just a few minutes, the patient was pulled back from the brink of death.
Ling Ran stared at the nurse's footsteps and listened to the doctor's orders in his ears. He was not nervous, but just excited.
He was excited with 5% glucose, 250 mg of lidocaine, 250 mg of standard metered infusion bags, and standard rescue procedures.
This certainty, most importantly, is the patient's immediate feedback, fascinating.
In other industries, the margin between right and wrong is very vague, and it often takes a long time and many subsequent changes to show correct and wrong.
In the hospital, the blurry margins still exist, but are extremely thin.
Patients, especially severe patients, will use the speed that the doctor cannot react to and feedback their decisions.
From a stable electrocardiogram to a chaotic arrhythmia, from soaring blood pressure to a normal index, it may be a matter of one second or two seconds.
Just like the question he answered just now, it is the simplest question. Any medical student should be able to answer it. The difference is that if you do the wrong questions, you will lose points, and if you do the wrong practice, you will lose your life.
"Why do you need to use lidocaine?" Huo Congjun watched the patient wake up before continuing to ask questions.
In the noisy environment, Ling Ran observed the movements of the doctors and nurses while observing the patients, saying, "Because lidocaine has a strong anti-arrhythmic effect."
"What else?"
Ling Ran recalled the content of the endorsement: "It has antibacterial activity and brain protection."
Huo Congjun shook his head: "In this rescue, lidocaine should be used, and it should be considered that it can prevent inflammatory reactions. Studies have shown that using lidocaine during the operation can effectively reduce the hospitalization time. Do you usually read the literature?"
Ling Ran told the truth: "It's rare."
Medical students can’t even read books, so where can they have time to read the literature?
"After going back, read at least two documents every day." Huo Congjun, like a teacher, has already begun to assign tasks.
"Okay." Ling Ran agreed.
The emergency department's emergency room has always been as busy as a chicken pen.
Huo Congjun pulled Ling Ran, but he looked like two outsiders, just observing and talking, like two Red Dead Redemptioners were choosing comments in the chicken circle.
Some other doctors wanted to hear it, but in a few minutes, they were pulled back by the busy work.
After more than two hours of this, Ling Ran's mind was already swollen and began to consider whether to take energy potions.
"The emergency room is ready, the patient in the car accident will arrive in 5 minutes." The nurse who received the call lowered the phone and shouted, which made her mind feel hot.
"Follow me to pick up the car." Huo Congjun was so energetic that he shook his arm and took the lead.
Ling Ran's fatigue that had just surged immediately subsided and he quickly followed Huo Congjun.
Chapter completed!