My Medical Skills Give Me Experience Points-Chapter 318 - 158: Terminal Patients May Also Be Waiting for an Accident, Listen to Zhou Can
"Patients in the ICU are all critically ill, even if there is an emergency, they wouldn’t be easily moved to the operating room for resuscitation, right?"
Zhou Can felt there was something mysterious about this.
Even if a resuscitation was needed, it was usually done within the ICU ward.
There, they have all kinds of resuscitation equipment.
Defibrillators, micro-infusion pumps, ventilators, multifunctional blood purification machines, a full set of life monitoring equipment, and even the extremely expensive ECMO. It can be said that once a severely ill patient enters the ICU, as long as the family does not agree to withdrawal of life support, the patient hardly dies.
If breathing stops, put them on a ventilator.
If the heart stops beating and the breathing stops, it doesn’t matter, switch to ECMO.
Modern medical technology has indeed created many miracles of life.
The patients stay in the ICU, where the treatment costs are high, and it’s not spent in vain. Nurses generally provide one-on-one service, and a doctor at most oversees three patients, often with a consultant present. Then there’s the wiping and cleaning, turning, patting on the back, and such tasks, which are done by specialized nursing aides.
With so many people revolving around a single patient, if the patient still can’t make it, the hospital has done its utmost to resuscitate, and there’s no responsibility to bear.
Moving to the operating room for resuscitation changes the nature of the situation. fгeewёbnoѵel.cσm
Based on Zhou Can’s intuition, choosing to take the patient to the operating room at the moment of life-threatening emergencies either involves performing some necessary examinations or auxiliary surgeries. Or there was a major oversight by the on-duty medical staff, and someone is responsible.
At this point, a mistake has been made, and the best remedy is to try to resuscitate the patient.
"I’m not quite clear about the specifics. Director Wu just happened to go to a school to give a lecture and won’t be able to rush back right away. Their group of doctors has always been very proud, extremely concerned with face. They wouldn’t easily ask for my help if there weren’t out of options. Let’s go take a look, and if we can help, we’ll do our best."
Director Wen isn’t particularly old, not yet sixty.
He moves with a brisk step.
In a moment, he, along with Zhou Can, Dr. Zou, and Tang Li, rushed over.
They didn’t call any of the resident doctors.
In this situation, bringing two consultants over can show that we take the matter seriously, and also lets the two undergraduate consultants gain experience.
They might come in handy at the crucial moment.
As for bringing Zhou Can, besides nurturing him, it was also a dependence on Zhou Can’s expertise.
Zhou Can is excellent at endoscopic surgery and very strong in pathology diagnosis, completely a main force.
Before the four of them reached the operating room, a chubby middle-aged doctor stopped them.
"Director Wen, you’ve finally arrived. That patient is almost gone; please come have a look!" The forty-five or fifty-six-year-old male doctor seemed to have seen a savior, grabbing Director Wen to step forward and help.
Zhou Can recognized this male doctor; he was a deputy chief physician under Wu Baihe, named Kuang Shenfeng.
Although they were not in the same group, after working in neurosurgery for two months, he had become quite familiar with the nurses and doctors there.
This familiarity differed from that of an intern’s.
Many interns were known by the department’s senior doctors and nurses, but it was difficult for the seniors to remember the interns’ names. They would only have a vague impression.
From this perspective, it’s somewhat true that interns in the hospital have no rights, even less than the janitors.
The status of residents is quite a bit higher.
But still limited.
Zhou Can is an exception.
His status in neurosurgery is quite high. As for Director Wen’s group, needless to say, everyone treated him as if he were a consultant.
In other groups, doctors have gradually heard of or seen Zhou Can’s endoscopic surgery skills, and upon seeing him, even many would take the initiative to greet him with a smile.
Not to mention the nurse sisters, each one very astute.
Even the ICU nurse sisters, upon seeing Zhou Can, would smile and say hello, and it was also possible to have a chat.
"Where’s the patient?"
Director Wen asked directly.
It seems that they have not been taken to the operating room.
"Just over here, I was about to take him for a CT angiography."
Lying on the mobile bed was an emaciated man appearing to be in his forties or fifties.
Below him a catheter was inserted, and there was a tracheotomy in place, also fitted with a tube.
Attached to a ventilator.
Yet, one could still sense the patient’s rapid, labored breathing.
The doctors and nurses pushing the ventilator and bed were all looking tense.
"This blood pressure is a bit low! And the blood oxygen index is a bit scary... Please briefly describe the cause of the illness and the basic situation of the patient."
After seeing this, Director Wen’s face grew even more solemn.
"Sigh! It’s my fault too. I had a stomachache while on duty and went to the bathroom. Not long after, a nurse called me, saying that this patient was breathing rapidly and was a bit gasping. It was fine when I left, so I didn’t take this situation too seriously. Moreover, this patient often falls into a coma, has been bedridden for many days, and underwent a tracheotomy, staying in the ICU."
"There shouldn’t be a great likelihood of a sudden major change after so many days. My stomach was hurting badly, and I figured I couldn’t leave the bathroom anytime soon. So, I asked about a few conditions of the patient. The nurse reported that there was no cyanosis of the lips, and the fingertip oxygen saturation wasn’t low. Based on the symptoms, I diagnosed the patient as having a pulmonary infection."
"The patient’s lung infection has actually been ongoing for a while now. He originally had a malignant brain tumor, underwent tumor removal, chemotherapy, with unsatisfactory results. The family insisted on treatment, so he was kept in the ICU for care."