Doctor Song, are you married?

Chapter 10 10. All burned, how to catheterize?

When going to work the next day, Wu Qiming came a little late and started yawning as soon as he got to work.

"Well, Xiao Song, I'll go to the duty room for a while, and follow Jiang Han first. Today, I will mainly focus on observation. Tell Jiang Han, if you can deal with it, talk to the hospital early. If it's not a big deal, don't call me."

Wu Qiming is in the second-tier class today, and Jiang Han and Xue Xiaolin are in the first-tier class.

After finishing the shift, seeing that there were no patients, Wu Qiming explained a few words to Song Qi, turned around and went to the duty room, and took advantage of working hours to have a good rest, so that he would have more energy to earn extra money after get off work.

On the contrary, Song Qi was a little disappointed, it seemed that today was another day for fishing.

Jiang Han is a few years older than Song Qi, and it is said that his family has some background, but he is not up to the mark, a practicing doctor who has passed the exam for five years, so now he can only work as a resident in the emergency department.

"Song Qi, I know you've just started working and you're full of enthusiasm now. However, as someone who has experienced it, I'd like to advise you. Don't be too positive. No one praises you when you do a good job. But if you make a mistake, it's enough for you to drink a pot. A few days ago, there was a patient with a knee injury. It wasn't my patient. I was just kind enough to help him change his medicine. Guess what?

Jiang Han said, suddenly lowered his voice, and seeing no one around, he went on to say: "Our hospital doesn't even talk about martial arts ethics. When encountering disputes, the leaders are one by one. He has to deal with everything by himself. This patient is going to ask for [-]. Kill me. I can't earn that much for two years. I still have to avoid him every day. It’s a rule, you can’t do everything yourself.” Jiang Han rarely had the opportunity to lead a newcomer, so he couldn’t help but preach a few words.

Song Qi nodded again and again. From Jiang Han's words, he vaguely understood why everyone was so keen on transferring patients.

As a doctor, you must first protect yourself before you can save others.

"There are no patients right now, you should read the book first." After Jiang Han explained, he leaned back on the chair, found a comfortable position, and opened the king.

Song Qi obediently took out a copy of "Standards for Diagnosis and Treatment of Common Diseases in the Emergency Department" and flipped through it.

After watching for a few minutes, the siren of the ambulance rang from far to near.

Song Qi stood up excitedly, "Doctor Jiang, the ambulance is here!"

"Don't worry, it might be sent to another hospital." Jiang Han was not in a hurry, but continued to play the game.

Half a minute later, the siren of the ambulance seemed to be in my ears, and, judging from the sound, it seemed that there was not only one ambulance.

Jiang Han just stood up and put the phone in his pocket.

"Song Qi, let's go to the door and have a look."

Although he was not flustered on the surface, he was actually a little restless in his heart.

There is more than one ambulance, which means that the matter is relatively serious. Should we call Wu Qiming first?Or wait until the ambulance arrives?

But before he could make a decision, the first ambulance stopped at the entrance of the emergency room.

"The chemical plant next door exploded, and many workers were burned. This is the first one, and the others will be sent over immediately." Ji Xiaoguang explained to Jiang Han as soon as he got out of the car.

"No, how did you send such a heavy one to our hospital? It's not like you don't know the situation." Jiang Han looked at the burnt black patient on the cart, and suddenly lost his footing.

"The leader of the on-site headquarters said that it is the closest to our place, so send it to us first, and then transfer it one by one. You should deal with it one by one. I have to pick up the patients." After unloading the patients, Ji Xiaoguang got into the car again.

An ambulance arrived later.
"It's so serious, what should we do? Song Qi, hurry up and call Dr. Wu." Only then did Jiang Han think of Wu Qiming.

"Jiang Han, you take the patient in first, Xiao Ning, go and call Dr. Wu, and I'll cut his clothes first." Nurse Yu Qing was calmer than Jiang Han, first, Xiao Ning went to call the director according to the arrangement, and she herself took scissors and cut the patient's incomplete clothes.

After cutting off the clothes, the patient's condition is more intuitive, but it also looks more serious. Some of the skin on the trunk and lower limbs are dark, while the skin in some places is directly blistered and peeled off, exposing the pink subcutaneous tissue.
Song Qi made a general observation. The patient should have a large area of ​​superficial second-degree burns and a small area of ​​deep second-degree burns. The total burn area is roughly estimated to be more than 90%.

"Let's push the patient to the emergency room first." Jiang Han almost cried out, but there was no other way, so he and Song Qi had to push the patient who looked like black charcoal into the emergency room.

The emergency room suddenly became tense, the sound of the phone, the sound of the nurse pushing the monitoring equipment, mixed with the moaning of the patient
There is a burnt smell similar to a barbecue stall in the air
"The patient's mind is clear and energetic, and he complains of severe thirst. His blood pressure is 95/60mmhg and his pulse rate is 114 beats/min. The monitor cannot be attached." Yuqing reported the patient's condition while operating.

Wu Qiming came out of the duty room, and while wearing a white coat, he said, "Why send such a serious patient here? Hurry up and call the hospital."

"It's so fucking imminent, you still want to transfer to another hospital! The director personally issued an order, and all patients will be sent to us at the nearest place first. After preliminary treatment, the serious ones will be transferred away, and the mild ones will be treated on the spot!"

Xu Liming, the director of the department who rarely showed up in the emergency room, also rushed over. Hearing Wu Qiming's complaints, he couldn't help but reprimanded him loudly.

Xu Liming received a call from Dean Tang Bin 1 minute ago.

And Tang Bin just received a call from the Director of the Health Bureau.

The director ordered him in an unquestionable tone to open a green channel for all burn patients, take necessary first aid measures, and then decide to transfer them to the Municipal Burn Hospital and other tertiary hospitals based on the severity of the patients' injuries.

Who dares to say no when the director personally calls?
So they pressed down one level at a time, and finally came to Wu Qiming.

Only then did Wu Qiming realize that the situation was serious.

"Yuqing, open up the venous channel, open a few more lines, and if the burn patient needs a large amount of fluid, then perform deep venous puncture, Jiang Han, Song Qi, you two first put the patient's urinary catheter on, pay close attention to the urine output, and I will intubate the trachea."

Although Wu Qiming is a little lazy, he is the mainstay of the emergency department after all, and he still has a bit of courage at critical moments.

"Damn it, what did I do, put a catheter on such a patient." Jiang Han muttered in a low voice, put on a pair of gloves, and began to paw and pull on the bloody lower body of the patient.

"I can't do this job! Director, this penis is burnt, how can I do catheterization?" Jiang Han pawed for a long time, and finally saw a black ball with blood.
Wu Qiming also checked the patient's condition. It was indeed quite bad. The patient's genitals had been burnt to the point where they couldn't see the prototype. As for the urethra, I'm afraid they couldn't even find it.

However, since the patient’s condition is so serious, the urine must be catheterized as soon as possible. Otherwise, scarring will form in the later stage, contracture deformity, the urethra will be narrowed, and it may even be blocked.
But in this case, how to catheterize?
Wu Qiming didn't know how to guide him for a while.

"Let's try it first, if it doesn't work, call the urologist for consultation"

"I don't dare to try it. If there is a urethral fistula, I can't take the responsibility." Jiang Han was really about to cry, he was still carrying the last dispute on his body, and he didn't want to carry another one.

"Then let's call it a urological consultation." Wu Qiming said helplessly, with a bitter expression on his face. The patient's airway is damaged, and tracheal intubation is also difficult.
On the other side, Song Qi calmly found a 3.5F ureteroscope from the ambulance car. After some investigation, he picked up a 12-gauge urinary catheter and inserted the guide wire. While Jiang Han was calling for a consultation, while Wu Qiming was intubating the trachea, he picked up the catheter.
(End of this chapter)