"Dingle bell! Dingle bell!"

I don’t know when Lu Cheng was awakened by the ringtone and vibration of his cell phone again. Lu Cheng immediately opened his eyes tiredly. In fact, he was very sleepy. He still put the chief hospital cell phone to his ear and rubbed his eyes.

, while saying: "Hello, hello. Orthopedics."

While thinking back, Lu Cheng thought of his master Lin Hui. Before Lin Hui left Shashi, he was the general hospitalist.

When he met Lin Hui, he heard the demonic voice of the resident general, as if there was a demonic vibration under his control.

Although Lu Cheng took it less than forty-eight hours ago, he still felt dominated.

"Well, okay, emergency surgery clinic, right? I'll be there on time." Lu Cheng directly took off the blanket on his body, began to fold it, then slowly put it away, and then opened the door and left.

Fang Nixin heard the ringtone of her cell phone and the voice of Lu Cheng talking, and walked out of the room without catching up with Lu Cheng's leaving figure.

After Lu Cheng left the house, he sent a VX message to Fang Nixin: "Senior sister, I went to the emergency consultation. I'm sorry, I fell asleep on your sofa."

At this time, it was already 11:45 in the evening, and Lu Cheng had probably been lying down and asleep for about four hours.

Fang Nixin immediately replied: "Okay, I heard you called, please take time to rest."

In several major departments of orthopedics, special emergencies are now being sent to the trauma center. Most of the other departments are providing ordinary clinics. I don’t know why Director Min Hong does not adjust the structure of the orthopedics department and insists on killing the general hospital of trauma surgery.

Lift.

Aren't the lives of the other bosses very good?

Fang Nixin started to feel a little sorry for Lu Cheng at this moment, but in fact, Fang Nixin knew why Min Hong arranged this. Because the department where Li Dongshan stayed before was the emergency department, and the emergency department of the Second Xiangya Hospital was very strong in the country.

, but most people only think that he is strong in internal medicine, and Li Dongshan is just a bastard. Now that the trauma center and emergency department are separated, Li Dongshan naturally has to bring the trauma center to climb up, and by the way, he will give the attached second emergency department the reputation of trauma.

Fight out.

Li Dongshan is not Min Hong, nor is he young people like Zhu Lihong. Li Dongshan is a veteran professor. Now that he is the head of the ward, he is of course prepared to produce something. And Min Hong will agree to Lu Cheng to follow Li

Dongshan also wanted to give Li Dongshan some connections so that he could take revenge.

The current core member of Li Dongshan's team is Lu Cheng. If Lu Cheng wants to leave, he must at least leave after Li Dongshan has cultivated a pile of follow-up talent reserves. Otherwise, Lu Cheng can't leave.

If you don't go to the trauma center to serve as the chief resident, you will certainly not be able to avoid the fact that you will follow Li Dongshan...

Lu Cheng set out from home. Of course, he didn't have time to get dressed in the department. He went directly to the dressing room of the emergency department and put on a white coat. He went directly to the emergency surgery clinic without wearing a name tag. After entering, he asked: "

Which teacher here requested an emergency orthopedic consultation, and where is the patient?"

Hearing the sound, a man in a white coat without a name tag came up and asked, "Is he the orthopedics teacher? The trauma patient just now has been sent to the emergency room."

"I'll take you there right now."

As he spoke, he moved forward and said simply: "The patient was injured in a car accident and suffered a degloving injury at the knee joint of his right lower limb. There was a large amount of blood oozing, and he also had head trauma and chest trauma."

"Emergency consultation has been requested from relevant departments, and the patient is currently in a coma."

"The amount of bleeding on the leg was very large. My teacher was afraid that the patient would go into shock due to blood loss, so he invited an orthopedic department for consultation to see if emergency surgery was needed."

Lu Cheng frowned when he heard the word "injured in a car accident."

Car accident injuries are a very broad term. They can be large or small, disabled or fatal. They are the most dangerous emergency causes in surgeries nowadays.

There is no one.

From a mild perspective, there are soft tissue contusions, avulsion fractures, ligament injuries, bone fractures, mutilated injuries, and even cardiac arrest directly on the way to rescue.

"Has the patient had a head CT? How is his consciousness and vital signs?"

“What about abdominal CT and chest CT?”

Lu Cheng asked three questions in a row. In fact, there was only one question. How are the patient's vital signs now?

This person doesn’t have a badge, either he just entered the department for regular training, or he came here for further studies, and he didn’t have time to get a badge. However, judging from his age, he is probably more likely to be in regular training. The badges for professional graduate students are generally

The graduate department has communicated with the hospital, and a batch will be made directly in advance.

"He was in a deep coma and was injured for an hour and a half. The doctor on the ambulance performed a simple bandage to stop the bleeding. The dressing is currently soaked with moisture."

"The head CT and chest and abdomen CT have been done. The teachers from the Department of Surgery, General Surgery, and the Department of Thoracic Surgery are all reading the scans. I don't know what the specific situation is."

"But it's definitely not possible to bleed like this now!" The man in the white coat without a name tag spoke relatively clearly, and his thinking was not disrupted at the moment. Therefore, he introduced the medical history in great detail.

Lu Cheng quickly saw the patient. The patient's right knee joint was obviously swollen and covered with a large amount of gauze and cotton pads.

After the bandage was applied, there was still a large amount of leakage to the surface, the amount of bleeding was very large, and the bleeding was definitely active.

If you continue to leave it alone, hemorrhagic shock will definitely occur.

Lu Cheng immediately judged and said: "The current situation requires emergency surgery immediately, but the patient may not even be able to get to the operating table now!"

"The current situation of head, chest and abdominal trauma is unclear."

"Did anyone from their department come and look at it? Do you have any opinions? I'm from the orthopedics department."

Lu Cheng finally introduced his identity and first talked about the treatment, just to highlight the need for surgery.

"We called people from the emergency clinic to check the neurological and thoracic surgery, and they all said we need to do surgery right away. However, the general surgery department looked at the CT and said that the temporary situation is okay, there is no active bleeding, but the contusion of the right spleen is...

Delayed rupture of the spleen may occur at any time."

"It is also recommended for people with external and thoracic diseases to undergo surgery immediately."

"But they are afraid that the person will bleed to death during the operation. It is best to stop the bleeding and perform head incision, decompression and closed chest drainage at the same time."

"It's just like this. The patient is hit in three places at the same time, and he may not be able to recover!" The person who replied was his doctor in charge, a young man in his late twenties with deep dark circles under his eyes. Although he was tired at the moment, he was still

Everything he said was on point, without any nonsense.

These should also be undergraduate doctors who come to the emergency department. The reason why they are on duty at night must be because they are young and have insufficient qualifications, so most of the night shifts are assigned to them.

This situation seems to be a dead end.

"What do the family members think?" Lu Cheng asked.

In this situation where there is no choice, the family can only choose.

The dark circles under the doctor's eyes and the white coat formed a very sharp contrast. At this moment, he said helplessly: "The family members haven't come yet, and the driver who caused the accident has escaped."

"Even the money for a CT scan is from the general on duty."

No family members.

The patient will die immediately.

This is an unsolvable problem that emergencies face all the time.

At this moment, people from the Department of Neurology and the Thoracic Surgery Department hurried over almost at the same time and said at the same time: "The patient needs emergency surgery immediately. Does the patient need a family member? Ask a family member to pay the money and a family member to sign!"

"Immediately request emergency surgery and call someone to complete the medical records."

The person who spoke was the CEO of the Neurosurgery Department, but not the one I met yesterday. The Neurosurgery Department has three wards in total and three general inpatients. The CEO of the Thoracic Surgery Department is still Chu Lin, and the duty of the General Inpatient Department of the Thoracic Surgery Department rotates from month to month.

of.

According to what they say, one month of being dead and living, and two months of being happy.

The boss of the neurosurgery department said expressionlessly: "He now has a massive subdural hematoma and must undergo surgery immediately, otherwise he may be brain dead on the spot!"

There are only two cases of brain death, one is complete physiological death, and the other is vegetative state.

"No family members, no payment! Do you want to get the general duty authorization?" the doctor in charge also asked directly.

"Hit him! Call the person who brought him here as soon as possible to contact his family."

"Can't delay."

"At least I have to open a window in my head to decompress my head no matter what."

"Contact the anesthesiology department and ICU and be prepared for anesthesia and tracheostomy at any time." The chief resident of the Department of Neurosurgery just gave his own advice.

"Where is the medical record? I'll write a consultation opinion first."

…

After making the call, he said, "The general on duty has authorized it. You go back to the operating room first. I will bring the patient up immediately. The first four items of blood transfusion and blood type will be drawn as soon as the patient comes. Please arrange for a personal contact with the blood bank.

"

"I'm really too busy here."

Hearing this, only Shenwai, who had finished writing his opinion, hurried back. Lu Cheng and Chu Lin from the Department of Thoracic Surgery did not move a step.

I just stared at the medical record and wrote down my opinions in a leisurely manner.

When the doctor in charge saw this, he could only say helplessly: "Forget it, classmate, you call the blood bank. They say that a large amount of blood is needed in the emergency! Then contact the anesthesiology department for emergency consultation!" After that, he hurried out and went again.

I contacted the kind person who brought the patient.

But when he went out, the kind man was gone.

By sending the patient to the hospital, that person has already shown his kindness, and he cannot be asked to pay money.

He didn't curse anything, and quickly returned to the computer again to quickly open the doctor's orders and materials with various conversations and signatures.

After Chu Lin finished writing his opinions, he immediately handed the medical record to Lu Cheng and said, "Brother Lu, we meet again. We two brothers are working together. It seems that we have a lot of luck."

In medical institutions, the first-diagnosis responsibility system and the consultation system are both core systems.
To be continued...