"Call the main dispatcher, call the main dispatcher! In the cardiology emergency room, the patient is comatose and needs neurosurgery consultation."

"Oxygen pillow, oxygen pillow! This is the thoracic surgery emergency room."

"Call the call center and ask if the orthopedic surgeon is available and come to the general surgery emergency room."

"..."

As soon as the patients started to enter the emergency room, various voices came from the intercom, and they were very urgent!

This is the first time Lu Cheng has seen such a big battle. In the past, when similar things happened, he always ended up in the ward. They were all mild patients who had been identified by superior doctors, so he was not so anxious at all.

The temporary emergency room of the orthopedics department where Lu Cheng was working had four patients at once.

Dong Yihe, who was with Lu Cheng, took good care of him. Of course, he might not be too reassured, so he said, "You go and see 04, I'll go and see 1-3!"

"Okay!" Lu Cheng didn't hesitate and ran directly to the fourth patient.

At this time, there is no time to call the patient's name, not even the time to call for the fourth bed!

The patient had just reached the door and had not come in. Lu Chengcheng saw a pair of bloody legs.

Lu Cheng immediately began to evaluate.

"May I have your name?"

"Huang Jianguo!"

"can you hear me?"

"Yes. Doctor, it hurts. Please help me. Help me." He prayed to Lu Cheng, with a painful expression on his face and fine sweat on his forehead.

When Lu Cheng asked, he looked at the patient's pupils and quickly pressed on the chest and abdomen.

He immediately said: "The patient is conscious, his pupils are not constricted or dilated, and there is no tenderness in the chest and abdomen."

"How's your blood pressure?"

"102/75mmHg!" the nurse who took the blood pressure replied immediately.

"Immediately order a plain X-ray of both lower limbs and a CT scan of the abdomen. After sending it for examination, he will be pushed to the ward and sent to the third orthopedic ward for temporary bandaging to stop the bleeding!" Lu Cheng said immediately.

This patient is still conscious, his pupils are fine, and there is no tenderness in his chest and abdomen. It can be preliminarily determined that there are no major intracranial, chest and abdominal problems.

Orthopedic problems need to be dealt with immediately, but he is not dealing with it now, nor is he going to the operating room to deal with it. He cannot make a more detailed diagnosis now, which will be a waste of time.

In normal times, this would be an absolute indication for emergency surgery, but now, this kind of patient can be put aside for now, as there must be more serious patients.

Moreover, the reason why Lu Cheng was sure was that he saw that the patient's blood vessels were basically unobstructed, there were no blood clots, and the red blood strips were only on his legs, and the disease level was only lv13!

He is an emergency patient who can be dragged away!

On the other side, Dong Yihe was shocked when he heard that Lu Cheng was so crisp and clear. He hurried over and checked the patient again, but he only pressed the head, chest and abdomen before calling the emergency department.

The resident physician pushed the patient to take medical orders.

When he was pushed over, the patient was still shouting: "Doctor, my feet are broken. They are broken. You can't ignore me! I'm in so much pain. Give me a painkiller injection, doctor, doctor!"

But the hospital bed was still far away, and the resident doctor who was sharing the bed with him was explaining: "Huang Jianguo, the doctor has evaluated your current situation and there is no big problem. You need to go to the ward for treatment. The doctor now has to deal with other more serious patients."

!”

"But I am also a patient. If I am delayed, what will happen to my legs?"

"They will die if they are slow."

To be an emergency doctor, you must learn to be cruel and make choices!

…

Dong Yihe also dealt with a patient, but the patient's condition was very serious. He called the ICU doctor to take over the treatment, and the patient was immediately sent to the ICU.

There was no blood, multiple fractures, and the patient was comatose. The reason was unknown, but his breathing and heartbeat were still there, and his blood pressure was dropping, but it was not an orthopedic problem. The reason why he was referred to the orthopedic department was because his leg was splinted!

"Xiao Lu, you're good, you're decisive enough. You continue to look at No. 3." Dong Yihe also felt that Lu Cheng was reliable after seeing the patient just now, and he was not the kind of ordinary doctor who deceives people.

Lu Cheng is not from this hospital. He was ordered to come for an impromptu consultation. In fact, all the pressure is on Dong Yihe. Of course he is afraid.

"Okay, Brother Dong." Lu Cheng didn't want to be polite, nor did he want to call too long and waste time.

Lu Cheng immediately looked at the patient Dong Yihe asked him to see.

The patient was already in a semi-conscious state and seemed to be about to 'sleep'.

Lu Cheng immediately made a decision.

After a simple physical examination, Lu Cheng saw six blood bars, each located in different unknown places.

Both lower limbs, fractures, severe soft tissue contusions lv29.

Head: Head trauma lv23!

Chest trauma: lv13!

Abdominal trauma: lv33!

Closed fracture of right humerus: lv19!

Closed fracture of left radius and ulna: lv27!

After Lu Cheng read it, he was immediately shocked.

This patient must have been seriously injured, with multiple joint injuries.

Especially the abdomen.

Many areas of orthopedics are not fatal, but trauma to the chest, abdomen, and head, although they are currently only between lv10-lv30.

But these are fatal.

Lu Cheng immediately called the doctor to send the patient to the general surgery department, and then suggested consulting the thoracic surgery department and neurosurgery department.

The doctor was a little embarrassed. The Department of Thoracic Surgery and General Surgery were already overcrowded at the moment. The patient's fracture was very obvious, and the patient was now conscious.

He was a little embarrassed and said: "Doctor Lu, this patient's most obvious symptom is a fracture, right?"

"How about I go to the orthopedic ward first and then ask for a consultation?"

He is relatively polite, but politeness is also questioning.

Lu Cheng said persistently: "This patient, in our Department of Orthopedics, has no indication for emergency treatment! He needs to further determine whether he has more dangerous trauma such as head, chest and abdomen!"

Lu Chengdu has seen these problems, but he can't talk about it, he can't say it directly, because Lu Cheng can't provide any evidence himself!

"The patient is still awake. You just pressed the abdomen, and the patient is not either." The doctor in the emergency department also seemed a little stubborn.

In fact, as an emergency physician, his favorite thing is to send the patient to a certain specialty, and then take away his responsibilities. If he leaves Lu Cheng, he will have to treat the patient before the next department accepts him.

Responsible.

Lu Cheng looked at the patient who continued to push over from behind, looked at the patient's name badge, directly picked up the patient's medical record, wrote down the consultation opinions, and said: "The patient does not have instructions for emergency treatment in the orthopedics department now."

Zheng, this is the opinion of orthopedics!”

Once a consultation opinion is written, the department will be responsible for the opinion.

And if Lu Cheng admits the patient, he will be responsible for all the patient's diseases. Lu Cheng is stupid and will not put such a patient in the orthopedics department to risk death. This is irresponsible to the patient, and

This emergency doctor wants him to be responsible for all orthopedic problems.

Lu Cheng felt that he should just take responsibility.

Anyway, the patient's pelvic separation and compression tests were negative, and there was no open trauma.

He did this to save lives, not to treat fractures.

"I have written the consultation opinion. If there are any orthopedic problems in the future, please consult immediately. Now, the patient does not need any emergency orthopedic surgery!" After Lu Cheng finished writing, he threw away the medical record.

Then he faced the patient in the back.
Chapter completed!