Sun Lien was sitting on the stool, feeling a little lethargic. After Pascal left, he received five more patients in a row. The most serious one was a 67-year-old man who suffered from prolapse of the anus due to severe diarrhea caused by a bad stomach.
After confirming that the patient's vital signs were basically stable, Sun Lien transferred the patient to the anorectal surgery inpatient department. Thanks to the status bar, it was confirmed that the patient was only slightly dehydrated. Otherwise, he might have to send the patient to the emergency room for hanging.
Two bottles of normal saline.
According to Zhou Jun's plan, Sun Lien is working as a deputy shift today. His working hours will start in the afternoon and last until eight o'clock the next morning. So far, six patients have been treated. Not counting the cost of examination and treatment, Sun Lien has made money from outpatient fees alone.
Sun Lien can get half of the 30 yuan and 10 yuan nighttime emergency registration fee. With six more patients, the outpatient fee will almost be worth his subsidized salary. Sun Lien, who finally feels that he has made money, is full of motivation.
But after all, the night shift was hard, and most of the patients who came to the emergency clinic were less serious level 4 patients. He actually felt a little depressed.
Speaking of which, people are really mean. They fight for their lives in the emergency room every day, and are as tired as a dead dog every day. Their biggest wish is to find a place to sleep with him for three days and three nights. But now he is in a hurry.
In the outpatient clinic, Sun Lien actually felt a little bored.
This is not good. Sun Lien, who had just been educated by Dr. Pascal, quickly began to reflect on himself. Perhaps for doctors, ordinary night emergency clinics do not seem challenging, and may even be boring. But every big night
For the patients who came to the emergency room without staying at home, what they encountered was a big deal. The fear of the disease and the discomfort caused by the disease made their nerves tense, and almost everyone was on the verge of going berserk.
The emergency department is the department that faces the most violent conflicts in the entire hospital. In addition to simple medical disturbances, the emergency department also often receives patients with accidental trauma caused by various reasons. Most of these people have been drunk.
Sun Lien saw a doctor for the mother of the young man who spoke out before. The B-ultrasound diagnosis showed that there were multiple stones about one millimeter in diameter in the old man's right kidney, and there was a stone about 1.8 millimeters stuck in the ureter.
Small stones. Although stones stuck in the ureter generally do not pose a direct life threat to patients, the renal colic caused by this small thing is really uncomfortable. Once the onset of renal colic enters the persistent stage, it will cause persistent
Severe pain that lasts for more than one hour. In some extreme cases, the pain can last for more than 12 hours.
What needs to be pointed out here is that this kind of pain is not the same as cutting a finger. It is a level four pain that exceeds the pain of fracture or even childbirth, and is called "the most painful feeling in human history". The so-called childbirth pain is as high as level 12.
, this statement is completely made up by netizens. According to the WTO classification, there are five levels of pain from 0 to 4. The most serious is level 4 severe pain that can cause changes in blood pressure and pulse, fractures, surgery, childbirth, and renal colic.
The pain and so on are all level four. Because renal colic lasts for a long time and there is no weakness in the middle, so generally speaking, renal colic is even more painful than childbirth and there is an interval between contractions!
Racemic anisodamine hydrochloride and atropine were prescribed by Sun Lien to the mother of a young man. For renal colic, the first priority is not to immediately relieve pain, but to relieve ureteral smooth muscle spasm. Atropine and racemic anisodamine hydrochloride
Alkali is a relatively common clinical anticonvulsant. As for the treatment of the kidney stone itself, Sun Lien plans to wait until the patient's condition stabilizes before transferring her to the urological inpatient department, and then perform surgery as soon as possible.
After taking care of the sixth patient, Sun Lien suddenly heard a burst of noise coming from the emergency room. Out of professional sensitivity, and because he had just taken care of the patient, Sun Lien poked his head out of the consulting room and took a look. Unexpectedly, as soon as he poked his head out,
He was seen by Zhou Jun in the distance.
"What are you still doing?" Zhou Jun waved to Sun Li'en, "Hurry up and help!"
In the emergency room of the hospital, a crowd of forty or fifty people came in. From a distance, they were all men, and most of them were young men. When Sun Lien came a little closer, he could smell the smell of alcohol mixed with the smell of blood.
The cold wind blew in from the door.
This is a group of real estate agents who have just gotten off work. Most of them are wearing suits and ties. However, the white ties have been stained with large blood stains, and each of them is staggering under the influence of alcohol.
They could no longer stand. Following this group of people were more than 20 police officers who looked nervous.
"Teacher Zhou, what's going on?" Sun Lien took the new rubber gloves from Xiao Guo and put them on. Since the accident a few days ago, the hospital's infectious disease department has once again shown its power. Now every emergency doctor has nothing but gloves.
In addition to masks, you must also wear protective glasses to prevent splashing of body fluids. A group of doctors dressed up like the evil scientists in the movie.
"I drank too much in the KTV and got into a fight with someone in another room." Zhou Jun's answer was concise and direct, "Hurry up and deal with it. In ten minutes, another group of people will have to come to our hospital to deal with it."
There is a very large KTV in Sun City near the Fourth Central Hospital. Although it is located in a business district, its business is doing well under the banner of low prices. But today, this KTV is in bad luck.
There was a conflict between the guests in two oversized private rooms. The fight between the two groups not only attracted the police, but also smashed everything in the room.
These two very large private rooms are not close to each other, and there are seven or eight private rooms in between. But I didn't expect that the two groups of people who came to sing, drink and team-building today are not easy to mess with. On one side is
The real estate agent, and the other side is the salesperson of the 4S store.
The cause of the incident is a bit vague, but the general situation is that the girl from the 4S store and the girl from the housing agency drank too much and were in a panic, but the toilet in the large private room was completely vomited by other colleagues and could not be used. So they just
I was able to step on high heels and stagger outside to use the restroom. I swayed on both sides and bumped into the restroom door.
People who drink too much are unreasonable to begin with, and the little girl who was usually protected by her male colleagues suddenly felt that she had been wronged. The two of them had a fight at the door of the toilet, and then each decided to wear the torn clothes and go back.
Call someone.
A group of drunken men in a 4S store saw their female colleague in disheveled clothes and thought that the girl might have met a gangster. Without any suggestion, a group of men immediately picked up beer bottles and headed towards the toilet with righteous indignation.
Then he kicked every door he saw along the way and entered a room when he saw it. After kicking and breaking more than a dozen doors, he finally found the real estate agents who were also carrying bottles of wine and were ready to fight.
If there are too many beer bottles flying in the sky, it can also have the effect of blocking out the sky and the sun.
The agents were caught off guard, and several people were fired at that time. However, the people in the 4S store obviously had a huge disadvantage. Each of them carried a bottle of wine. After the first wave of firepower was suppressed, the follow-up was suddenly weak.
.Next, these dozens of people were thrown out by hundreds of bottles of wine that were thrown back.
The fighting process in the middle is omitted. In short, when the police comrades arrived at the scene, the corridor between the two private rooms was covered with broken wine bottles. The couple trapped in the middle huddled in a blind corner.
They hugged each other and trembled as they looked at the wine bottles flying in the sky.
The comrades from the riot squad, carrying shields and anti-explosion glue sticks, lined up and pushed the drunkards on both sides to the ground and beat them up. Then they dragged them in batches to the nearest Fourth Central Hospital for preliminary treatment. As for the follow-up work,
That depends on the extent of the damage to the store that called the police. Anyway, the comrades from the Municipal Criminal Police Team have already rushed to the hospital, and the detention center in the Quiet Zone will probably be overcrowded tonight.
Zhou Jun was a little dissatisfied with the fact that the police sent so many people here without even saying hello in advance. But fortunately, most of these drunkards were not seriously injured. At least the people on the agency side could still stand on their own.
.Except for one person who had several teeth knocked out, the most serious injury was a mild concussion. Of course, judging from the way he was swaying and vomiting hard, he might have drank too much.
The key to identifying vomiting and unconsciousness in drunken patients is to distinguish whether the patient has a cerebral hemorrhage or has drunk too much. Many times, these two conditions will appear in the same patient at the same time. After all, drunk people are slower to react.
Not to mention, when encountering an accident, there may not even be a subconscious self-protective posture. It seems that it was just a slight fall. As a result, because there is no protective posture, cerebral hemorrhage often occurs.
Fortunately, Sun Lien took a look at the guy with a slight concussion, and there was no reminder of cerebral hemorrhage on the status bar. Since there was no reminder, there was no need to prioritize it. As for the emergency brain CT scan, what should be done was still done, even if it was overcharged.
A sum of money would be a good thing to help him remember not to drink so much in the future.
Because this group of people smelled of alcohol and found it difficult to comply with the doctor's instructions after drinking too much, Zhou Jun immediately decided to clear an area in the emergency room to gather the crowd. Other doctors who had no special urgent matters at hand came over.
For support, each person has a needle holder, a box of suture needles, and a nurse with an ugly face holding a bent tray with sterilizing equipment. There are so many traumas all at once this night, and the nurses can just wait to clean up the mess.
Work hard for a while.
When there are more people, there will be noise, and the noise will definitely attract more people. It didn’t take long for the less urgent patients in the waiting area of the emergency hall to come over and start watching the fun. Because lidocaine may
It will synergize with alcohol in the human body, causing the drug to be more effective, so the medical staff are extremely stingy with anesthesia before stitching. A group of real estate agents who had just fought bloody battles howled so hard that the glass shattered. This movement was really real.
The listeners were shocked and the listeners shed tears.