This doctor is very stable

Chapter 3 The emergency department is calling
Back at the rented house, Lin Ran felt a little blocked when he saw the small and empty room.

"When can I afford to live in a big house of 250 square meters?"

Sulking, he walked into the room, took out clean clothes, and took a cold shower.

…………

At three o'clock in the afternoon, Lin Ran hadn't woken up yet.

"the vast horizon is my love"

"Flowers are blooming at the foot of the rolling green hills"

"What kind of rhythm is the most rocking"

……

In a daze, Lin Ran picked up his cell phone. After three years of medical practice, he has developed the ability to receive calls without opening his eyes or getting out of bed.

"Hello! Which one?"

On the phone, the girl's voice was urgent.

"Is it Doctor Lin? The director asked me to call you. There was a series of car accidents in the city, and a large number of injured people will be sent to our hospital for emergency."

Hearing this, Lin Ran opened his eyes as if he had been splashed with cold water. He woke up instantly, turned over and got out of bed, and said, "I'm going back to the hospital right now, and I'll be there in five minutes."

"Okay...beep..."

He casually put on some clothes, put on his pants, ran into the toilet, washed his face casually, squeezed some toothpaste into his mouth and rubbed it twice, and rushed out the door.

When Lin Ran ran to the hospital, he saw that seven or eight ambulances had already blocked the gate of the emergency department.

Running into the emergency department of the hospital, Lin Ran found the attending physician with regular training in the emergency department, and immediately ran up and asked, "Ms. Zhao, what should I do?"

The middle-aged attending doctor Zhao Jie glanced at Lin Ran, but he didn't remember who he was, so he yelled, "Why did you come here? Go and change your clothes. You can do whatever trauma you can. If you don't have one, help the other residents."

"Doctor Zhao... come and see... this patient..."

"Damn..."

Lin Ran cursed and ran into the dressing room, casually grabbed a white coat from the wall, picked up a stethoscope and rushed out.

The entire emergency department has become a mess.

"Doctor... come here... this patient is in shock."

Without hesitation, Lin Ran searched for the direction of the voice, and walked quickly to a hospital bed.

"what's the situation?"

The intern female doctor next to the hospital bed was in a state of disorientation. Seeing Lin Ran's arrival, she seemed to have seen a life-saving straw.

"The patient's chest was severely deformed, and it was suspected to be hemothorax."

Lin Ran looked at the patient, as if seeing a ghost again, the identity of a humanoid CT machine is really not something humans can quickly adapt to.

He turned into a humanoid intelligent CT machine again, and the patient's whole body was automatically segmented. The injured part was in red, and the uninjured part was green, and one mark after another was marked on it.

[Patient V2] Deep red chest cavity, severe pleural effusion, rib puncture left lung lobe.

Lin Ran was not too surprised, looked at the nurse and shouted, "A thoracentesis kit."

It is the first principle of the emergency department to save lives before treating diseases.

A nurse went to get the puncture kit, and another nurse had already picked up the sterilized equipment and prepared it.

"tweezers……"

As soon as Lin Ran put on the gloves and stretched out her hand, she immediately patted a pair of tweezers into his hand.

Without saying anything, Lin Ran picked up an alcohol swab and dipped it in iodophor, and immediately cleaned and disinfected the patient's chest.

A second later, he reached out again, and the nurse brought him a scalpel.

The sound of the plastic bag being punctured could be heard next to his ears, Lin Ran made an incision in the patient's left rib area without any pause.

He put down the scalpel and reached out again, and the nurse immediately patted the catheter up.

"Tch." Just as Lin Ran inserted the catheter into the patient's chest, dark red blood flowed along the catheter into the transparent storage bottle.

At this time, Wang Xiaofei, the attending physician of the emergency department, ran over, "What's the condition of this patient?"

Lin Ran looked at the EKG machine, "The hemothorax is draining, and the left chest has collapsed. It is estimated that the sternal rib punctured the lung lobe. Now the heart rate is starting to recover."

Wang Xiaofei also glanced at the electrocardiogram, "Blood transfusion, call, and send to the thoracic surgery department."

She had just finished speaking when the system prompt sounded.

[Ding: Congratulations to the host for completing the closed drainage of a V2 patient, and received a reward of RMB: 80 and 150 experience points for closed chest drainage. 】

【叮:一星赏金任务胸腔闭式引流2/10，任务奖励:1、人民币1000块，2、胸部解剖经验10次。】

Hemothorax is far more dangerous than pneumothorax, but fortunately, after the hemothorax is discharged in time, the danger to life is lifted.

"Go... come with me..."

Lin Ran nodded suddenly: "Okay!"

They had just walked out of the rescue room separated by canvas when several doctors and nurses rushed over pushing the patient.

Wang Xiaofei helped the hospital bed and asked, "What's going on?"

"The patient has an open fracture of his right leg and a fracture of his left hand. He has lost a lot of blood and just went into shock."

"Quickly push it to stop the bleeding, inject 0.5mg of epinephrine intravenously, and quickly get a blood transfusion."

After finishing speaking, she looked at Lin Ran, "Be my assistant, let's stop the bleeding first."

Lin Ran used his humanoid CT eye to scan the patient carefully.

[The left thigh is dark red, with an open fracture, and the blood loss rate is 0.1kg/min. 】

[The right arm is yellow, with an open fracture, and the rate of blood loss is slow. 】

[The left abdomen is dark red, the spleen under the abdomen is ruptured, and the blood loss rate is 0.09kg/min]

Incomplete diagnosis in the emergency department is often the key to the death of patients.

After diagnosing the three patients, Lin Ran already understood that the colors shown to him by the system represented the level of danger!
Green represents health and safety.

Yellow means that the injury is lesional but not critical.

Red means the situation is critical and requires immediate attention.

Deep red means that it is extremely critical and needs to be rescued.

The patient was pushed into the first aid room, Lin Ran decisively untied the patient's clothes, looked at it and said: "Doctor Wang, the patient's abdomen is swollen, it should be intra-abdominal bleeding."

Looking up at Lin Ran, Wang Xiaofei was a little surprised, she just felt that Xiao Guipei in front of her had good eyesight.

"Immediately call the orthopedics department and general surgery department for consultation."

Looking across to Lin Ran and Wang Xiaofei, she affirmed, "Not bad."

Immediately afterwards, she said, "Hurry up and get an electrocardiogram."

About 3 minutes later, Wang Xiaofei was suturing the open wound on the patient's right leg to stop bleeding.

The electrocardiograph next to it made a beeping sound.

The nurse said eagerly: "Doctor Wang, the patient is in ventricular fibrillation and is in shock again."

Without hesitation, Lin Ran immediately began to perform cardiopulmonary resuscitation on the patient.

Wang Xiaofei, who was suturing to stop the bleeding, shouted: "Epinephrine 0.1mg, intravenous injection, hurry up."

"Adrenaline over."

Just after the nurse finished speaking, Wang Xiaofei put down the left leg wound and looked at the EKG machine, which was still unchanged, "Get ready for the defibrillator."

…………

"The defibrillator is ready."

"150J charge."

"150J fully charged."

Wang Xiaofei, holding electric shock boards on both sides, shouted: "Doctor Lin, get out of the way."

Hearing this, Lin Ran took two steps back to keep a distance from the hospital bed.

After the first defibrillation, the ventricular fibrillation remained and the heart rate did not recover.

"200J charge."

"200J fully charged."

At this time, Liang Hui, the deputy director of the emergency department, walked in, "What's the patient's condition?"

Wang Xiaofei pressed the electric shock pads on the patient again, and Lin Ran answered, "The patient has an open fracture of the left thigh, suspected spleen rupture and intra-abdominal bleeding. He just went into shock for the second time."

Liang Hui glanced at Lin Ran in surprise, and said, "You are Dr. Xiaolin from Guipei! Go out and do your work first!"

At this time, the nurse's trembling voice sounded, "Doctor Wang, the patient's heart rate has recovered."

Taking a closer look, Wang Xiaofei's forehead was covered with fine sweat, she breathed a sigh of relief, and said, "Increase the amount of blood transfusion, is the doctor here?"

Just after she finished speaking, a middle-aged male doctor lifted the curtain, "Here we come."

Lin Ran looked at the patients on the hospital bed, and felt a little at a loss. It turned out that opening the hangup was not a one-step success, seeing one to save the other!
Even if he knew what the problem was, he wasn't doing enough.

Just after walking out of the emergency room, the system gave another surprise.

[Ding: Congratulations to the host for participating in the rescue of a V4 patient from cardiac arrest, and received a reward of RMB: 1000 yuan and CPR experience value of 2000. 】

[Ding: Trigger a two-star bounty mission (beating heart), participate in and complete emergency rescue 1/10.Task rewards, 1. RMB 20000, 2. Chest dissection 200 times, 3. Chest wall wound debridement and suture (primary)]

Holding the grass, the rewards for rescuing the V4 level big boss are simply too generous.

1000 RMB, half a month's salary!
Adding 2000 CPR experience directly pushed Lin Ran's CPR to the intermediate level!

Not only that, Lin Ran was most interested in the mission triggered later, the two-star bounty mission actually had a first-level surgery.

Chest wall wound debridement and suture is a serious first-level surgery that needs to go into the operating room and require the chief surgeon!
Unlike closed thoracic drainage, it is a basic operation that every doctor can do.

Although it is estimated that there are not many opportunities for him to be the chief surgeon in the emergency department, but with the skills in hand, there is always a chance to be on the operating table in the future!
Residents who can perform surgery have far more power to speak than those who cannot.

To put it bluntly and easily, doctors who can perform surgery can beep loudly.

Residents who cannot perform surgery can only beep in a very low voice, and must not be heard by others.

Junior resident physicians: Under the guidance of superior physicians, they can preside over first-level surgeries.

Senior residents: on the basis of proficiency in first-level surgery, they can gradually carry out second-level surgery under the on-site guidance of superior doctors.

Junior attending physicians: can preside over secondary operations, and gradually carry out tertiary operations under the on-the-spot guidance of superior physicians.

Senior attending physician: Can preside over tertiary operations.

Junior Deputy Chief Physician: Can preside over the third-level operation, and gradually carry out the fourth-level operation under the on-the-spot guidance of the superior doctor.

Senior Associate Chief Physician: Can preside over Level [-] surgeries, under the on-the-spot guidance of superior physicians or according to actual conditions, can preside over new technologies, new project surgeries and scientific research project surgeries.

Chief Physician: Can preside over Level [-] surgery and general new technology, new project surgery or high-risk scientific research project surgery approved by the competent department.

Each professional title corresponds to the surgical authority that can be performed, so can you fight by leapfrogging?

It is not possible without the guidance of a senior doctor, but the presence of a senior doctor is all right.

Lin Ran is just a simple and simple person now, but he has a surgical license and is a junior resident doctor.

Once the task completion skills are acquired, and a attending or deputy director is settled, he will be able to go to the operating table.

"Main knife"

Is it something that many residents dream of doing?
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(End of this chapter)