I Can See Health

Remember [new] in one second! Lu Chen was startled and quickly walked to the patient's bed and touched the patient's radial artery pulse with his right fingertips.

Sometimes, the blood pressure measurement by the ECG monitor is not accurate and is somewhat different from the real blood pressure.

However, by feeling the pulse strength of the radial artery, the patient's blood pressure can be estimated.

This is also a little trick Lu Chen learned in clinical practice.

"The pulse is very weak!" Lu Chen's heart sank to the bottom.

It seems that the blood pressure measurement of the monitor is probably correct.

"The patient has not urinated since he was admitted to the hospital, and his extremities are very cold." The nurse added.

Various signs currently indicate that the patient's blood pressure is already in a state of shock.

"Open two more intravenous channels and replenish fluids quickly!" Huang Hanlin said immediately, "Notify the ultrasound department and apply for a bedside abdominal ultrasound!"

"Got it!" The two nurses cooperated with each other. One gave the patient an injection while the other called the ultrasound department.

Lu Chen was not idle either. He was checking the patient's blood pressure.

"Teacher Huang, the blood pressure was reviewed and it was only about 82/50 with the cap on, and it was symmetrical on both sides!"

Huang Hanlin's face was as cold as frost, "fuck, damn the emergency department, they don't do any examinations, they just push patients to us!"

According to the patient's current condition, it is best to do a full abdominal CT scan.

The emergency CT clinic is right next to the emergency department, and the inpatient department is still some distance away from the emergency department.

Now asking patients to go for emergency CT is equivalent to asking patients to go back.

"These doctors in the emergency department are really just doing nothing!" Huang Hanlin cursed again, "Any patient will be pushed into our CCU, from head to toe, as long as he is in pain, he will be sent to us!"

It seems that the relationship between CCU and emergency department is not very friendly.

Lu Chen listened as Huang Hanlin kept complaining about the emergency department.

He can't control so much now. The emergency department may have admitted the wrong patient, but the patient is in a state of shock. In addition to rehydration and anti-shock, the most important thing is to find the cause of the shock.

From the corner of his eye, Lu Chen saw the ultrasound machine on the side.

Before the sonographer arrives, he may be able to take a look at the patient's abdominal ultrasound in advance.

"Teacher Huang, should I do an ultrasound on the patient first?" Lu Chen asked.

After all, he is only a graduate student now, and all diagnosis and treatment actions need to be approved by the superior doctor.

Huang Hanlin was still complaining about the emergency doctor when he suddenly heard Lu Chen's words and was startled.

He thought of Lu Chen's previous ultrasound of the patient who had been put on the ecmo machine, and nodded subconsciously.

When Lu Chen saw Huang Hanlin agreed, he immediately brought over the ultrasound machine.

…

At this time, Liu Han and Gao Rui came to Lu Chen's side after handling the newly admitted patients.

Seeing Lu Chen pushing the ultrasound machine, Liu Han was startled at first, thinking that it was Teacher Huang Hanlin who was going to perform ultrasound on the patient.

"But I remember that Teacher Huang Hanlin doesn't know how to do ultrasound, right?" Liu Han thought to himself.

Just when she was confused, she suddenly saw Lu Chen's ultrasound probes next to the patient's bed.

Huang Hanlin also stood aside and watched.

"Junior Brother Lu, he, is he here to do ultrasound?" Liu Han was shocked.

Are we going to use patients to practice ultrasound?

Isn't this patient very critical?

While thinking, she walked behind Lu Chen.

…

Lu Chen got the ultrasound probe, applied coupling agent, and gently placed the probe on the patient's abdomen.

When the probe touches the patient's skin, an image appears on the ultrasound screen.

The moment they saw the image, Huang Hanlin, Liu Han and Gao Rui didn't react at all, but Lu Chen's pupils shrank slightly and he lost his voice: "Liver rupture!"

I met a patient with liver rupture and bleeding again!

As soon as he finished speaking, Huang Hanlin's face immediately became nervous.

"you sure?"

Lu Chen held the ultrasound probe in his hand and said in a deep voice: ""The continuity of the liver capsule disappeared, and the echo at the break increased. Secondly, there is a hypoechoic area under the liver capsule. These all point to a diagnosis, which is liver rupture! "

"Please call for emergency consultation from the general surgery department! Hurry! Call now!" Huang Hanlin shouted to Liu Han who was standing aside.

Liu Han was stunned for a moment, then ran to the nurse's station and called the main station to find the number of the general surgery department.

Gao Rui, who was behind Liu Han, was startled by Huang Hanlin's sudden roar.

At the same time, she was also a little surprised. This student in the same class as herself could actually do ultrasound?

She is from the Department of Gastroenterology and doesn’t know how to do abdominal ultrasound!

How can this cardiology student do abdominal ultrasound?

Gao Rui looked back at Lu Chen, his eyes full of confusion.

…

Huang Hanlin was extremely anxious at this time.

Liver rupture!

If it is not dealt with in time, this can be fatal!

After Lu Chen performed a vascular ultrasound in front of everyone, he believed in Lu Chen's judgment.

This person is probably suffering from hemorrhagic shock due to liver rupture and bleeding!

"This fucking emergency department is really killing people!" Huang Hanlin clenched his fists in his sleeves. "If we can do an abdominal ultrasound or abdominal CT in the emergency department, the patient's condition can be judged clearly at the first time."

He has now greeted the emergency doctor dozens of times in his mind.

At this time, Liu Han had finished making the consultation call and returned to the hospital bedside.

"Teacher Huang, we have called the general surgery department. The emergency consultant will be here soon."

"Okay!" Huang Hanlin nodded, and then said to Liu Han, "I will go and communicate with the patient's family about the condition. You wait here for the doctor from the ultrasound department."

"Yeah." Liu Han responded.

Afterwards, Huang Hanlin took Lu Chen to the doctor-patient communication room.

…

Doctor-patient communication room.

"Family members, if you think about it carefully, has the patient suffered any injuries before?" Huang Hanlin stared closely at the patient's family members in front of him.

The most common cause of liver rupture is a bicycle accident. Some of the bleeding is hidden and difficult to see from the appearance.

Zhou Xiaoping looked confused, "Probably not."

"What do you mean should not?" Huang Hanlin frowned, "Doesn't the patient usually live with you?"

The patient always denied having a history of falling injuries, so Huang Hanlin had no choice but to ask his family members.

"I was on a business trip recently and just got home this morning, so I may not be sure." Zhou Xiaoping paused and said.

"Are there no other family members?" Huang Hanlin asked again. UU Reading www. uukanｓhu.net

"My sister usually lives at home, she should know." Zhou Xiaoping said, "I will call her later and ask her."

"Okay, you can ask later." Huang Hanlin said, "Now we have basically diagnosed liver rupture and may need surgery. Your family members should be mentally prepared!"

"Liver rupture?" Zhou Xiaoping was stunned for a moment.

She originally thought her father had a heart disease, but she didn't expect it to be a ruptured liver.

The name sounds like that kind of bad disease.

"Doctor, is it serious? How is my dad doing now?" Zhou Xiaoping quickly asked nervously.

"We are currently in a state of hemorrhagic shock." Huang Hanlin said solemnly, "We have invited a general surgeon for consultation and may push the patient to the operating room at any time."

…

At this moment, the CCU door was pushed open.

The sonographer and general surgeon came at the same time.