Doctor's Life Simulator

Chapter 50 There are only equipment, but no doctors, what a pity!

Doctor Zhang quickly rushed to the burn department and found Director Wei Guoqiang who was sitting in the conference room.

Director Wei always pays attention to and controls the front-line dispatch of the entire rescue operation and coordinates the deployment of various materials and personnel needed.

Seeing Dr. Zhang approaching, Wei Guoqiang immediately stopped what he was doing and smiled slightly: "Dr. Zhang, why are you here? Is there something wrong with Director Zhuang?"

The emergency department and the burn department are the center of this rescue operation, so Wei Guoqiang paid special attention to seeing people from the emergency department.

The situation was urgent, so Dr. Zhang was of course the first to report the difficulties encountered by the emergency department.

".Two patients developed sepsis, and acute renal failure"

Wei Guoqiang also had a serious face when he heard the report. This is no small matter. Once the best time for rescue is missed, the probability of death of the patient is very high.

"Doctor Zhang, wait a moment, I will immediately contact Dr. Liu Feng in my department to see the current equipment and personnel arrangement in our department."

Soon, Wei Guoqiang found out the situation of the burn department:
"Doctor Zhang, the current situation is like this. The rest of the conventional hemodialysis equipment in our department is also saturated. Liu Feng's attending is already carrying out a continuous blood purification treatment, and the patient will be able to complete the blood purification in about 10 minutes." After Dr. Liu finished treating the patient in hand, he immediately arranged for a patient to come to our burn department."

"Great, then thank Director Wei, Dr. Liu, and I will report to Director Zhuang immediately. However, for another patient, I can only think of another way."

Dr. Zhang naturally understood that at this time, everyone was in a state of overload, and it was not easy to dispatch Dr. Liu to arrange for a patient.

In the emergency department, Zhuang Tong also called the director of the nearest hospital department. After all, the medical circle in Hecheng is very small, and the chief physicians of the same level will have academic conferences and international forums to exchange and study together in a few months.

Therefore, they have formed a deep friendship, and they will support each other when encountering problems.

"Hey, Director Huang, I want to ask your department whether there are hemodialysis equipment and doctors that can be deployed to our emergency department, or I can arrange for patients to be transferred for treatment. There are two patients with sepsis. Combined with acute renal failure, the situation is critical."

Hearing Zhuang Tong's narration, the director of the No. [-] Hospital on the opposite side of course understood that it was this sudden emergency in the treatment of a large number of burn patients.

"Director Zhuang, although most of the patients have been transported to your city's first hospital this time, considering the staff strength of the city's first hospital, some serious patients have been sent to our second hospital. Now the hemodialysis equipment in our department is also saturated. However, if you need it here, I can arrange for a senior attending physician to come and support you."

The director of the Second Hospital was also unambiguous, and directly decided to coordinate a senior attending to come to support.

However, the biggest problem in Zhuang Tong's hands now, besides the doctors, is the lack of equipment!

However, it would be good to let a senior attending doctor come over to provide support first. If it is not possible, Director Zhuang will consider using peritoneal dialysis technology.

Peritoneal dialysis entered clinical practice almost at the same time as hemodialysis, but at the beginning of this technology, it faced the challenge of peritonitis, and the risk was relatively high, so that it has long been considered as an aid and supplement to hemodialysis.

Now in the burn department of No. [-] Hospital in the city, only those patients with end-stage renal failure who are not suitable for hemodialysis will consider peritoneal dialysis.

Different from hemodialysis, peritoneal dialysis uses the peritoneum as the dialysis membrane, so that the water, electrolytes and metabolic wastes retained in the body enter the peritoneum through ultrafiltration and osmosis to remove the metabolites in the body.

Its advantages and disadvantages are equally obvious. The disadvantages are naturally high risk and poor effect, which are far from being comparable to hemodialysis.But the advantage is that no dialysis membrane is required, and the equipment requirements are relatively low, and the peritoneum and surrounding peritoneum of the human body are used for dialysis.

This is also the last first aid that director Zhuang Tong thinks of now.

And when Zhuang Tong continued to contact for help, Dr. Zhang also returned to the emergency department to report.

"Director Zhuang, Liu Feng in the burn department will be able to complete a continuous blood purification treatment soon, and we can arrange for a patient to go there. However, we still need to find a way for the other patient."

Doctor Zhang is also a little helpless, but this is already good news.

After listening, Director Zhuang nodded: "Okay, then you can arrange it now. After Dr. Liu finishes the treatment of the previous one, he will immediately start rescue. The other patient, I will figure out a way. If it doesn't work, let me Come and give him peritoneal dialysis yourself!"

Hearing Director Zhuang's words, Dr. Zhang was stunned. Over the years, with the popularization and application of hemodialysis, very few young doctors know peritoneal dialysis. A nearly obsolete technology.

On the other side, after Liu Feng had finished rescuing the patient in hand, he was also preparing to admit the patient with sepsis complicated with acute renal failure who was transferred from the emergency department.

While heading to the next operation, he called Wei Guoqiang:
"Director Wei, the conventional hemodialysis equipment is saturated now, but we purchased two sets of equipment not for the continuous blood purification therapy before. Besides the one I am using now, there is another one that is vacant. You can contact Director Zhuang to see if there is any Not able to operate BaxterBm25 (US) blood purification device, NA69 membrane filter”

"If there are doctors who have studied it, they can use that set of equipment for first aid. In order to ensure a smooth rescue, I can ask my teacher at the First Affiliated Hospital of Zijingang University, deputy director Shen Jiachen, to give remote guidance."

Hearing Liu Feng's suggestion, Wei Guoqiang's eyes lighted up. This is also a feasible way, but, is there any doctor in the city's first hospital who has studied the BaxterBm25 (US) blood purification device?

Wei Guoqiang immediately called Director Zhuang Tong:
"Director Zhuang, now we have another plan, that is, after Dr. Liu Feng came back from his training last time, we purchased two sets of Baxter Bm25 (US) blood purification devices. Now Dr. Liu has used one and the other is vacant. Yes, but due to time constraints, it is too late to promote teaching in my department, so let's contact each other to see if there is any doctor who has mastered this equipment."

"Okay, okay, Director Wei, I understand, I will contact you now to inquire."

Zhuang Tong is also very grateful. At critical moments, Director Zhuang is always trustworthy, "Director Wei, if I really can't find a doctor, I will perform peritoneal dialysis for the patient. Although the treatment is almost impossible and the possibility of sequelae is higher, the patient's life should be saved first. Come down and talk."

After the two directors discussed the countermeasures and had a bottom line plan, they started to contact each other.

However, it is clear that Hecheng's medical level is still not comparable to that of the top hospitals in first-tier cities such as Hangcheng, Modu, and Didu.

Due to the extensive use of continuous blood purification technology (CRRT) in clinical practice and its precise and stable medical effects, CRRT has become an essential skill for ICU physicians in Shanghai and the top hospitals in Imperial Capital, and it is also an important skill for ICU physicians in medical quality management One of the technologies that must be mastered also reflects to a certain extent one of the indicators of the hospital's level of critical care.

This time, Dr. Liu Feng went to the First Affiliated Hospital of Zijingang University for advanced studies. The most important task was to learn CRRT technology. He is basically the first physician in Hecheng City who is really proficient in continuous blood purification therapy.

After asking around in the surrounding hospitals, Zhuang Tong and Wei Guoqiang finally gave up on the plan of continuous purification therapy. The two directors were also depressed. There are only advanced equipments but no qualified doctors. What a pity!
In the burn department, Liu Feng started preoperative preparations, and at this time, Qin Lang just finished another eschar incision and decompression operation.

Liu Feng had a very good impression of Qin Lang after going through the previous burn rehydration plan. He planned to find an assistant to cooperate with him, but now everyone is very busy and is still trying to arrange someone to help. Seeing Qin Lang, he was overjoyed:
"Qin Lang, the emergency department will transfer a patient here later. I'm going to give him continuous blood purification treatment, and I need an assistant. If you don't have arrangements now, come with me!"

When Qin Lang heard it, he looked up at Liu Feng and confirmed, "Continuous blood purification treatment?"

(End of this chapter)