Compared with the daytime, after the outpatient clinic is closed at night, it is the time for the emergency department to exert its maximum effectiveness.

Today is a rough day.Wen Xiuchi, the chief on duty in 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 emerged one after another:

First, 120 took an elderly patient with advanced lymphoma to the hospital, and when he rushed all the way to the emergency room, he had no heartbeat or pulse.

Intubation, connecting various monitors, pushing epinephrine, cardiopulmonary resuscitation, and connecting to a ventilator are all useless efforts.

The crying of the patient's family members sounded like a cold and ruthless finger, pushing down the dominoes behind:

The young man with craniocerebral trauma caused by the car accident stopped breathing before he was pushed into the operating room. The driver who caused the accident knelt at the feet of the other party's parents with a pale face, but it didn't help;
A middle-aged woman with massive hemorrhage due to aortic dissection was sent here urgently after she fainted from working overtime, but it was too late;
The man who suffered a sudden brainstem hemorrhage died after rescue failed. The son raised his head in horror, and the first thing he asked was—is this disease hereditary?
Wen Xiuchi massaged his temples, cleared away all the chaos and noise, gathered his spirits, and walked towards the triage desk.

She had just been notified that a patient had quarreled with a nurse and needed her to fight the fire—this was also one of the responsibilities of the chief on duty.

The triage desk is always guarding a large number of patients and their family members. Experienced nurses will evaluate and grade 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 the nurse Xiao Huang aggressively, with a look of not giving up until the goal was reached:
"Do you understand or not? If you don't understand, call the doctor—my dad is so old, why do you let 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 out your managers! Everyone is queuing here, why not come in order? Other things are just getting in the way, but can this life-saving thing be blocked?"

They chattered all over the place, and they didn't give Xiao Huang a chance to intervene.

The other two triage nurses had to take care of other patients, and they were ignored when they tried to rescue them several times, so they had to call Wen Xiuchi.

Wen Xiuchi first looked at the man in the wheelchair.He was about 60 years old, frowning, and his left ankle was swollen and high.

The triage system integrates the patient's vital signs and symptoms, and the rating is four, that is, it is not urgent.

The reason for grading is to maximize the medical effect within the limited time and medical resource conditions.

Otherwise, during the time it takes to treat patients with mild symptoms, those who are really critically ill may lose their lives.

Unfortunately, not everyone understands this truth.Otherwise, there wouldn't be such a dispute in front of us every now and then.

Wen Xiuchi had been the hospital chief for several months, and Wen Xiuchi had a lot of experience in dealing with such things.

Tit-for-tat, verbal confrontation, or painstaking explanations to seek understanding-these things can only delay time and have no meaning.

The most urgent task at the moment is to take the person away and restore order in front of the triage desk.

"Uncle, please come with me." Wen Xiuchi said to the grumbling man, "Take a picture and see if there is any problem with the bones."

"Hey, okay, doctor, my foot hurts so much, I haven't suffered from this crime for many years!" said the man.

Wen Xiuchi saw how swollen her foot was, and knew that it must not be comfortable.But no matter what, it is certain that there is no loss of life-it is very reasonable to be divided into four levels.

She casually said a few words of comfort, stood up and called out, "Who is this patient's family member?"

Those people were blushing and thick necks in the fight, and didn't pay attention to this side.

Wen Xiuchi looked at the patient with a helpless expression: "Uncle, there are quite a few people taking pictures now, but after the filming, they have to wait an hour for the results to be given symptomatic treatment."

"Are you sure you want to waste more time here?"

When the man heard this, he really became anxious, and immediately shouted loudly: "Boss, brother, stop talking nonsense, come here quickly, and leave with this doctor!"

As soon as he yelled, the family members who were making trouble over there immediately left Xiao Huang, surrounded him tightly, pushed the wheelchair and followed Wen Xiuchi.

When leaving the hall, Wen Xiuchi saw seven or eight people entering the door.

The old man walking in the middle was full of energy, and there was a knot in his long white beard, which made it difficult for people not to notice.

Judging by her piercing eyes trained in the emergency department for many years, all of these people have ruddy complexions and steady steps, and they can't see any emergency.

This is probably because I am too busy to see the outpatient clinic during the day, and I want to come here at night to crowd out the medical resources of the emergency department.

Wen Xiuchi was thinking as he walked, feeling quite disgusted with this practice.

After the prescription was written and the man's family was dismissed, she immediately rushed into the emergency room—and a new critical patient was brought in.

A young girl in her 20s was lying on the flat car with a calm demeanor, as if there was no serious problem.

Contrary to her calm performance, it was the highly nervous attitudes of the medical staff and family members next to her.

The flat car was pushed very fast, and rushed in at full speed all the way.

After moving the bed, inducing vomiting, and gastric lavage, Wen Xiuchi looked regretfully at the girl on the bed.

She has long, black hair and a fair complexion. Even at this time, she still didn't forget to take out her phone and pose for a selfie.

"I'm just scaring him. I don't really want to die. Mom, you don't have to worry." Tian Nan has regained her spirits, smiled and comforted her crying mother, and then chatted with friends on WeChat:
"Did you tell him, is he coming?"

"Hey, what should I do? It's terrible. My lipstick has fallen off and my clothes are wet. How can I let him see it!"

"Okay, okay, I understand, you have to pretend to be weak, I understand, don't worry!"

Wen Xiuchi called the patient's mother aside.

"From what I learned just now, your daughter drank about [-] milliliters of paraquat, right?"

"That's right." Tian Nan's mother said, "This child is just too irrational, causing you trouble."

"We're not afraid of trouble." Wen Xiuchi sighed and said, "From now on, let's spend more time with your daughter."

She turned away and went to the emergency room.

Some people, no matter how hard they try to live, it is difficult to achieve their wish.

There are also people who obviously have a healthy body, but they want to find their own way of death.

Over the years, she has long learned not to be entangled, to do what can be done, and to save those who can be saved.

Ten minutes later, when she came out of the emergency room, she met Tian Nan's mother who was 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 completely ignorant of the seriousness of the problem, and sighed again.

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