Chapter 22 Patients in Continuous Shock
After being rejected three times in a row, Zhou Can had already become stubborn.
It's better to enter the worst department.
It is more beneficial to his growth.
The emergency department's medical team is relatively poor, and the competition is far less intense than in the top departments. Even a newcomer like Zhou Can can get plenty of opportunities to practice.
In addition, he held his breath and grew rapidly in the worst department to prove himself better.
He wanted to let those department heads who did not choose him see that not choosing him was their biggest loss .
"I do."
Zhou Can answered with extraordinary firmness.
“Puff!”
Someone laughed.
Zhou Can looked in the direction of the voice with some annoyance, only to see Du Leng covering his mouth with a strange expression.
They probably thought that Zhou Can, who was ranked first, was not wanted by anyone, and he, who was ranked fourth, became the most sought-after talent. Then when the worst emergency department offered Zhou Can an olive branch, Zhou Can rushed to accept it, as if he was afraid that no one would want him.
The strong contrast made Du Leng feel it was a little funny, so he sneered.
After noticing Zhou Can's angry look, Du Leng hurriedly covered it up by coughing.
This little incident did not affect the directors' continued selection of people.
When it was Director Lou's turn to select someone again, he chose Jin Mingxi, who had a bachelor's degree from an ordinary college. He probably valued Jin Mingxi's work experience and surgical skills.
In the re-examination, Jin Mingxi scored second, only behind Zhou Can.
If this person hadn't done so badly in the written test, he would definitely be ranked in the top three in terms of total score.
"Okay, our two vacancies in the emergency department have been used up. Excuse me." Director Lou said hello to the other four department heads and left with Zhou Can and Jin Mingxi.
Judging from his impetuous behavior, he must be very busy.
"I'll take you to the personnel department to register first. From now on, you two will be doctors in the emergency department."
He took the two people to the emergency department.
"Hey, Director Lou is here, please take a seat!"
The female clerk in the personnel department smiles like a flower.
When Zhou Can signed a contract with her not long ago, she had a proud face and spoke in a very cold tone.
Looking at her current enthusiasm towards Director Lou, Zhou Can really wonder if this woman has a split personality?
"Register them both. They will be under the management of the emergency department from now on. This one is Zhou Can, and the other one is Jin Mingxi."
Director Lou is at the bottom of the list among the directors of several major departments.
But in front of a junior clerk in the personnel department, it definitely carries weight.
What he said was also very effective.
The female clerk quickly registered the two people and said with a smile, "Didn't Director Lou choose someone with a higher degree? There are quite a few general practitioners and postgraduates in this period!"
If the number of graduate students is small, Director Lou cannot compete with other department directors and can only choose the ones left over. This is understandable.
However, more than 70% of these trainees have postgraduate degrees, and Director Lou has two places. It doesn't make sense that neither of them can grab one.
"Our emergency department needs more capable people. Their education level is a bit low, but they have strong surgical skills and good diagnosis level. We can use them right away. Besides, don't trainees have to rotate departments? Recruiting someone with high education may seem attractive, but we have to spend a lot of effort to train them. When the training period is over, they may go to other departments."
After listening to Director Lou's explanation, the female clerk covered her mouth and giggled.
"Girl, please don't laugh. Our emergency department has a lot of work, low pay, and high risk, so we really can't keep people. Those who are a little bit outstanding are quickly poached by other departments. I've come to terms with it now. Those who want to leave can't be retained, so I just pick those who can work right away."
The emergency department has always been at the bottom of the department and is unable to retain talent, which is determined by its overall environment.
Compared with other departments, it has natural disadvantages.
"You are quite open-minded. Well, the registration is complete."
With a department director watching over them, the work efficiency of female clerks has increased several times.
This guy is reality.
"goodbye!"
Director Lou waved to the female clerk and took Zhou Can and Jin Mingxi back to the emergency department.
"The emergency department is different from other departments. There are often patients with headaches and fevers. They may not look serious, but in fact they may be in critical condition. Once they get worse, they will soon need to be sent to the emergency room. So you two must be extra careful. I will give you half a month to adapt. I will arrange for an experienced doctor to take care of you. If you don't understand or are not sure, you must ask the senior doctor. Don't be afraid of being scolded or feel embarrassed..."
On the way back to the emergency department, Director Lou gave the two of them some precautions.
In the first half of the month, he didn't expect the two to be of any help, as long as they didn't get into trouble.
As soon as they entered the emergency department, a nurse came trotting over.
"Director Lou, please go to the emergency room. The patient has gone into shock three times. The family members are making a lot of noise and are almost hitting people." The nurse panted and quickly reported the situation.
That patient must be the critically ill patient that Director Lou mentioned, who was just seen not long ago.
Shock is a very special medical term.
When ordinary people hear the word "shock", they may equate it with coma.
In fact, shock is much more serious than coma.
Shock is a syndrome in which after the body is attacked by strong pathogenic factors, there is a sharp drop in effective circulating blood volume, and a widespread, continuous and significant decrease in tissue blood perfusion, leading to poor systemic microcirculation function and serious disorders of important organs.
At this time, the body's functions lose compensation, tissues are ischemic and hypoxic, and neural and humoral factors are out of balance.
The state of shock is actually close to death.
It's like half of your body is at the gate of hell.
A coma may or may not be serious.
For example, in the most common epileptic seizure, when the patient falls into a coma, it is actually not very dangerous. Sometimes, a short period of suffocation and lack of oxygen, or a heavy blow to the head, or even a shock, can easily lead to a coma.
From the above comparison, it can be seen that once the patient falls into shock, rescue must be carried out immediately.
Otherwise it may crash at any time.
The patient has suffered shock three times in a short period of time. What disease does he have?
Director Lou had a sullen face and said nothing. He walked quickly towards the emergency room.
Seeing that the director did not make any arrangements, Zhou Can naturally followed him to the emergency room.
On his first day at the emergency department, he encountered a thrilling scene. In addition to being a little nervous, he was more excited. As long as he had strong enough medical skills, he could thrive in the emergency department.
There are plenty of opportunities to exercise.
"Is your hospital okay?"
"If my son's life is gone, I will definitely take you all to court!"
"He was conscious when he was brought here. It was all because of you quacks that you put my nephew into shock. You are killing people."
Several family members rolled around and made a scene outside the emergency room.
The curse words were very harsh.
Zhou Can had been an intern for a year after all, so he had rarely seen such scenes, but he had seen it a few times.
It’s all nonsense to say anything to the family at this time, the right thing to do is to rescue the patient first.
"Please don't worry, family members. Our director is here and he will do his best to save the patient."
The female nurse was very brave and led the way.
"Why do you have to wait until the person is in shock before you show up? What were you doing earlier?"
"You are so irresponsible."
It is understandable that these family members are anxious and sad.
However, this kind of unreasonable behavior of insulting doctors must not be encouraged.
Director Lou was now in a hurry to go in and save people, but they were blocking the door, seriously disrupting the rescue order.
"Please make way, make way! If the patient dies because of your obstruction and interference, you will bear the consequences." Seeing that the nurse could not control the situation, Zhou Can strode forward and shouted at the family members with a dark face.
Several family members were really shocked by him.
"Go and wait over there. We are doctors, and it is our duty to save patients . We will definitely do our best to save your child. If you don't trust us, you can just transfer the patient to another hospital. This will not benefit anyone if things continue like this."
Although these family members were somewhat unhappy, they eventually calmed down.
Director Lou was able to enter the emergency room smoothly.
Zhou Can and others followed closely behind.
In the emergency room, six or seven doctors and nurses were busy trying to save a child whose limbs were convulsing.
The child had his eyes closed, his teeth clenched, and his face was pale. It looked like the situation was not good.
The vital monitoring indicators of blood oxygen, heart rate and blood pressure are all very bad.
"Director Lou, the child went into shock again not long after being rescued. The cause has not been found yet." The attending physician, who was in his forties, was sweating profusely and did not even bother to wipe it off.
His brows were furrowed, his expression was solemn and full of worry.
"You guys take charge of the rescue first, and show me the medical records!" Director Lou was calm and not as panicked as the other medical staff.
Instead, he calmly looked for the cause of the shock .
After Zhou Can entered the emergency room, he first examined the child and then listened to Director Lou read the medical records.
"The child caught a cold two days ago and developed fever, loss of appetite, lethargy, and other symptoms. After treatment at a nearby clinic, it was ineffective. Seeing that the child's condition worsened, he was sent to the emergency department of Tuya Hospital for treatment."
It's just a simple cold, how could it become so serious?
Zhou Can could only think of two possibilities: either the child did not have a cold at all, since there were many diseases similar to the cold. Or the family was hiding something.
He was just a new trainee in the emergency department. He was in a low position and his words did not count. Naturally, he would not speak carelessly before the cause of the illness was clearly known.
What we need to do now is to verify and investigate one by one.
