"Call the general dispatcher, call the general dispatcher! The cardiology emergency room, the patient is in a coma, and neurosurgery consultation is needed."

   "Oxygen pillow, oxygen pillow! This is the emergency room of thoracic surgery."

   "Call the general manager, ask the orthopedic doctor if he is available, and come to the general surgery emergency room."

  "..."

  The sick people began to enter the emergency room, and all kinds of voices came from the walkie-talkie, eagerly!

   This is the first time Lu Cheng has seen such a big battle. Even if something similar happened before, he ended up in the ward. They were all mildly ill patients who had been identified by the superior doctor, so he was not so eager at all.

   The orthopedics emergency room where Lu Cheng was located, four patients came all at once.

   Dong Yihe, who was with Lu Cheng, took good care of him. Of course, he might not feel relieved, so he said: "You go to 04, I'll watch 1-3!"

   "Okay!" Lu Cheng didn't struggle, and ran to the fourth patient directly.

   At this time, there is no time to call the patient's name, and there is no time to call the fourth bed!

   The patient just arrived at the door, did not come in, and Lu Cheng saw a pair of **** legs.

  Lu started to evaluate immediately.

"What's your name?"

   "Huang Jianguo!"

"can you hear me?"

   "Yes. Doctor, it hurts, help me quickly. Help me." He prayed to Lu Cheng, his face full of pain, and his forehead was already covered with fine sweat.

   Lu Cheng looked at the patient’s pupils while asking, and quickly pressed the chest and abdomen.

   He immediately said: "The patient is conscious, his pupils are not dilated and dilated, and there is no tenderness in the chest and abdomen."

   "How's your blood pressure?"

   "102/75mmHg!" The nurse who was taking the blood pressure returned immediately.

   "Immediately get a plain radiograph of both lower limbs and CT of the abdomen. After sending it for examination, push it to the ward and send it to the third orthopedic ward for temporary bandaging to stop bleeding!" Lu Chengqi said.

   The patient's consciousness is still awake, the pupils are okay, the chest and abdomen are not tender, and it can be preliminarily judged that there are no major problems in the skull, chest and abdomen.

   Orthopedics issues need to be dealt with immediately, but he is not dealing with them now, nor is he going to the operating room to deal with them. He can't make a more detailed diagnosis now, which would be a waste of time.

   If in normal times, this is an absolute indication for emergency surgery, but now, this kind of patient can be released first, there must be more serious patients.

   Moreover, Lu Cheng was able to be sure because he saw that the patient's current blood vessels were basically unobstructed, there were no blood clots, and the red blood strips were only on the legs, and the disease level was only lv13!

   is an emergency patient who can be delayed!

On the other side, Dong Yihe was shocked when he heard that Lu Cheng was so clean and tidy. He ran over and checked the patient again. However, he pressed his head, chest and abdomen before he was sent to the emergency department. Of resident doctors pushed the patient to take a doctor’s order.

When    pushed over, the patient was still shouting: "Doctor, my foot is broken, it's broken, you can't leave me alone! I'm so painful, give me a painkiller, doctor, doctor!"

But the bed is still far away, and the resident who was in bed with him is explaining: "Huang Jianguo, your current situation has been assessed by the doctor, and there is no major problem. You need to go to the ward for treatment. The doctor now has to deal with other more serious patients. !"

   "But I am also a patient, if I delay, what should I do with my legs?"

   "They will die if they are slow."

   To be an emergency doctor, you must learn to be cruel and choose!

  ...

   Dong Yihe also dealt with a patient, but the patient’s condition was very serious. He directly called the ICU doctor to take over, and the patient was immediately sent to the ICU.

   There is no blood, multiple fractures, and the patient is in a coma. The cause is unknown, but his breathing and heartbeat are all present, and his blood pressure is dropping, but it is not an orthopedic problem. And the reason why he came to orthopedics is because his leg was splinted!

   "Xiao Lu, yes, decisive enough, you continue to look at No. 3. "Dong Yihe also thinks that Lu Cheng is reliable through the patient just now, and he is not the kind of ordinary doctor who is silly.

   Lu Cheng is not in this hospital. He was ordered to consult when he came. In fact, all the pressure lies with Dong Yihe. Of course he is afraid.

   "Okay, Brother Dong." Lu Cheng didn't want to be polite, nor did he want to call too long and waste time.

   Lu Cheng immediately looked at the patient Dong Yihe called to see.

   The patient is already in a semi-conscious state and seems to be going to'sleep' soon.

   Lu Cheng judged immediately.

   After a simple physical examination, Lu Cheng saw six blood bars, located in different unknowns.

   Both lower limbs, fractures, severe soft tissue contusion lv29.

  Head: Head trauma lv23!

   Chest trauma: lv13!

  Abdominal trauma: lv33!

   Closed fracture of the right humerus: lv19!

   Closed fracture of left ulna and radius: lv27!

   Lu Cheng was shocked immediately after reading it.

   This patient is too badly injured, right? Multiple joint injuries.

   Especially the abdomen.

   Many places in the orthopedics department are not fatal, but the trauma of the chest, abdomen, and head is only between lv10 and lv30.

   But these are terrible.

   Lu Cheng immediately called the doctor to push the patient to the general surgery, and then suggested that the thoracic surgery and neurosurgery consultation be consulted.

   The doctor looked a little embarrassed. At the moment, the thoracic surgery and general surgery are also overcrowded. The fracture of this patient is very obvious, and the patient is currently in a clear mind.

   He said with some embarrassment: "Doctor Lu, the most obvious symptom of this patient is a fracture, right?"

   "Would you like to go to the orthopedics ward first, and then please consult?"

   He is quite polite, but politeness is also questionable.

   Lu Cheng insisted: "This patient, our orthopedics department, has no indications for emergency treatment! He needs to further determine whether there are more dangerous traumas such as head, chest and abdomen!"

   Chengdu has seen these problems, UU reading www. uukanshu.com, but he couldn't tell, he couldn't tell directly, because Lu Cheng couldn't produce evidence himself!

   "The patient is still awake, you just pressed the abdomen, and the patient did not." The doctor in the emergency department seemed a little stubborn.

In fact, as an emergency doctor, what he likes most is to send patients to a special department, and then take out his responsibilities. If he leaves from Lu Cheng, he will treat the patients before receiving them in the next department. Responsible.

Lu Cheng looked at the patient who continued to push over, looked at the other person’s badge, took the patient’s medical record, and wrote down the consultation opinion, saying: “The patient has no guidance for orthopedic emergency treatment. Zheng, this is the opinion of orthopedics!"

   After writing the consultation opinion, the department is responsible for the opinion.

   And if Lu Cheng accepts the patient, he will be responsible for all the diseases of the patient. Lu Cheng is stupid and would not put such a patient in the orthopedics department to risk death. This is not responsible for the patient, and this emergency doctor is to hold him responsible for all the problems of the orthopedics department.

   Lu Cheng felt that he was responsible.

   Anyway, the patient's pelvic separation and compression test were negative, and there was no open trauma.

   He did this to save lives, not to treat fractures.

   "I wrote the consultation opinion. If you have any orthopedic problems in the follow-up, you should immediately have an emergency consultation. Now, the patient does not need any orthopedic emergency operation!" After finishing writing, Lu Cheng discarded the medical record.

   then greeted the patient behind.

   The face of the emergency doctor who pushed the bed suddenly changed a few times, and he took a serious look at Lu Cheng, and still gritted his teeth and pushed the patient to the general surgery!

  

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