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¡¾2938¡¿Discrimination

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    Nurses are not doctors, and their triage is very rough and can only be divided into general medical and surgical categories.

    The exact specialist triage depends on the first emergency doctor.  Triage errors, calling specialists from the wrong department, and the delays in the process can be fatal for some patients.

    So the resident doctor is not saying that he is unwilling to go down to save the patient, but that you made a mistake and asked me to go down, not because something happened to me, but to the patient.

    Anyone who has stayed in clinical practice for a long time will know that this is where some of the medical disputes in the emergency department originate.

    Although the doctor listened to what the cardiothoracic surgeon had to say, he probably thought that the injured person¡¯s injuries had little to do with the cardiothoracic surgeon. He turned to the neurosurgeon and fired quickly: ¡°Have you finished reading? A patient has been seen for so long?¡±

    "This is enough to show that other people's secret gossip about doctor Guan's long treatment time fell into the ears of the doctor.  Doctor Guan could finally catch other people venting the same dissatisfaction.

    "As long as others can't do it, it can be proved that he is not a doctor who is incompetent.

    ¡° Regardless of the small thoughts that the doctor may have hidden in his heart, Zhang Desheng and other students present felt that they could guess it.

    Zhang Desheng and Li Qian immediately looked at classmate Pan and Geng: Hey, it¡¯s time to work, he told you.

    It is impossible to say that they delayed for half a day.  Classmates Pan and Geng had to calculate this point because they were afraid that they would be laughed at by the Song Cat for being scumbags if they stayed down there for a long time.

    "It took less than twenty minutes for us to come down." Classmate Geng Yongzhe said that it was faster than the doctor in charge who would see a patient for more than half an hour.

    "What's the situation? Tell me." Doctor Guan asked him to give the evidence.

    ¡°The injured person did not show symptoms of neurological abnormalities. If the eyes are swollen, you should seek treatment from an ophthalmologist.¡± Classmates Pan Shihua and Geng Yongzhe answered.

    One or two people said that this patient was not a patient of their own department. This made the doctor who wanted to transfer the patient a little anxious. He pointed his finger at the patient's face and asked: "His eyes are swollen like this. Are you sure there is something going on in his head?"  Will it be okay?¡±

    The area around the injured man's left eye was bruised and swollen.  The eyes are part of the human brain. If the eyes are damaged, it is normal to worry that the brain will be damaged as well.  It's just that medicine talks about evidence, not just what you think.

    Xie Wanying added to the words of the two classmates and said to Dr. Guan: "Teacher, are you worried about a skull fracture?"

    Injuries around the orbit, if accompanied by craniocerebral injury, are most commonly skull fractures.

    Skull fractures are divided into calvarial fractures and skull base fractures. Skull base fractures are further divided into anterior cranial fossa fractures, middle cranial fossa fractures and posterior cranial fossa fractures.  These classifications are based on the anatomic location of the fracture.  Therefore, the periorbital area is anatomically subordinate to the anterior cranial fossa.  If it is believed that this patient has a periorbital skull fracture, it should be an anterior cranial fossa fracture.

    ¡°Anterior cranial fossa fracture usually manifests as periorbital and subconjunctival congestion, cerebrospinal fluid rhinorrhea, and olfactory nerve and optic nerve damage.¡± Xie Wanying added.

    What kind of cerebrospinal fluid rhinorrhoea is the condition? You can refer to the previous emergency report about the worker of Guangdong National Energy Group who fell from a height.

    There is currently no discharge from the patient¡¯s nasal cavity.

    Olfactory nerve injury is an abnormality in the injured person¡¯s sense of smell, including hyposmia, anosmia, hyperosmia, olfactory hallucinations, etc.  It will be clearer just to ask the patient something interesting.

    Visual injuries are not necessarily caused by skull fractures.

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