265. The appearance of common emergency (Part 1)
The caller was an intern who was using his own mobile phone. The first sentence at the beginning was: "Senior Qi, I'm so crazy in a hurry. Director Wang asked you to come back soon to help."
The sounds around the phone were very noisy, and the shouts and phone ringing were heard one after another, and he seemed very anxious.
Qi Jing raised his hand and looked at his watch. It was just after noon, so how could there be so many patients? The ICU general emergency department is equipped with 2 doctors to attend the hospital all year round, and one doctor is stationed in each shift in the ICU and emergency room. Wang Ting is also in charge of the 120 clinic in the green channel, with two doctors and two interns.
If you want to exhaust all these medical resources, how many people will need to come at one time?
What's more, internal and external emergency are different. There must be accidents, but many of them are in line with the rules of life and often have traces to follow. For example, blood sugar fluctuations and gastroenterology diseases are prone to occur before and after meals. Traffic jams are blocked in the morning and there will be hypoxia and fainting, and a series of stress reactions will occur during class and work in the morning.
Therefore, the time for patients to come in the morning is generally concentrated between 8 and 10 o'clock, and patients with high temperature and heat stroke are likely to come in the afternoon, and there will be a certain amount of free time in the middle.
Of course, there are exceptions sometimes, but it is definitely not a good thing to have so many people at once...
Thinking of this, Qi Jing's face changed: "What's wrong with the intimidation?"
"A dozen students suddenly came to an elementary school next door, and they had headaches, nausea, vomiting..." Halfway through, the sound on the other end of the phone became louder and louder, and the intern had no time to say anything, "Senior Qi, come quickly, say three more cars came."
A simple sentence made Qi Jing judge that the possibility of food poisoning is almost 90%. But this time is a bit far from breakfast and too close to lunch. I am afraid that the time is just 11 o'clock when the child is sick, and the time is a bit unfavorable.
By the way, it's an elementary school!
Danyang primary schools have had intercourse milk in the morning in 2001. Maybe there was something wrong with intercourse milk at around 9 o'clock!
Although he was obsessed with the diagnosis of difficult diseases, Qi Jing could not have thought that it would happen if he had nothing to do when encountering a public health incident.
"Go quickly." Lu Zishan buried her head and looked at the information in her hand, making a phone call in her ear with her right hand, "Call me if it's empty."
"Yeah, OK."
......
The internal emergency department of Danyang Hospital has completely ushered in a peak. Wang Ting has probably seen this scene in the entire emergency department.
The corridor of observation was already full of patients, but now there were so many children suddenly appearing, so they could only lay down floors around the hall. The originally open main entrance hall was lined with patients on both sides, and a small path in the middle that could only walk two or three people side by side.
In addition, they can be seen at the door of the tea room, next to the laboratory, and at the toilet, and even in the lobby of the ground floor of the Medical Technology Building, filled with parents' complaints and children's uncomfortable expressions.
Qi Jing glanced at it and found that the symptoms were uniform, including headache, nausea, vomiting, and some were not on the bed. He probably had symptoms of abdominal pain and diarrhea.
If it is really a problem with milk between classes, it is a typical bacterial food poisoning. If the diagnosis is clear, the symptoms must be controlled in time and the toxin effect produced by bacteria are corrected. These tasks are not difficult for doctors who work urgently. First, support the treatment according to the symptoms, and at the same time, the feces are sent for examination to check the types of bacteria.
Qi Jing is not a good-tempered person either. When he encounters this situation, he sometimes can't help but vent his words. If the matter is serious, he might lead his father over.
Qi Sen must be very busy now. If you ask him for trouble, I am afraid he will not have any good results.
To be calm, be sure to be calm...
After taking two deep breaths, Qi Jing walked to the general emergency treatment room next door where the crowds were crowded.
The rows of seats at the door of the clinic were already full of people. When they looked at the clinic, they were all full of people. The patients and family members were all around here, and they all thought of seeing a doctor as soon as possible. The female doctor sitting at the window had long been blocked, as if everyone was the next patient.
"Come on, lend it, and let me know."
Qi Jing separated everyone, found the seat opposite the female doctor, called the family member sitting on the chair, and sat on himself.
Open the computer screen, and the number of the number you called was recorded, No. 143. Qi Jing put the doctor Ji Qing seal in his pocket on the desktop and corrected his work number plate: "Next..."
"Hey, doctor, wait ~"
While Qi Jing sat down, a family member next to him was about to move. Seeing that he was about to call the number, he immediately interrupted: "My son will take the college entrance examination next year and will go to cram school later. I'm really in a hurry. Please help me first."
Oh, someone wants to go to the line as soon as they come.
The middle-aged woman in her 40s had a loud voice and a smile on her face, which was definitely not easy to mess with. Moreover, her son was arranged by her to sit in the patient seat at the desk where Qi Jing was located. It seemed that she had thought about it before and had already "premeditated".
Ordinary emergency services are troublesome, and there are all kinds of monsters and monsters. If you accidentally respond, you may complain at the least, and if you are serious, you may fight against each other.
Some people come up with anger and don’t care about right or wrong or moral bottom line at all. Chairs in the emergency room are not tied to chains to prevent people from stealing.
"Uh, I don't care. Everyone's illness is treated, but..." Qi Jing looked up at her, took the medical record and saw that the registration form was No. 179, so he raised the volume. "If you want to see the doctor in advance, have patients No. 143-178 agreed?"
“No. 143 is me!”
"I'm 178, why are you calling me?"
"What agreed?"
"Is anyone going to go to the line?"
"Who wants to jump into the line? What a joke! We have been waiting for so long!"
A stone stirred up a thousand waves. Before Qi Jing could finish her speech, she was drowned in the criticism of others.
For the sake of face, she would argue a few more words, but no matter how strong she said, she would not beat so many people around her. In the end, she took her son out of the clinic and waited at the door obediently.
No. 143 is also a young man with a fever and a sore throat. The nurse at the door took her body temperature at 38.9 degrees.
"Open your mouth, ah~"
Qi Jing first routinely recorded the main complaint and some patients' situations, then turned on the pen light, pressed the tongue pressed, and saw his pair of tonsils clearly: "It's very red and swollen, it hurts very much."
"Well, it hurts even if you swallow your saliva." The patient smiled awkwardly. As the Adam's apple moved, his eyebrows frowned tightly. "It's an old problem. When people get tired, they will swell and hurt when they swell. Just prescribe some medicine for me."
Qi Jing nodded, looking like he agreed with his point of view, but his mouth was completely different from what he said: "I suggest you go outside next door to have a minor surgery..."
"Do you want to remove tonsils?" The young man quickly became nervous, his head shaking like a rattle. "If you don't pick it, you won't pick it, you'll have to remove it. This is an important immune organ, the two guards in the mouth! Who will stand guard for me without them? Who will send the signal of infection?"
Oh, this is a doctor who has been sick for a long time, and the metaphor is very good.
After hearing this, Qi Jing knew that he suffered a lot, otherwise he would not be able to be so clear about the function of tonsils. But medicine is not other disciplines, knowledge is often dead, but people live, and some knowledge will undergo fundamental changes due to changes in human condition.
"Yes, tonsils are doormen, you know very well."
Qi Jing looked forward and looked through his previous medical records. There were indeed many records of tonsillitis in it: "The guards should be divided into good or bad. Some will protect your property. Remind you when the criminals entered the house, and maybe they would fight with the criminals to drive them away. But some guards would not ask any questions. Even if the guest came, they would be beaten up by him as a criminal. Why do you keep such a guard?"
"You mean my tonsil..."
"It's good to pick it, so I'll suffer less." Qi Jing suggested.
The young man sighed: "Then I'll go and have a look next door?"
"Look at it, I won't prescribe the medicine." Qi Jing closed the record book and handed it back to him. "The external emergency is very empty now, and there is no one. I will make a decision when you go there. If you still don't prepare for the surgery, the doctor there will also help you prescribe the medicine."
"Okay, thank you doctor."
“No. 144~”
"Hey, it's me!"
This time I came a girl, who was in her early 30s and looked very energetic: "I have a fever, the nurse at the door measured 38.1."
"No other discomfort?" Qi Jing asked, "Is there any sore throat when coughing, phlegm and coughing?"
"No."
"Does your stomach hurt?"
"No."
"Heart? Chest pain?"
"No."
No! No! No! No!
She said there were no three questions in a row, and almost made Qi Jing angry. There was no such thing as this and that, so why come to the hospital?
Of course, what you think in your heart still needs to be later artistic processing before you can say it: "I think you are in good health. I guess you are tired. Go back and have a sleep. If you wake up and your body temperature can't drop, or you have other discomforts, then come to the hospital."
"Ah? Don't you need to take medicine and get water?" The girl was surprised, "I have a fever!"
"The hospital has regulations that antibiotics can only be hung at 38.5 degrees." Qi Jing suppressed his anger and explained, "It's difficult for us to do it."
"I ran out of the emergency room after work. I still want to take two days of sick leave." The girl was a little unhappy and sighed, "It's not OK to get water. Then you can prescribe some oral treatments. At least I have to get my leave request for today."
Qi Jing suppressed the anger in his heart: "You can prescribe the leave request, just forget about the medicine."
When the girl heard the leave request, her previous nervousness was relieved and she was in a good mood. She then focused all her attention on her body, and instead became more tangled: "If you don't prescribe antibiotics, can you prescribe fever-reducing medicine? It's still quite uncomfortable to have 38 degrees."
This is also a typical patient. When you come to the hospital, you need three things: leave requests, antibiotics and antipyretics.
The medicine must not be prescribed, but it may be difficult to reason. This situation should be explained by example. If you have an infection and fever, it is nothing more than a robber at home, the same situation as the 143th just now.
"Like that young man just now, if you are sick, you will have a robber at home." Qi Jing asked, "Now you are only 38 degrees. This robber is a seven or eight-year-old child with no weapons in his hand."
The girl seemed to have nothing to do with her and nodded.
"As an elder, just say a few words to drive him away. Isn't it a bit too much to call 110 and call an antibiotic-like police to drive a child?"
"It's indeed too much."
Seeing that she could listen, Qi Jing continued, "At this time, the neighbors couldn't stand it and found an aunt from the neighborhood committee. She was the antipyretic medicine you wanted. As soon as she came, she advised you not to drive him away. He was just a child. Isn't it a bit inappropriate to do this?"
“…”
The girl thought about it and made up her mind: "It seems to make some sense."
"So, go back to sleep and let your body drive the robber away." Qi Jing handed her the medical record back and gave her a smile, wanting her to go home.
The girl took the medical record and blinked her eyes. She always felt like she had been fooled. She suddenly asked again: "At 38.5 degrees, can I drive away the robber myself, so I have to call the antibiotic police officer to help?"
"Yes, that's what it means."
"Then why does it take to reduce the fever when you have a high fever?"
"High fever means that the robber is a fighting champion and has swords and guns. You are almost knocked down by him. Of course, you can't beat him anymore, you have to run away!"
Chapter completed!