Zhou Sheng went to the clinic and first saw a patient with an upper respiratory tract infection and prescribed some medicine.
Then there was pain in the right lower abdomen.
The appendix monster is causing trouble.
Zhou Yisheng was too lazy to deal with this little boss, so he asked Bai Mingming to come over and deal with it.
Appendiceal surgery is Bai Mingming's favorite. It's not difficult and you can earn hard money steadily.
Bai Mingming happily accepted the patient.
At night, there are obviously fewer emergency room patients than during the day.
After seeing these two patients on Monday, I felt completely at ease.
I haven’t seen a patient for a long time.
He left the clinic and wandered around the emergency center to see where support was needed.
But it was quite peaceful tonight. There were some mini-bosses everywhere, so there was no need to bother Zhou Sheng.
Just when I was bored all my life on Monday and thought that this night was going to pass so smoothly.
Suddenly 120 piercing sirens broke the tranquility of the night sky.
In the deep darkness, a 120 ambulance stopped urgently at the door of the emergency center.
The nurses in the duty room were still chatting. When they heard this voice, they rushed out first as if they had received an order, and the patient was quickly transferred to the emergency room.
Zhou Sheng, who was walking around the emergency center, naturally became the first doctor to arrive.
In the emergency room, the patient was already in shock.
The nurses were panicked.
"Who are you looking for?" asked a young nurse.
"Who else can we call in such a serious situation? Let's go to Team Leader Zhou first. If something happens to him, let Team Leader Liu come!" replied an older nurse.
"Uh-huh!"
Just as the young nurse was about to go find Zhou Sheng, Zhou Sheng had already appeared in front of her.
With Zhou Sheng's appearance, the nurses suddenly had a backbone and became much calmer.
When Zhou Sheng took a quick look, he saw a middle-aged man in his fifties lying on the hospital bed. At this moment, he had his eyes closed motionless, his face was covered in blood, and he looked very scary.
Zhou Sheng stepped forward hurriedly.
Upon careful inspection, the patient was still breathing, but it was superficial.
Zhou Sheng touched the patient's arm again and found it was very cold.
This indicates that the patient suffered severe blood loss.
"Hey, can you hear me?" Zhou Sheng tried to call the patient.
There was no response and the patient was in a daze.
Cold limbs, weak breathing, and confusion are typical symptoms of hemorrhagic shock.
Must be rescued immediately.
Zhou Sheng immediately started to establish ECG monitoring for the patient.
At the same time, he asked the nurse around him about the patient's condition.
"How did it get like this?"
"When 120 was delivered, it was said that it was a car accident."
"Does the patient have any family members here?"
Zhou Sheng asked this question because the patient was in shock and his life was in danger at any time, and a critical illness notification had to be issued at any time.
"The traffic police said they haven't found anyone yet."
"Please take care of the blood on his face and be careful about the wound."
"Um."
…
Do a good job of ECG monitoring that week.
Su Quan and Cao Xin also hurried into the emergency room.
The two quickly arrived at Zhou Sheng's side.
Su Quan glanced at the patient and knew that the situation was not good, "Team Leader Zhou, do you want to help?"
In comparison, Su Quan was relatively calm.
Cao Xin had never seen such a bloody scene. He just stood aside without saying a word, his whole body as dumb as a chicken.
Just now, the two of them had just sent away a patient in the consulting room. They heard the sound of an ambulance outside.
Although no nurse came to call Su Quan for help, Su Quan rushed over with Cao Xin immediately.
"Car accident, it is estimated to be hemorrhagic shock." Zhou Sheng answered while looking at the ECG monitor. The instrument started working. It showed that the patient's heart rate at this time was 120 beats per minute and the systolic blood pressure was 55 mmhg.
"Oh my god, the systolic blood pressure is only 55. This is a symptom of massive bleeding!" Su Quan exclaimed.
Of course Zhou Sheng knew that the frightening blood on the patient's face had almost been cleaned up at this moment. Zhou Sheng stepped forward to check carefully. Although the blood on his face looked scary, it was actually just a scratch on his forehead. The amount of bleeding was
It's not much. Now after the nurse's treatment, the bleeding is almost gone.
This bit of bleeding will definitely not cause the patient to go into shock.
Are there any other injuries on the body?
Zhou Sheng checked again.
There were no obvious blood stains on the patient's body.
This patient has no major trauma!
There was no major trauma, and he was in hemorrhagic shock, which proves that the injury should be inside the body.
Internal bleeding!
Injuries are more complex and dangerous.
Su Quan also saw the situation in front of him.
This was internal bleeding, and there was a lot of bleeding.
Su Quan couldn't help but said: "Team Leader Zhou, please issue a critical illness notice."
"What the hell! There was a car accident and the family members haven't been contacted yet!"
"Damn! We're in big trouble now."
"I know it's troublesome, but I'm still standing. I'll call you immediately to take a chest X-ray!"
"Yeah, okay."
Su Quan took action.
At this time, Zhou Sheng picked up the stethoscope and placed it on the patient's chest. At the same time, he also turned on the system scan.
Auscultation showed that the patient's heart sounds were distant. During auscultation, Zhou Sheng also discovered that the patient's jugular veins were distended.
The jugular vein is the pressure gauge of the right atrium and can reflect changes in right atrial pressure and volume.
For example, a large amount of pericardial hemorrhage may cause jugular vein distension.
For a person who scored more than 590 points in the clinical theoretical knowledge test, it is too easy to judge the condition.
The patient is very likely to have heart damage, the heart may rupture and bleed, and there may be hemorrhage in the pericardium!
Sure enough, it was not as expected by Zhou Sheng.
When Zhou Sheng completed the auscultation, the system had already given an authoritative diagnosis.
Heart rupture, bleeding, hemorrhagic shock.
Critically ill.
Treatment options include emergency heart rupture repair.
The current probability of rescue success is 90%.
90%, it seems that the probability of rescue is very high.
But the symptoms of heart rupture and bleeding.
That is fighting against time for your life.
Zhou Sheng knew that as time goes by, this probability will decrease little by little until life dies.
Do a checkup here on Monday.
Over there, Su Quan was already preparing to send the injured person for a chest X-ray examination.
Zhou Sheng asked: "You must follow. Just tell them that it is suspected of heart rupture and bleeding, and ask them to hurry up. I will prepare the operating room here."
Su Quan was a little surprised, "Team Leader Zhou, for this kind of matter, don't you need to notify the cardiac surgery department for consultation?"
Zhou Sheng said: "It's too late, I will do this surgery."
Su Quan was even more surprised. He had never seen Zhou Yisheng perform such a major operation as opening a chest and repairing his heart.
Next to him, Cao Xin was also quite shocked. He had been working in cardiac surgery for a year and had only observed some thoracotomy surgeries under the aura of his uncle.
Unexpectedly, Zhou Yisheng would have to do his own surgery this week!
However, Su Quan and Cao Xin were unable to oppose Zhou Yisheng's decision at this moment.
In the emergency center, every second counts for rescue. As the team leader, Zhou Sheng has the highest decision-making power for treatment.