BXBX NOVEL Chapter 118: [118] Overcrowded emergency room 5
Dad Liu glanced at the dead patient and breathed a little. But it seems strange that the heart rate numbers on the monitor have not changed much for the time being.
"Is there no bed in the cardiac surgery department?" Xie Wanying asked the senior brother because of the little friend.
Heart surgery? Hearing her question, both Huang Zhilei and Dr. Jiang were a little surprised.
"It\'s a patient with angina pectoris. He may be suspected of having a myocardial infarction, so he was put on a monitor." Dr. Jiang said, "In the department of internal medicine, an interventional stent may be required, but there is no bed in the department of cardiology."
When answering , Dr. Jiang estimated that Xie Wanying learned what kind of disease this person was by seeing the diagnosis on the bedside card. It\'s just that the emergency room was full today, so the emergency nurses couldn\'t have time to put the bedside card in the emergency room.
After last night, Huang Zhilei knew the little sister better, so he looked down at the bedside card and found that there was none. In fact, he didn\'t even know what kind of patient it was. It was Dr. Jiang who called him, not an emergency physician.
"How can I get a bed?" Xie Wanying asked Senior Brother.
"It\'s too difficult to get a bed today, I have to wait." Dr. Jiang said the difficulty, "Look at my female patient with stomach bleeding, she has been unable to enter our department since she lay down last night. This belongs to our department. Patients, doctors in other departments who are not on duty in the emergency department today are even more difficult to say."
The attending physician can’t even admit patients if he wants to. Xie Wanying immediately thought of Yue Wentong in front of the nurse station. The patient received by the monitor was taken in by a professor.
"His condition seems to be fine. He will have to wait a few more days or go directly to the emergency room for observation." Dr. Jiang said, looking at the heart rate and blood pressure values on Dad Liu\'s monitor.
"But for a patient like this, isn\'t it more important to determine how many blood vessels are blocked? It\'s too late to wait until there is a large area of myocardial necrosis. The gold standard for confirming the diagnosis is coronary angiography. And the monitor is an analog lead, no It\'s as accurate as an electrocardiograph." Xie Wanying said.
Huang Zhilei was surprised: Little Junior Sister spoke directly, just like last night. The problem was neurosurgery last night and heart disease today. Did the junior sister even review the knowledge of other subjects that were not included in the apprenticeship program?
Actually, Xie Wanying directly reported the situation to the clinical senior just like last night because Dad Liu\'s condition was a little urgent.
After hearing what she said, Dr. Jiang was right. For some patients with cardiovascular disease, oxygen supply and demand were balanced before myocardial infarction, and the electrocardiogram often had no obvious characteristic changes. When the attack occurred, the disease progressed rapidly and collapsed directly. Lost. Some patients may die without any signs. Only the patient complained of pain, not even chest pain.
"Coronary angiography needs to be done first to see if the blood vessels are blocked. If that doesn\'t work, the department of cardiology will be transferred to cardiac surgery." Dr. Jiang said, not insisting on what he said at the beginning, and instead supported Xie Wanying\'s idea. He asked Xie Wanying with a smile, "You have studied diagnostics. Now what chapters have you learned about internal medicine and surgery?"
I feel that this female trainee can point out the key points of clinical observation of the disease, not like a new clinical rookie. These are completely invisible in medical textbooks, and belong to the personal clinical experience of doctors.
(end of this chapter)