Author＼Yuanqi.com

The utilization of emergency resources has become a hot topic in the medical community. A Kuomintang legislator was injured by a door and sent to the emergency room of National Taiwan University Hospital. Politicians flocked to the emergency room for visits and even stopped in the critical area to take photos. This triggered strong criticism from the corporate union of National Taiwan University Hospital, and many medical staff were also dissatisfied. Emergency medical care rescues patients between life and death. Many doctors bluntly say that it is a doctor's bounden duty to save people. If they encounter privileges, minor illnesses, or drunkenness, they often make people roll their eyes and feel helpless.

Here is a list of the patients that most make emergency doctors look down upon. Please keep them in mind to avoid accidental landmines in the emergency room.

Emergency rules: "Quickly die" takes priority over "Registration"

Emergency rules include:

■"Registration" ” You may not be able to read it first, but you can read it first if you are about to “hang up”. ■ The emergency department provides emergency medical treatment, and it is not possible to visit other departments "on the way". ■ Please "fess up" and do not lie to the emergency physician to avoid delaying treatment.

"I came earlier than him, why did he see me first?" In the emergency room, patients are often heard loudly questioning the doctor, "I should see you first when I get there first." Gao Weifeng, a professor of the emergency department at Taipei Medical University, said that lightly Patients complaining about waiting too long is the most common dispute in emergency departments. However, in emergency departments, there is no such thing as first-come, first-served. The order of consultation is based on "injury classification".

Gao Weifeng said that the "injury classification" is divided into levels 1 to 5. Levels 1 and 2 are acute and severe cases and must be treated immediately. Level 3 refers to obvious illnesses, such as abdominal pain and shortness of breath. They are usually placed in the mild area, but must be dealt with within half an hour.

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Be mentally prepared to wait for a minor emergency call

As for For levels 4 and 5, the symptoms are relatively mild, with diarrhea, sore throat, foot pain, etc. being the most common symptoms. Usually, you can just go to the outpatient clinic, but if you insist on going to the emergency room, you must be mentally prepared to wait for at least an hour.

However, some patients with mild symptoms are confused and think that they have registered first. Why the nurse did not call them for a long time, but people who arrived later than him can see the doctor first, causing dissatisfaction. Some people feel dissatisfied because of this. Getting angry and yelling in the emergency room.

There are also many patients who request "drop-in" medical treatment. Some patients with mild symptoms use the emergency room as a health care center or medical beauty clinic. Fu Zhiyuan, the attending physician at the Department of Traumatology and Emergency Surgery at Linkou Chang Gung Memorial Hospital, said that a patient went to the emergency department complaining of a severe concussion after hitting his head three days ago. He requested a computerized tomography and a full set of health examinations, and his behavior was exaggerated.

Fu Zhiyuan said that if it was really a severe concussion, how could it be delayed for several days, clearly justifying the need for advanced imaging examinations. After refusing, the patient made a fuss in the emergency room, believing that the doctor was disrespectful of human life and had no medical ethics.

It is impossible to get medical beauty treatment in the emergency room with minor injuries on the face

There are also patients with minor injuries on the face who ask emergency specialists to perform plastic surgery and make their faces beautiful as soon as they arrive at the clinic. However, Emergency doctors are only responsible for stopping bleeding, treating wounds, and avoiding infection. How can they help with cosmetic surgery?

An emergency physician revealed that he once encountered a young man in the clinic who was bleeding due to popping a pimple. He complained that he was worried about excessive blood loss and went to the emergency room. In fact, such symptoms only require applying medicine and treating the wound, which takes less than 5 minutes. I don’t understand why health care resources are wasted.

Emergency conditions change rapidly. If the doctor is not fully informed of the physical condition, it often causes trouble for the doctor. The two biggest lies spread by emergency doctors are "I didn't drink" and "I'm not pregnant."

Fu Zhiyuan often encounters patients who crash due to drunk driving. Doctors ask if they have been drinking to determine their state of consciousness. However, patients may be worried about the accident being recognized or insurance not paying out claims, so they often deny it immediately.

It is also common to deny pregnancy. Fu Zhiyuan once admitted a female patient to the emergency room who complained of stomach pain and required an X-ray. However, the initial examination suggested that it was a gynecological problem. He asked whether she might be pregnant but repeatedly denied it, which only caused trouble for medical staff. .

Drunk and drunken patients often suffer from headaches for emergency doctors

In addition, considering the hidden secrecy, "domestic violence" usually does not tell medical staff directly when a female patient comes to the hospital. , there were obvious traumas on the head, face, limbs, etc. It was judged that he had been subjected to domestic violence and was required to report to 113. However, when asked about the reason, he refused to tell directly and only said that he was hit by himself.

Drunken road users are frequent visitors to emergency rooms and are the most troublesome cases for emergency doctors. Almost all of them are familiar faces. They are taken to the emergency room by ambulance and regain consciousness after treatment. They usually have no money to pay for medical expenses. The hospital had no choice but to admit that it was unlucky, but a few days later, he was sent to the emergency room again.

The emergency department is already busy enough and people still come to the door to cheat money

In addition to emergency department doctors, in recent years, many emergency doctors have also encountered scammers. The plot is similar, and one of them A young man went to the emergency room for help, claiming that his child had intussusception and needed medical attention. He had lost his health insurance card and he was from a low-income household and had no money. He cried while talking, which made people feel pity for him.

Lu Lihua, director of the emergency department of Children's General Hospital, said that the man went to the emergency department with a referral form and stated the child's condition to the doctor. He had abdominal pain, vomiting, and stool like strawberry jam. The clinic doctor diagnosed it as intestinal tract infection. Intussusception and symptoms of shock must be transferred to a large hospital for emergency treatment.

The man’s acting skills were superb and he cried while talking. In addition, the referral form clearly contained professional medical descriptions in English. Several emergency doctors felt sympathy, and together with the nursing staff, *** I donated more than 4,000 yuan for the man’s emergency treatment and told him to send his child to the emergency room as soon as possible. Unexpectedly, he never showed up again.

Patients who exercise privileges rank first in the emergency department

However, the biggest headache for emergency physicians is patients who exercise privileges. Fu Zhiyuan pointed out that "privileged" patients and their families are always When he arrived at the emergency department, he started to build relationships, saying that he was very familiar with the dean or director, and even moved out legislators and officials to try his best to reserve beds. However, the emergency room has a bed allocation principle, and the attending physician really couldn't do it. " There’s no point in looking for me.”

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In fact, it is not new for specific people to receive special treatment in hospitals. Recently, in an anonymous forum that only doctors with licenses can log in to, "legislators from National Taiwan University Hospital seek medical treatment or Please refer to the "Operation Procedure Chart for Care". For legislators' outpatient appointments with special emotional intelligence doctors, the emergency procedures also specify "placement in severe areas for treatment or observation." Relatives of committee members or committee voters have relevant procedures, which specify various care, emotional intelligence, and priorities. Arrangements for hospitalization and changes in examination schedule.

In this regard, the union asked the National Taiwan University Hospital to make corrections and invited frontline medical staff and other union representatives to discuss it. Legislators should also queue up for medical treatment. Specific people should not be allowed to jump in the queue directly without going through medical examination and triage. Consider protecting the privacy and medical rights of all patients and ensuring equality.

Reprinted with permission from Yuanqi.com Original source: Be careful of 4 major landmines when entering the emergency room! 2 big lies you should never tell...