Chapter 210 Zhou Mo’s emergency debut!

Fall in love with youkanshu.com, this doctor is too powerful

“Yes, starting today, come to the emergency department for training… Where to meet?” Zhou Mo showed a handsome smile.

“Go in, turn left, go to the innermost, there is an office with writing on the door.”

“thanks.”

Zhou Mo followed the instructions and came all the way to the meeting room of the emergency department.

Emergency Department,

It is divided into three areas: red, yellow and green.

The red zone is for patients who are dying and must be rescued immediately.

The yellow zone is for very serious patients and needs to be dealt with as soon as possible.

Green zone, it’s not so serious.

All of these are evaluated and triaged by the triage table and the triage doctor.

In China, most of the divisions are based on experience.

In the lighthouse country, there is also a score table, which evaluates and scores the patient’s condition, and finally determines which partition to place according to the score.

Zhou Mo came to the door of the conference room,

Take a deep breath,

Pushed the door and walked in.

walk into,

Zhou Mo glanced at it, and there were 6 medical students sitting inside.

When Zhou Mo opened the door and went in, several medical students were shivering like birds in a panic.

When he saw Zhou Mo, he breathed a sigh of relief.

Obviously, they were all frightened by the tense atmosphere in the emergency department.

“morning!”

Zhou Mo came to the emergency room for at least 20 consultations. He was very comfortable with the nervousness of the emergency department, with a relaxed expression on his face.

“Morning.” x6

Everyone responded stiffly, still nervous.

At this moment,

bang~~

The door was opened.

An attending doctor in his 30s walked in with a serious look on his face.

The six medical students were startled and huddled in their chairs.

“Hello, teacher.” x6

“Hello, teacher.” Zhou Mo.

Attending doctor Liang Rongshan: “My name is Liang Rongshan, this is your teacher this week… Next week I will let you adapt to the emergency department, and then assign it to other doctors…”

“Of course, if you are progressing fast, you can score earlier.”

When saying this,

Liang Rongshan looked at Zhou Mo.

He is Chen Dong’s senior brother. Chen Dong told him more than once that Zhou Mo’s clinical talent was very high, which made Liang Rongshan couldn’t help but be curious.

“Okay, now you introduce yourself!”

Others are still hesitating,

Zhou Mo has already started: “My name is Zhou Mo. I worked in the cardiology department first, then went to the gastroenterology department. The emergency department is the third department.”

With Zhou Mo’s start, the other six medical students introduced themselves one after another.

“Okay, everyone, come with me to the emergency room.”

Liang Rongshan stood up.

“what??”

“Hi~”

“So fast? Don’t you need some training?”

The six medical students all felt a little panicked.

Without any preparations, it started?

Zhou Mo got up first and followed Liang Rongshan out of the conference room. The other medical students quickly got up and followed him out.

soon,

Came to the emergency room.

In the first emergency room, an old man was brought in from outside.

Male, about 70 years old,

“what’s the situation?”

“Hematemesis, blood in the stool…”

“Zhou Mo, come and give them a sample.”

Liang Rongshan said to Zhou Mo.

6 medical students: “!!!”

He glanced at Zhou Mo in surprise.

what’s going on?

Why does Zhou Mo seem to be very optimistic about the teacher this week?

“OK.”

Zhou Mo did his part and walked quickly to the hospital bed.

First, look at the ECG monitor and look at the patient’s vital signs.

Blood pressure, normal.

Heart rate, normal.

Oxygen saturation was normal.

“Hello, Abo, can you hear me?”

“I can hear you…”

“When did you start to notice blood in your stool?”

“The day before yesterday, yesterday, today…”

“how many times?”

“once a day.”

“You mean blood, is it red blood?”

“That’s for sure, except red or blood? You’re asking nonsense.”

Zhou Mo: “…”

Despite his age, this Aber is quite fierce.

Zhou Mo continued to ask: “The red one is bloody? Or is it with the stool?”

Arbor: “Blood water…”

Zhou Mo nodded: “Do you usually have stomach pains?”

Abo shook his head: “No.”

Zhou Mo: “Have you suffered from high blood pressure? Have you had any surgery?”

Arbor: “I have high blood pressure, diabetes, and a stroke before…”

Zhou Mo: “What kind of medicine do you take?”

Aber: “Take antihypertensive drugs, and insulin, and what is Hua Lin…”

Zhou Mo: “Have you ever vomited?”

Arbor: “No.”

Zhou Mo: “Okay…”

Then he gave Arbor a physical examination.

Press the abdomen, there is no tenderness, and the abdomen is soft.

Seeing this, Zhou Mo was almost done. He turned to Liang Rongshan and said, “Teacher, I’m done asking.”

Teacher Liang Rongshan: “What are you thinking about?”

Zhou Mo: “If there is blood in the lower gastrointestinal tract, it may be rectal bleeding, or colonic bleeding, but it is unlikely to be small bowel bleeding. The reason for the bleeding is that anticoagulant drugs are used to cause the bleeding.”

Teacher Liang Rongshan nodded: “Okay, you go to write the doctor’s order, then start a conversation and sign with the family.”

Zhou Mo: “Okay.”

I found a computer, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah. Then write the informed consent form and print it.

Zhou Mo was very quick and completed quickly.

Then find the family.

“Who are xxx’s family members?”

“I…” x2

Soon the old man’s two sons raised their hands. UU reading www.uukanshu.com

“follow me.”

Zhou Mo looked for a place with few people. The emergency room was too cluttered and messy, and there was no place to talk. He could only find a place with few people to talk.

Zhou Mo quickly explained the condition again, and then talked about the treatment plan.

“In the current situation of the elderly, considering the lower gastrointestinal bleeding, the blood pressure is not low, the state is stable, and the bleeding is not much for the time being. Blood has been drawn for routine blood tests to see if there is anemia. We will first consider stopping warfarin and see if The next time there is still no bleeding, if it still bleeds, you should go to a colonoscopy to check the situation… I will stay in the emergency department for 12 hours to see the next bowel movement…”

“Okay, okay.”

Signed by the patient’s family.

The next step is to wait for the results of the blood draw to see if there is anemia.

If the anemia is serious, it needs to be evaluated. If it is very serious, a colonoscopy should be done as soon as possible. If the cause cannot be found by the colonoscopy, CT angiography should be used.

In addition, he was sent to a hospital bed in the Yellow Zone for observation.

In addition, you should contact a doctor from the Department of Gastroenterology and Neurology to have a look.

So far,

The patient Aber,

Disposal is complete.

During the whole process, Zhou Mo’s speed was quite fast, decisive, and basically without hesitation.

“Not bad.”

Teacher Liang is also a strict teacher, but seeing Zhou Mo’s performance, he couldn’t help expressing his satisfaction.

Other medical students watched the whole thing.

I feel that during this period of time, I may become a salted fish who can only call 666.

.