When the nurses are free, they push the lathe and transport the dead car accident patients to the mortuary of the hospital.
Father Liu glanced at the dead patient, and his breathing became short of breath. But it seems strange that the heart rate number on the monitor has not changed much for the time being.
"Is there no bed in the Department of Cardiac Surgery?" Xie Wanying asked her brother, worried about her little friend.
Cardiac surgery? Hearing her question, both Huang Zhilei and Dr. Jiang were a little surprised.
"It's a patient with angina pectoris. Myocardial infarction may be suspected, so I put on a monitor." Dr. Jiang said, "Interventional stents may be needed for the consultation in the internal medicine department, but there is no bed in the cardiology department."
When answering, Dr. Jiang guessed that Xie Wanying learned about this person's illness from the diagnosis on the bedside card. It's just that the emergency room is full today, and it's impossible for the emergency nurses to have time to put bedside cards in the emergency room.
After last night, Huang Zhilei knew the junior sister better, so he looked down at the bedside card and found that there was none. In fact, he didn't even know what kind of patient he was when he first arrived. It was Dr. Jiang who called him, not an emergency physician.
"How can I get a bed?" Xie Wanying asked her brother.
"It's too difficult to get a bed today, so I have to wait." Dr. Jiang said the difficulty, "Look at my female patient with stomach bleeding, she has been lying in bed since last night and has been unable to enter our department. This belongs to our department. For patients, it is even more difficult to say that there are no doctors on duty in the emergency department in other departments today."
The attending physician couldn't accept the patient even if he wanted to. Xie Wanying immediately thought of Yue Wentong in front of the nurse's station. The patients picked up by the monitor were admitted by a professor.
"His condition seems to be fine. We have to wait a few more days or go directly to the emergency observation room for observation." Dr. Jiang said, looking at the heart rate and blood pressure values on Liu's father's monitor.
"However, for patients like this, it is more important not to confirm that several blood vessels are blocked? It is too late to wait until there is a large area of myocardial necrosis. The gold standard for confirming the diagnosis is coronary angiography. And the monitor is an analog lead, not It's as accurate as an electrocardiograph." Xie Wanying said.
Huang Zhilei was taken aback: Junior Sister spoke so directly, just like last night. The problem was neurosurgery last night, and cardiology today. Did the junior sister even review the knowledge of other subjects that were not included in the internship program
In fact, Xie Wanying directly reported the situation to the clinical seniors just like last night because of Liu's father's condition.
Dr. Jiang was right after hearing her words. For some patients with cardiovascular disease, when there is no myocardial infarction, the oxygen supply and demand are balanced, and the electrocardiogram often has no obvious characteristic changes. When the attack occurs, the disease progresses rapidly and directly collapses. Lost. Some patients may have no symptoms at the moment of death. Only the patient complained of pain and not even chest pain.
"We need to do a coronary angiography first to see how the blood vessels are blocked. If it doesn't work, we'll switch from the Department of Cardiology to Cardiac Surgery." Dr. Jiang said that instead of insisting on what he said at the beginning, he supported Xie Wanying's idea. She laughed and asked Xie Wanying, "You have studied diagnostics, how many chapters of internal medicine and surgery have you learned?"
I feel that this female intern can point out the key point of clinical observation, unlike a new clinical rookie who just came in. These are not seen in medical textbooks at all, and belong to the doctor's personal clinical experience.