In the early years, China's medical care was almost all done by old men, whether it was the establishment of disciplines or departments or the construction of hospital buildings.
Almost everything is the same. For example, older people may remember the emergency department of the old hospital.
It is a long passage with treatment rooms on both sides. There are fewer people and it looks pretty good. You can see the end of it at a glance. It is very transparent and it is clear which door is where the patient is being treated.
However, once there are more patients, all the people in this kind of building turn into human flesh and balls. You squeeze me, and I squeeze you. Sometimes, the nurses and doctors can't even get in while pushing the patients, which is very inconvenient. .
Therefore, later on, many hospitals actually began to imitate Wanziguo. Emergency centers are generally arranged in an octagonal shape.
Slightly like gossip, or like a spider. A larger hospital will have more spider legs, while a smaller hospital will have fewer spider legs.
The triage table is in the middle, and the most eye-catching one is the myocardial infarction emergency treatment room. The big blood-red characters remind patients and their families all the time.
Moreover, with the development of Chasu Hospital, the emergency center has divided into several detailed treatment directions, with internal medicine in several adjacent tentacles and surgery in other adjacent tentacles.
There is a rescue room in the Department of Internal Medicine and an operating room in the Department of Surgery.
It can be said that the most modern department of Chasu Hospital is the current emergency center.
As long as the workload is not overloaded and dozens of patients come in at the same time, the advantages of this kind of building will come into play. The triage table is the center, regulating the work of doctors and nurses without interfering with each other, and can triage patients as quickly as possible. .
Although Chasu Hospital is located in the border area, because of Zhang Fan, the emergency center of Chasu Hospital is almost ranked among the top in the northwest region.
Let's not talk about the staffing first, just look at the dozens of emergency 120 vehicles parked at the door, then look at the various instruments inside the department, and the apron built on the roof, although Ouyang's plane has not arrived yet.
But it already has a bit of a modern feel.
Take a look at the equipment inside, including hyperbaric oxygen chamber, gastric lavage machine, four-dimensional color ultrasound, X-ray projection room... these instruments, to be honest, these instruments alone are comparable to a second-level hospital.
During the Spring Festival in other departments, there were two or three real kittens in the department, which seemed particularly empty and quiet. The big word "quiet" finally showed its power at this time.
But the emergency center is not like that. Just like going to the morning market, there are children injured by playing with firecrackers, there are men who are nauseous and vomiting from last night's hangover and come to ask for sobering medicine, and there are also brothers-in-law who have broken their heads due to a big holiday. Or the husband and wife are tearing each other apart and getting hurt and want a divorce.
Really, sometimes weird things can happen in hospitals, especially during holidays.
The physicians took the child into the medical emergency room, and the surgeons took the injured policeman into the surgical treatment room.
In the originally noisy emergency center, those who were complaining and quarreling became quiet.
Blood, blood, to be honest, as long as a normal person sees the same kind of large-scale bleeding, the first thing that will arise deep in his heart is a sense of rejection, which is genetically inherited.
Just like the danger you can feel in your body, try to stay away from it.
"Quick, how old is the child? Have you ever had a similar situation before? How was it treated?"
There is no need for Ouyang to get involved in the disposal room. At this time, Ouyang was not idle. He immediately went to the parents to ask about the children's situation.
The young mother's eyes were filled with tears. "The child is only eight months old. This happened to me occasionally in the past. I went to the county hospital and said it was fine."
But who would have known that when her grandpa woke up this morning and played with her, she suddenly lost her voice while laughing, and then slowly started to turn blue.
We went to the county hospital, but the doctors at the county hospital didn't even let us in. They sent us directly to the city hospital with 120.
Doctor, please save the baby. She is only eight months old and she was fine yesterday.
How can I live if she has a baby? "The young mother started crying again as she spoke.
To be honest, there are many pitiable things in the hospital, but the ones that touch the softest parts of people's hearts the most are children.
Looking at the world with innocent eyes with big, bright eyes, when the pain comes, he or she may not be able to speak yet, and can only endure the pain that even adults cannot bear.
Sometimes, when treating children, it really takes no time to practice. After the treatment is completed, the doctors and nurses themselves feel uncomfortable and dare not look at it.
Outside the emergency room, Ouyang helped collect information, but inside the emergency room, Ren Li and the others had already discovered that something was wrong.
"No, the child has congenital heart disease. Quick, color ultrasound, prepare for interventional treatment!
Go call the pediatrician, quickly! "
The introduction of oxygen did not improve the child's changes at all.
The eight-month-old child was lying on the emergency bed. The doctors looked at her helplessly and breathed hard.
The little man's fists were half-clenched involuntarily due to suffocation, and the sweat on his forehead was like soybeans, which appeared at this age that should not appear.
The nostrils were open. The nose that was originally supposed to be small and delicate became extremely enlarged at this time.
The mouth was opened wide like a fish that landed on the beach, desperately trying to take in more oxygen.
The sternum is obviously inverted, and the muscles between the ribs and ribs have collapsed in, like a small skeleton.
Look at the color of the skin, eye circles, and lips. The colors are the heaviest, ranging from green to purple or bluish.
The child's body was bruised and bruised as if it had been hit by a serious car accident.
The little head tilted weakly, and the little eyes looked at the group of white-clothed adults around him blankly.
Regarding the heart, there once was a great surgeon, who promoted surgery as a flower of medicine. He once said this:
Performing surgery on the heart is a blasphemy to the art of surgery. Anyone who attempts to perform heart surgery will end up in ruins!
From this sentence, you can imagine how afraid doctors back then were of heart disease.
When young parents welcome the birth of their children with great joy.
What they saw was the child in front of them, weak and struggling to breathe, changing from pink to purple, until he finally died in the struggle.
Really, this kind of blow is nothing more than the most tragic tragedy in the world for young parents.
This kind of child is synonymous with blue baby. According to current evidence-based statistics, the mortality rate of children with congenital heart disease accounts for the first place in the infant mortality rate.
This disease is a BOSS-level disease. Especially in areas with higher altitudes, the occurrence rate of this disease is quite high.
What exactly is this blue disease? In medical terms, it’s very troublesome. Not only do we have to talk about heart anatomy first, but we also have to talk about the basics of circulation. It’s very troublesome.
To use an analogy, the arteries and veins of the heart can actually be said to be distinct.
There are two houses and two bedrooms in the heart, just like a four-grid, arranged up, down, left and right.
The venous blood in the body first enters the house on the right side, and then is squeezed into the bedroom on the right side. Finally, the blood is pressed into the lungs in the right ventricle.
Then, with each exhalation and inhalation, the lung cells are busy taking out the carbon dioxide in the venous blood, and then inserting oxygen into it.
At this time, venous blood becomes arterial blood. Looking through the blood vessels, the dark blue blood began to turn into bright red.
Then the blood turned into arterial blood was forced into the house on the left, and then as the door of the house and bedroom opened, they entered the bedroom on the left.
Finally, the left bedroom with the most developed muscles forced the arterial blood into the aorta and entered the whole body.
This is an approximate heart cycle.
Whether you eat braised pig heart or roasted lamb heart, do you think the heart looks a bit like a crooked peach?
Yes, it’s because, due to the several rooms and bedrooms in the heart, the heart is a little crooked.
The bedroom on the left is at the bottom left. Because blood must be pressed into the body, this bedroom is the largest and has the most muscles.
When it fluctuates, it is also the most powerful, so generally when people see the heartbeat on the chest and hear the sound of the heart beating, it is caused by the fluctuation in the bedroom.
Different functions also result in different muscle thicknesses. And some children are born with poor development.
A passage was made in the wall between the house and the house, the bedroom and the fifth bedroom, or the house and the bedroom, creating a gap.
With the gap, arterial blood becomes venous blood, delivering carbon dioxide-rich blood to the body.
The organs in the body refused to admit it. Jingwei clearly became complicit, and then the body became abnormal.
This disease has milder symptoms the younger you are, and the symptoms are more obvious the older you are.
If left untreated, the child will often wither and die when he or she is in his or her youth.
We don’t talk about mitral valve, tricuspid valve, or aortic regurgitation.
This disease actually means that the heart has one or more eyes that should not be there, which may be larger or smaller.
Therefore, people cannot have too many ideas!
"Secretary Ren, the child's ventricular defect is in a semi-detached state. We usually cover up the condition, but now this situation suddenly appears, I'm afraid..."
In his heart, Director Re performed the cardiac color ultrasound himself and reported the results to Ren Li.
When Ren Li heard this, she quickly let go of the child and looked at the color Doppler ultrasound. At a glance, Ren Li's hope fell into the abyss.
"Why hasn't the pediatrician's doctor come yet? Emergency consultation, this is an emergency consultation, hurry up!"
The gentle Ren Li was also anxious at this time. In fact, it took less than two minutes to complete the emergency consultation.
Doctors need to be professional, and Ren Li is professional enough, but the younger the child, the higher the professional level required.
The same organ, such as the heart, is more difficult to handle in a little kid who wants to eat and pull and save.
There is a famous saying in pediatric surgery that you may only need one hand to lift your patient and put it on the operating table, but you may not be able to solve his problem with both hands.
Therefore, there is an iron rule in the medical field. Unless you have received special training in infant and child surgery, please leave this kind of child to a pediatric surgeon, no matter how far away the journey is.
These are all experiences gained in exchange for blood and life.
Pediatric Surgery, haha, this department, really, just talking about it can only make people laugh.
There is a chain of contempt in the medical community in China. Internal medicine people look down on infectious diseases people, and surgical people look down on internal medicine people.
Adult doctors look down on pediatric doctors, and pediatricians are unwilling to do pediatric surgery.
A hospital, a big hospital, is working in full swing, but the development of pediatric surgery is extremely slow.
There are many reasons.
Pediatric surgery cannot escape the shackles of slow development.
Han Jiangke, a doctor from Cha Suer, was from Beihe. He was a typical northern man with a bit of a beard. Although he was clean shaven on weekdays, he had green stubble, a big mouth, a big nose and thick eyebrows. A proper northern gentleman.
He's over 1.8 meters tall and has a body as wide as a door panel. He looks like an orthopedic surgeon, but this young man is actually a master's student in pediatric surgery!
This man has a gentle temperament, but he is born with a robber's face. Crying children sometimes don't dare to cry when they see him.
Dr. Han was wearing a pale pink hand-washing gown unique to pediatric surgery and a white coat outside, and was running around the hospital like the wind.
In less than three minutes, Dr. Han ran to the emergency center.
"Hurry, Dr. Han, hurry, this way!" The nurse at the consultation desk at the door, like a runner waiting for a baton, pulled Dr. Han and started running across the internal medicine treatment room.
…
In another corner of the emergency center, a group of men in police uniforms were waiting anxiously and disappointedly outside the door of the surgical treatment room.
Squatting, walking around, and talking on the phone constantly. However, they all had the same expression, dejected, like a defeated army.
"Director, three, three brothers, are in the hospital now."
The director kept making phone calls to report to his superiors.
"Quickly, call the hospital's medical office and report occupational exposure!"
Xue Fei from the emergency center said anxiously to the head nurse.
"The hospital admissions office is not at work, there is no one there today!"
"If you need any help, tell me!" At this time, the jacket crowd who had been forgotten in the corner came out.
"Manpower, we don't have enough manpower. We still have blockers. Our hospital doesn't have enough blockers. The Municipal Center for Disease Control and Prevention has them!" Xue Fei sweated.
Children are the first wave, police are the second wave. Followed by the third wave of a group of ice brothers and ice girls.
Moreover, among the third wave of people, some people even fell into coma. They had consumed too much and overdosed!
In the emergency center on the first day of the new year, Xue Fei's heart was hanging. Don't look at the people wearing steel bracelets, lying there like mud, but who can guarantee that they will not violently hurt others? Make sure not one or two die at this time.
Moreover, these people are said to be violent AIDS carriers.
Even though these people are usually like pigs and dogs, once they die in the hospital, there are many people who want to cause trouble.
In the treatment room, the three policemen had an expression of sadness on their faces and let the doctors deal with it.
Yes, being a police officer, especially a police officer at a border, is too good at anti-drug and AIDS.
A doctor or a policeman, their profession is exposed, to be honest, it is impossible to prevent them.
To deal with this kind of occupational exposure, you must first clean it with plenty of water and then apply alcohol directly.
In general debridement and disinfection, alcohol cannot be used on damaged skin because it is too painful.
But now I can only rely on alcohol, hoping that it can kill part of the virus.
After Zhang Fan clamped the high-concentration medical alcohol cotton ball with pliers, it was stuffed into the meat like red-hot iron pliers.
The iron-blooded man had a knot on his brow due to pain, and there was a muffled sound in his chest due to pain.
Cotton balls, white alcohol-rich cotton balls, Zhang Fan gritted his teeth and stuffed them directly into the damaged muscles. He went in and out, changing the cotton balls, going in and out, changing the cotton balls.
Every cleansing is really a heart-wrenching punishment. If there is only pain, really, for the police, it doesn’t matter how painful it is, they can endure it, they can bear it, but now they have AIDS.
Outside the door of the Internal Medicine Emergency Room, "Quick, let the parents sign. One of you will sign, quick."
"I sign! I sign!" The child's mother struggled to stand up, while the child's grandparents were already slumped in their seats, looking pitifully at the doctor who came out.
"Where is the child's father?" When the doctor looked at it, his tone naturally contained a hint of resentment. How long had it been since the child had become so pitiful, but the child's father hadn't shown up yet? It's so irresponsible. .
"The call went through, but no one answered!" The child's mother bit her lip gently and signed.
Then, after hesitating for a moment, he picked up the phone and called.
At this time, a familiar ringtone rang in the passage next door. In the ears of the child's mother, it was so familiar yet so harsh.
The director of the police station took the phone number of his injured brother, and he was at war with himself, whether to answer or not, and whether to answer or not.
If you don't accept it, you will have to face it sooner or later. If you accept it, how will you explain it to the family members?
Suddenly, he raised his head suddenly and saw a woman holding the wall with tears on her face appearing in front of him around the corner.
When I saw my husband’s cell phone in the hands of his colleagues, I looked at the blood all over them.
Her world collapsed.
The mountain-like man looked at his brother's wife, his mouth was open, but he couldn't say a word.
"He, what's wrong with him?" The child's mother leaned against the wall and asked with all her strength.
If she hadn't still had a child in her heart, really, she would have wanted to cry loudly, she wanted to curse loudly, and then be happy...
Really, when she married him, she often dreamed that she was in the hospital and saw her man covered in white sheets.
Unexpectedly, today, there are children on one side and husband on the other.
