When the nurse was free, she pushed the lathe in and transported the dead patient in the car accident to the morgue in the hospital.
Dad Liu looked at the dead patient and his breathing was tight. But it seemed strange that the heart rate number on the monitor had not changed much for the time being.
"Doesn't there be a bed in the cardiac surgery department?" He was in love with his little friend, and Xie Wanying asked his senior brother.
Cardiac Surgery? Hearing her question, both Huang Zhilei and Dr. Jiang were a little surprised.
"It's a patient with angina pectoris. He may suspect myocardial infarction, so he took a monitor." Dr. Jiang said, "The internal medicine department may have to have an interventional stent, but there is no bed in the cardiology department."
When answering, Dr. Jiang estimated that Xie Wanying learned what the person was sick when she saw the diagnosis on the bedside card. But today the emergency room was full, and it was impossible for the emergency nurse to have time to put the bedside card in the emergency room.
After last night, Huang Zhilei knew his junior sister well, so he looked down at the bedside card and found that it was not. In fact, he didn't know what kind of patient he was just here. The person who called him was Dr. Jiang, not an emergency physician.
"How can I get a bed?" Xie Wanying asked her senior brother.
"It's too difficult to have a bed today, so I have to wait." Dr. Jiang said the difficulty, "Look at my female patient with stomach bleeding, I can't enter our department since I lie down last night. This is a patient in our department. It's even harder to say that the doctors in other departments who are not on duty in the emergency room today."
The attending physician couldn't even take the patient in. Xie Wanying immediately remembered Yue Wentong in front of the nurse station. The patient the class leader picked up was collected by a professor.
"He looks pretty good. He has to wait a few more days or go directly to the emergency room for observation." Dr. Jiang said, looking at the heart rate and blood pressure on Dad Liu's monitor.
"But what is more important in patients like this is not to determine how many blood vessels are blocked? It is too late to wait until the myocardium is completely necrotic. The gold standard for diagnosis is coronary angiography. And the monitor is a simulated lead, not as accurate as an electrocardiogram," Xie Wanying said.
Huang Zhilei was surprised: The junior sister spoke so directly, just like last night. The problem was neurosurgery last night, and today it was heart disease. Did the junior sister review other subjects that were not in the internship plan?
In fact, Xie Wanying reported the situation to her clinical predecessors just like last night because of her father's condition.
Dr. Jiang thought it was right after hearing her words. Some patients with cardiovascular lesions may have a balance of oxygen supply and demand when there is no myocardial infarction, and the electrocardiogram often has no obvious characteristic changes. When the attack occurs, the condition progresses rapidly and collapses directly. Some patients may have no signs before death. Only the pain complained by the patient or even chest pain.
"You need to do coronary angiography first to see if the blood vessel is blocked. If it doesn't work, then go from the cardiology department to the cardiac surgery department." Dr. Jiang said that he did not stick to his initial statement, but instead supported Xie Wanying's idea. He asked Xie Wanying a smile, "You have studied diagnosis, and what chapters have you learned about internal medicine and surgery now?"
Chapter completed!