Great doctors start with pediatrics

The patient is a food delivery worker.

Suspected injuries from a car accident.

An ambulance was dispatched.

My arm was bleeding, and the bleeding couldn't be stopped during emergency treatment.

Laurent did not leave immediately.

The red light above the patient's head was bright.

It wouldn't kill you, but it certainly wouldn't be pleasant.

From the time I started receiving rewards until now.

Laurent has learned many suturing techniques, as well as physical examination and hemostasis.

With the addition of what he has learned on his own, Laurent now has a certain level of judgment.

He can make a vague judgment as long as he knows it.

Although the bleeding was stopped by hand, Laurent still remembers the bleeding from his internal organs and limbs.

If it were the little boy with the ruptured spleen he encountered at the beginning, Laurent was certain that he would not have been unable to diagnose it as he had been in the past.

This is progress.

Laurent instinctively stopped in his tracks.

He was curious about how the emergency department would handle patients.

The patient was rushed into the emergency department.

The emergency room doctors busily gathered around.

"Pulse 143, blood pressure 78/57 mmHg."

Laurent moved forward slightly, and the nurse didn't have time to stop him.

The doctor completely removed the deliveryman's outer garment.

The deliveryman's arms were red and hot.

Blood continued to drip.

His face was pale, his lips were gray, and cold sweat kept pouring from his forehead.

"He was injured in an electric scooter accident."

The nurse quickly said.

"Open laceration of the left forearm."

Laurent looked over upon hearing this.

Sure enough, the deliveryman's arm wound was exposed, revealing the flesh inside, as if it had been ripped open, as if a dull, large butcher's knife had slashed his arm.

Blood gushed out, occasionally spilling out with the slightest bump.

The doctor removed the bandage that had been used to stop the bleeding.

Several doctors quickly covered the wound with gauze again, trying to wrap it with bandages.

Laurent frowned.

The patient's scalp has already developed a faint blackish tinge.

But this treatment method...

"No, that's exactly what we did, and it didn't stop the bleeding at all!"

"Speed ​​up his IV resuscitation; I'll try again."

"Hemostats!"

No, it's not necessary.

It's not that it's unnecessary.

Laurent could tell.

The deliveryman's condition likely involves the rupture of two branches of the radial and ulnar arteries in his forearm.

The collision may have caused a fracture, so even if the current hemostasis method is applied and the surface is compressed, the deeper layers of bleeding will continue to occur.

Generally speaking, conservative treatment is sufficient for a ruptured forearm artery.

Acupressure and a tourniquet are sufficient.

Most patients do not require surgery, and in some cases, a routine surgical exploration is sufficient for conservative treatment.

But it's shift change time now, and the experienced doctors in the emergency department haven't arrived yet.

They tried in turn, but all attempts failed.

"How about trying a pneumatic tourniquet?"

"never mind."

The attending physicians in the emergency room have all started to give up.

The delivery driver had been bleeding for an unknown amount of time on his way here.

"Send him directly to the operating room."

"doctor……"

The delivery driver suddenly woke up: "Are we going to the operating room?"

"I...I have no money, I deliver food..."

The older emergency room doctor said sternly, "You have to go."

"Can……"

The delivery driver instinctively tried to speak, but he was too weak to say anything: "I wanted to take my wife and kids out to play..."

The doctors shook their heads.

They are truly unable to handle the current situation.

The patient has a fracture, and the forearm is a very special area, as it is formed by two bones.

Deep arteries are located between the bones, making it impossible to apply a tourniquet.

They also tried acupressure but failed.

A pneumatic tourniquet might work, but bleeding from deep arteries may still not be stopped.

Using hemostatic forceps sounds good, but nerves are located there, and rashly applying them could cause nerve damage.

In this situation, the most important thing the emergency room should do is refer the patient.

"Hey, what are you doing?"

Suddenly, a nurse called out to Laurent.

The nurse watched Laurent washing his hands.

"Lend me a glove."

"what?"

Seeing Laurent's expression, the nurse instinctively took it out.

Laurent easily put it on.

Whether it is sterile or not is secondary.

The other party is still contacting the operating room.

It's impossible to know how long the delivery driver would have to wait.

It should take at least ten minutes.

The patient was still lying in bed, groaning softly.

The sound grew weaker with each passing moment.

However, the emergency department itself is not a department that understands every disease; their purpose is to triage patients.

In terms of medical expertise alone, they, along with pediatrics and laboratory departments, have the lowest average educational level in the entire hospital, so they are naturally not considered professional.

"Hey, what are you doing?"

The nurse realized what was happening.

But Laurent moved as swiftly as a rabbit.

I squeezed past the doctor next to me.

She glanced at the deliveryman's arm and, without waiting for anyone to stop her, reached her hand into the deliveryman's forearm.

The technique was steady and swift.

"Hey, what are you doing?"

Which department?

Emergency room doctors were in complete disarray.

They wouldn't panic like this even when faced with a serious illness.

But is it reasonable for a savage to suddenly appear and attack the patient?

He had a sour, foul smell, and his hair was greasy.

Anyone who didn't know better would think they'd spent the whole night in the operating room.

But his youthful appearance doesn't resemble that of a doctor at all.

They are currently unable to provide interventional treatment to patients.

As a result, someone came and immediately got the hang of it.

What if problems arise later? Wouldn't that still be the hospital's responsibility?

Shock!

More than just shocking!

They were so shocked that they felt the entire department's performance had dropped by at least a month.

In a panic, she tried to hold Laurent down.

Suddenly, the nurse who was handing Laurent gloves widened her eyes: "Wait, the bleeding has stopped."

"what?"

"What?"

For a moment, the doctor who was about to take action froze.

They were initially wondering if they could hold down the 1.9-meter-tall savage.

Looking down, I saw that the previously raging bleeding had suddenly slowed down.

Only a small amount of bleeding remained.

Wherever the savage's fingers pressed, it was as steady as a rock, like a pillar stabilizing the sea.

It landed steadily here.

"this……"

"There are more experts here????!"

The doctors looked Laurent up and down, but couldn't see any trace of the demeanor of a master.

Oh, perhaps it's like a master surgeon who just came out of the operating room.

"You can try this method to stop the bleeding next time. If your thumb can't go in deep enough, you can try your little finger."

"At least don't do anything reckless, as there is a possibility of fracture, and improper handling may worsen the displacement of the fracture."

Preaching?

A lecture from a big shot?

Everyone stopped listening.

"Hey, do we need to prepare an operating room?"

A voice came from the other end of the phone.

"No, I don't want it anymore."

The doctor quickly responded, "It seems the bleeding has stopped... You'll be transferred to surgery, and then we'll invite an orthopedic specialist for a consultation."

"Stop talking nonsense!"

"Bring some gauze?"

Laurent looked at the doctor beside him, who was dumbfounded.

I can't understand why these people, who are all doctors, have no spark of inspiration in their eyes.

"Are you planning to make me hold it down forever?"

"You guys need to find a way to immobilize the forearm, and then use gauze to stop the bleeding!"

"I can't do it in my position, but I'll cooperate with you."

Upon hearing this, the emergency room doctor immediately sprang into action.

Laurent's location wasn't particularly good, as he had to squeeze in.

Secondly, Laurent had no knowledge of the tamponade method for stopping bleeding.

I just knew that other methods should be used to stop the bleeding, so I urged other doctors to take over.

He didn't want to press for more than an hour like yesterday.

After the emergency room doctor packed the gauze tightly, Laurent slowly released the pressure.

The emergency room doctor next to him quickly bandaged the wound.

"It's a success."

As expected, there was no further bleeding this time.

"Now you're on a fixed schedule!"

"Didn't you see he had a broken bone?"

Laurent's physical examination skills enabled him to understand fractures.

Secondly, Laurent's hemostasis skills also gave him an understanding of hemostasis in cases of fractures.

Laurent really didn't know how to treat the fracture.

If you let him handle it, he'll just give you two boards right away, and maybe even put a cast on your leg.

Laurent is really good at plastering; in my past life, he applied the plaster himself when my family was renovating.

The same principle applies to gypsum and putty, which are minerals!

The doctor next to them quickly applied a pressure plate to stabilize the area.

I worked for five or six minutes.

The attending physician then stood up and carefully examined the bandaged wound.

"big……"

I wanted to call him a master, but Laurent looked too young: "Brother, your acupressure is too accurate."

"You just came in, haven't you? You dare to start hitting me?"

"What's wrong with that?"

Laurent countered, "When you're hesitating and want to use bandages and tourniquets, you might as well just stop the bleeding by hand."

"No."

The attending physician quickly shook his head: "But he also has fractures, and here..."

Laurent nodded slightly upon hearing this.

Without doctors with relevant experience, the emergency department may not be able to handle patients perfectly.

"Next time you'll understand. Did you see what I just did clearly?"

"Look carefully."

Upon hearing this, Laurent took off his gloves: "The bleeding should be stable now."

Although the patient still has red light.

But it's so much better than the occasional black light that appeared earlier.

After so long, Laurent has also made some conclusions.

If the black light is not a prediction, then there is a risk of shock.

It's a miracle that this patient didn't go into shock along the way.

"I feel everything is fine now, you guys take another look."

No, there aren't any left.

The emergency room doctor said, "We'll consult with surgeons and fracture specialists later."

"OK."

Laurent tossed his gloves aside. "Then I'll be going."

"what?"

The emergency room doctor was taken aback.

Why doesn't the expert leave a comment?

"There are no problems now, what else would I do if I didn't leave?"

Laurent countered with a question.

"Then, master, what are you doing...?"

"Where are you from? Which hospital and department?"

The emergency department is arguably the least popular department.

But to them, every department is an angel.

Any place that can receive patients, has treatment options, and can be triaged to is acceptable.

Now I've encountered a master I don't know.

My immediate instinct is to ask where the other person is from.

If they are inside a hospital, it will be easier to call for help later.

Besides, even if the patient is fine, if Laurent leaves now.

But if Laurent's life were in danger, wouldn't that be considered medical malpractice?

"Pediatric Surgery, Laurent."

Laurent thought for a moment and then said without hiding anything: "You can have the patient send me a thank-you note later, just send it to the hospital via EMS."

I heard there's a 200-dollar bonus for being thanked.

After saying that, Laurent strode away.

The patient also subconsciously wanted to get up and thank Laurent.

The doctors behind were completely baffled.

"Pediatric surgeon, Laurent? Where is this doctor from?"

"Is he in the pediatric surgery department?"

"No, let's ask."

……

"Hmph hmph hmph~"

Inside the office, Jiang Nanguo hummed a little tune.

Although I felt heavy-hearted last night.

But after the patient was rescued, Jiang Nanguo's mood was not so heavy.

Although one child died, it was not something they could decide.

There wasn't even a doctor in charge of emergency care at the time.

Being able to identify him, classify him, and send him to the hospital is already considered a good outcome.

Otherwise, in the chaos of a car accident, there's a real possibility of missing a patient.

At least you tried, and that makes a life worthwhile.

At least, the Jiangnan Kingdom can accept this.

Of course, what made people happiest was that the doctor in charge of the emergency care was a resident physician at their hospital.

They were all under their department.

The rescue and triage were completed perfectly.

It's practically textbook content.

Although I haven't asked in detail yet.

But Jiangnan Guo felt that this kind of experience was enough to write a paper, publish a report, or give a speech.

Moreover, excellent rescue efforts can also boost the department's performance.

This is definitely a good thing for the department.

Moreover, the person who was successfully rescued this time was only a resident trainee at their hospital.

It's something to brag about.

That is...

"Ugh."

I remembered the message the head of surgery sent me last night.

Jiang Nanguo could tell that the resident trainees in his department were not in good spirits.

We all work at the same hospital.

Even the head of pediatrics at Jiangnan Guo's department has much more seniority than the heads of other departments.

Fang Qingxue was someone we watched grow up in the courtyard.

"Every doctor has to go through this hurdle."

Jiangnan Guo shook his head: "I wonder how Luo Lang is doing? He's still an orphan, yet he's done so much."

It seems that he was the one who initiated and guided the rescue efforts.

Such an excellent resident trainee, it's a pity he's under Lao Zuo's tutelage.

Jiangnan began to imagine what it would be like if Laurent, a man of exceptional skill and potential, joined their own team.

It's remarkable that a doctor could persevere for so long and perform so well when he was young.

It would be a shame to put them in a medical school.

After all, only a minority of people dare to provide emergency care and are capable of doing so.

But poaching...

If it's consensual, there doesn't seem to be anything wrong with it?

In Jiangnan, Director Jiang is deep in thought.

Suddenly the phone rang.

"Hello, is this Director Jiang? Pediatric Surgery?"

"Yes."

Jiangnan Guo didn't say a word, listening quietly to what was happening on the other side.

It's a phone number within the hospital; Jiangnan Guoshao can explain the situation more quickly by saying a few words.

"Do you have a pediatric surgeon named Laurent? Is this the emergency department?"

"Oh, Laurent, what's wrong with him?"

Jiangnan still remembers that Laurent fainted on the operating table yesterday.

It couldn't have been a problem this morning, could it?!

"You're my student..."

"We'd like to ask him which doctor he is, to thank him for participating in the emergency this morning."

"The patient also said they wanted to thank him?"

"Hmm? Morning?"

Jiangnan frowned.