When a doctor opened a plug-in

What Bai Jianming said is right. For these patients whose temporary diagnosis is not clear, but the problem is not serious, transfer to the department is more appropriate.

After all, if the patient's condition is stable, free up emergency resources as soon as possible to make room for those in need.

Moreover, after arriving at a specialist, you can better receive diagnosis and treatment. Doctors are also specialists, and they spend less money, and the reimbursement ratios are different.

The cost of emergency care is still relatively large.

However, at this moment, Chen Cang suddenly frowned as he watched the film.

"I... can I see the film?"

Bai Jianming glanced at Chen Cang, and was taken aback for a moment: "Little Chen?"

Chen Cang smiled: "Good Director Bai."

Bai Jianming nodded and handed the film to Chen Cang: "Well, here it is."

Chen Cang took the film and watched it carefully. What he had just watched behind him was not very clear, but now he is closer, he can see it more clearly.

Indeed, the mediastinal shadows on the chest radiograph were all normal and no significant bleeding was seen.

But... he found a difference in a subtle place!

After Chen Cang saw it, he couldn't help but said, "Director Bai, I think...or else do a CT and retrograde aortic angiography first. I am worried that the patient has an innominate artery laceration."

Hearing Chen Cang's words, Bai Jianming picked up the film and watched it carefully.

But... did not find too many distinctive features.

Then he looked at Xiao Chen, but did not look down on it, but said lightly: "If it is the injury of the innocent artery, the x-ray can see the shadow of the mediastinum on the same side widened.

Moreover, the pulsation of the ipsilateral radial artery and (or) carotid artery disappears or weakens, and signs of severe internal bleeding, cardiac tamponade, or tracheal compression may appear immediately."

While talking, he took Chen to the rescue room. After a check, he found that his pulse was all normal, not to mention the performance of cardiac tamponade and tracheal compression.

Chen Cang hesitated, could it be that he was thinking wrong?

But his chest imaging examination is perfect!

He vaguely remembered that there was a possibility of innocent artery contusion in this film.

Thinking of this, Chen Cang decided to remind him.

"Director Bo, in fact, not all innominate arterial injuries will have significant X-ray manifestations. For example, distal injuries, in fact, the pulse can be normal, and the characteristic of X-ray examination is not obvious, and the diagnosis is also very troublesome, so I still I think we can at least take a CT shot before talking..."

Bai Jianming frowned slightly, as if he was a little dissatisfied with Chen Cang's question.

But he didn't speak, just smiled faintly: "Well, I know."

Chen Cang saw that all aspects of blood pressure on the patient's monitor were normal, and he had a clear consciousness, so he didn't say anything.

Thinking of this, Chen Cang didn't say much. The reminder was also reminded. It's just that if you check in the emergency department in advance, you should find out and prepare early.

If the transfer procedure is delayed, the time will inevitably be delayed.

But... it won't have much impact.

So Chen Cang turned around and left, and walked directly towards the heart surgery.

Upon seeing this, Wu Peng glanced at Bo Jianming awkwardly, and said, "Director Bo, or... let's do a CT first?"

"Retrograde aortic angiography?"

Seeing Wu Peng doing this, Bai Jianming looked at the patient and thought about it, then shook his head: "It's okay..."

Just when Bai Jianming was about to speak, Wang Xiangjun walked in.

"director!"

"Director Wang!"

The two nodded.

Wang Xiangjun said, "What's the situation of the patient?"

Wu Peng gave an explanation and then took out the film.

After watching the film, Wang Xiangjun found nothing, but watched Chen Cang leave just now, and asked: "I saw Xiao Chen coming here just now. What does he suggest?"

Wu Peng said: "Dr. Chen meant to have an examination as soon as possible before transferring to another department. He was worried that there would be damage to the distal side of the innominate artery. He said that nothing could be seen in the film..."

Bai Jianming smiled: "It's okay, Director, I know it in my heart."

After Wang Xiangjun heard this, he was taken aback.

Although he clearly knows that Chen Cang and Bai Jianming still have a big gap in their qualifications, insights, and comprehensive level, for some reason, Wang Xiangjun still tends to believe in Chen Cang's choice.

Thinking of this, Wang Xiangjun said: "Xiao Wu, you take the patient to get a CT. To be on the safe side, what happened is really going on, and the film will come out and show Doctor Bai quickly."

As soon as Wu Peng heard it, he nodded quickly, turned around and gave a doctor's order, and took the patient for examination.

Emergency check-ups are relatively fast, which is equivalent to the meaning of a green channel, basically without queuing.

And if it is sent to the inpatient department, even if you write "emergency check"!

But it is much worse than the emergency department.

Seeing Wang Xiangjun speaking in person, Bai Jianming was too embarrassed to say anything, so he waited.

After ten minutes, Wu Peng ran over panting, holding the film in his hand.

After seeing Wang Xiangjun and Bai Jianming, he immediately said anxiously: "There is really a problem!"

When the two heard this, their expressions suddenly changed!

I hurriedly took out the film and took a look, and I saw the difference!

After Bai Jianming saw it, he was a little dumbfounded. Chen Cang had guessed all of this!

wrong!

This should not have been guessed, Chen Cang must have seen something strange on the X-film.

But... this x film is basically normal!

Are there any details that I have not discovered?

Thinking of this, Bai Jianming couldn't help being a little scared. Fortunately, he had a timely checkup. If he waited until the transfer, the patient might not be in danger of life, but... there would be too much toss and panic.

Now it's good, you can deal with it calmly!

Organize surgery in time!

Thinking of this, although Bai Jianming did not want to admit it, he was full of curiosity and admiration for Chen Cang in his heart!

This Xiao Chen is really...something.

Actually, the reason why Chen Cang didn’t specify it is because it is not statistically significant. X-films are normal, but there are some subtle differences that can be used for reference. , I understand these details thoroughly!

And Wang Xiangjun took a deep breath!

Xiao Chen is too evil, right?

Can this be found?

Wu Peng saw the appearance of the two, and his heart was full of waves. Chen Cang was not that old, and he was not much worse than Director Bai, who was in his forties.

But the iron proof is in front of you, which makes people feel a little bit emotional.

Doctor Chen is too good, right?

The three looked at each other and saw emotion and happiness in each other's eyes.

Wang Xiangjun said immediately: "Check the blood and prepare for the operation in time."