Chapter 1411： Why are you biting? (1/2)

”Next, we will discuss a key case. Most of the patients who were admitted to the ICU two days ago should have seen it.” Huo Congjun and Ling Ran finished talking, and then someone pulled out the PPT and said, ”Falling from a height. In patients with multiple injuries, there are multiple fractures from the cervical spine to the tail spine, and multiple organ injuries, respiratory function damage, shock, hemorrhage and pneumothorax in clinical rescue, all of which have been targeted for rescue. Do you have any suggestions for the plan? Well, let's make a suggestion first, and then wait for the consultation in the hospital before putting it forward.”

Such patients are naturally not handled by an emergency department, nor can they be handled by orthopedics or ICU, but they must be dealt with in conjunction with neurosurgery, general surgery, anesthesiology, and nursing department to discuss countermeasures. It is a typical case that requires multidisciplinary joint diagnosis and treatment.

Huo Congjun now likes to take similar cases for consultations. It’s as if there is Li Yuanba’s under his hand and he wants to fight with people. If he has Zhang Yi under his hand, you want to play diplomacy with people. If you have Monkey King’s under his hand, you just want to. With the number of Maomao, if you have Kato Taka under your hand, you want to talk with the number of Maomao, and if you have Einstein under your hand, you want to talk with the number of Maomao.

Huo Congjun looked at the whole hospital, as long as it was surgical in nature, as long as multi-disciplinary joint diagnosis and treatment was initiated, there was no one who could do it.

Clinical medicine has never purely talked about theory. The most normal mode is to link theory with practice, and practice with a greater weight.

In the same multidisciplinary consultation, the person who proposes the plan must first be able to implement the plan. It’s like everyone knows that beating heart surgery has many advantages over beating heart surgery. You can’t do it, and no one in this hospital can do it, or you can’t even invite anyone to do it. Then the proposal of this plan is meaningless.

This is true at Mayo Medical College, and it is the same at Bazhaizi Township Hospital.

Huo Congjun is not very sure about Ling Ran’s judgment, so he said flexibly: “Traditionally, we usually use conservative treatment for this kind of severe bone and joint trauma, because the risk of surgery is relatively high, but conservative treatment is not necessarily The fracture site can be satisfactorily fixed, and after treatment, active bleeding is prone to occur. However, in recent years, with the in-depth clinical research, some scholars also believe that surgery should be carried out immediately after the condition is stabilized through early resuscitation... For this type of patients, our hospital usually adopts a one-symptom one-diagnosis model. Therefore, you don’t have to have too much psychological burden. You can talk about any ideas you have. This is also the purpose of today.”

”Is the patient awake? What do the family members think?” Doctor Zhou asked.

”The patient's mental condition is not stable. The family members, mainly the patient's wife, are still inclined to take active treatment.” Huo Congjun paused and said: ”Conservative treatment may cause disability, and the risk of vegetative people is the other party. It's unbearable.”

With the latter sentence, the doctors present were all clear in their hearts.

”Then basically it can only be active surgery?” Zhao Leyi, the attending doctor in the same year as Dr. Zhou, suddenly felt a little emotional, and said: ”This is why you should treat your wife better. In the emergency department, surgery or no surgery is all. People make the decision. Everyone should go back and buy a bag for the wife as soon as possible.”

”Will you go on stage without buying a bag?” Director Tao laughed.

Director Li next to him said seriously: ”What if someone out there buys two bags for your wife.”

”Your sense of crisis is a bit heavy.” Director Tao tweeted.

Huo Congjun coughed twice, and brought the topic back, saying: ”The opinions of the patient's family are one aspect, and we have to come up with strategies. In addition, the patient's family also has the idea of ​​transferring to the hospital. If you are not sure, you can also transfer to the hospital. acceptable.”

Yunyi’s emergency department is already an emergency department, and Huo Congjun can still consider the issue of transfer, which can explain many problems, so everyone becomes more solemn.

However, this time, Ling Ran did not wait for others to speak, and directly said, ”Surgery has advantages. This patient can be given to our group.”

Originally suffocated, the people who were about to speak all vented away.

In a complicated case, there is a lot to say about whether to take conservative treatment or active treatment. A doctor who is familiar with the situation can even speak tens of thousands of words with himself.

In other words, if Ling Ran put forward any opinions, there will be those who support it and those who oppose it. But when he added the latter sentence, the opposition he received was almost non-existent.

You do what you do. This is happening almost every day in the surgical industry.

However, the most frustrating thing in the field of surgery is that there are always some people who can really do ”you can't do me”.

In fact, the probability of this situation in the hospital is too high. Most of the directors, deputy directors, and chief physicians may go into battle before scolding others, doing what the doctors can't do, and then swearing.

”Don't say so absolutely.” Huo Congjun stood up and persuaded instead, smiling and asking: ”What is the idea of ​​orthopedics?”

The orthopaedic attendant is confused. Can you ask me about this level of cases?

”I haven't done this kind of surgery.” The orthopedic chief gave up the treatment, anyway, in the meeting room of the emergency department, the degree of shame was not too severe.

As expected, Huo Congjun calmly said: ”If we come up with a plan here, we will discuss it with the orthopedics department. Let's talk freely. What problems do you think this plan has to solve?”

The risk of denying a plan is much lower than that of agreeing to a plan. Orthopedics is not too embarrassed. He said: ”This kind of traumatic orthopedic surgery will definitely cause heavy bleeding.

”Heavy bleeding can be resolved.” Ling Ran read the MRI film carefully and answered calmly.