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  Accurate specialist triage needs to rely on the first doctor in the emergency department. Triage errors, calling a specialist in the wrong department, and these delays in the middle can be fatal for some patients.

   So the inpatient doctor is not saying that he is unwilling to go down to save the patient, but that you mistakenly told me to go down because it was not my accident but the patient\'s accident.

  A person who has been in the clinic for a long time will know that some medical disputes in the emergency department originated here.

   After listening to the heart and chest, the doctor may also think that the injury of the injured person has little to do with the heart and chest, and turned to fire at the neurosurgery: "Have you read it? A patient has been watching for so long?"

   These words are enough to show that others secretly dislike the gossip that Dr. Guan takes a long time to see a doctor, and some of them fall into the ears of Dr. Guan. Doctor Guan can finally catch other people\'s dissatisfaction.

   As long as others are not good, it can be proved that he is not a doctor who is not good at skills.

   Although the doctor may have this little thought in his heart, Zhang Desheng and other students who were present felt that they could guess it.

   Zhang Desheng and Li Qi\'an immediately cast their eyes at classmate Geng Pan: Hello, work, he said you guys.

   said it was impossible for them to procrastinate for half a day. Classmates Pan and Classmate Geng had time to calculate this, because they were afraid that they would be mocked by the cat Song for being scumbags after staying there for a long time.

   "We came down in less than 20 minutes." Geng Yongzhe said that it was faster than seeing a patient for more than half an hour with Doctor Guan.

   "What is the situation, say." Doctor Guan asked him to tell the evidence.

   "The injured person did not show any symptoms of abnormal nervous system. If the eyes are swollen, seek treatment from an ophthalmologist." Pan Shihua and Geng Yongzhe replied.

One or two said that the patient was not a patient of his own department, which made Dr. Guan who wanted to transfer the patient a little anxious. He pointed to the patient\'s face and asked, "His eye is so swollen, you are sure that there is something inside his head. Will it be alright?"

  The injured person had a bruise around his left eye. The eye is on the human brain, and it is normal to worry that the brain will be damaged if the eye is damaged. It\'s just medical evidence, not just speculation.

   Xie Wanying added the words of the two classmates and said to Doctor Guan: "Teacher, are you worried about a skull fracture?"

   Periorbital injuries, if accompanied by head injury, most commonly a skull fracture.

  Skull fractures are divided into calvarial fractures and skull base fractures, of which the skull base fractures are subdivided into anterior cranial fossa fractures, middle cranial fossa fractures and posterior cranial fossa fractures. These categories are based on the anatomical location of the fracture. The periorbital area is therefore anatomically attached to the anterior cranial fossa. If this patient is considered to have a periorbital skull fracture, it should be an anterior cranial fossa fracture.

   "Fractures of the anterior cranial fossa usually manifest as periorbital and subconjunctival congestion spots, rhinorrhea of ​​cerebrospinal fluid, and olfactory and optic nerve injuries." Xie Wanying added.

  What is the condition of cerebrospinal fluid rhinorrhea, you can refer to the worker from the National Energy Group who was injured by a high-altitude fall in the emergency department.

   There is currently no effusion in the nasal cavity of this patient.

   Olfactory nerve injury is the abnormal performance of the injured person\'s sense of smell, hyposmia, anosmia, hyposmia, hypersmia, olfactory hallucinations, etc. This only needs to be a little more interesting for the patient to ask about the basics.

   Vision injuries are not always caused by skull fractures.

   (end of this chapter)