"Here comes the patient. ”

As he spoke, Fang Han had already hurried to greet him.

Of course, there is always a queue of patients near the triage desk, but the triage desk has a nurse arrangement, if it is not an emergency, there is a doctor in the green zone, and the emergency department also has a consultation room.

Although the emergency department of Yenching Hospital is busy, it is not chaotic, and the zoning system is very clear, the green zone has a resident doctor, emergency patients must be rescued, serious patients must be treated, and non-emergency patients cannot be allowed to wait indefinitely.

Fang Han said that the patient came, and it was the nurse in the emergency passage who had already pushed the flat cart over.

"What's the patient's condition?"

Fang Han answered, and asked while checking the patient's condition.

"Doctor Fang. ”

The nurse saw that it was Fang Han and hurriedly said, "The patient accompanied another patient to see the doctor, and suddenly fell into a coma and couldn't breathe......

"Accompanying family members of patients?"

Fang Han understood that if it was accompanied by the patient's family, it would mean that the patient's illness had not been for a long time, and if it was sent by ambulance, how much time was delayed on the road should also be taken into account.

For emergency patients, the length of onset is particularly important, the short onset time often means that the impact on the organs is not large, the rescue is relatively easy, and the patient's tolerance is also high, but if the patient has a long onset time, then the organ function is often affected.

"Doctor Fang. ”

Li Junxian also followed, and Xian Fen also followed, but he didn't come forward to disturb.

The patient was in his early sixties, male, breathless, unconscious, Fang Han reached out to check the pulse, and patted the patient's cheek, and the patient still had a slight response.

After that, Fang Han put his ear on the patient's chest and listened, raised his head and said, "The phlegm is blocked." ”

"Doctor Fang, do you want to prepare a sputum aspirator?"

"Ready, try it with a sniffle. Fang Han nodded.

"Doctor Fang, twitch your nose. ”

As soon as the patient passed the door of the rescue room, a nurse came running with a sniffing dispersion, Fang Han made a little bit with a spoon, put it in the patient's nostrils and gently blew it in......

"Ahh

The patient suddenly sneezed, and a mouthful of phlegm was sprayed out, and the patient woke up.

"Okay, the sputum aspirator is not needed, take the patient's blood pressure and do a full body examination. ”

The nurse pushed the patient for a test.

"Doctor Fang, you are amazing. Li Junxian smiled and patted the horse's ass.

"It's a very common first aid. Fang Han smiled.

Xian Fen interjected: "Fang Han, this is not simple, don't look at it as just a simple sniffle, although the medicine is simple, you must have a detailed understanding of the patient's situation before you can use it, otherwise you can't do this." ”

Dr. Sin was right. Li Junxian said with a smile: "I really didn't know that Chinese medicine first aid was so powerful." ”

The nose twitching used by Fang Han just now is from the "Medical Understanding" compiled by Chen Guopeng in the Qing Dynasty, which is a prescription for the treatment of stroke syndrome or laryngeal syndrome, trismus, unconscious and other diseases.

Nose Teasing Powder, also known as Nose Teasing Tongtiansan, the prescription composition is very simple, and it is also a three-flavor medicine, fine pungent medicine, soaphorn, banxia, grinding ingredients, and packed in a closed porcelain bottle or packaging.

The main function of Nose Twitch is to treat some unconscious or trismus patients, after the nose Twitch is blown into the patient's nostrils, the patient will sneeze, and some cases such as foreign body blocking the trachea are very likely to be solved by a sneeze.

This is a very common first aid method in Chinese medicine.

If you don't have a sniffle, you can also use a stimulant powder such as chili noodles to replace it at critical times, or use something like chicken feathers to stimulate the patient's nostrils and make the patient sneeze out a foreign body.

However, as Xian Fen said, it is not important whether the method is simple or not, the emphasis is on dialectic, whether it is traditional Chinese medicine or Western medicine, diagnosis is the most important, as a doctor, the first thing to understand is what the patient's situation is.

What is the cause of the patient's coma, and then the symptoms can be treated.

"What do you say, although Chinese medicine has a lot of first aid methods, but in terms of first aid, Chinese medicine is indeed inferior to Western medicine. Fang Han smiled.

Xian Fen said: "Well, this point is undeniable, the most difficult point of Chinese medicine first aid is the decoction, many times some emergency patients are not waiting for the decoction, acupuncture, massage and other means are not effective, and the patient is not waiting for the decoction, the consequences are often unpredictable." ”

"Brother Xian is right. ”

Fang Han said: "First aid Chinese and Western medicine are actually the same, when encountering emergency patients are the first to save lives, the use of prescriptions and usage should use the simplest and most convenient methods, the shorter the delay, the greater the probability of the patient rescued, in this point modern first aid means and rescue instruments are indeed unique." ”

Fang Han does not favor anyone in terms of Chinese and Western medicine, although he himself prefers Chinese medicine, but Fang Han has no prejudice against Western medicine.

Modern rescue methods, such as tracheal intubation, electric shock, blood transfusion and other first-aid means that are not possessed by traditional Chinese medicine, no matter who blows the Chinese medicine no matter how awesome, you say that the pulse can diagnose the bleeding type, needless to say is nonsense, patients with severe blood loss, blood transfusion is the most convenient and effective method, even if Chinese medicine has a method of replenishing blood and invigorating qi, but there are also precedents, since ancient times because of excessive blood loss and rescue patients who have not died are not a few.

Especially for trauma patients, TCM basically only has dry eyes.

As he was talking, Li Junxian's mobile phone rang, he picked up the phone and listened to a few sentences, and hurriedly said to the other party: "Doctor Fang, Director Qian said that a patient with a ruptured liver will be delivered soon, so that you can get ready, and the ambulance will arrive soon." ”

"Let's go. ”

Fang Han didn't delay, and hurriedly walked outside, and Qian Xiaolin had just arrived.

"The car accident, according to the information from the emergency center, is very likely to be a ruptured liver and spleen. ”

"Hmm. Fang Han nodded.

After waiting for about three minutes, the ambulance roared in, and the flat car from the emergency department came forward to pick up the person.

"It can be determined that the liver is ruptured, there is a lot of bleeding, and it is too late to do other examinations, so I am sent to the operating room quickly. Fang Han followed up and examined the patient, and it was basically confirmed.

"Xiao Fang, are you sure?"

"Let's go in and see, the patient's condition can't be delayed, rescue first." As he spoke, Fang Han glanced back at Li Junxian: "Has Doctor Li had surgery?"

"I've had one or two sessions and had a simple general surgery. Li Junxian hurriedly said.

"Okay, Dr. Li will go to surgery with him, Director Qian, and I'm arranging two people. ”

"I'm up in person, and it's ready in the operating room. Qian Xiaolin glanced at Li Junxian, Fang Han, this kid also misses the old love.

In fact, Qian Xiaolin had already arranged it in the operating room, Fang Han was the main operator, he personally went to the office, and the second and third assistants were also selected, but since Fang Han planned to let Li Junxian go, Qian Xiaolin did not object, and he would just replace one person when the time came.

"Director Qian, can I go into the operation to observe?" Xian Fen also asked.

"Let's go. Qian Xiaolin nodded.

The flat car was pushed away, and Fang Han, Qian Xiaolin, Li Junxian, and Xian Fen also came to the operating room.

"Director Qian. ”

The doctors who were already waiting in the operating area saw Qian Xiaolin and hurriedly greeted him.

Qian Xiaolin nodded and said, "Xiao Yang, forget it today, let Li Junxian go." "It's very arbitrary.

A young doctor standing at the door of the operating room was subconsciously stunned, and his tone was instantly aggrieved: "I know Director Qian." ”

Changing people at any time is commonplace for Qian Xiaolin, and there is no need for any reason, Qian Xiaolin and Fang Han entered the operating room while talking, and Li Junxian did not squint, and followed in.

"Don't be discouraged, there will be a chance next time. One of the doctors next to Dr. Yang patted him on the shoulder and followed.

"Next time?"

Doctor Yang was about to cry, where are there so many opportunities, and he can be selected today because there are not many doctors who are idle at this time, but he didn't expect to be replaced.

This is a liver removal.

Don't look at it just as a start, but also look at what kind of surgery it is, right?

It's completely different from having a major surgery and having a minor operation, not to mention getting started, even if you stand on the sidelines, you can go out and brag about it, I've seen liver, bloody liver......

"Doctor Fang. ”

The nurses in the operating room were still the same as Fang Han's surgery last time, and some nurses hurriedly came up to help Fang Han put on a surgical gown.

Someone also stepped forward to help Qian Xiaolin, but as for Li Junxian, he could only do it himself.

After getting dressed, washing his hands, and putting on a mask and gloves, Fang Han walked into the operating room with his hands raised.

"How is the patient doing now?" Fang Han asked for anesthesia.

"Blood pressure has been low, vital signs are very erratic......"

"Control your blood pressure, monitor the patient's condition at all times, and start the surgery. ”

As he spoke, Fang Han stepped into the main knife position, and the instrument nurse hurriedly stepped forward and handed the scalpel to Fang Han, Fang Han held the scalpel in his hand and made a random stroke......

"Xiao Fang, your incision this time is very big. Qian Xiaolin said.

"This time the patient's situation is not very clear, there are all kinds of accidents, the incision is larger to facilitate investigation, and it is also convenient to deal with some emergencies, if it is not only the rupture of the liver and spleen, there is no need to increase the incision. ”

"Hmm. Qian Xiaolin nodded.

This time, the patient was in an emergency situation, and there was no time to do other examinations after being sent, so this operation was considered an emergency operation in the strict sense.

When it comes to surgery, especially major surgery, many people's subconscious is that it is very urgent and dangerous.

In fact, this is not the case, and according to the needs of the condition and the patient's condition, surgery can generally be divided into three types: emergency surgery, non-emergency surgery, and elective surgery.

Emergency surgery, also known as emergency surgery, means that the operation must be done immediately, and it cannot be delayed, and even some emergency surgeries have time limits, how long must be done, and they cannot be overtimed, if they are overtime, they will be in danger of life.

In emergency surgery, time is life, the patient's life may be lost at any time, every minute delayed, there may be immeasurable consequences, so in the emergency surgery, many examinations and preoperative preparations are not possible, every time you do an examination, the delay is time, so the difficulty of this operation is also the greatest, and the uncontrollable factors are also the most.

Take the patient in front of him as an example, the current situation is just Fang Han's inference and speculation, and the specific situation may be completely different from the initial inference, and that is also true.