Nurses are not doctors. Their triage is very rough and they can only give a rough classification into internal medicine and surgery.
The correct specialist triage is required by the emergency department's first doctor. If the triage is wrong and the wrong specialist is called down, the delay in the process may be fatal to some patients.
So it’s not that the inpatient doctors are unwilling to go down to save the patients, but that you made a mistake and asked me to go down, so it’s not me who will be in trouble, but the patient.
Anyone who has been in clinical practice for a long time will know that some medical disputes in the emergency department originate from here.
After listening to the cardiothoracic surgeon, Doctor Guan probably thought that the patient's injury had little to do with cardiothoracic surgery. He turned to the neurosurgeon and asked, "Have you finished examining the patient? Why did you spend so much time examining one patient?"
This was enough to show that the gossips from others about Dr. Guan's long consultation time had reached Dr. Guan's ears. Dr. Guan could finally find someone else to vent his dissatisfaction.
As long as others fail, it can be proved that he is not the only doctor with poor skills.
Zhang Desheng and other students present felt that they could guess what Dr. Guan might be thinking.
Zhang Desheng and Li Qian'an immediately glanced at Pan and Geng: Hey, get to work, he's talking to you.
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It is impossible to say that they delayed for a long time. Pan and Geng calculated the time because they were afraid that if they worked for too long downstairs, they would be laughed at by Song Mao as poor students when they came back.
"It took us less than 20 minutes." Geng Yongzhe said that this was fast compared to Dr. Guan who usually took more than half an hour to see a patient.
"What's the situation? Tell me." Doctor Guan asked him to provide evidence.
"The injured person did not show any symptoms of neurological abnormalities. If the eyes are swollen, you need to seek treatment from an ophthalmologist," replied students Pan Shihua and Geng Yongzhe.
One by one, they all said that the patient was not from their department, which made Dr. Guan, who wanted to transfer the patient, a little anxious. He pointed his finger at the patient's face and asked, "His eye is so swollen, are you sure his head is okay?"
The area around the victim's left eye was bruised and swollen. The eye is on the human brain, so it is normal to worry about brain damage if the eye is damaged. But medicine is about evidence, not just what you think.
Xie Wanying supplemented the two classmates' words and said to Dr. Guan: "Teacher, are you worried about the skull fracture?"
Injuries around the eye sockets, if accompanied by craniocerebral injury, are most commonly caused by skull fractures.
Skull fractures are divided into skull cap fractures and skull base fractures, among which skull base fractures are further divided into anterior cranial fossa fractures, middle cranial fossa fractures and posterior cranial fossa fractures. These classifications are based on the anatomical location of the fracture. Therefore, the periorbital area belongs to the anterior cranial fossa in terms of anatomical location. If it is believed that this patient has a skull fracture in the periorbital area, it should be an anterior cranial fossa fracture.
"If there is a fracture in the anterior cranial fossa, it usually manifests as periorbital and subconjunctival ecchymosis, cerebrospinal fluid leakage, and combined damage to the olfactory and optic nerves," Xie Wanying added.
To understand what cerebrospinal fluid rhinorrhea looks like, you can refer to the worker from the State Energy Group who fell from a high place and was injured, as mentioned in the emergency department before.
Currently, the patient has no nasal discharge.
Olfactory nerve damage means that the injured person's sense of smell is abnormal, including hyposmia, anosmia, hypersmia, olfactory hallucinations, etc. This can be basically understood by just taking something with a smell and asking the patient.
Visual impairment is not necessarily caused by skull fractures.
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