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Chapter 118 [118] Overcrowded Emergency Room 5

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    The nurse was free, so she brought the lathe and transported the dead car accident patient to the hospital morgue.

    Father Liu glanced at the dead patient and breathed heavily.  But what seems strange is that the heart rate number on the monitor has not changed much for the time being.

    "Are there no beds in the cardiac surgery department?" Xie Wanying asked her senior brother because she was worried about her friend.

    Cardiac surgery?  Hearing her question, both Huang Zhilei and Dr. Jiang were a little surprised.

    "It's an angina patient. Myocardial infarction may be suspected, so I put it on a monitor." Dr. Jiang said, "The internal medicine department may receive a diagnosis and may need an interventional stent, but there are no beds in the cardiology department."

    When answering, Dr. Jiang estimated that Xie Wanying knew what the disease was from seeing the diagnosis on the bedside card.  It's just that the emergency room is full today, and it's impossible for the emergency nurse to have time to put bedside cards in the emergency room.

    After last night, Huang Zhilei got to know his junior sister better, so he lowered his head to look at the bedside card and found that it was not there.  In fact, he didn't know what kind of patient this was when he first arrived.  It was Dr. Jiang who called him, not the emergency physician.

    "How can I get a bed?" Xie Wanying asked her senior brother.

    "It's too difficult to get a bed today. We have to wait." Dr. Jiang said the difficulty, "Look at my female patient with gastric bleeding. She has been unable to enter our department since she was lying there last night. This belongs to our department.  Patients, it¡¯s even harder to tell for doctors from other departments who are not on duty in the emergency room today.¡±

    The attending physician cannot admit patients even if he wants to.  Xie Wanying immediately thought of Yue Wentong in front of the nurse station.  The patient the monitor picked up was admitted by a professor.

    "His condition looks fine. He needs to wait a few more days or be transferred directly to the emergency observation room for observation." Dr. Jiang said, looking at the heart rate and blood pressure values ??on Liu's father's monitor.

    "But for patients like this, isn't it more important to determine whether several blood vessels are blocked? It's too late to wait until there is real large-scale necrosis of the myocardium. The gold standard for confirming the diagnosis is coronary angiography. And the monitor is an analog lead, so it's not  It's as accurate as an electrocardiograph." Xie Wanying said.

    Huang Zhilei was surprised: Junior Sister spoke so directly, just like last night.  The question was neurosurgery last night, cardiology today.  Has the junior sister also reviewed other subjects that are not included in the internship plan?

    In fact, Xie Wanying directly reported the situation to the clinical seniors like last night because her father Liu's condition was a little urgent.

    Dr. Jiang was right after hearing what she said. Some patients with cardiovascular disease may have balanced oxygen supply and demand before a myocardial infarction, and often have no obvious characteristic changes in their electrocardiogram. When the attack occurs, the disease progresses rapidly and collapses.  Lost.  Some patients may have no symptoms at the moment of death.  The patient complained only of pain and not even chest pain.

    "We need to do coronary angiography first to see if the blood vessels are blocked. If it doesn't work, we will transfer from the cardiology department to cardiac surgery." Dr. Jiang said, no longer insisting on what he said at the beginning, and he started to support Xie Wanying's idea.  Xiaoxiao asked Xie Wanying, "You have studied diagnosis, which chapter of internal medicine and surgery have you studied now?"

    I feel that this female trainee can point out the key points of clinical observation of the disease, unlike a new clinical rookie.  These are completely invisible in medical textbooks and belong to the doctor's personal clinical experience.  (Remember the website address: www.hlnovel.com
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