Chapter 167 A special medical technique, the turning point of the 6-bed patient(2/3)
Even if it takes four hours, it will be fine.
Such long-term compression often requires four or five medical staff. Nurses have little strength, so doctors usually do the compression.
Four or five doctors work hard for four or five hours. How much is the final charge?
100 yuan.
Moreover, the hospital has a strict rule that it can only be charged once.
Some patients' hearts can stop beating several times a day. He is just teasing doctors like you, asking you to press hard and rescue them.
The final charge is still 100 yuan.
Does the hospital make a loss or a profit?
Even half a day's salary for a doctor is not enough.
Many family members and patients started to say that the hospital's ICU was really bad, charging them 10,000 to 20,000 yuan a day to rob them of their money.
It's just that they didn't look at the expensive equipment, expensive consumables and medicines used that day.
Many consumables are imported.
Why not use domestically produced products? It would make me cry if I say too much. The quality of domestically produced products is hard to describe in words.
Not to mention medicinal materials.
In large public hospitals like Tuya, please stop saying that ICU treatment is expensive in the future. As long as you can save your life, it is definitely worth it.
In case of loss of life and property, the doctors and nurses really tried their best.
…
Zhou Can waited until the condition of the patient in bed 6 was slightly stable, and then immediately checked the new medical skills that suddenly appeared just now.
As a result, I didn’t know it until I saw it, but I was very happy when I saw it.
I don’t know when two new medical skills became available.
Most likely I got it while sleeping last night.
Because when he returned to the apartment yesterday, he practiced sharp knife skills and also checked the attributes of his personal medical skills. There were no two medical skills.
[First Aid Wisdom, current experience value: Elementary 2/1000. Special medical skills, when rescuing patients, the wisdom will be doubled, the mind will be calm, and the diagnostic ideas will be increased by 50%.]
This is the first special medical skill he has acquired.
It's very interesting. This medical skill is only useful if it can rescue patients.
The diagnostic ideas have improved by 50%, which is of great help to him in diagnosing the cause of the patient and detecting the lesions.
No wonder his mind was obviously clearer than usual when he was defibrillating the patient in the car accident.
Maybe it was this medical skill that played a role.
The diagnostic idea is equivalent to the problem-solving idea. The clearer it is, the easier it is to answer the question.
The accuracy rate will be higher.
Let’s look at another new medical skill.
[Pharmacological Dialectics, current experience value: Level 3 1/1000, lower level than resident doctor.]
This medical skill can deepen the understanding and application of pharmacology, and enable dialectical use of medication to ensure correct medication and optimal therapeutic effects.
This medical skill is directly at the level of a resident doctor, which may be related to Zhou Can's solid foundation in pharmacology.
His pharmacological foundation is far better than that of ordinary graduate students.
Now that he has pharmacological dialectical medicine, Zhou Can can quickly improve his medical skills as soon as he obtains his medical practitioner certificate and the right to prescribe.
Pathological diagnosis is to identify the cause and clarify the pathological mechanism.
Up to now, Zhou Can has the three major means of diagnosis, medication, and surgery to defeat the disease.
As long as he slowly improves these medical skills, he believes that more and more diseases can be cured.
These two new medical skills must have been acquired by treating 7 beds of patients last night.
Pharmacological dialectics, because he prescribed medicine to the patient, Dr. Shi probably adopted it.
As for the emergency doctor's intelligent medical skills, it is equivalent to giving him a compliment for his active behavior in rescuing patients.
Or when he was rescuing patients, he would often act as if he was possessed by a demon.
In this state, the diagnostic ideas and wisdom are far beyond the ordinary state.
It is equivalent to the meaning of extraordinary performance.
No matter what, the two new medical skills he obtained made Zhou Can feel like he had found a treasure, and he was filled with secret joy.
"Xiao Zhou, Xiao Zhou!"
Dr. Hu saw Zhou Can standing there in a daze and called out repeatedly.
"Ah...you called me?"
After Zhou Can came back to his senses, he felt a little embarrassed.
"You can't slack off when working here. You must be highly vigilant at all times. Otherwise, a small mistake may cause the patient to be delayed in rescuing the patient in time, causing extremely serious consequences."
Doctor Hu warned him in a more serious tone.
"Understood! I will definitely pay attention next time."
Zhou Can couldn't help but think of the extraordinary Zhu Shenfeng. Just because of diarrhea and a moment of laziness, he almost caused a serious medical accident.
"You keep an eye here, and I'll go over there and help them."
Five or six doctors and nurses were already surrounding a hospital bed not far away, trying their best to rescue the seriously ill patients on the bed.
The danger of the battle can be felt from a distance.
Dr. Hu took the initiative to help, which greatly improved Zhou Can's impression of him.
At least in the unity of the department and the normal rescue process, Dr. Hu is a qualified and good doctor.
He is unwilling to take risks in giving medicine to patients because of his worries and worries.
Not every doctor dares to risk his or her future and this hard-won job.
Any mistake could cost you your job or even lead to a lawsuit.
Sentencing generally occurs rarely.
Even if the doctor is obviously at fault, as long as there is no subjective malice, the most severe punishment is suspension, suspension of prescribing rights, and suspension of surgical privileges. More seriously, the doctor's license is revoked. The most serious one is a lifetime ban from the industry.
That is to say, he is not allowed to practice medicine again for the rest of his life.
Zhou Can picked up the patient information on bed 6 and looked at it. The examination report showed that the intracranial hemorrhage was severe, and the leg fracture was nothing compared to the brain injury.
"The bleeding point was close to the brain stem, and it was a large area of bleeding, accompanied by subarachnoid hemorrhage. There was a skull fracture. The patient was in a deep coma."
No wonder no doctor dared to operate on this patient.
The risk is too great.
The only way is to stay in the ICU for a few days to see if the bleeding can stop on its own?
After the patient has overcome this difficulty and the condition is more stable, the next step of treatment plan can be formulated.
"If the bleeding can be stopped surgically and intracranial congestion can be removed, this patient's life should at least be saved."
After reading the examination report, Zhou Can quickly thought about the patient's treatment plan in his mind.
The plan he thinks of may not actually be implemented.
But it can help him accumulate treatment experience and expand his thinking.
The patient's chest CT showed no particularly serious injuries. The ventricular fibrillation just occurred was probably caused by a brain problem.
One of the most common phenomena caused by intracranial hemorrhage is intracranial hypertension.
Or a hematoma may occur, compressing important brain tissue.
What is even more serious is that the bleeding site itself occurs on important brain tissue. This situation is usually accompanied by damage to important brain tissue.
"If the patient's condition can be stabilized, perhaps he can try an endoscopic cranial surgery. It mainly includes stopping bleeding, sucking out congestion, and reducing intracranial pressure."
After careful research, Zhou Can decided that the only treatment he could think of was surgery.
Traditional craniotomy surgery may take a long time, and the patient's physical tolerance requirements will be much higher. For minimally invasive endoscopic surgery, the surgical indicators should be reached tomorrow at the latest.
Zhou Can found that after two months of training at Shenwai, he gained a lot.
By diagnosing this patient at this moment, he can formulate some confident surgical plans with considerable confidence.
He has performed so many third-level and fourth-level major surgeries at Shenwai. His knowledge, experience, and prediction of the entire perioperative period are incomparable.
"Brother, if you can hear me, grit your teeth and get through today. When your condition is stable, I will make a surgical suggestion to the superior doctor." Zhou Can said to the patient.
I thought that the comatose patient would definitely not be able to hear.
As a result, Zhou Can found tears flowing from the corners of the patient's eyes.
To be continued...