I can see the status bar
Chapter 690 I'm in Big Trouble
Chapter 690 I'm in Big Trouble
For every head of the emergency department, trying to get stuck in the laboratory is the most intolerable thing.Either the laboratory department should lie down obediently and provide maximum assistance to all the examination requests of the emergency department, or simply bypass the laboratory department and establish a separate inspection department.All in all, this kind of critical lifeline, which may cause the operation of the entire department to be blocked, must be in its own hands.
Liu Tangchun was a little worried about the establishment of a comprehensive diagnostic center at the beginning.But after learning that the comprehensive diagnostic center also included a "testing department" as a bonus, the veteran decided to fully support the establishment of this department without even a second of hesitation.At the same time, he happily pushed Sun Li'en and Xu Yourong out.
Part of Liu Tangchun's generosity was because he believed that he and Zhou Jun could bring Sun Li'en and Xu Yourong back.The other part is...for this testing center.
Zhao Jianguo and other units in the hospital did not get along very well, and this matter was not a secret in the Fourth Hospital.Although Liu Tangchun is confident that Zhao Jianguo won't make any big waves, the prerequisite is that "Song Wen is still in control of everything in his position."Although the "leader" who put Zhao Jianguo in this position back then has retreated to the second line, it is still not something other deans and directors can resist.
For the smooth operation of future work, and for the normal operation of future departments.Liu Tangchun strongly supported the construction of the comprehensive diagnostic center, not just to gain an advanced diagnostic department for the emergency department.It is also to give the emergency department the confidence to "not get stuck".
As long as the emergency department can have a strong enough anti-interference ability, as long as the comprehensive diagnosis center can be developed, then these problems will not be a problem.
Taking precautions is a unique quality of the Chinese people.Every Chinese is familiar with the truth that "those who love war will die, and those who forget war will be in danger".As a country with the highest savings rate, the most direct way for the Chinese to deal with unknown risks is to make corresponding "savings" in advance.For the emergency department of the Fourth Hospital, the comprehensive diagnosis center is their savings or a way out.
But any backup plan will take some time from proposal to implementation.According to Liu Tangchun's initial estimate, it would not be too difficult for Sun Li'en to be directly promoted to attending after completing the three-year training plan.During his post-resident period, relying on the support of the emergency department and the resources of Takeda, the Comprehensive Diagnostic Center should be able to become a "small top three" that can stand on its own.At least in terms of inspection, there is no need to worry about being stuck in the neck.
But... things seem to be changing.This change comes from Song Wen, the stabilizer and backbone of the medical system of the entire Fourth Hospital.
It is very normal and natural for a leader at the level of Dean Song to be transferred.However, due to the confidentiality of organizational work and the seriousness of personnel work, it is often difficult for outsiders to know the emergence of such changes unless they are the cadres themselves and related organization cadres.
Sun Lien's information is very important to Zhou Jun, and its credibility is quite high.Song Wen is not a woman who is easily troubled by her emotions.Although "women" are often regarded as the type of people who are "easily troubled by emotions", if someone regards Song Wen as this kind of person, then his brain must be broken.
Dean Song is a woman, but she is also a very sensible woman.
"Jun, did Xiao Sun call you?" Zhou Jun was thinking about when to talk to Liu Tangchun, but he didn't expect that Vice President Liu would suddenly appear in his office, "I see Song There's something wrong with the dean's movement."
"He's already told me." Zhou Jun nodded, frowning at the report in Liu Tangchun's hand and asked, "Submit this proposal at the regular meeting next week?"
"I'm a bit rushed in time... I'm a bit passive, but there's nothing I can do about it." Liu Tangchun sighed, "Time doesn't wait for me."
·
·
·
Sun Li'en has no idea what the consequences of his phone call will be, and he doesn't have the time to think about it now.
"Okay, I'll be there right away." Sun Lien, who was discussing with Hu Jia what kind of crib to buy for his future child, received a notification that could relieve him from the topic of cold sweat—even though the notification itself Sun Li'en was in a cold sweat.
On the phone, Zhou Ce's voice sounded a little anxious, "Dr. Sun, come back quickly, the patient has a problem."
"What's wrong?" Sun Lien jumped up from the floor. It's not that he hasn't been called for an emergency consultation, and it's not that he hasn't been called back urgently by his own team members.But in Sun Lien's impression, this was the first time he heard Zhou Ce speak in this tone.
"The Cao Zhiquan you brought in, did you use diazepam last night?" Zhou Ce lowered his voice and asked, "How much did you use?"
"The medicine given by the emergency department should be 2ml..." Sun Lien said with some uncertainty, "What's wrong?"
"I haven't woken up since I took the medicine last night." Zhou Ce must be in a hurry, and he kept urging, "Hurry up and see what's going on——I'll call the anesthesiology department for consultation right now!"
Somewhat inappropriately, Sun Lien thought of a joke - a certain patient was about to undergo a general anesthesia operation the next day.In order to prepare for the painful and boring postoperative hospital life with slow Internet speed, this patient deliberately went to an Internet cafe two nights before the operation for two consecutive nights.
After being completely happy, the patient slept hard for 27 hours after receiving general anesthesia on the third day.When he woke up, beside him was the attending doctor whose face turned pale, the anesthesiologist whose face turned green, and the vice president of the hospital whose face turned dark.
Although it's just a joke, it does to some extent reflect the reaction of doctors to "loss of consciousness after patients use sedative anesthesia drugs".This is not a joke - if one fails, it may be fatal.
很明显,周策现在就在担心这个问题。急诊科用了2ml的地西泮——按理来说,这在镇静药物使用里算是比较小心的。成年人镇静时,地西泮一般需要在开始的时候使用10mg——也就是2ml的量。然后按需要,每隔3~4小时加5~10mg。24小时的总量应当限制在8~10ml。
Even if the metabolism of diazepam is slow, T1/2 takes 20-70 hours.Two milliliters of diazepam intravenously should also not cause persistent drowsiness in the patient.This is not consistent with the drug mechanism.
While walking to the hospital, Sun Lien began to search for relevant reports on his mobile phone—what are the serious side effects of diazepam?
Doctors can also use search engines to find information, but unlike those strange people who use search engines to diagnose themselves, doctors have the ability to distinguish whether the search results are accurate or not.
If it's really a drug overdose, it's easy to deal with.As a benzodiazepine receptor antagonist, flumazenil can effectively reverse the symptoms of benzodiazepine overdose and drug poisoning.But... Cao Zhiquan's symptoms should have nothing to do with diazepam poisoning.Zhou Ce did not report that Cao Zhiquan had symptoms of suppressed respiratory center, nor did he have any problems such as slow heartbeat.
This wasn't a coma after an all-nighter—Cao Zhiquan fell into a coma without overdosing on diazepam.Now the trouble will be big.
Sanguan overestimated the speed of his code words, and at the same time overestimated the time to go home too optimistically
So now I'm writing... I'm sorry I'm sorry...
I lost my mind when I wrote it... Diazepam was written as diazepam...
(End of this chapter)
For every head of the emergency department, trying to get stuck in the laboratory is the most intolerable thing.Either the laboratory department should lie down obediently and provide maximum assistance to all the examination requests of the emergency department, or simply bypass the laboratory department and establish a separate inspection department.All in all, this kind of critical lifeline, which may cause the operation of the entire department to be blocked, must be in its own hands.
Liu Tangchun was a little worried about the establishment of a comprehensive diagnostic center at the beginning.But after learning that the comprehensive diagnostic center also included a "testing department" as a bonus, the veteran decided to fully support the establishment of this department without even a second of hesitation.At the same time, he happily pushed Sun Li'en and Xu Yourong out.
Part of Liu Tangchun's generosity was because he believed that he and Zhou Jun could bring Sun Li'en and Xu Yourong back.The other part is...for this testing center.
Zhao Jianguo and other units in the hospital did not get along very well, and this matter was not a secret in the Fourth Hospital.Although Liu Tangchun is confident that Zhao Jianguo won't make any big waves, the prerequisite is that "Song Wen is still in control of everything in his position."Although the "leader" who put Zhao Jianguo in this position back then has retreated to the second line, it is still not something other deans and directors can resist.
For the smooth operation of future work, and for the normal operation of future departments.Liu Tangchun strongly supported the construction of the comprehensive diagnostic center, not just to gain an advanced diagnostic department for the emergency department.It is also to give the emergency department the confidence to "not get stuck".
As long as the emergency department can have a strong enough anti-interference ability, as long as the comprehensive diagnosis center can be developed, then these problems will not be a problem.
Taking precautions is a unique quality of the Chinese people.Every Chinese is familiar with the truth that "those who love war will die, and those who forget war will be in danger".As a country with the highest savings rate, the most direct way for the Chinese to deal with unknown risks is to make corresponding "savings" in advance.For the emergency department of the Fourth Hospital, the comprehensive diagnosis center is their savings or a way out.
But any backup plan will take some time from proposal to implementation.According to Liu Tangchun's initial estimate, it would not be too difficult for Sun Li'en to be directly promoted to attending after completing the three-year training plan.During his post-resident period, relying on the support of the emergency department and the resources of Takeda, the Comprehensive Diagnostic Center should be able to become a "small top three" that can stand on its own.At least in terms of inspection, there is no need to worry about being stuck in the neck.
But... things seem to be changing.This change comes from Song Wen, the stabilizer and backbone of the medical system of the entire Fourth Hospital.
It is very normal and natural for a leader at the level of Dean Song to be transferred.However, due to the confidentiality of organizational work and the seriousness of personnel work, it is often difficult for outsiders to know the emergence of such changes unless they are the cadres themselves and related organization cadres.
Sun Lien's information is very important to Zhou Jun, and its credibility is quite high.Song Wen is not a woman who is easily troubled by her emotions.Although "women" are often regarded as the type of people who are "easily troubled by emotions", if someone regards Song Wen as this kind of person, then his brain must be broken.
Dean Song is a woman, but she is also a very sensible woman.
"Jun, did Xiao Sun call you?" Zhou Jun was thinking about when to talk to Liu Tangchun, but he didn't expect that Vice President Liu would suddenly appear in his office, "I see Song There's something wrong with the dean's movement."
"He's already told me." Zhou Jun nodded, frowning at the report in Liu Tangchun's hand and asked, "Submit this proposal at the regular meeting next week?"
"I'm a bit rushed in time... I'm a bit passive, but there's nothing I can do about it." Liu Tangchun sighed, "Time doesn't wait for me."
·
·
·
Sun Li'en has no idea what the consequences of his phone call will be, and he doesn't have the time to think about it now.
"Okay, I'll be there right away." Sun Lien, who was discussing with Hu Jia what kind of crib to buy for his future child, received a notification that could relieve him from the topic of cold sweat—even though the notification itself Sun Li'en was in a cold sweat.
On the phone, Zhou Ce's voice sounded a little anxious, "Dr. Sun, come back quickly, the patient has a problem."
"What's wrong?" Sun Lien jumped up from the floor. It's not that he hasn't been called for an emergency consultation, and it's not that he hasn't been called back urgently by his own team members.But in Sun Lien's impression, this was the first time he heard Zhou Ce speak in this tone.
"The Cao Zhiquan you brought in, did you use diazepam last night?" Zhou Ce lowered his voice and asked, "How much did you use?"
"The medicine given by the emergency department should be 2ml..." Sun Lien said with some uncertainty, "What's wrong?"
"I haven't woken up since I took the medicine last night." Zhou Ce must be in a hurry, and he kept urging, "Hurry up and see what's going on——I'll call the anesthesiology department for consultation right now!"
Somewhat inappropriately, Sun Lien thought of a joke - a certain patient was about to undergo a general anesthesia operation the next day.In order to prepare for the painful and boring postoperative hospital life with slow Internet speed, this patient deliberately went to an Internet cafe two nights before the operation for two consecutive nights.
After being completely happy, the patient slept hard for 27 hours after receiving general anesthesia on the third day.When he woke up, beside him was the attending doctor whose face turned pale, the anesthesiologist whose face turned green, and the vice president of the hospital whose face turned dark.
Although it's just a joke, it does to some extent reflect the reaction of doctors to "loss of consciousness after patients use sedative anesthesia drugs".This is not a joke - if one fails, it may be fatal.
很明显,周策现在就在担心这个问题。急诊科用了2ml的地西泮——按理来说,这在镇静药物使用里算是比较小心的。成年人镇静时,地西泮一般需要在开始的时候使用10mg——也就是2ml的量。然后按需要,每隔3~4小时加5~10mg。24小时的总量应当限制在8~10ml。
Even if the metabolism of diazepam is slow, T1/2 takes 20-70 hours.Two milliliters of diazepam intravenously should also not cause persistent drowsiness in the patient.This is not consistent with the drug mechanism.
While walking to the hospital, Sun Lien began to search for relevant reports on his mobile phone—what are the serious side effects of diazepam?
Doctors can also use search engines to find information, but unlike those strange people who use search engines to diagnose themselves, doctors have the ability to distinguish whether the search results are accurate or not.
If it's really a drug overdose, it's easy to deal with.As a benzodiazepine receptor antagonist, flumazenil can effectively reverse the symptoms of benzodiazepine overdose and drug poisoning.But... Cao Zhiquan's symptoms should have nothing to do with diazepam poisoning.Zhou Ce did not report that Cao Zhiquan had symptoms of suppressed respiratory center, nor did he have any problems such as slow heartbeat.
This wasn't a coma after an all-nighter—Cao Zhiquan fell into a coma without overdosing on diazepam.Now the trouble will be big.
Sanguan overestimated the speed of his code words, and at the same time overestimated the time to go home too optimistically
So now I'm writing... I'm sorry I'm sorry...
I lost my mind when I wrote it... Diazepam was written as diazepam...
(End of this chapter)
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