If it is not obvious and is hidden, not only the rookies, but even the clinicians may not be able to hear it.
The first mistake that new clinical rookies make is to jump to absolute conclusions too easily. Medicine loves to punish arrogant people. Zhang Desheng and his friends were standing by, and they were secretly waiting for this pair of junior brothers and sisters to fall. After all, Xie had made a move.
"Auscultation is useless." Xie Wanying said.
"Why is auscultation useless?" Mi Wenlin and Mi Siran jumped up on the spot. At this moment, they looked at her with eyes that really thought that she, their senior, was trying to make things difficult for them. "The most basic method of heart examination is auscultation."
Newbies, who only read books in medical school, have just come to the clinic after leaving the classroom, and have a very shallow understanding of clinical concepts. It is true that cardiac auscultation is one of the items of cardiac examination. To say that it is the most basic examination of the heart must be questioned.
Because medicine is developing. Doctors' diagnostic and treatment methods have long gone beyond the most primitive scope of listening and seeing, and the level of tools used has been greatly improved. In the context of various more advanced medical diagnostic and treatment methods, if you still say that auscultation is the most basic examination of the heart, you are slapping the face of medical development.
Furthermore, some heart diseases cannot be detected by auscultation. And, the worst thing is that the most common sudden death in society in the cardiology department is actually the one that cannot be detected by auscultation.
Xie Wanying didn't have time to argue with a group of juniors who had absolutely no clinical experience. She said to Dr. Guan, "Teacher, this is a heart attack."
Mi Wenlin and Mi Siran, who were ignored by her, were very emotional and rushed to say, "How could this be a heart attack? He was the victim of a car accident."
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There are many patients who have myocardial infarction caused by car accidents. Because some clinicians, like Mi Wenlin and Mi Siran, think it is just trauma and neglect to check it, the news reports often mention that patients who died of myocardial infarction due to car accidents do not know how to hold them responsible for the accident.
"Myocardial infarction?" Doctor Guan had more experience than the medical students, so he naturally did not loudly refute like Mi Wenlin and Mi Siran. He lowered his head to look at the injured person again, saying that it was very wrong to say that the chest hurt so much that the forehead was sweating.
What? Does this teacher think that the other party is right and they are wrong? Mi Wenlin and Mi Siran were very nervous.
"Do an electrocardiogram." Dr. Guan made a prompt decision.
Don't think that Dr. Guan really has no technical ability because he likes to push patients to the inpatient department. At least he is a clinical doctor who knows that severe chest pain must be checked for heart problems, and most people cannot diagnose myocardial infarction by auscultation.
"What are you two standing there for?" Doctor Guan yelled at Mi Wenlin and Mi Siran who didn't move.
Since these two people are not good at heart disease, it is their responsibility to check for heart disease.
Mi Wenlin and Mi Siran looked at each other: Should we trust this guy?
After leaving the emergency room, they felt like everyone else that Dr. Guan was not very capable.
Oh, this pair of junior brothers and sisters are so stupid.
Zhang Desheng and his seniors waited quietly for their juniors to turn over the car. They were a little worried that if the juniors delayed any longer, the patient would die. No more talking, saving the patient was the most important thing. Zhang Desheng and Li Qi'an ran to find an ECG cart and pushed it over.
Doctor Guan shouted to the nurse in the corridor to come and help: "Send the patient to the emergency room and put him on ECG monitoring."
The injured person's face suddenly turned pale with pain.
There was obvious panic in Doctor Guan's tone.
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