(Thank you to book friend 110813135333134 for the encouragent vote)
For this newfound suspicion in his mind, Liu Banxia is also completely clueless.
Because there are many variables involved in this matter; it could be influenced by the system, his own surgical skills, or even the patient's own physical condition.
No two patients are exactly alike; individual physical conditions differ, even with the sa condition, there are only general similarities, with significant differences in details.
"Teacher Liu, a patient will be brought in shortly, suddenly fainted, and needs you to consult." Just half an hour after returning to the office, Li Hao ca over.
"Another one fainted? Looks like I have a bond with fainting patients." Liu Banxia muttered.
"Teacher Liu, this ti it's not a fake illness; it's genuine." Li Hao said.
"It's said his company was having a morning eting, and while leading the eting, he suddenly passed out with convulsions. I originally grabbed the consultation slot, but I'm not confident."
"That's fine, you consult, and I'll watch from the side." Liu Banxia nodded.
Liu Banxia did not find anything improper with Li Hao's mindset. The first taboo for a doctor is indeed pretentiousness.
Previously, he had this minor problem when competing with Qin Hai. Fortunately, he had the system backing him, so he got through it relatively safely.
But in regular consultations, if you are truly pretentious, you might delay the patient's treatnt.
Fainting combined with convulsions already indicates the patient is at a certain risk, and poor handling might indeed cause delays.
As they stepped outside, everyone beca very busy in just that mont. Patients sotis tend to cluster, which might be related to timing.
After waiting a few more minutes, the ergency vehicle stopped at the door.
"The patient is 29 years old, male. Blood pressure is 80/120, heart rate is 120. After fainting, he had convulsions and is unconscious. Oxygen was administered in the ambulance." said the paradic, pushing the stretcher.
"Let's send him to rescue room three first, are there any family dical histories or genetic disorders?" Li Hao asked.
The paradic shook his head, "His colleagues are unaware, the patient hasn't woken up in the ambulance; their company is contacting the family."
Li Hao nodded.
"One, two, three, transfer the bed. Connect the ECG, I'll examine him first."
After reaching rescue room three, Li Hao said.
Liu Banxia moved back a little to provide space for others to operate.
"Dr. Li, blood pressure is 80/120, heart rate is 110, blood oxygen is 93." The nurse completing the ECG hurriedly reported.
Li Hao nodded and carefully auscultated the patient's heart and lung functions.
"Auscultation reveals coarse lung sounds, complete blood count, blood biochemical testing, arterial blood gas analysis, ECG, echocardiogram. Hmm... let's also schedule a head CT." Following the auscultation, Li Hao said and then looked at Liu Banxia.
Liu Banxia walked forward, lifted the patient's oxygen mask, raised his chin, and thoroughly checked the oral cavity.
Li Hao's forehead tightened; he actually forgot to check the airways.
"Alright, let's follow Dr. Li's arrangents then." Liu Banxia nodded.
"Teacher Liu, I ssed up." Li Hao said with a bitter face.
"This belongs to the edge of mistakes in a frantic attempt; ergency personnel may not always be able to describe all of the patient's symptoms." Liu Banxia said.
"I've been on ambulance duty as well; the priority of the accompanying doctor is to stabilize the patient's vital signs and administer ergency care. However, the equipnt in the ambulance is limited and ti is crucial, so omissions can occur."
"After all, since convulsions have occurred, even if the paradic clearly states there were no foreign objects in the mouth and nose at the ti, we still need to check after coming over."
"Chat with the patient's colleagues later, those who ca by ambulance should at least know so things. Overall, this consultation was quite good, just one minor mistake."
"If you were to score this ergency consultation, on a hundred-point scale, it would reach eighty. Regardless of others' opinions, that's my score; any objections?"
Li Hao quickly shook his head; definitely not, and dared not either.
Airway checks are extrely important, especially for fire victims, seizure patients, and convulsion patients; neglect of this check can often result in major incidents.
Chen Dongi, learning alongside Li Hao, also felt her heart racing; Teacher Liu's demands are really high. Such a minor mistake resulted in a twenty-point deduction, so if it were bigger, wouldn't it be a failing grade?
"Teacher Li, is Teacher Liu always this strict?" After Liu Banxia left, Chen Dongi asked.
Li Hao took off his mask, "It's all because you're here, giving face. I'm actually a bit nervous inside, constantly pondering whether to inject sedatives into the patient, and then I forgot to check the airway."
"But the patient's breathing is fine through the oxygen mask." Chen Dongi said.
"Seeing is one thing, checking is another." Li Hao said.
"The five elents of on-site first aid, DRABC. This is what Teacher Liu repeatedly emphasizes. First is to determine whether rescuing will bring us danger. For example, on the highway or the busier traffic lanes."
"Then it's observing the patient's reaction and giving a reasonable judgnt. The following ABC is to check airway, breathing, and perform CPR."
"Here, it's pretty much the sa, except we don't need to consider the level of danger. Just assess based on the patient's response and symptoms."
"But when it cos to the airway, many tis we need to be extra cautious. For example, so trauma patients might have breathing difficulties, so airway checks are indispensable."
"Back to this patient, I was struggling with whether to administer the sedative. The patient clearly reacted with tachycardia, but compared to the heart rate reported by the paradic, it's already decreased, so I didn't use it."
"But now the patient's blood oxygen is still sowhat low, so besides the routine and biochemical blood tests, I added an arterial blood gas analysis."
"However, this patient's situation is still unclear, it could be caused by so brain lesions. So I added a CT scan, and according to Teacher Liu's reaction, all the necessary exams have been done."
"My God, it's giving a headache. I've been an intern for a long ti, but sotis I'm still a bit confused." Chen Dongi said with a sigh.
"It's not that complex actually, often it's just a matter of habit." Li Hao said with a smile.
"By the way, you can take so ti with your teammates to create simulation cases for each other. We've got so many ergency patients in the ergency center, just tweak them a bit, and you can quiz each other for fun."
"That's how we used to do it, and things are better for you guys now. Back then, when we admitted patients with Dr. Liu, we'd get asked directly on the spot. But don't get too pleased too soon, a month or two as a transition period is the maximum."
"Be ntally prepared, if you want to learn real skills, it requires real effort. Everyone says Teacher Liu learns fast, but actually, he never stopped learning. Whether it's studying patient charts, contemplating surgical techniques, or practicing hand operations."
"Talking behind my back?" Liu Banxia's voice suddenly floated over.
"No, not at all, I was just explaining learning strategies to her." Li Hao quickly said.
"We're in the ergency center, where many patients need urgent care. So they need quick response tis and fast learning speeds."
Liu Banxia nodded, "That's better; don't just focus on your own learning, but also think about guiding them. You guys also need to adapt to the change in roles, since you are proper resident doctors now."
"ntoring the new has always been a great tradition, with many benefits. Teach your apprentices well, and you won't worry about starving. Look how relaxed I am now, keep at it."
After finishing, Liu Banxia strolled leisurely over to Wang Chao.
"See, you have to slowly get used to Teacher Liu's style." Li Hao said.
"Actually, Teacher Liu's assessnts are everywhere, Liu Yiqing and Xu Yino often get scolded, but they are both resilient, and they are the fastest growing among us six."
Chen Hongi nodded, indeed feeling greater pressure.
The internship life here can already be foreseen to be tough, and now it feels even tougher.
Liu Banxia leaned next to Wang Chao and peeked to see; Wang Chao was looking at the patient data statistics for the fecal transplant project.
"How's it going? Overall effects still have so rit, right?" Liu Banxia asked.
Wang Chao nodded with a smile, "Maybe our donor quality is pretty good; although there were so relapses in the beginning, it's still quite effective."
"Look at this patient with the gut ferntation syndro, the effect has improved since the last check. There's indeed so efficacy here."
"The only downside is the bacterial populations in the gut are too many; it's really tough tracking which one is working."
"Everyone's gut microbiota varies significantly; this is going to be a long-term project. I estimate that it might be out of reach in my lifeti, except to work more on probiotics."
"Why think so much? As long as it's effective, that's all that matters." Liu Banxia said.
"Did you just criticize Li Hao again? Isn't he pretty excellent now?" Wang Chao asked.
"It's actually to help them adapt to the change in roles; they are now in a position to help teach students. Learning while teaching is the mark of a good colleague." Liu Banxia stated.
"No wonder you were talking so much during surgery yesterday, considering all this." Wang Chao said.
"What else can I do? I'm still a big kid, and all these responsibilities have co down on ." Liu Banxia shrugged.
Wang Chao didn't bother with him anymore and continued to focus on his data analysis.
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