The knocker was Li Yuchuan, who had already left the emergency.

Last week, he transferred to the emergency department of the surgery department. As long as he completed the internship there and obtained the internship evaluation form, he could successfully complete his undergraduate studies.

Qi Jing didn't expect that he would come to him specially: "What's wrong?"

"Brother Qi, I just collected a motorcycle accident and two people hit the isolation barrier on their bikes. The driver in the front seat had a impact on his chest. After the chest x-ray, he considered multiple fractures on his chest ribs."

Qi Jing nodded, feeling that there was no problem: "Well, then?"

Li Yuchuan hesitated for a while, thought for a while and said, "I called for an orthopedic consultation, but I always feel something is wrong."

"Why is something wrong?"

"The patient said his chest hurts and he has a little chest tightness."

"Isn't this normal for chest impact injury..." Qi Jing suddenly turned his head and looked at him, "Chest tightness? Have you ever had an electrocardiogram?"

"I did it as soon as I came, saying it was sinus rhythm, and there was no problem."

"Where is the heart sound?"

Li Yuchuan smiled awkwardly: "I've heard it, but unfortunately I haven't heard it."

He thought Qi Jing needed to think about it for a while, but he didn't expect that just these little clues would make him grasp the key to the problem. Being able to speak auscultation heart sounds means that it's the same as his own opinion.

Li Yuchuan was still a little unwilling to accept it when he thought about it.

After all, he had read a lot of books before he knew this situation by chance. Why did he become a knowledge that always resident in his head when he arrived at Qi Jing?

"You can wait a little bit."

Qi Jing pulled out a piece of paper from the side and wrote down the vital signs data of the case of hypoglycemia: "The data is given to you, and now the patient is in front of you, and the body is clear and the qi is calm, and the abdomen is soft... Think about what to do next."

After saying this, he left the lounge.

Li Yuchuan walked in front of him, and asked with a smile while walking, "Brother Qi is training newcomers again?"

"There is no choice. Who has asked all the fresh graduates to find a hospital this year? I can only settle for the second best students to change Taobao and exchange Taobao among senior students."

After hearing this, Li Yuchuan didn't say much and led Qi Jing to the patient.

A young man in his 20s slept at the door of the surgical emergency room. He had just finished taking the chest radiograph and inserted it under his pillow with the orthopedic consultation sheet.

Judging from the chest x-ray, the patient did have a very obvious fracture of the chest rib. It was estimated that the huge inertia during the crash and slapped his chest hard on the handlebar.

However, this kid is not lucky, he is just a simple fracture. The collapse of the sternum is not obvious, the ribs are not displaced, and there are only a few scratches in other parts of the body at most.

The car accident was just a little bit of injury, and it can only be said that the disaster survived.

After watching the chest x-ray, Qi Jing asked, "Who is on duty today?"

"Yan Yunkai."

"Where are people?"

“In the debunking room.”

Qi Jing raised his eyebrows: "Don't you go in and take a look when you clean the car accident?"

“He said he didn’t like someone around when he stitched it.”

Li Yuchuan sighed softly and continued, "This person sat in the front seat, the one in the debugging room was the back seat. After the car accident, he flew directly into the green belt. He was just a few small cuts on his body, and there was nothing to see."

Qi Jing knew that this was not what I didn’t like to be around someone. It was just that Yan Yunkai was not confident in his own methods.

I was afraid that something would go wrong if I was nervous.

But this is not fair to Li Yuchuan.

The time spent in the emergency department of the surgery is already small. Although the types of complaints of patients are mostly abdominal pain and trauma, they are still very diverse in terms of diagnosis.

Many undergraduates with emergency surgery cannot see them at all, and can only rely on surgical emergency departments to contact such patients.

If the students are not allowed to stitch it in the end just because of personal teaching reasons, what else can the students learn?

But Qi Jing has no good idea for this matter.

Even if I told Qi Sen with kindness, I would probably have made some excuses. After all, the hospital mainly treats patients. Doctors and interns, and the leaders will definitely choose the former.

For Li Yuchuan, the client involved, suing the teacher is definitely not a wise choice. In the end, he is the one who is unlucky.

"If you don't look, don't look. It's no big deal." Qi Jing comforted him, put on a stethoscope, and asked the patient, "Is the chest hurting a lot?"

"It hurts a lot."

"Levels 1-10, 10 is the most painful, choose one."

“7.”

The earpiece was gently placed on the apical area of ​​the patient's heart and moved back and forth. Qi Jing listened for more than ten seconds, and finally caught something slightly above the apical area.

He fixed the position of the earpiece, then took off the stethoscope and handed it over: "Let me listen."

Li Yuchuan put on a stethoscope and listened hard for a while, but found nothing.

Qi Jing was also helpless. This child is good at everything, but his foundation is a little poor: "You should review the saurus well. Don't think that if you have color ultrasound, electrocardiogram and intervention, you don't need your ears."

Qi Jing put away the stethoscope and pointed at his ear and warned: "The instrument is dead, it will cause malfunction and will make human operation errors, but the process of the ear receiving sound is completely passive."

"Don't tell me that I'm not available. There are so many patients with myocardial infarction and arrhythmia in the emergency department. You can wear a white coat to listen when you have time."

"Patients wish the doctor would care more about them. You must be thick-skinned, do you understand?"

Li Yuchuan scratched his head and smiled foolishly. How long has it been since he left the inner rush, but he has already missed Qi Jing's scolding.

No matter how much he scolds, Qi Jing also knows that auscultation depends on talent.

People with sharp hearing learn quickly, but hearing is more troublesome. It is not easy to practice good ears that can be heard, and it takes a lot of energy.

Moreover, the times are progressing, and there are many new types of examinations that are more objective and accurate than auscultation. Many medical students have forgotten this ability over time.

In addition to cardiology and respiratory departments, other departments use stethoscopes less and less frequently.

When you encounter a heart problem, you should go to an electrocardiogram. If you have a test result, ask the electrocardiogram room. If you have a treatment plan, ask the cardiology department for consultation. If you have a lung problem, ask the chest X-ray room. If you have a test result, ask the film room. If you have a treatment plan, ask the respiratory and external chest consultation.

It looks very brainless, but this is caused by the progress of the times and no one can stop it.

Qi Jing turned around and walked towards the lounge, saying, "It's true that there is a bit of noise and pericardial friction."

Li Yuchuan seemed very excited after hearing this: "Can that be confirmed?"

"If Yan Yunkai does myocardial enzyme spectrum, how can such a subjective examination be used to confirm the diagnosis?"

Perhaps Qi Jing's voice sounded a little, and the door of the debunk room suddenly opened. Yan Yunkai leaned his head and looked out the door: "Li Yuchuan, who was calling me just now? Teacher Huang from orthopedics is here?"

"not yet......"

"No, it's me." Qi Jing blocked Li Yuchuan.

Yan Yunkai knew Qi Jing's identity, so he was very afraid of him. His face was pounding, and he felt that he could not even hold the stapler in his hand: "You, why are you here?"

"After acute myocardial infarction after trauma, call for intracardiac consultation." Qi Jing threw down this sentence and left.
Chapter completed!