Chapter 403
"One minute countdown, ready to pick up the car." Doctor Zhou yelled, and then said: "Do you understand the classification?"
"Understood." Everyone answered in unison.
At this time, it is meaningless to entangle with each other and do not belong to each other. The attending doctor in the emergency center organizes first aid, and the doctors in other departments follow the orders, which is in line with the common sense of first aid.
Dr. Zhou has never assumed such a major responsibility. He reminded again: "Severely injured should be sent to the rescue room, lightly wounded should be sent to the treatment room, and those with no obvious wounds should be sent to the observation room for observation. In addition, those who have lost their lives Symptoms, or patients who have lost the meaning of rescue...sent to me."
The doctors nodded one after another. Patients who lose the meaning of rescuing are a challenge to medical ethics. Especially in the case of complicated injuries, it is very complicated who makes the decision and why.
Many doctors would rather face 10 seriously wounded than a dying patient.
Dr. Zhou was able to take away this pain point, and the expressions of doctors in other departments were much more relaxed.
Ling Ran's expression was always tense.
A total of five skill books and 121 bottles of energy potions were left in front of him.
The low production rate of skill books shocked Ling Ran again.
121 bottles of energy potion... plus Ling Ran's remaining 404 bottles of energy potion, it means that Ling Ran will have accumulated 525 bottles.
It is a good thing to have more energy potions, but the five skill books are somewhat unsatisfactory.
Ling Ran opened the first skill book in front of him with a wave of his hand:
B-mode ultrasonography reading ability (specialization) is obtained.
Ling Ran couldn't help raising his eyebrows.
B-mode ultrasonography is commonly known as B-ultrasound.
In addition, there are A-ultrasound, three-dimensional C-ultrasound and V-ultrasound that were popular in the 1950s and 1960s. They are often called Doppler D-ultrasound, and M-ultrasound is mainly used for cardiovascular.
The magnetic resonance he obtained through the primary treasure chest before was all master-level, and the B-ultrasound was only specialized...in fact, it was enough.
The B-ultrasound ability of ordinary surgeons is probably not at the level of specialization.
Ling Ran thought again, the MRI reading he obtained before was limited to the ability of the limbs, compared to the reading of B-ultrasound images that can be used for the whole body, the scope has to be increased a lot.
For a doctor, if he studies B-ultrasound imaging carefully from the moment he enters the hospital, he must be familiar with the whole body, perhaps it will take ten or eight years.
Analyzing it from this angle, it is impossible for Ling Ran to be unhappy in the slightest.
"It just happens to be useful." Ling Ran glanced at the portable B-ultrasound that was ready to be at the side.
Compared with MRI or X-rays, B-ultrasound has the best immediate effect. The real-time imaging function allows doctors to do dynamic observation and see the movement of organs and tissues, which is superior to other imaging methods. In addition, the radiation dose of B-ultrasound is also very low, and the price is also very important.
"When the car arrives, everyone must obey my orders, and I will distribute them..." Dr. Zhou continued to raise his voice.
What he is most worried about now is the lack of manpower, so he desperately hopes to optimize the manpower.
For the emergency department of a hospital at night, once such a large-scale emergency occurs, it is impossible to provide timely treatment for every patient.
Dr. Zhou is well aware of this, but he is afraid that doctors in other departments will hesitate, so he emphasizes again: "Saving the lives of the wounded is our most important task at present. Save lives first, then treat diseases, and save lives first."
Doctors in the emergency department, such as Ling Ran, were indoctrinated by Huo Congjun with similar ideas every day, so there was no need for Dr. Zhou to say more.
Listening to Dr. Zhou's words, Ling Ran opened the second skill book:
Single skill book: total splenectomy (master level).
The spleen is the most vulnerable internal organ, and Ling Ran has pinched it with bare hands to stop bleeding before.
Total splenectomy is very complicated to think about. In fact, if Ling Ran learns by himself, if he has enough materials, he can learn it in about a few months and reach the professional level, that is, the level of senior attending doctors.
That is one or two years.
Of course, considering the limited number of spleens that can be removed by each person, it is probably impossible to have enough materials in a normal hospital.
Considering this aspect, a master total splenectomy can also save several years of time.
Ling Ran nodded slightly, thinking to himself, now that he has the reading skills of B-ultrasound and the total splenectomy, he will give priority to catching patients with ruptured spleen.
There are more than a dozen seriously injured, most of whom are estimated to be injured from falls, bruises and crush injuries, and there is a high probability of encountering the spleen.
Ling Ran opened the skill book again without any delay:
Single Skill Book: Liver Resection (Master Level)
Ling Ran nodded again. From this point of view, not only patients with bad spleen, but patients with fissure of liver can also consider income.
The fourth skill book:
Single Skill Book: Orchidectomy (Master Level)
Bad guys can also be cut.
Another entry was added to Ling Ran's list.
Finally, the fifth skill book opens:
Local Anatomy Experience: Gain 100 abdominal dissection experience.
Ling Ran's tense expression relaxed for a second. There is a feeling of being a scumbag and encountering the same question.
Anatomy experience can be said to be the most scarce thing for doctors at present.
100 abdominal anatomy experiences mean that 100 gross teachers are needed. Not to mention the current situation in China, even in foreign countries, this number is extremely rare.
Ling Ran tied his hands together and moved his fingers.
Now, he is really ready!
...
"The ambulance is coming."
A nurse ran out from inside and called out.
As soon as she finished speaking, the sound of dripping dirt came over.
Everyone was convinced that it wasn't an auditory hallucination this time, and each of them repositioned themselves.
In less than half a minute, the first ambulance passed through the flower bed and stopped in front of the reception door of Yunyi Emergency Center.
The ambulances opened from the rear, and a patient was carried out, and the emergency responders on board reported loudly: "Bricks and stones splashed, hit the head, the patient is conscious..."
Dr. Zhou grabbed the flashlight and shook the patient's pupils, but found that the pupils hadn't been enlarged. He breathed a sigh of relief, and quickly said, "Rescue room, call Shenwai. Old Zheng."
"I'll take over." Zheng Pei nodded to the first responders and turned to lead the way.
One ambulance drove away and another came in shortly after.
There was still only one patient in the car, but it was the operator who was thrown from the tower crane. He suffered multiple fractures and went into shock. Because he was closer to the road, he was rushed out first by ambulances.
Seeing these two patients, the emergency doctors present all looked very unhappy.
Anyone with experience knows that the wounded sent here are on the periphery, and they are all so seriously injured, which means that more and more serious wounded from the core area will be sent later.
Doctor Zhou shook his head, trying not to think too much about it.
"Broken arm, bruised fingers, multiple bruises all over the body..." In the third ambulance, another wounded man covered in gray and black was sent out.
"Disposal room. Doctor Ling?" Doctor Zhou immediately looked at Ling Ran.
"Follow me." Ling Ran immediately stepped forward to take the patient away.
Entering the treatment room, Ling Ran did not rush to the operating room, but first observed the patient's condition, then fixed the patient's wound briefly, prescribed medicine, and said to the nurse, "Observe the patient's condition closely. If there is no abnormality, it will be transferred to hand surgery."
Observing the condition is the most important duty of nurses, and it is also one of the capitals for them to settle down in the hospital.
The nurses in the emergency room have a higher work intensity and are more sensitive to changes in the life indicators. The emergency just broke out too many injuries at one time, and the injuries of a certain patient are not more complicated.
The nurse nodded in agreement, and Ling Ran immediately took off his gloves and changed them.
It didn't take long for Dr. Zhou's shout to come over: "Who's free? A patient with a ruptured spleen."
Ling Ran stepped forward immediately.