"Oh, I know this." Hong Chunhua turned around and walked over.

At this time, Gu Liang's shout came not far away: "Qi Jing, the defibrillator is here."

"Quick! Adjust it to 360j and go straight."

Gu Liang ran all the way to the front: "Maximum power?"

"right."

The patient could not delay for a moment, so it was too late to call Wang Tingyan Dingfei at this time. He believed in Qi Jing, so he would be the basis for everything in internal medicine.

Qi Jing watched Gu Liang quickly apply conductive paste and found an opportunity to remove the bed. After two consecutive electrocardiograms were defibrillated, the patient finally recovered his heart rate: "Heart rate recovers, 123 times per minute, rescued!"

As the nurse who was pinching the ball reported the reappearing heart rate number, the patients and families around him were relieved. No one wanted to see a living life ending, because maybe the next time he would be lying on that bed.

"Why did this person suddenly stop doing it?" Gu Liang sighed, wondering, "I have done both x-films and ct, but only two fractures."

Qi Jing wiped the sweat beads from his forehead and took out the stethoscope.

"It's not the trauma and myocardial infarction you mentioned last time, right?" Gu Liang recalled a sternum fracture trauma last year. Because Qi Jing only relied on auscultation to diagnose myocardial infarction, his technique was very clever, so he kept hiding in his mind, "It's not that coincidental, the sternum has pressed the coronary artery?"

"The heart rate is a little messy." Qi Jing was holding the stethoscope and hearing the patient's pre-heart area, "But it shouldn't be."

"Is that explosive myocarditis?" Gu Liang continued to guess.

"If it is really explosive viral myocarditis, it will not be so easy to rescue it. Myocarditis does not have such convulsions that affect the muscles throughout the body." Qi Jing moved the stethoscope earpiece to the patient's lungs, and looked at the electrocardiogram in the medical record. "The white blood cells are not high, and there was no arrhythmia after I first came. It was just an ordinary sinus speed, which means that the heart has never had any problems before."

"There is no problem with the heart, that's the lungs..."

Gu Liang's basic knowledge is quite solid, and he thought of this level along Qi Jing's ideas. However, he could only think of this level by guessing and ECG monitoring, which was not very stable in blood oxygen saturation, and further down, it would be beyond the scope of his surgical knowledge.

"It's not a problem at all. If something happens in the lung alone, it won't cause a sudden heart arrest." Qi Jing suddenly found that what he said to him about internal medicine was a bit reluctant, so he could only laugh and point to the emergency room in the distance, "You might as well call Qu Yi back if you're guessing here."

"Aren't we going to contact Director Wang and Yan Dingfei at this time?"

Although a professional title cannot fully summarize a person's medical skills, it is still a good judging indicator before you understand others. Especially in places like emergency departments, where you have to take responsibility at any time, superior doctors must be more reliable than hospitalization at the bottom.

"Oh, just go there soon if you ask me to go." Qi Jing patted his shoulder, "You all say that the patient's lungs are problematic."

"Okay, I'll listen to you about internal medicine."

After almost leaving Gu Liang, Qi Jing took the oxygen mask ball from the nurse's hand and verbally gave a doctor's advice: "First take diazepam 200mg 5% small bag of glucose, then open another pathway, and use 0.5g of phenobarbital to continue dripping with 5% glucose in a large bag."

"Okay." The nurse got used to listening to his orders, but just spoke too much, "Don't forget the tonic prescription and the stamp of Dr. Yan."

"I will never forget it." Qi Jing said with a smile at the ECG surveillance monitor.

He has been unlicensed for a year, and over the past year, he has proved his ability. However, the process of licensing does not depend on his ability. He can only wait before time comes. It doesn’t matter whether Qi Jing has a license or not. He just changed his name from someone else to himself. Anyway, he still works like this, and there is no big difference.

Of course, it is also false to say that there is no change, at least it is easier to use.

Two days later, the practice qualification exam will be held. After that, you will wait for the written exam in September. You will be able to get a license if you pass all of them. Then you will be promoted to the hospitalization department for three years, and five years will be promoted to the attending department. Maybe in a few years...

The nurse stood aside and wrote down the medicine in a small notebook. Both of these are common medicines. The doctor read too much about the usage of the doctor and even remembered the dosage numbers in his mind: "That's all?"

"How many more." Qi Jing came back to his senses.

Although the patient's heartbeat has returned, his body is still twitching gently involuntarily. Diazepam and phenobarbital both calm and relieve spasm, which are common medicines for treating spasms and convulsions.

But what Qi Jing said next was a bit strange: "Add 200mg of vitamin b6 and 250mg of sodium dimercaptopropanesulfonate together. Then add 20% mannitol and furosemide, one dehydrate and the other diuretic, to eliminate edema as soon as possible. By the way, there is also dexamethasone..."

"Wait, what sodium did you just say b6 and?"

Qi Jing can almost confirm the patient's diagnosis, so the speed of speech is very fast when the treatment method is treated. This speed of speech, coupled with the seven-character organic chemical name mixed in some conventional drugs, completely confused the nurse: "I have never heard of that medicine. Is there any in the hospital?"

"This medicine must be there."

Qi Jing was about to repeat it word by word, but unexpectedly, Hong Chunhua, who was comforting the patient's family, walked over and said, "You go and prepare other medicines first, I'll do it if you have intramuscular injections."

"Okay head nurse." The nurse immediately turned around and ran towards the pharmacy.

An old nurse who has been in the emergency department of internal medicine for more than ten years naturally knows what this medicine represents. Being able to say its full name has proved the doctor's strength, but out of professional caution, she still asked a little more: "Can you be sure?"

"Eighty or ninety percent, I'm waiting for the next symptom."

"If you are not sure, let the nurse get the medicine." Hong Chunhua glanced at him, "If Wang Ting starts scolding when he sees him, we won't take the blame."

"Don't worry, you won't take the blame."

Qi Jing bent down to examine the patient's mouth and nose, which was empty and seemed to have nothing strange. He did not expect that his heart arrest was walking in front of the lung symptoms and was secretly surprised: perhaps it was the shallow coma caused by the car accident that raised the threshold for lung stimulation, and the ordinary stimulation was not violent enough.

"The symptoms should be coming soon."

"You are still fortune telling, and can you calculate the symptoms?"

"Not to talk about this for now." Qi Jing peeked at the side again and asked, "Is she okay?"

"I chatted with her for a few words. She was in good spirits and was more calm than some of her family members." Hong Chunhua said, "Don't care about her family members at this time, I will deal with it."

"I'm not caring about her, I just want to know..."

As soon as the words reached the mouth, the coma patient around him suddenly opened his mouth and started to choke and cough.

The cough was violent, as if he had a thick phlegm in his mouth. However, unlike the cough of ordinary people, the patient coughed out foam or bright pink foam. The amount of foam was quite large, so Qi Jing quickly took some gauze from the debridement room next door to block it.

"The pink foam phlegm is basically confirmed now."

Qi Jing said while kicking off the lock under the bed and putting the electrocardiogram monitoring next to the patient. He quickly waved to Qu Yi who was rushing over: "Old Qu, go and prepare for tracheal intubation."

Qu Yi didn't know what happened, but looking at this posture, he knew that the patient had a problem with his breathing. Seeing this, Hong Chunhua was busy removing the screen, helping to clean up the lapel of the reel and the wires for electrocardiogram monitoring, and coordinated his hands and feet and moved quickly, which was far from comparable to ordinary nurses.

Half a minute later, the patient was sent to the emergency room.

Relying on the anti-spasmodic medicine that was hung in time, Qu Yi successfully completed the tracheal intubation, and China Unicom went on the ventilator to stabilize the patient's breathing. His usual lot of exercises helped a lot at this time, and the speed was faster than the two doctors who often worked in the emergency room.

By the time Wang Ting and Yan Dingfei arrived, the patient had been almost dealt with.

"What's wrong?" Wang Ting put down several serious patient records in his hand, looked at the two infusion racks full of them, and asked, "Why did someone send him to the emergency room in a blink of an eye? Ji Qing wasn't at work either."

"A patient who was in an emergency outside world, a car accident."

Qi Jing did not say the two fractures caused by the car accident, and even the slight cerebral hemorrhage was mentioned. The simple introductory words were used to pinch several other key points: "The whole body muscle clonic twitches, the neck stiffness, respiratory and cardiac arrest, and after the resection, some pink foam phlegm was coughed up."

The four symptoms made Wang Ting and Yan Dingfei ask at the same time: "What did you eat for lunch?"

Qi Jing smiled and shrugged: "The family members don't seem to want to say it very much."

Yan Dingfei narrowed his eyes slightly, and had already guessed it. He stood silently at the end of the bed and scratched the patient's soles and started a check on Papistry. Wang Ting took the pupil lamp to check his pupils and neck, and then asked, "Have you left, aren't the family?"

"The head nurse is chatting with her." Qi Jing took out his cell phone, "Do you want to call?"

Yan Dingfei glanced at his phone and looked at Wang Ting again, wanting to see what Director Wang would do.

Wang Ting looked at all the previous test results, hesitated for a while, but did not answer Qi Jing, but continued to ask: "Have the patient done liver function and myocardial enzymes?"

"The liver function has come out, myocardial enzymes have just been drawn for blood for examination." Qi Jing handed over the examination report in the medical record. "The two main enzymes of liver function have passed 500, and the lactate dehydrogenase has exceeded 2,000."

"The liver function looks quite similar. There is no way to do cerebrospinal fluid pressure, and I have to wait for the result of myocardial enzymes."

"In fact, from the perspective of liver function, it can be confirmed." Qi Jing said.

"Boy, you have prepared all the blood for detoxification and charcoal and kidneys." Wang Ting looked at the blood pump in the corner and looked back at Qi Jing, "Test it, but it's tactful when you say it, it's not good if it's not a joke."

Qi Jing nodded: "I understand this."

Pressing the three buttons of 110, the phone was picked up shortly after: "Hello, this is Danyang 110, please speak."
Chapter completed!