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 inpatient 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 been in clinical practice for a long time will know that this is where some of the medical disputes in the emergency department originate.
After listening to what the cardiothoracic surgeon had to say, Dr. Guan probably thought that the injured person's injuries had little to do with the cardiothoracic surgery. He turned around and fired at the neurosurgeon: "Have you finished reading? A patient has been in hospital 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 proven that he is not a doctor who is incompetent.
Zhang Desheng and other students present felt that they could guess what little thoughts the doctor might have in his heart.
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 a long time. 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 going on? Tell me." Doctor Guan asked him to give the evidence.
"The injured did not show symptoms of neurological abnormalities. If the eyes are swollen, please seek treatment from an ophthalmologist." classmates Pan Shihua and Geng Yongzhe answered.
One or two people said that this patient was not a patient in 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?”
There were bruises and swelling around the injured man's left eye. 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 what the two classmates said and said to Dr. Guan: "Teacher, are you worried about a skull fracture?"
Periorbital injuries, if accompanied by head injury, are most commonly skull fractures.
Skull fractures are divided into calvarial fractures and skull base fractures, and 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, rhinorrhea of cerebrospinal fluid, and olfactory and optic nerve damage," Xie Wanying added.
What is the condition of cerebrospinal fluid rhinorrhea? You can refer to the previous emergency report about the worker of National Energy Group who fell from a height.
There is currently no discharge from the patient's nasal cavity.
Olfactory nerve injury means that the injured person's sense of smell is abnormal, such as 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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