Chapter Thirty-two Back to Emergency Department
Back in the familiar department, Tang Xiao Feng pushed open the emergency room door, and inside, the nurses were busy with their work.
"Tang Xiaofeng, is your hand okay?" Liu Li, who was sharp-eyed, spotted Tang Xiaofeng from a distance and greeted him.
"It's much better now, nothing's wrong. Where's Zhang Wei?" Seeing Liu Li greeting him, Tang Xiao Feng smiled and walked towards her. "Oh, Zhang Wei might be in the office."
"Oh, I'll go take a look at the office." Tang Xiao Feng nodded to Liu Li and turned around to head towards the office. He pushed open the door and walked in.
Dawn Peak.
Tang Xiaofeng.
"Little Tang..."
"Hello everyone, sorry to disturb you." The office was having a morning meeting. Director Zhu sat at the entrance, with Directors Sun and Wang Hui on either side of him, as well as Drs. Zhao Yong, Jiang Tao, Zhang Wei, and several interns who were not very familiar.
"Little Tang, you're back. Is your hand okay?" Director Zhu waved at Tang Xiaofeng and pointed to a chair in front of him: "Sit down first, let's have a meeting." "My hand is fine now," Tang Xiaofeng smiled as he looked around at everyone, then walked over and sat down. After the morning meeting, they went on their usual rounds.
After visiting the ward, Director Zhu went to the triage desk to check the triage form from last night. Suddenly, a taxi stopped in front of the emergency department, and the door opened. A middle-aged woman got out and shouted loudly: "Doctor, come quickly!" The nurse at the triage desk rushed out to help the middle-aged woman lift an old man out of the car. Tang Xiaofeng and Director Zhu hurried over, and with the driver's help, they put the old man on a stretcher. Director Zhu asked the old man's family: "How is he feeling?"
"My head hurts, my throat hurts." The old man saw Director Zhu ask him, and with great effort, he shifted his body, trying to sit up. The middle-aged woman quickly came forward to support the old man's back.
"When did it start?" Director Zhu asked.
"Early... up." The old man replied with difficulty. "Director, the old man is having a fever." Tang Xiao Feng interjected as he helped put the old man onto the stretcher.
"I'm here to check on you, don't move around." Director Zhu put the stethoscope to his ear and prepared to examine the old man's physical signs. As soon as he touched the old man's body, a wave of heat was transmitted through his hand, and Director Zhu carefully examined the old man's chest and back.
"When did the old man start having a fever?" Tang Xiaofeng asked the middle-aged woman.
"It wasn't until around 10 o'clock last night that we discovered it."
"What medicine did you give him?"
"Take some antipyretics, the cheap kind, fever reducers."
"Tylenol (acetaminophen tablets), did the old man vomit?"
"Yes, my father usually gets up early, but today he got up late. When I called him to get up, he vomited. I saw that he had a severe headache and was weak all over, so I quickly sent him to the hospital. Doctor, how is my father?"
Tang Xiaofeng didn't respond, and together with Director Zhu, they placed the old man in a supine position on the stretcher. They suddenly flexed the old man's neck forward, causing his bilateral hips and knees to involuntarily flex. Tang Xiaofeng walked to the front of the old man's feet and forcibly straightened his bent legs, clearly encountering passive resistance. The production of these two meningeal irritation signs was due to the stimulation caused by the motor nerve roots being pulled tight when passing through the inflamed spinal canal. Tang Xiaofeng looked at Director Zhu and stated his diagnostic results: "It's likely acute meningitis." Director Zhu carefully examined the old man's head again, but found no signs of infection. He lifted his head to address Nurse Wang Hui: "Administer antibiotics, arrange for a CT scan, and then transfer him to the neurosurgery department."
"Alright, I'll arrange it right away." Head nurse Wang Hui turned around to arrange for two nurses to take the old man for a CT scan, while she herself walked towards the triage desk to contact neurosurgery.
Director Zhu continued to walk into the EICU ward with Tang Xiaofeng to examine patients. When they were halfway through the examination, Director Zhu suddenly asked: "How do you determine that a patient has acute meningitis? Fever, headache, vomiting and general weakness can also be diagnosed as acute brain abscess."
Tang Xiaofeng smiled and looked at Director Zhu, saying: "High fever, headache, vomiting, drowsiness, general weakness, neck stiffness, obvious passive resistance to lower limb extension. Director, don't test me anymore, didn't you arrange for a CT scan? If it's a brain abscess, the patient should have symptoms such as loss of consciousness, convulsions or shock in addition to the above signs. The old man just now was conscious, so the patient should be suffering from acute meningitis."
The patient's family saw Director Zhu and Tang Xiao Feng come out of the EICU, still discussing in their mouths, "Meningitis, brain abscess." They rushed up to grab Director Zhu's sleeve, with a flustered expression: "Director Zhu, you said it was a brain abscess just now, but then you said it was meningitis. Is my father...?"
"Don't worry, we were just discussing another patient's condition earlier, not your father's. Your father will be able to move to a ward in two days after observation." Director Zhu explained calmly and collectedly to the anxious family member. Tang Xiao Feng smiled as he saw Director Zhu explaining the misunderstanding to the family member, then bid farewell to the director and returned to his office first.
At 3:01 pm, in front of the emergency department's registration desk, Tang Xiao Feng was absent-mindedly flipping through the registration form.
The beeping of the phone on the registration desk suddenly woke up Tang Xiaofeng, but he didn't know how long had passed.
He hastily straightened up and stretched out his hand to grab the phone.
"Hello, Emergency Department of People's Hospital."
Tang Xiao Feng looked around, and for a moment, his outstretched arm froze in place, unsure of what to do.
What's good to say?
"This is the Tengyang Road traffic police station. Just now, a girl fell off her bike and hit her head, she seems to have gone into shock already, and has been sent over by car." "Alright, got it, I'll arrange immediately." After hanging up the phone, he looked up at Tang Xiaofeng and said: "You go call the director." Then he himself ran to the nurse's station to inform the head nurse.
Tang Xiaofeng and Director Zhu had just arrived at the triage station when a police van stopped outside the emergency department. Head nurse Wang Hui hurried over with a stretcher, and three traffic police officers got out of the car to assist the nurses in putting the girl onto the stretcher.
"Rescue one room." Director Zhu commanded while looking at the traffic police who brought the person and asked:
"What's going on? What happened?" An older traffic police officer replied, "When she was riding her bicycle past the traffic intersection, her skirt got caught in the wheel and she fell off. By the time we rushed over to look, she had already lost consciousness."
Rescue in a room, "over bed, one, two, three" Director Zhu commanded.
"ECG monitoring, oxygen inhalation."
Director Zhu examined the girl's head injury and said, "Notify Wang Hui, it's an external brain injury, the neurosurgery department will have a consultation, push to the operating room immediately. Hurry!" "Yes, notify each department immediately, you two push to the operating room." Wang Hui arranged everything and turned around to run towards the triage desk to notify the chief physicians of each department for consultation.
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