"We need to give him an injection to relieve pain first. 50mg pethidine intramuscularly, ask Dr. Xin for a prescription." Xie Wanying said quickly.
Sometimes it's not just blood loss that can cause a patient to go into shock, but pain as well. Pain can really kill someone. Trauma like this
If the patient's pain is excessive, the doctor must first consider giving him adequate pain relief.
Pethidine is a controlled narcotic drug and requires a special prescription paper to be issued separately and kept on file.
After hearing what she said, Sister Xu ran all the way to find Xin Yanjun.
Soon Xin Yanjun ran over from the observation room: "What's going on?"
At this time, Xie Wanying inspected the knife wound on the patient's inner thigh. The wound was quite deep. Fortunately, the tendons and nerves were not severed. There was considerable bleeding and required surgical suturing. So he turned around and answered the teacher's question: "It needs to be debrided and sutured."
This situation should be handled by an emergency surgeon. As for finding a specialist surgeon in the inpatient department, it may not be necessary because there is no scope for orthopedic specialist treatment.
"Dr. Li went out with the ambulance and hasn't come back yet. Dr. Yin is busy catheterizing people." Of course, Sister Xu immediately went to the surgeon to report the situation to the two of them.
What catheterization? Need a doctor? Isn’t it generally something that nurses can do?
"Prostatic hyperplasia." Sister Xu said.
Oh, the two physicians understood immediately.
In patients with prostatic hyperplasia, the urethral opening is abnormally narrow, making it very difficult for nurses to conduct urinary catheterization and requires the help of a specialist. This type of patient is usually an elderly male patient and is often accompanied by urinary retention. That is, a large amount of urine accumulates in the bladder and cannot be discharged. If urine is not discharged without catheterization, the patient will be in very, very painful pain. If he cannot bear it, he has to go to the hospital emergency room to find a doctor. It is a common urology patient in emergency department.
Dr. Yin himself is a urological surgeon. When he receives such patients in the emergency department, he can do some emergency treatment before sending them to the ward when he has time.
How can the doctor walk away if the urinary catheter is halfway inserted?
"Give him Demerol." Xin Yanjun said to Sister Xu.
Sister Xu turned around and took the key to open the anesthetic counter.
The two emergency surgeons were unavailable, but luckily I had a surgical intern by my side. Xin Yanjun patted classmate Xie on the shoulder and asked, "Can you sew it for him?"
Suturing is a basic skill for surgical students. After going through two surgical departments and trying the surgeon's role on the operating table, Xie Wanying was very familiar with this technique and nodded directly to Teacher Xin.
Sister Xu came in with an injection and gave the injured person Demerol. She said to Xin Yanjun, "The old lady's daughter is here again."
While talking, the aunt's voice sounded outside, and Xin Yanjun was found shouting outside: "Doctor, come here. I was talking to you just now, but I didn't finish my words. Why did you run away?"
Family members of patients like this always give the doctor a hard time because the old lady happens to be seriously ill and the doctor has no excuse to leave. Don't go there, I'm afraid this person will keep making noises here, which will affect the rescue of people. Xin Yanjun had to go out first.
After injecting Du Leng Ding, Sister Xu helped Xie Wanying prepare surgical debridement and other items, and said to Xie Wanying: "You are busy. If you need anything, just call me. I will be outside."
Knowing that Sister Xu has a lot of things to do outside, Xie Wanying nodded, put on a mask and changed into a pair of sterile gloves. She had to give local anesthesia to the injured before suturing.
