As far as domestic hospitals are concerned, the emergency departments of major hospitals are generally divided into two situations: one is that the emergency departments of small hospitals are very idle, and the other is that the emergency departments of large hospitals are too busy.
The emergency department is the bridgehead of major hospitals. It is the department with the highest concentration of critically ill patients, the most diseases, and the heaviest rescue and management tasks. It is the only way for all emergency patients to be admitted to the hospital for treatment.
Emergency rooms are also divided into different situations. The emergency departments of major hospitals generally divide emergency patients into four levels based on their specific conditions. Level 1 patients are in critical condition and may be in danger of death at any time, requiring immediate admission to the resuscitation room or emergency room for treatment; Level 2 patients are in critical condition or rapidly deteriorating, and are in danger of death, requiring admission to the emergency room within 10 minutes; Level 3 patients are in urgent condition and potentially life-threatening; Level 4 patients are non-emergency patients with moderate conditions. These patients need to be treated according to the guidance order and have a longer waiting time.
However, looking at all major hospitals, emergency departments and emergency medical centers, truly critically ill patients only account for a small proportion. Level one and two emergency patients account for less than half of the emergency department's proportion, and more patients are level three and four patients.
Among the third and fourth level emergency patients, in addition to some patients with acute asthma, foreign body inhalation, dysphagia, persistent vomiting, chest and abdominal pain, mild to moderate trauma, mild to moderate bleeding, etc., there are also a considerable number of patients who cannot make an appointment in other departments but cannot wait.
The examination and treatment costs in the emergency department are more expensive than those in regular departments, but the emergency department has one advantage. If a patient needs to be hospitalized and cannot make an appointment in a specialist department, he or she can actually be transferred through the emergency department.
Many top hospitals, such as Xihua and Tanghua, have specialist appointments in their specialized departments, and it is quite difficult to get an appointment with an expert. Even for a regular appointment, it is basically impossible to get one after 10 am. At this time, some patients will actually choose to go to the emergency room, contact the specialist department through the emergency room, and then be transferred to a specialized specialist department for treatment. Of course, the cost will be more expensive.
In Tanghua Hospital, for example, the emergency department has a large number of patients. For the emergency department of Tanghua Hospital, if two or three level one or two critically ill patients are sent in at the same time, Tanghua's emergency department can fully handle it, and there will not be the situation shown on TV where an emergency occurs and the entire department is in a mess.
But if there are more than three patients and they are sent in at the same time, even Tang Hua's emergency department will be overloaded.
Today's large-scale chain car accident occurred at a location closest to Tanghua Hospital, which is also the top tertiary hospital in Xihua City. Basically, most of the patients at the accident scene were rushed to Tanghua.
In addition to the four critically ill patients brought in by the four ambulances earlier, more than a dozen patients with mild to moderate injuries were also brought in one after another.
The four critically ill patients who were sent in almost within twenty minutes instantly drained all the high-level doctors in the emergency department of Tanghua Hospital. In addition, the emergency department also had to deal with the original patients and ensure its operation. As a result, the entire emergency department suddenly seemed a little stretched.
At this moment, basically nine out of ten attending physicians in the department have either entered the operating room or the emergency room, while the emergency department's chief resident, Xiang Xingye, is in charge of the scene.
Originally, Ji Fengwen was leading Yun Heng and a group of people to help here. At first, Ji Fengwen was handling it alone and did not let Yun Heng and others get involved. He just let Yun Heng and others watch.
With Ji Fengwen's level, he is actually quite powerful in this kind of emergency scene.
In a situation like today, not to mention that most of the experienced doctors in the emergency department are busy, even some examination equipment and the like are overwhelmed. Without examination equipment, the skills of Western medicine doctors are equivalent to being wasted by 80%. Before the patient's examination results come out, most doctors can only perform simple debridement, suture and hemostasis on the patient based on their experience.
As a master of traditional Chinese medicine, Ji Fengwen can keenly discover potential problems in some patients with just his eyes.
"Silver needle!"
Ji Fengwen came to a patient and said subconsciously while examining the patient.
Everyone who came with Ji Fengwen was stunned for a moment. This time, everyone came here with the purpose of "broadening their horizons" as Ji Fengwen said, so no one brought silver needles, and Tang Hua's emergency department did not have any acupuncture equipment.
After Ji Fengwen shouted, he couldn't help but laugh. He came in a hurry and forgot to bring chopsticks. Now he was ready to eat, but he was staring blankly.
Dang Siping was about to get it himself, but Yun Heng hurriedly took out a needle bag from the pocket of his white coat.
Ji Fengwen was stunned for a moment. He didn't expect that Yun Heng actually carried a silver needle with him.
"Xiao Dang, go to the Traditional Chinese Medicine Department and ask for a few more sets of silver needles. One set might not be enough."
Ji Fengwen took the needle bag handed to him by Yun Heng, asked someone for disinfection equipment, and then gave instructions to Dang Siping.
Dang Siping responded and hurried back to the Department of Traditional Chinese Medicine to get the silver needle.
Ji Fengwen, however, had already started disinfecting the silver needles and then began to give the patient acupuncture. While doing so, he asked Yun Heng, "Do you also know acupuncture?"
"I know a little." Yun Heng nodded.
After hearing this, Ji Fengwen didn't ask any more questions and focused on treating the patient.
While treating patients, Ji Fengwen glanced at the many waiting patients and the overwhelmed doctors and nurses in the emergency department. He said to Yun Heng and the others, "You should go and help as well. Don't interfere. Just assist the doctors."
At this moment, the main focus is naturally on saving lives, and Ji Fengwen has no time to explain. Although Yun Heng and others are not doctors in the emergency department, they are all doctors after all, and their level is decent. Helping out can also relieve some of the pressure on the emergency department.
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