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Chapter 83 Medical ethics cycle

What makes Chen Tianyang angry is not only the fact that "Sun Lien may be hiding in the economy class and not coming to help." In fact, what makes Chen Tianyang most upset is that Sun Lien did not step forward to save people. After all, you are also an emergency doctor, even if you

Are you worried that you might get into trouble if you perform invasive resuscitation outside the hospital? Why don't you at least help treat other injured people? I've done a cricothyroidotomy and you still can't hide out?

In an emergency like this, a professional emergency doctor, even a rookie with regular training, can be as good as most general surgery experts. Chen Tianyang really couldn't figure out what Sun Lien was hiding from. The sky was falling.

Chen Tianyang was still carrying him when he came down.

Zhou Jun, who was standing at the door of the cabin, was also surprised. He didn't know where a fat white man came from, with his hands on his waist and scolding Sun Lien angrily. The fat white man looked soaked all over, as if he had just taken a shower with his clothes on. And look at him

His expression seemed really angry.

"Who are you?" Zhou Jun's protective character inherited Liu Tangchun's characteristics. I can scold the doctors under my command, but it is definitely not the turn of a stranger to yell. He walked up and asked with a frown.

, "Do you have anything to do with Sun Lien?"

"What do I have to do with him?" Chen Tianyang waved his hands vigorously, and the sweat on his hands fell directly on Zhou Jun's white coat. "I am so busy rescuing the injured on the plane that I am like this. He is an emergency department doctor."

The doctor doesn’t know how to help? What kind of fucking medical ethics is this?”

"Is he really on the plane?" Zhou Jun suddenly became nervous. He looked carefully at the crowd who had left the plane, "I didn't see him. Is he still on the plane?"

"You didn't see him?" Chen Tianyang was also confused, "Then which descendant are you calling Sun Li'en?"

"Aren't you also cursing people with your hands on your hips?" Zhou Jun rolled his eyes, "You are really capable of scolding someone who is not even on the plane for watching a show."

The first meeting between Chen Tianyang and Zhou Jun had a strong smell of gunpowder.

"Sneeze!" Sun Lien sneezed loudly without warning. The sound was so loud that it even attracted the attention of the flight attendant next to him. "Sir, do I need to get you a blanket?"

"No, thank you." Sun Lien rubbed his nose and smiled sheepishly at the flight attendant. Hu Jia on the side smiled and asked, "What's wrong, someone scolded you?"

"Maybe someone is really scolding me." Sun Lien replied with a wry smile, "I just don't know who I have offended." He rubbed his still itchy nose, "Good guy, I feel that there is something wrong in my nose."

It's like someone stuck a cotton swab in it."

The plane Sun Lien and Hu Jia were on had finished climbing and entered a stable cruising stage. Domestic airlines began to gradually implement in-flight Wi-Fi hotspots, which was really a new experience for Sun Lien. He used his mobile phone to call Shanghai Airlines

The plane was extremely slow, so I tried to refresh the web page on my phone to see what was going on with the emergency landing in Ningyuan.

"I seem to have forgotten to tell my aunt the flight number." Hu Jia ordered a glass of sparkling wine and took a few sips with squinted eyes. Then he suddenly realized that he didn't report the itinerary to Hu Jing. "Li En, help me send this to my aunt.

WeChat?”

Sun Lien has never added Hu Jing's WeChat account, but this does not prevent him from getting in touch with the head nurse. There are several internal WeChat groups in the emergency department, and head nurse Hu Jing is always the one with the most powerful voice. Usually a group of people "steal half the day"

When the idle young nurses gossip in the group, there is a high chance of eliciting a warning from Head Nurse Hu with a smile. "You use WeChat to chat during working hours. You don't plan to collect your performance this month, do you?"

In any hospital under the sun, the most terrifying person in every department must be the head nurse. And the head nurse who has practiced shot put and can carry two winter melons in one hand is the one who speaks with the most weight among all the head nurses.

After all, no one wants to be thrown twenty meters by the head nurse by the collar, right?

Enduring the slow internet speed, Sun Lien finally found Hu Jing's avatar in the medical group, and then sent a friend request. The application content was "Aunt Hu, Hu Jia and I are on the plane. We will land in about two and a half hours."

No more, no less, exactly twenty words.

"Maybe when we land later, we can take the hospital's car back." Sun Lien explained to Hu Jia the emergency diversion of the previous flight. Then he sighed, "The hospital sent ten cars there.

...I hope the condition of the injured is not too serious."

The condition of the injured is serious.

Everyone else is doing okay, especially the passengers in the economy class. Most of them have superficial injuries. Although it looks scary and bloody, everyone's condition is actually quite stable.

While floating in the sky, many passengers were directly pulled down by nearby passengers. A few who were not pulled back fell directly on the heads of the passengers below them. Although more people suffered from hematomas on their heads.

, but after all, there was a buffer, and they were not seriously injured.

The most seriously injured person was the pale male business class passenger.

"Heart rate 145, blood pressure 110/170, blood oxygen saturation 93%." As the most seriously injured passenger, the man in the business class received the highest level of care. Zhou Jun and Hu Jing were accompanied by two other attending doctors.

The students are undergoing intense rescue operations.

The other injuries of this injured person are easy to say, even the laryngeal spasm problem is not serious. After all, more reliable incision and intubation have been done, and with the help of the ventilator, his blood oxygen saturation is slowly rising

.But the pink foam that keeps pouring out of the trachea is reminding Zhou Jun that this patient may have symptoms of acute pulmonary edema.

"Inject 20 mg of furosemide intravenously, tilt the stretcher bed, and let him lie with his legs down!" Zhou Jun gave the doctor's order, and then pulled the airport staff aside, "This patient's condition is very dangerous.

We must be sent to the hospital immediately. Let the police car clear the way for us!" He finished these words as fast as he could, and then grabbed Chen Tianyang's hand, "You are in the same car as us, go to the hospital immediately!"

According to Zhou Jun's judgment, the injured person is currently in the typical interstitial pulmonary edema stage. Judging from the readings of the cardiopulmonary monitor, he may have acute left heart failure due to high blood pressure, which then led to acute pulmonary edema. However,

A diastolic blood pressure of 110 mmHg and a systolic blood pressure of 170 mmHg is only considered stage 2 hypertension. It may cause left ventricular hypertrophy and damage to some other organs. But overall, the patient should still be compensating.

During the period, there will be no obvious symptoms.

This acute left heart failure may raise a big question mark.

And Zhou Jun dragged Chen Tianyang, naturally not to ask him to go to the Fourth Central Hospital for an operation to prove his worth. He needed to find someone who had carefully observed the patient and could provide him with the patient's detailed physical signs and symptoms in the car.

People with premorbid characteristics.

"You're sleeping on the plane?!" As soon as the ambulance drove out of the airport control area, Zhou Jun's roar came from inside the car, "A doctor, you actually slept on the plane? Do you still have medical ethics?"


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