Compared with the daytime, after the outpatient clinic is closed at night, it is the time when the emergency department can be most effective.
Today is an unusual day. Wen Xiuchi, the general on-duty officer of the emergency department, was keenly aware of this, but as before, he was powerless to do anything about it.
From three o'clock in the afternoon, various situations emerge one after another:
First, 120 took an elderly patient with advanced lymphoma to the hospital. By the time he rushed all the way to the emergency room, his heartbeat and pulse had disappeared.
Intubation, connection to various monitors, epinephrine injection, cardiopulmonary resuscitation, and ventilator were all in vain.
The cries of the patient's family members sounded like a cold and ruthless finger, knocking down the dominoes behind:
The young man who suffered a traumatic brain injury in a car accident stopped breathing before he was pushed into the operating room. The driver who caused the accident, with a pale face, knelt at the feet of his parents, but it didn't help;
A middle-aged woman suffering from aortic dissection and massive bleeding was rushed over after she fainted while working overtime at the unit, but unfortunately it was too late;
A man who suffered a sudden brainstem hemorrhage died after ineffective rescue efforts. His son raised his head in horror, and the first thing he asked was - can this disease be hereditary?
Wen Xiuchi rubbed his temples to clear away all the noise, cheered up, and walked to the triage table.
She had just been notified that a patient and a nurse had quarreled and she needed to put out the fire - this was also one of the duties of the general shift.
A large number of patients and family members are guarded at the triage table at all times, and extremely experienced nurses will evaluate and classify each patient according to the severity of the condition to determine the priority of treatment - but now this order has been disrupted.
Several family members surrounded nurse Xiao Huang aggressively, as if they would not give up until they achieved their goal:
"Do you understand or not? If you don't understand, just call the doctor - my dad is so old, why are you still letting him wait here?"
"The person in the back just now was obviously not serious, but he went to see a doctor first - why, is he a relative or friend of yours?"
"Call your supervisors out! Everyone is queuing up here, why don't they come in order? It's just that other things are busy. Can this life-saving thing be interrupted?"
They were all talking at once, and they were talking to each other, without giving Xiao Huang a chance to interrupt.
The other two triage nurses had to take care of other patients, and their calls for help were ignored several times, so they had no choice but to call Wen Xiuchi.
Wen Xiuchi first looked at the man sitting in a wheelchair beside him. He was about sixty years old, with a frown on his face, and his left ankle was swollen.
The triage system integrates the patient's vital signs and symptoms, and the rating is level four, which means it is not urgent.
The reason for grading is to maximize the medical effect within limited time and medical resources.
Otherwise, in the time it takes to treat mildly ill patients, truly critical people may lose their lives.
Unfortunately, not everyone understands this truth. Otherwise, the disputes like this would not have occurred in three places and five places.
After working as a hospital manager for several months, Wen Xiuchi has great experience in dealing with this kind of thing.
Tit-for-tat, verbal quarrels, or earnest explanations and seeking understanding - these things can only waste time and have no meaning.
The top priority is to take people away and restore order in front of the triage table.
"Uncle, please come with me." Wen Xiuchi said to the grunting man: "Take a film to see if there is any problem with the bones."
"Hey, okay, doctor, my foot hurts. I haven't suffered this pain in many years!" the man said.
Wen Xiuchi saw how swollen the foot was and knew it would not be comfortable. But no matter what, life will definitely be spared - it is very reasonable to be assigned to Level 4.
She comforted her casually, stood up and called, "Who is this patient's family member?"
Those few people were blushing and thick-necked because of the argument, and didn't pay attention to this.
Wen Xiuchi looked at the patient and showed a helpless expression: "Uncle, there are already a lot of people taking X-rays now, but after the shooting, we still have to wait for an hour before the results can be obtained and symptomatic treatment can be given."
"Are you sure you want to spend more time here?"
When the man heard this, he became anxious and immediately shouted loudly: "Boss and second brother, stop messing around here, come here quickly and follow this doctor!"
As soon as he shouted, the family members who were making trouble immediately left Xiao Huang behind, surrounded him tightly, and followed Wen Xiuchi in their wheelchairs.
When leaving the hall, Wen Xiuchi saw seven or eight more people coming in at the door.
The old man walking in the middle was full of energy, and his long white beard was tied in a knot, which made it difficult not to notice.
Judging from her sharp eyesight, which she has honed over many years in the emergency room, these people all had rosy complexions and steady steps, and it was impossible to tell that they were suffering from any emergencies.
This is probably because they are too busy during the day to see outpatient clinics, and they have to come in at night to occupy emergency medical resources.
Wen Xiuchi thought as he walked, feeling quite disgusted with this approach.
After filling out the prescription and sending the man's family away, she immediately rushed into the emergency room - a new critically ill patient was brought in.
A young girl in her twenties was lying on the flat car, looking calm, as if nothing was wrong.
Completely opposite to her calm performance, the highly nervous attitude of the medical staff and family members nearby.
The flat car was pushed very fast and rushed in all the way.
After moving the bed, inducing vomiting, and gastric lavage, Wen Xiuchi looked at the girl on the bed with regret.
She has long, black hair and a fair complexion. At this moment, she didn't forget to take out her mobile phone and pose for a selfie.
"I just scared him. I didn't really want to die. Don't worry, Mom." Tian Nan had regained her energy, smiled and comforted her tearful mother, and then chatted with friends on WeChat:
"Have you told him? Is he coming over?"
"Hey, what should I do? I'm dying. My lipstick has fallen off and my clothes are wet. How can I let him see it?"
"Okay, okay, I know, you have to pretend to be weak, right? I understand, don't worry!"
Wen Xiuchi called the patient's mother aside.
"What I just learned is that your daughter drank about fifty milliliters of paraquat, right?"
"That's right." Tian Nan's mother said, "This child is just too irrational and has caused you trouble."
"We are not afraid of trouble." Wen Xiuchi sighed and said, "Next, just spend more time with your daughter."
She turned around and left, going to the emergency room.
Some people, no matter how hard they try to live, just can't do it.
There are also people who are seeking death even though they are in good health.
Over the years, she has long since learned not to be entangled, to do what can be done, and to save the people who can be saved.
Ten minutes later, when she came out of the rescue room, she met Tian Nan's mother waiting for her at the door.
"Doctor, does my daughter need any medicine, or can she go back if she's fine?"
Wen Xiuchi looked at this family member who was still ignorant and did not understand the seriousness of the problem at all, and sighed again.
