Chapter 296

Fang Ziye today finally verified the words Yuan Weihong had once told him —

Most hospitals, when setting the location of operating rooms, fully consider the time it takes to rush from the operating room to the emergency resuscitation room to participate in emergency consultations.

Zhongnan Hospital is no exception.

It's just that such an opportunity for verification, the former Fang Ziye only dared to occasionally yearn for in dreams, not daring to imagine it would become reality.

The current Fang Ziye no longer needs to prove whether it is truly real, only needs to verify that Master's bragging words still have a certain logic to them.

Fang Ziye is not unfamiliar with the Emergency Department.

During his Professional Master's Student period, Fang Ziye also needed to be incorporated into the Orthopedics Department's standardized residency training rotation plan. One month out of the Orthopedics Department's thirty-three-month rotation plan was arranged for Emergency Department rotation.

At that time, although Fang Ziye was only arranged to go to the Emergency Surgery Ward, it also let Fang Ziye know that Zhongnan Hospital's Emergency Department actually has quite a lot of configuration.

In the Emergency Department, not only are there specialized Emergency Internal Medicine and Surgery specialties separately set up, there are also specialized emergency clinics like Emergency Cardiothoracic Surgery, Emergency Neurosurgery, Emergency Neurology, Emergency Cardiology, and Emergency Respiratory Medicine!

Equivalent to: if the Emergency Department once sees a multi-disciplinary combined injury, the emergency consultations that need to be urgently requested are disciplines other than the above departments.

And many disease types of these departments are more likely to be fatal.

So many emergency specialties are all emergency outpatient clinics, not the Emergency Department's internal medicine and surgery wards, observation wards, emergency resuscitation rooms, and EICU such inpatient configurations.

When Fang Ziye arrived at the emergency resuscitation room, the emergency department doctors inside had already given the patient IV access and various preoperative resuscitation measures.

And even the patient's emergency medical record book had already been "favored countless times" by others, turning into leftovers —

"Teacher, which patient requested the emergency consultation here?" In the emergency resuscitation room, there were only two patients, and one of them had a very obvious lower limb open injury, but Fang Ziye still asked one more question to confirm he wasn't determining the consultation patient's identity based on his own speculation.

Asking one more question won't kill you.

"Mhm, it's the one on the left. Currently blood pressure is unstable, pulse is thready and rapid. We've already requested multi-disciplinary consultation and examination reading."

"All these departments have been seen, only then was our Orthopedics consultation requested?" The speaker, half-Mediterranean, slightly plump build, medium height, remaining 'luxuriant hair' caked, who knows how long since he went back to tidy up.

"Have you done CTA?" Fang Ziye said to here, brows slightly furrowing.

Because when this fatty walked over slowly, Fang Ziye clearly smelled a stench of sweat on the other's body, and a greasy smell.

"Done. Previously couldn't rule out hollow viscus injury."

"Also, actually this patient's open injury was temporarily treated before, so we didn't request Orthopedics emergency consultation in the absolute frontline time."

"Additionally, before we were also undertaking the resuscitation task." The fatty looked sloppy, but when answering questions, he was methodical, logic clear, didn't give Fang Ziye any loopholes to exploit.

Even extremely cautious, as if afraid every question of Fang Ziye's had a trap, quite official.

"But other departments' injuries ruled out, currently still has active lower limb hematoma! Brother, you gotta pull him over to open a table." The fatty patted Fang Ziye's shoulder, appearing a bit closer to Fang Ziye.

Fang Ziye was a bit afraid the other was a hard-to-fathom glass, retreated a bit of distance, carefully read the other's name badge clearly, then said: "Zhi-ge, whether surgery is needed, I'll first look at other sub-specialties' opinions."

"If they've all already handled the specialty consultation opinions, then I'll immediately arrange for department people to come over for informed consent signing."

"Are the patient's family members here?"

Deng Zhi is the Mediterranean fatty's name.

His name isn't special, just Fang Ziye saw he also has another layer of identity, which is Emergency Department Chief Resident, at least on his name badge, it's marked like this.

This way, Fang Ziye somewhat understood the other's friendliness.

The previous pair of big fools jointly bowing out, weren't they the two bosses of Trauma Surgery and Emergency Department?

The previous pair of Big Fools taking their final bows—aren't they just the two Bosses of Trauma Surgery and the Emergency Department?

"Brother, are you very familiar with Professor Xie?" Deng Zhi looked at the patient's current vital signs fluctuation amplitude not being very large, then started eating melon on the side.

Fang Ziye at this time had already finished reading other departments' consultation opinions. At least on the medical record book, other departments' consultation opinions wrote: temporarily no emergency surgery indication, has elective surgery indication, can temporarily observe and treat.

With this one sentence, Fang Ziye doesn't need to worry about these sub-specialty matters anymore.

Because once the sky falls, the people who wrote these words and their department superiors, the professors, are the tall ones, no matter how it smashes, it won't smash onto Fang Ziye.

Because once the Sky Falls Come Down, the person who wrote these words, their Department Superior, the Professor Group, even if they're tall, no matter how hard they smash, they can't smash onto Fang Ziye's body.

Professor Xie is Xie Jinyuan.

Although Xie Jinyuan has temporarily left Trauma Surgery for Emergency Department, Fang Ziye also doesn't dare pretend not to know him.

Associate Professor Xie Jinyuan got Associate Senior Promotion, came to Emergency Department to prepare for Chief Physician promotion, who knows when he'll kill his way back?

It's precisely this kind of uncertain thing that makes one need to be even more careful.

"Okay, Professor Xie previously took trouble to teach me."

"Zhi-ge, thank Professor Xie for his concern on my behalf." Fang Ziye casually laughed it off.

He and Associate Professor Xie Jinyuan before, weren't considered that harmonious, can only say, know each other, have dealings.

But whether it's Xie Jinyuan to Fang Ziye, or Fang Ziye to Xie Jinyuan, basically neither has any private dealings, even eating a meal together doesn't exist.

Just even so, Fang Ziye today still has to act with face at least passable.

But even so, Fang Ziye now must at least appear presentable on the surface.

"I'm just saying~"

"Professor Xie recently keeps advising me, saying don't beat everyone in a department with one stick, Trauma Surgery's young people are also still trustworthy..." Deng Zhi immediately patted his own chest.

"Professor Xie has been advising me lately, saying I shouldn't tar an entire Department with one brush, that the Young People of Trauma Surgery are still Worthy of trust..." Deng Zhi immediately patted his own chest.

"Fang Ziye, Trauma Surgery's follow-up resident." Fang Ziye also self-reported identity, of course relatively conservative.

But Deng Zhi seemed to understand Fang Ziye quite a bit: "Know, you're low-key, haven't graduated yet, this counts as advancing early to replace the main wife."

"Does this count as mistress advancing early?"

Fang Ziye sharply turned his head, didn't expect this Deng Zhi to be quite humorous!

Fang Ziye sharply turned his head, Didn't Expect, this Deng Zhi is actually quite humorous!

The following matters are not strange anymore.

Need emergency surgery exploration, explore whether there exists lower limb active bleeding!

If exploration has bleeding, then immediately handle, handle finished then throw to Emergency Department observation ward for anti-inflammatory treatment and done.

If there is bleeding, handle it immediately, then after handling it, throw them into the Emergency Department's Observation Ward for anti-inflammatory treatment and be done with it.

But if no active bleeding in the lower limb is found upon exploration, then this surgical patient will have to undergo a second round of major consultation in the operating room.

After the orthopedic surgery ended, with a safe exit, those who had previously assessed that their own department had no absolute emergency surgery indication hurried over to take the blame and compensate!

……

When Fang Ziye called Jie Han this time, the other party didn't hesitate in the slightest: "Senior Brother, all my tasks have been swapped out, I can come to the operating room or other places anytime."

Jie Han swore solemnly.

Then after actively hanging up the phone, Jie Han opened his memo, on which he heavily added a line: start mixing in clinical.

Vigorously develop clinical—

Before, when Jin Hongzhou was Chief Resident, all emergency operations, for the most part, were assigned to the PhD and Master's students in Jin Hongzhou's group for practice.

This was the innate opportunity advantage their group possessed by having a Chief Resident.

Now the situation has changed, Jie Han naturally also has to start changing his own planning—

Originally, Jie Han felt he was quite talented.

Really, Jie Han really felt this way.

There are several reasons for this.

First, Jie Han was first place in the orthopedics written exam scores, first place in the re-examination scores, he's read quite a few books, hasn't he?

Second, Jie Han himself published SCI as an undergraduate, and not long after entering the Master's program, he brought papers and submitted them.

Third, Jie Han felt he was mixing quite well in the group, relationships in all aspects were also handled pretty well.

If there were no accidents, Jie Han felt he should count as a successful graduate student.

But with exactly such grades, starting point, talent, and learning rate, he was beaten in a mere year and a half until he suspected life.

Even Jie Han often suspected whether he was a pure idiot, shouldn't have gone mixing in research, should have just honestly accepted his fate that he had no research talent, doing clinical well was his ultimate way out.

Now, Jie Han is finally honest, no longer suspecting whether he's an idiot, but just feeling that he has no research talent, he only has the talent for watering down papers.

Jie Han has no way.

Never mind Master, Master was originally not bad.

Current focus is on clinical, mixing in clinical is considered flourishing.

Even more focus is on research, currently already Outstanding Youth Fund, explaining everything.

Then there's Senior Brother, Senior Brother Fang Ziye, BMJ, what else needs explaining?

Then there's Fellow Trainee.

Jie Han doesn't want to mention his Fellow Trainee at all, I'm the one who was messed up by my Fellow Trainee until I suspected life, me! ~~

Fang Ziye couldn't know that Jie Han planned to "switch careers", from a plan to become a research big shot, turning into a plan to become a clinical big shot.

The patient's vital signs were originally unstable, so naturally there would be no nonsense and no surplus operations.

The patient's family members also had no opportunity to struggle.

Must operate, otherwise wait for death.

There is no third choice.

Not many people went up, only Fang Ziye and Jie Han two people.

The surgery to be done actually wasn't complex, just lower limb open injury, not even an open fracture!

"Senior Brother." Jie Han called out to Fang Ziye.

Fang Ziye didn't respond, but continued operating seriously.

What Fang Ziye and Jie Han had to do was actually just exploration and debridement.

Of course, before this, Fang Ziye had already passed his Level 4 physical examination technique, roughly knowing that this patient's active bleeding was not in the lower limb, but in other hidden places.

But, Fang Ziye had no way to explain.

People from other specialties had already given opinions, their specialties had no problems.

But orthopedics' open injury is visible to the naked eye, there is evidence, and it matches the patient's hemorrhagic shock.

Therefore, in this situation, if Fang Ziye still wants to have people from other departments come for consultation again, he must prove none.

Prove his subspecialty's innocence, from a more objective angle confirm exploration complete, and surgery to the innermost layer!

Then, hand over to the anesthesiologist, using the most urgent consultation method, call people from other specialties again.

Because, Fang Ziye at this moment also doesn't know which specialty has the problem, he hasn't even read the CT and MRI films of other subspecialties!

He only looked at orthopedics content, no fracture.

Then, that was it.

This originates from a sentence his Person of Gratitude Yuan Weihong admonished him with—

Even if you're that awesome, in Zhongnan Hospital or places similar to Zhongnan Hospital, never boast about doing specialty work, making cross-specialty decisions.

Cross-subspecialty also requires caution.

The reason is, other specialties aren't without people, they haven't died out, so it's not your turn to bear this responsibility!

"Senior Brother." Jie Han saw such a simple exploration procedure, Fang Ziye still wouldn't hand it to him, that should mean he himself wasn't proactive enough.

"Shh! ~" Fang Ziye had no time to listen to Jie Han's opinion.

He quickly exposed the open injury close to the bone end, only then finally ruling out the existence of hematoma.

Then explored blood vessels at least 5 centimeters above and below the open injury, no traumatic spurting blood found, only then did Fang Ziye breathe a sigh of relief in his heart.

Then told the anesthesiology doctor: "Anesthesia Teacher, our department's open injury here, no hematoma and no vascular injury."

"The patient's bleeding should still be in another location, you call Emergency Department again, or directly go through the operating room's emergency consultation procedures!"

"What?" The anesthesiologist was in his forties, wearing a floral headscarf.

At this moment originally lying on one side flipping through a manga, displaying his absolute control and anesthesia skill, he was instantly scared by Fang Ziye's words until his scalp went numb, and blurted out the content from inside the manga.

"The patient's hemorrhagic shock has nothing to do with our Trauma Surgery."

"There's no hematoma in the pelvic region either, and it's not a retroperitoneal hematoma, so we may still need to look for problems in other aspects." Fang Ziye knew this matter was a bit of a farce.

The patient's emergency medical record book was still lying inside the even colder medical record folder in the operating room.

The medical record book stated that many sub-specialties had no absolute emergency surgery indications.

These words were originally their department's protective talisman, but now, they had transformed into another kind of implication!

Hemorrhagic shock, cause pending investigation, currently excluding vascular injury from limb orthopedics.

Hematomas produced by vascular injury from limb orthopedics are the most easily visible to the naked eye, and Fang Ziye had even done an exploration, so it's truly impossible for there to be any more problems.

"Holy crap~!" That associate professor from Anesthesiology could no longer remain bland.

First he called his own department's director, simultaneously roaring toward the operating room door, tearing at his throat: "Circulator, find your head nurse!!! ~~~"

This handling might turn out badly, possibly leading to a medical dispute.

He really couldn't stay bland about it.

At this moment, he hoped even more that Fang Ziye was a newbie among newbies, a greenhand, that he had messed up somewhere.

And not a particularly proficient veteran, one syndrome immediately confirmed, then the previous diagnosis had a flaw, then requiring a large-range multidisciplinary joint exploration intraoperatively.

Just what ghost is this patient's shock?

(Chapter End)