The road to the rise of great doctors

Chapter 128 The Story of the Ambulance
"Snakes have their own ways, rats have their own ways, and everyone has his own way of making a living."

After a person has worked in one position for a long time, most people will slowly discover the foundation of their work and their identity.

Those with high technology and strong hands-on ability will choose to do common operations well, even if the number is accumulated, it will also provide him with growth.Just like many hospitals located in the suburbs, their foundations are emergency surgery for surgery and chronic disease outpatient and drug treatment for internal medicine.

There is no room for pickiness in emergency surgery, because “time is life.”What is an emergency is that the condition cannot be delayed.If you have an emergency, don't even think about going to a hospital in a metropolitan city like Kyoto or a large hospital in a provincial capital. Time doesn't allow it, and the condition doesn't allow it. If you insist on going your own way, it will be like "the old lady drank arsenic and is impatient to live."

Although it took more than two months to enter clinical practice, Liu Dong has already encountered many things that he had only seen in news reports before. He only had one emotion when he encountered it, and that was, "Sometimes life is more dramatic than TV dramas." "

When I went to the emergency department a few days ago, I saw an old couple who were dependent on each other and their children were not around. The old man who was paralyzed in bed suddenly fell into a coma. When the old lady saw it, she quickly called the emergency call, but due to her emotions I was nervous. When I called, I just asked for an ambulance, but I didn’t explain the patient’s condition clearly. Therefore, when the staff drove the ambulance to pick me up, the ambulance only had simple oxygen, stretchers, trauma bandages and other materials. , the old lady refused the ambulance on the grounds that "they didn't wear white coats and didn't look like doctors."Then, after an hour or two, they called again. The new emergency personnel saw that the old man's face was blue, and they felt that his breathing and heartbeat had stopped.After asking about his history of heart disease, he quickly filled the old man's mouth with some quick-acting heart-saving pills, turned on the law enforcement recorder, put him on a stretcher, and quickly transported him.

In the car, artificial cardiopulmonary resuscitation was started. The emergency doctor performed external cardiac compressions, while the nurse connected the ECG monitor, connected the oxygen, put the mask on the patient's face, and pressed the air bag with her hand to assist breathing. .But, unfortunately, when I arrived at the hospital, my heartbeat had not completely recovered, and it became a straight line as soon as the compressions stopped.

Liu Dong took a look at that time and saw that the old lady refused to give up after entering the hospital, so he replaced the electric chest compression equipment and performed electric defibrillation in time.

He listened to a few words and felt speechless after understanding the situation.

First aid, first aid, and treatment are all about time!One of the characteristics of ambulances is that they are fast. They can carry out simple treatment on the road, but the effect is too poor. The most important thing is to transport them to the hospital as quickly as possible under relatively safe conditions.Only by transforming pre-hospital first aid into in-hospital first aid as soon as possible can the most timely and adequate treatment measures be given.

On-site first aid is only for emergencies, and if it is stabilized and does not continue to deteriorate so quickly, it is considered to be up to standard.The most important thing is to provide the most effective and targeted treatment after arriving at the hospital!

Ambulances, ambulances, do not send doctors to your home for rescue, but they quickly transport you to a hospital with treatment capabilities while maintaining basic vital signs.

Moreover, when ambulances are not busy with emergency services, they will also be dispatched for some transport work in order to make ends meet.For example, elderly people who do not need treatment but are bedridden need to be transported on a stretcher to the urban area or sent home. This is also the daily routine of ambulances.

Ambulances are not free to pick up and provide medical treatment, but they have to be charged. Otherwise, where will these people's salaries and bonuses come from?Who will pay for the gas? .The charges are somewhat like a "moving company", which depends on the floor, the distance, whether a stretcher is used, whether oxygen or monitoring equipment is used, whether there is an elevator, and labor costs.Generally less than one or two hundred, it belongs to city transshipment; more than one thousand, it belongs to out-of-town transshipment, and usually the charging situation will be mentioned before shipment.

Most ambulance personnel do not wear white coats, but have their own work clothes, many of which are quick-drying clothes.Moreover, in order to avoid disputes, basically a car will be equipped with at least one "law enforcement recorder", which must be driven on missions and charged after missions, just to avoid "wrangling" after encountering things.Each car basically has a doctor, a nurse and a driver.Of course, if the vital signs are stable, there is no need for first aid, and it is just inconvenient to move around, the doctors and nurses on board can say that they don’t need it, and it can save some costs. This kind of car is just a driver. .But only drivers usually don’t help with transportation. After all, you get what you pay for, and this is clearly reflected in this matter.

Of course, for Liu Dong, these things have nothing to do with him for the time being.He is just an intern who has been working clinically for more than 2 months.

For intern doctors, any improvement in skills can be regarded as satisfying and fresh.For colleagues who perform ambulance tasks, she needs to learn their experience in how to quickly determine the patient's overall condition and how to quickly communicate with patients and their families; for trainee doctors, they need to learn their surgical skills and how to deal with medical problems. Tactful communication in the patient relationship; for a doctor with strong professional ability, he needs to learn those ways of thinking and learn the technical capabilities of these people.

The only thing I worry about is that there are too many things to learn, so you need to manage your time well, set priorities, and persevere and work steadily.

Fortunately, he is still young.Fortunately, he has a clear mind, is not in a hurry, and knows the truth of "every step counts on the road traveled".

Doctors are roughly divided into two types: those who can cure diseases and those who cannot.He wants to be a doctor who can cure diseases well, so he just needs to maintain basic human relations, and then work hard to reach the peak of his skills.

"Doctor Liu."

"Doctor Liu, here you go."

After entering the hospital, the voices of colleagues, classmates, patients or family members could be heard one after another.

Liu Dong responded, nodded, waved, and sometimes replied, "Good morning, Teacher Wang." etc.

The working day in the hospital is as usual, and the process is familiar: I go around the room where the patient is, and ask them if they have any new discomforts, if they have any flatulence after the operation, if they have any abdominal distension, Check to see if there is any leakage from the incision dressing and whether the drainage tube is blocked. Then go to the nurse station and check the vital signs such as body temperature, pulse, respiratory rate, blood pressure, etc. recorded by the nursing ladies, as well as the amount of drainage fluid from the drainage tube, 24 hours Input and output data, etc.

After you have a good idea, you can check your mobile phone in the shift room to see if there is any new knowledge in the official account, and occasionally read online articles.
Practicing in the marketplace is like practicing in the human world; doctors are also part of the general public, they are down-to-earth and have their own stubbornness and persistence.

(End of this chapter)