Nurses are not doctors, and their triage is very rough and can only be divided into general medical and surgical categories.
The exact specialist triage depends on the first emergency doctor. If the triage is wrong and the specialist in the wrong department is called, the delay in the process may be fatal for some patients.
So the inpatient doctor is not saying that he is unwilling to go down to save the patient, but that you made a mistake and asked me to go down not because something happened to me but to the patient.
Anyone who has been in clinical practice for a long time will know that this is where some of the medical disputes in the emergency department originate.
After listening to what the cardiothoracic surgeon said, Dr. Guan probably thought that the injured person's injuries had little to do with the cardiothoracic surgery. He turned to the neurosurgeon and fired a quick shot: "Have you read it? A patient has been seen for so long?"
This is enough to show that other people's secret gossip about Doctor Guan's long treatment time fell into Doctor Guan's ears. Doctor Guan was finally able to catch other people venting the same dissatisfaction.
As long as others can't do it, it can be proven that he is not a doctor who is incompetent.
Regardless of the small thoughts that the doctor may have hidden in his heart, Zhang Desheng and other students present felt that they could guess it.
Zhang Desheng and Li Qian immediately looked at classmate Pan and Geng: Hey, it’s time to work, he told you.
It was impossible for them to delay for half a day. Classmates Pan and Geng had to calculate this point because they were afraid that if they stayed down there for a long time and went up there, the Song Cat would laugh at them and call them scumbags.
"It took us less than twenty minutes to get here." Classmate Geng Yongzhe said that it was faster than a doctor in charge who would see a patient for more than half an hour.
"What's going on? Tell me." Doctor Guan asked him to give the evidence.
"The injured person does not show symptoms of neurological abnormalities. If his eyes are swollen, he should seek treatment from an ophthalmologist." Classmates Pan Shihua and Geng Yongzhe answered.
One or two people said that this patient was not a patient of their own department. This made the doctor who wanted to transfer the patient a little anxious. He pointed his finger at the patient's face and asked: "His eyes are swollen like this. Are you sure there is something going on in his head?"
Will it be okay?”
The area around the injured person's left eye is bruised and swollen. The eye is on the human brain, and it is normal to worry about damage to the brain if the eye is damaged. It's just medical evidence, not just what you think.
Xie Wanying added to what the two classmates said and said to Dr. Guan: "Teacher, are you worried about a skull fracture?"
Injuries around the orbit, if accompanied by head injury, are most commonly skull fractures.
Skull fractures are divided into calvarial fractures and skull base fractures. Skull base fractures are further divided into anterior cranial fossa fractures, middle cranial fossa fractures and posterior cranial fossa fractures. These classifications are based on the anatomical location of the fracture. Therefore, periorbital anatomy is
In terms of location, it belongs to the anterior cranial fossa. If this patient has a periorbital skull fracture, it should be an anterior cranial fossa fracture.
"Fractures of the anterior cranial fossa usually manifest as periorbital and subconjunctival congestion, rhinorrhea of cerebrospinal fluid, and olfactory and optic nerve damage," Xie Wanying added.
What is the condition of cerebrospinal fluid rhinorrhea? You can refer to the previous emergency report about the worker of National Energy Group who fell from a height.
There is currently no discharge from the patient's nasal cavity.
Olfactory nerve injury means that the injured person's sense of smell is abnormal, such as hyposmia, anosmia, hyperosmia, olfactory hallucinations, etc. It will be clearer just to ask the patient something smelly.
Visual injuries are not necessarily caused by skull fractures.