To put it simply, the doctors of the community hospital committed a problem similar to the last time Li Qi'an and Xiao Ao. When the patient needs to rescue the rescue, he immediately rushed up. He didn't think about everything carefully.
This is precisely the peculiarity of medicine itself. It is not just rushing to take measures. Taking the wrong measures will either save people or kill them.
On the other hand, clinical drug use has always focused on the choice of risks and benefits. This has been mentioned before. It can be known that this drug by no means cannot be used here.
It is indeed the drug of choice for anti-anaphylactic shock, and some of the knowledge that young doctors memorized by rote is correct.
There is a common misunderstanding in clinical practice. It is not easy to distinguish the concepts of medical terms. For example, when a patient is in shock, the first thought that everyone thinks of is that the patient is dead, but it does not actually mean that the patient must have suffered a cardiac arrest.
Professional doctors are very clear about the distinction between these concepts, and these need to be clinically honed, that is, stepping on enough pitfalls.
It is impossible for community doctors and Li to succeed overnight.
Clinical training can actually be used to delve into "environmental science" on a daily basis.
Just like an infusion reaction, there is a development process. Even if the patient is in a state of shock in the early stage of the disease, cardiac arrest will not occur immediately unless the patient suffers from a sudden hyperacute heart disease.
Such emergencies generally occur within hospitals, and hospital medical staff should detect them as soon as possible.
Young doctors can be as calm as a big brother based on this.
Even if a skilled doctor goes out to practice medicine, the first point of observation is always the patient's environment. He can know it at a glance or by asking, so that he can know in advance whether there is a delay between the time when the patient's condition occurs and the time when the patient is discovered. , so as to determine the stage of the patient's condition as quickly as possible and take corrective measures.
Young but experienced Dr. Xie Wanying’s performance today clearly stood out among the young doctors again.
The onlookers’ intern trainees are updating their names for Dr. Xie: Dr. Xie, Teacher Xie, Deputy Director Xie, and then to Xie—The King.
At this time, Dr. Xie Wanying was standing next to the nurse's station, holding a pen in her hand and writing medical orders in an orderly manner.
If a layman sees it, he wonders if he will scold Dr. Xie for standing here idle for not rescuing the patient. Some laypeople have always wanted to complain like this. It is too common in hospitals.
The above two incidents prove that Dr. Xie cannot ignore human life and is doing professional work.
She is a cardiologist, and the patient's heart problem is to prescribe medication. She has given a verbal order for the nurse to implement immediately: What is needed for such a patient is a combination of anti-allergic treatment plus acute coronary syndrome treatment, rather than ordinary just Treat with anti-allergy treatments. Is the medication effective? Just watch the patient's heart rate drop from a hundred or dozens of beats per minute to normal levels.
Such measures are far more effective than the young doctor in the emergency department who uses two electrode pads to perform defibrillation.
The clinical king is like Dr.
The patient’s other problems are best handled by other specialists. Joining in on the fun is just randomness, unless colleagues signal for help and collaboration.
She said Dr. Xie should seize the time to make up the written medical order in accordance with the legal provisions.
As a series of examination results came out one after another, all the doctors finally came up with a rough explanation for the strange situation happening to this patient.
The patient does not know when he started to suffer from hepatobiliary disease because he has not had relevant examinations before. He does not know how to develop subsequent drug allergies.
Physicians in community hospitals are too eager to use inappropriate rescue measures, which worsens the patient's condition.
Dr. Hao from the ICU sighed on the spot.
I said before that the ICU doctors were the first to be confused when the new district was established. They wondered whether the new district for difficult and complicated diseases was meant to compete with the ICU for business.
The consultation in the morning and the current cases made it clear that it was not the case.
The new area and the ICU are completely different in nature.
If such a case is sent to the ICU, it is impossible for multiple specialists to consult together. It is not only difficult but also impractical for the ICU doctors to become other specialists to eliminate the causes one by one to find the correct cause.
The cases sent to the ICU are the same as those admitted to other departments. It is best to make a clear diagnosis before sending them.
One of the important meanings of the new district is this. Another meaning is that experts from various disciplines can be gathered to provide centralized treatment for patients. This is also something that no single discipline can do.
The new district’s patient admission and treatment standards are the above two.
