Practicing Medical Skills in a Small Clinic-Chapter 287 - 162: Master and Disciple Collude, Another Life Saved (3)
Li Jingsheng hadn’t expected something like this would truly happen.
He felt a bit uneasy looking at the girl’s leg injury.
Initially thought it was a meniscus or ligament tear, never expected it would end up as a venous thrombosis.
Of course, he wasn’t entirely sure at the moment.
This was a young life, even the slightest suspicion would make him consider the worst-case scenario.
The girl was terrified hearing how serious he made it sound.
She hurriedly hung up the phone and quickly dialed 120 for emergency rescue.
A few minutes later, she called again.
"Doctor, I followed your instructions and called for emergency help. I’ve informed the dormitory management and teachers. What’s the next step? Zhao Qi’s breathing is very heavy, it’s really frightening!"
On the other end of the line, the girl asking for help was already on the verge of tears.
"Don’t panic, find someone to help carry her down, so it’s easy for the ambulance to get her on for emergency care as soon as it arrives. Try to keep the patient lying flat, with her feet elevated. If her breathing stops abruptly, you can perform CPR."
Li Jingsheng calmly guided the emergency rescue.
The significance of CPR in cases of pulmonary embolism is quite limited, but that’s how doctors are; even if there’s only a 1% hope, they’re willing to put in 200% effort to save lives.
"Okay, okay, thank you!"
She hung up the phone again.
With this situation, Li Jingsheng no longer felt like reading, quietly waiting for the result.
College campuses usually have campus physicians, but their skills are often quite limited.
To save a life, it requires hospital emergency rescue.
If the emergency physician isn’t so rigid, bringing thrombolytic and anticoagulant drugs, perhaps there’s still hope for the patient.
Although pulmonary embolism is terrifying, if detected early, there are still quite a few rescue methods.
About ten minutes or so passed, the call came again.
It was the same girl.
"The emergency doctor has arrived, he’s from the Second Hospital. He wants to know about the situation from you, is that okay?"
"Give the phone to him!"
Li Jingsheng naturally wouldn’t refuse.
"Hello, are you the doctor from Sunshine Clinic?"
"Yes, I’m Li Jingsheng from Sunshine Clinic."
"Hello, Dr. Li, I’m the on-duty doctor from the Second Hospital’s emergency department, I’ve heard of your name. The patient’s condition has now fallen into a mild coma, with slight cyanosis on her face and nails, breathing difficulty, with noticeable sprain and traces of red oil applied on the right knee. Do you suspect venous thrombosis?"
Li Jingsheng had already gained some ’fame’ within the emergency department of the Second Hospital.
He found this rather helpless.
Just Old Zhao alone contributed two emergency opportunities.
Recently, the emergency vehicle from the Second Hospital had come to his clinic several times to take people.
Consider it ’fame’ spread out.
"I suspect this patient is likely to have pulmonary embolism. If you have thrombolytic drugs on hand, administer them first, taking her to the hospital may miss the best rescue time."
Faced with such emergency patients, doctors have a certain amount of autonomous medication rights.
Even if the medication goes wrong, being sued by the family is unlikely to lead to conviction.
"Okay!"
After hesitating for two or three seconds, the other side replied with a single word.
The phone was probably handed back to the girl, no hung-up tone, and no further conversation with him.
"Give her a vein injection of urokinase and see how it works! If effective, immediately add anticoagulant drugs."
The male doctor’s words came faintly.
Urokinase can activate plasminogen, speed up fibrin dissolution, and help dissolve thrombosis in veins.
Streptokinase, alteplase, reteplase, and other medications are also often used for thrombolysis.
Aspirin enteric-coated tablets, clopidogrel hydrogen sulfate tablets, and tirofiban hydrochloride sodium chloride injection are commonly used in venous thrombolysis. However, tests like blood routine and prothrombin are often needed before use.
This kind of emergency rescue, vein injection of urokinase is a relatively quick-acting method.
Li Jingsheng wanted to hear more, but the phone had already been hung up.
With time passing by minute by minute, he wondered what the medication result would be.
Around twelve o’clock or so, just as he dozed off, the phone ringing woke him up.
Looking at it, it was the girl calling again.
"Dr. Li, thank you, thank you. My classmate Zhao Qi has temporarily escaped life-threatening danger after the rescue! The hospital doctors and nurses are praising you, saying your judgment was accurate, she truly had venous thrombosis, and it was a pulmonary embolism. They said the survival rate for this condition is particularly low. Really, thank you so much."
The girl on the phone was filled with endless gratitude towards him.
"You’re welcome, it’s what I’m supposed to do. In the future, if you experience lower limb injuries while playing basketball, make sure to be vigilant about venous thrombosis."
Li Jingsheng was very pleased to hear the patient was out of immediate danger after the rescue.
Any anger from nights interrupted by the call had long dissipated.
After ending the call, he checked the attribute panel.
It was amazing.
Rescuing a patient over the phone actually increased his health points by 100.
Then, under the diagnostics section, a chest surgery diagnosis was added.
It was considered an unexpected delight.
Chest surgery diagnostics involve a wide range of areas, initially, it was inseparable from cardiac surgery diagnostics.
Later, as large hospitals increased, hospitals engaged in competitions, doctors were also evolving to enhance their specialties. Eventually, cardiac and thoracic surgery split into Cardiac Surgery and Thoracic Surgery.
Notably, the status of thoracic surgery was relatively lower.
Previously, cardiothoracic surgery was a top-notch surgery department, post-split, Cardiac Surgery remained strong, while the status of thoracic surgery became somewhat awkward.
However, in recent years, with the rising incidence of tumors, thoracic surgery’s status is rapidly elevating.
Primarily focusing on lung procedures, it also covers mediastinum, esophagus, etc.
Then, with the rise of thoracoscopic surgery in recent years, this long-overlooked department shines once again.
For Li Jingsheng, chest diagnostics are not much use now.
It’s no burden to have more skills, setting it aside and improving upon it when needed in the future won’t be too late.
