To put it simply, the doctor at the community hospital made the same mistake as Li Qian'an and Xiao Ao did last time. As soon as they heard that the patient needed emergency treatment, they rushed to the scene without thinking carefully and only thought about taking possible measures.
It is precisely here that medicine itself has the particularity that it is not the case that you should just rush to take measures. Taking the wrong measures will not save lives but kill them.
On the other hand, clinical drug use has always been about choosing between risks and benefits, as mentioned in the previous article. It can be seen that this drug is by no means impossible to use here.
It is indeed the drug of choice for treating allergic shock, and some of the knowledge that young doctors memorized by rote is correct.
There is a very common misunderstanding in clinical practice. It is not easy to distinguish the concepts of medical terms. For example, when a patient is in shock, the first thing that comes to mind is that the patient is dead, but it does not actually mean that the patient has suffered cardiac arrest.
Professional doctors have a very clear distinction between these concepts, and this requires clinical training, which means stepping into enough pitfalls.
It is unlikely that community doctors and Mr. Li can achieve success overnight.
In fact, clinical training can be combined with daily study of "environmental science".
For example, infusion reaction has a development process. Even in the early stage of the disease, even if the patient is in shock, cardiac arrest will not occur immediately, unless the patient suffers from a super acute heart disease.
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This type of emergency usually occurs inside the hospital, and it is timely for the hospital medical staff to discover it as soon as possible.
Young doctors can use this as a base to be as calm and composed as the big guys.
Even when an experienced doctor is out practicing medicine, the first thing he observes is always the patient's environment. He can tell at a glance or by asking, so that he can have an idea in advance whether there is a delay between the onset of the patient's illness and the time the patient is discovered. In this way, he can determine the stage of the patient's condition as quickly as possible and take correct measures.
Young but experienced Dr. Xie Wanying's performance today clearly stood out among the group of young doctors again.
The onlookers' interns and trainees kept addressing Dr. Xie in a higher-level manner: Dr. Xie, Teacher Xie, Deputy Director Xie, and then to Xie - the king for sure.
At this time, Dr. Xie Wanying was standing next to the nurses' station, writing medical orders in an orderly manner with a pen in her hand.
If a layman saw this, he would probably scold Dr. Xie for standing here doing nothing instead of rescuing the patient. Some laymen always think and complain like this, which is very common in hospitals.
The above two incidents prove that Dr. Xie would not disregard human life and was only doing his professional job.
She is a cardiologist, and the patient needs to be treated for heart problems and needs medication. She has given a verbal order to the nurse to execute immediately: what is needed for such a patient is a combination of anti-allergic treatment and acute coronary syndrome treatment, rather than the ordinary anti-allergic treatment alone.
Is the medication effective? Just look at whether the patient's heart rate drops from more than a hundred beats per minute to normal levels.
Such measures are far more effective than the young doctors in the emergency department who perform defibrillation with two electrodes.
Doctor Xie is a king in clinical practice. He can win by silently making a move that even outsiders can't notice.
It is best to let other problems of the patient be handled by other specialists. It would be inappropriate to join in the fun unless a colleague sends a signal for help and collaboration.
Dr. Xie should follow the law and promptly submit written medical instructions.
As a series of test results came out one after another, all the doctors finally came up with a rough explanation for the strange phenomenon happening to this patient.
The patient did not know when he started to suffer from liver and gallbladder disease, and because he had not undergone relevant examinations before, he developed subsequent drug allergies.
Doctors in community hospitals are too anxious to use inappropriate rescue measures, which causes the patient's condition to worsen.
Doctor Hao from the ICU sighed on the spot.
It was mentioned before that the doctors in the ICU were the first ones who were confused when the new district was being established. They thought that the new district for difficult and complicated diseases was trying to steal business from the ICU.
This morning's consultation combined with the current case clearly shows that this is not the case.
The new area and ICU are completely different in nature.
If such a case is sent to the ICU, it is impossible for multiple specialists to consult together. Asking the ICU doctor to become other specialists to eliminate the causes one by one and find the correct cause is not only difficult but also impractical.
Cases sent to the ICU are the same as those admitted to other departments. It is best to get a clear diagnosis before sending the patient.
This is one of the important significances of the new district. Another significance is that it can gather experts from various departments to provide centralized treatment for patients, which is something that no other department can do.
The new district’s standards for admitting patients are the above two.
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