In theory, external emergency duty is much easier than internal emergency duty. The number of doctors and interns on duty is relatively small, with only one each.

Generally speaking, emergency ambulances sent to the outside world are trauma in car accidents or severe abdominal pain. The doctor needs to give a diagnosis as soon as possible, then maintain vital signs, and find a corresponding department for consultation.

The department belongs to which department is taken away. After entering the operating room, few people stay in the hospital for observation and conservative treatment.

Even if there are not enough beds in the surgical department, they will actively add beds. If the ward doesn’t work, add the corridor. If the corridor is full, go to other departments to borrow.

The pregnant woman sitting in the outer emergency now, Gu Liang has already issued a B-ultrasound positioning list. As long as he finds the appendix position, the next thing is the general and obstetrics affairs, and he can completely let go.

Of course, although B-ultrasound examination of appendicitis is cheap and simple, it is not good enough, and sometimes it will not be clear. At that time, whether to give pregnant women a CT examination will be judged by doctors who consult with general gynecology or obstetrics.

The inguinal hernia that is urgent is even simpler. He can tell that it is a hernia as soon as he touches his fingers. He doesn’t need any imaging examination. It can be taken away by ordinary outsiders after they are diagnosed.

Both patients are easy to solve, but Gu Liang is still an ant on a hot pan.

Because there was a troubled guy in the debridement room who had never seen before waiting for him to deal with it: "I said, you, the unlucky child, can't control your own hands?"

Gu Liang was helpless about the little thing in front of him and was still hesitating who to ask for consultation. He could only hear a knock on the door of the debridement room, and then someone gently pushed open.

The patient sat on the chair and felt nervous when he heard the sound of the door. He couldn't help leaning forward, and his hands blocked him.

Fortunately, Gu Liang's hand speed was fast enough and he covered the patient's body with a disposable towel that had been prepared long ago.

“…Well, that.”

Seeing the patient's appearance, Zhong Xiaoxi was stunned for a moment, then he consciously turned his gaze away and looked at Gu Liang: "Teacher Gu, Senior Qi is looking for you to come."

"Senior Qi? Qi Jing? What's wrong?"

"It's a problem for the patient with 270 pounds."

Gu Liang sighed, patted the patient's thigh, and comforted him, "Don't move around, just cover the cloth like this, don't be nervous when the nurse comes, stay well waiting for me to come back."

The helpless patient looked at him affectionately, and nodded heavily.

......

"What's wrong?"

Gu Liang returned to his clinic, but Qi Jing did not answer and only gave him a stethoscope.

Without asking much, he looked at the location of the earpiece and stuffed the stethoscope into his ear.

The listening position now should be on the left lung base.

Patients with left heart failure cannot draw away blood from the lungs due to myocardial weakness, resulting in blood accumulation in the lungs and causing pulmonary edema. This is also the main reason for the patient's asthma and difficulty breathing.

Pulmonary edema is equivalent to soaking the lungs in water. The auscultation of the bottom of the lung should be a wet slug.

But Gu Liang's ears were silent.

Gu Liang confirmed the position of the earpiece again, and it was indeed the bottom of the left lung, but why is this happening?

He simply took the earpiece over and listened to the lungs on the other side. However, the normal lungs could only hear very light breathing sounds. As he continued to move upward, the breathing sounds gradually became clearer.

There is no wet rosy sound or wheezing sound, except for a little shortness of breath, which is not much different from normal breathing sound.

"Is his lungs compressed?"

"It should be that the entire diaphragm was lifted up, and the one on the left was even more serious." Qi Jing touched the patient's beer belly again and said with a smile, "Come and have a look. This belly should be quite exciting."

"I'm just beer belly," the patient said, sitting beside the bed, panting, "It's been very early."

"Get down first, it's more comfortable standing."

Qi Jing and Gu Liang helped him get him down, and the patient got much better after a while.

Today, the attending general surgery emergency surgery class is Cui Yuhong, who was promoted to his professional title last year and is already 35 years old this year.

After coming, he gave the patient a detailed physical examination and vaguely felt that his stomach was not simple.

On a boring night, only surgery can make people feel refreshed, so three patients came in a row, which made him very happy. Especially this fat man, who felt a sense of expectation when he saw his belly entering the CT room and pinched the lottery and waited for the lottery.

The bnp and NT-proBNP indicators are normal, and the subsequent electrocardiogram is just sinus tachycardia. After consulting with the cardiology department again, all the examination data and human judgments point to the patient's stomach.

My wife is more than eight months pregnant and weighs nearly 200 kilograms. Unexpectedly, there is something in her husband's belly.

Cui Yuhong looked at Gu Liang and asked while writing the consultation record: "How is it? Let's go and have a look?"

"I'm still on duty."

"What does this matter? Let the young man watch here and just call you if you have something to do." Cui Yuhong is also an old employee of the hospital and has great experience in how to use the interns.

Gu Liang smiled and waved his hand to refuse: "There is still a troublesome guy waiting for me in the debunking room."

"Oh?" Cui Yuhong became interested immediately.

If you use something to describe internal urgency, it is just one word, busy. But when it comes to external urgency, there are many things that can be described, and the most appropriate thing may be wonderful.

Cui Yuhong has been working in an emergency for a year and a half and knows how many strange patients he will encounter here. He is bored and sleepy when he is on duty alone in the middle of the night, and he is often very energetic because of a patient.

"What patient?" His writing speed has increased significantly, "Do you want me to help you see?"

Gu Liang raised his eyebrows: "You have two surgeries in your hands, one is waiting to be examined, and you will help me? How can you clone it?"

"Just take a look, and leave after seeing it. It's good to give you some advice."

As soon as he finished speaking, he threw away his pen and pulled him to the debugging room.

But things are often unexpected. I was just trying to help, but I didn’t expect that a little thing made Cui Yuhong feel so painful: “Forget it, I’d better go watch that fat man take a movie.”

"What about your opinion?"

"Look at the urology department."

"I've seen it, it's useless!"

When he was put in this part, Gu Liang's first thought was naturally urology. Unfortunately, he didn't know what to do after seeing the main treatment of the consultation. Later, he also found a preparatory director, but there was no good idea.

Urology is about surgery, but it still handles things in the body. This kind of thing that uses external objects to play with them, does not have the right tools.

Looking at Cui Yuhong who disappeared at the end of the corridor, Gu Liang couldn't help but secretly complaining to him in his heart.

"Where is Teacher Cui?" At this time, Qi Jing ran out from the inside.

"Go away."

Gu Liang pointed to the corridor and then prepared to go back to the decontamination room to continue to think of a solution. Suddenly he looked back at the second-generation doctor and hooked his neck: "You guy has many ideas, come and think of a solution for me."

"I still want to see that fat man..."
Chapter completed!