(People's ** Health Client Reporter Xie Fei) "Please ask the patient to go to the 2nd clinic of the Department of Internal Medicine for treatment. "At 22 o'clock on the evening of December 30, in the emergency department of the China-Japan Friendship Hospital, the attending physician Wang Yanhua was working nervously. At this moment, the large screen in the emergency hall shows that this is already patient No. 576 ......
Beijing's winter weather is cold and there are few pedestrians on the road, but the emergency department is a different "lively" scene. On the night of the first day of the New Year's Day holiday, the reporter of the people's health client came to the emergency department of the China-Japan Friendship Hospital, the hall was brightly lit, and the first bell in front of the triage desk rang one after another.
There are no holidays here".
Pre-screening triage, answering **, answering patient questions, helping patients measure vital signs such as blood pressure, transporting patients ......Xie Ping, the nurse in charge of the emergency department, is busy in front of the triage table. "There are usually a lot of emergency patients, let alone during the holidays. From 0:00 this morning to 22:00 this morning, more than 500 patients have been treated, including 63 acute and severe patients. ”
On the evening of December 30, the emergency room of the China-Japan Friendship Hospital** conducted pre-examination and triage for patients. Photo by Xie Fei.
This patient had a seizure, had his blood pressure measured first, was in critical condition, and was in neurology and was a second-level patient. In the face of the helpless patients' families and the steady stream of patients, Xie Ping has always maintained a calm triage. The medical staff at the triage desk will first measure the vital signs of the patients who see them, and then arrange a consultation room for the patients according to the principle of priority diagnosis and treatment of critically ill patients.
The first and second level patients are in serious condition, such as patients with symptoms of cardiorespiratory arrest, severe chest pain, severe dyspnea, severe fractures, and severe headaches, and need immediate rescue, and will be prioritized to arrange consultation. The night in the emergency department was like a silent battlefield, Xie Ping did not dare to relax her vigilance, and while explaining to reporters, she kept observing the situation of patients in the hall.
At about 17 o'clock in the evening, Xie Ping was already in place in front of the triage desk, and she had to wait until her colleague arrived at half past 1 in the morning before she could go home to rest. Referring to how to spend the upcoming New Year's Day holiday, she and her colleagues looked at each other and smiled: "There are no holidays in the emergency department, I just want to get a good night's sleep after that." Before the words fell, Xie Ping was interrupted by the patient's anxious questioning, turned around and went back to work.
After successfully rescuing the patient, the sense of professional accomplishment is full."
The computers are exhausted and paralyzed. Wait a minute, I'll restart the computer. The computer was stuck after working for a long time and could not print the medical records, Wang Yanhua helplessly explained to the patient. She didn't dare to slow down because there were dozens of patients waiting for her in the back. "I go to work at four in the afternoon and leave work at four in the morning. There is no time to rest in the first half of the night, and there are fewer patients in the second half of the night, and I have to see about seventy or eighty patients a night. ”
Wang Yanhua, an emergency physician at the China-Japan Friendship Hospital, is seeing a patient. Photo by Xie Fei.
80-year-old grandmother Yang was pushed into the emergency department by her son in a wheelchair: she not only suffered from high blood pressure and bronchitis, but also had inflammation in her lungs, and she also fell at home. Wang Yanhua frowned, it is not uncommon for the elderly to fall in the emergency room. "We have to evaluate and check whether there is intracranial hemorrhage, stroke, arrhythmia, etc. Falls in the elderly are generally more serious, and they need to go to the neurology department for specific examination. ”
Symptoms are often atypical in older people, and the illness may have been going on for a long time before symptoms appear. Once you have fever, cough, sputum production, chest pain, and obviously poor mental state, you must come to the emergency department. Especially for the elderly with underlying medical conditions, so as not to delay**. However, some patients are not in critical condition and can not be used in the emergency department, Wang said.
The young patient with an upset stomach just now falls into this category. Wang Yanhua suggested that some patients with chronic diseases, no acute attack symptoms, and early patients with the common cold are not recommended to come to the emergency department, and the emergency department is a place to rescue critically ill patients, and it is recommended to leave emergency resources to truly critically ill patients.
Doctor, what's going on, right?Wang Yanhua didn't have time to raise his head to greet the patient at the end of the consultation, and a sentence of "it's okay" was enough to comfort the patient. For Wang Yanhua, who has worked for nearly 10 years, the busy and tense working atmosphere of the emergency department has become the norm.
Every time after timely diagnosis and successful rescue of critically ill patients, the sense of professional accomplishment is full, and the joy in my heart is really incomparable to any material and spiritual reward. Wang Yanhua said. After her night shift, she can go home to rest, and there is a four-year-old daughter waiting for her at home. "My daughter has had an upper respiratory tract infection for several days and has not recovered. ”
At 22 o'clock on December 30, the emergency waiting area of the China-Japan Friendship Hospital was still crowded. Photo by Xie Fei.
It's nearly late at night, and the emergency department is still surging. Even this moment of saying goodbye to the old and welcoming the new is nothing more than an ordinary night for health care workers.