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Chapter 624 Pass the test

The wound is not long.

Two stitches.

Cao Xin successfully completed it.

Although the stitching is not perfect, it is still acceptable.

If this is a test for Cao Xin.

Zhou Sheng gave him a passing score of 60 in his heart.

For an intern with only one year of experience and no brutal training in emergency medicine, this is a pretty good result.

Zhou Shengsheng is quite satisfied with Cao Xin.

After the stitches are done, all that's left is to bandage the patient's wound.

Zhou Sheng and Su Quan have nothing to worry about and are no longer supervising.

The two exited the inner room and came to the outer room of the disposal room.

"How is this newcomer?" Zhou Sheng asked.

"It's not bad, at least I'm not a complete novice. Maybe I have little clinical experience and am a little nervous. I should be able to adapt to the straps quickly."

"Well, then this important task will be left to you."

"Me? Am I still an intern?"

Zhou Sheng patted Su Quan on the shoulder and said with a smile: "Don't be modest. I guess there is no intern in the Central Hospital who is better than you in clinical practice."

What Zhou Sheng said is really true.

Su Quan is not very talented, but he works very hard. In addition, Zhou Yisheng gave him many clinical practice opportunities.

Central Hospital really can't find any interns who can compete with Su Quan in clinical practice.

"That's not necessarily..." Su Quan originally wanted to say that among the interns, you Zhou Yisheng is much better than me. But then I thought about it, this is wrong. Why did you think Zhou Yisheng was an intern? He is now a dignified person.

The leader of the fourth emergency team and the resident physician were no longer on the same level as him.

"There are people outside the world, and there are mountains outside the mountains. It's better for us to keep a low profile." Su Quan said.

"Okay, I said you're fat and you're still breathing heavily. Shouldn't you take this master seriously?"

"Can I not listen to what you say? Promise to complete the task. Try to make him a qualified emergency doctor within a month."

“That’s not a bad attitude!”

The two of them finished talking.

Cao Xin has already treated the patient's wounds.

He helped the patient out of the inner room.

The anesthetic effect of lidocaine is still there, and the patient's expression is still quite relaxed at this moment.

Moreover, he was quite satisfied with Cao Xin's stitches.

To be honest, even with two stitches, only professionals like Zhou Sheng and Su Quan can tell the quality of the stitching technique.

Ordinary people, especially this patient, don't see anything special about him.

His most intuitive feeling was that the stitches didn't hurt much.

That is actually the effect of anesthesia and has nothing to do with Cao Xin's technology.

But it doesn't hurt, and the patient is already satisfied.

When Zhou Sheng saw the patient, he smiled and said, "How about it? The sewing is pretty good."

"Yeah, it doesn't hurt much. It's really a big hospital, and the new staff are very skilled."

"Okay, Su Quan, give him some anti-inflammatory medicine, and I'll take Cao Xin around."



Cao Xin went to the disinfection room, took off his disposable gloves, washed his hands, and continued to "patrol" with Zhou Sheng.

The two of them talked while walking.

"How do you feel? I see you are a little nervous." Zhou Sheng asked.

Cao Xin was a little embarrassed and said: "I'm not afraid of your jokes. The most important thing I do outside of my heart is to write medical cases. There are not many opportunities to get started like this."

"It's okay. You'll get used to it gradually. In the past few days, I haven't reserved a consultation room for you. Just run around more, and follow the Su Quan just now. You know him too. Let him guide you more.

Even though he is also an intern, he has rich clinical experience."

"It can be seen that Dr. Su is much better than me. I will definitely follow him and study hard."

"I have nothing to do tonight. Just follow me first."

"OK!"

The emergency center will tell you whether it is big or small, and whether it is small or not.

After getting familiar with a few important places.

Consultation starts on Monday.

According to the previous explanation, Cao Xin moved a chair and sat next to Zhou Sheng to start studying...

Time passes little by little.

Bai Mingming had just finished seeing the patient in the consulting room. He stretched out and looked at the wall clock on the wall. The time on it had already reached 10 o'clock at midnight.

I felt a little sleepy and yawned. Thinking that I can get off work in 2 hours, Bai Mingming felt better.

At this time, a young nurse ran in in a panic.

"Doctor Bai, Doctor Bai, it's not good, there's a serious patient coming to the emergency room."

Bai Mingming was startled, and he asked instinctively: "Where are Team Leader Zhou and Team Leader Liu?"

The nurse replied that they all had patients.

There was no other way, Bai Mingming had no choice but to go up.

He followed the nurse to the emergency room.

I saw a boy lying on the bed who looked quite immature.

Bai Mingming's heart immediately skipped a beat. This patient must be in his teens at most. How could he become so serious at such a young age?

The nurse on the side saw Bai Mingming and immediately briefly introduced the patient's current condition to him.

The patient, male, 19 years old, reported that he had chest pain, chest tightness and discomfort, and vomiting after drinking half a glass of white wine during lunch. Physical examination: heart rate 103 beats/min, blood pressure 155/102mmhg.

After figuring out the basic situation, Bai Mingming looked at the patient on the bed.

At this time, the patient was lying weakly on the hospital bed, and his mental state was very poor.

For a while, Bai Mingming didn't know the specific cause of the patient's chest pain.

He can only start with consultation first.

"Where exactly does the chest pain hurt?" Bai Mingming asked the patient.

"Here..." the boy said, touching the middle and lower part of his sternum.

"How much pain, can you bear it?"

"It hurts. It feels like something is pressing on my chest..." The boy said this and closed his eyes in pain.

After a brief inquiry, countless clues gathered in his mind.

He began to search for the cause of the disease.

The attack occurred after drinking at noon, and it has lasted for at least 10 hours now. The oppressive chest pain lasts for such a long time. There is a high probability that there is an organic problem.

Bai Mingming began to think about various possible illnesses in his mind.

Aortic dissection.

A disease flashed through Bai Mingming's mind.

If chest pain is accompanied by elevated blood pressure and vomiting, aortic dissection should be ruled out first.

In this disease, the blood in the aortic cavity enters the aortic media from the tear of the aortic intima, causing the media to separate and expand along the long axis of the aorta to form a state of true and false two-chamber separation of the aortic wall.

If there is an acute attack, there is more than a 50% probability that the patient will die from cardiac tamponade, arrhythmia, etc. It can be said to be a very serious clinical illness.

However, upon closer analysis, it seems unlikely that this boy had an aortic dissection.

Because the peak age of this disease is after the age of 50.

Moreover, the pain of this disease is often like tearing or cutting.

Bai Mingming thought for a moment and deleted the aortic dissection in his mind.

That's what emergency care is like.

There are often severe and emergency cases.

It is not possible to tell what the disease is at once.

But there is a principle that every emergency doctor knows.

That is, the diseases that pose the greatest threat to the patient's life must be analyzed first.

Aortic dissection is unlikely.

Soon, a second symptom appeared in Bai Mingming's mind.

Viral myocarditis.




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