The doctor explained that the patient's condition was still unstable. Although he is awake now, it doesn't mean that there is no possibility of aggravation. The purpose of living in intensive care unit is to observe closely and find out the changes of his condition in time, so as to take timely intervention measures and reduce the occurrence of late complications.
However, no matter what the doctor says, it can't change the views of family members. They kept the patient from going to bed for a long time, and when they brought him, they let him lie on the flat car, so that doctors and nurses could not take further treatment and nursing measures, and the emergency nurses who sent the patient could not leave.
In desperation, the doctor once again called one of his family members to the doctor's office and repeatedly talked about the interests. After fierce ideological struggle and repeated discussions, the family finally agreed to let the patient live in the intensive care unit.
After only a few hours, the patient's consciousness has deepened before his family members have come out of their views on doctors. It turned out that when the nurse observed the condition, she found that the patient who could have answered the question had no response at this time, and the original sober state turned into a coma. The nurse immediately told the doctor, and the doctor immediately accompanied her to review the CT. As expected, the amount of bleeding increased significantly.
After that, everyone was busy. Emergency preoperative preparation and "minimally invasive drilling hematoma drainage" operation. After the operation, the patient was unconscious, intubated, paroxysmal shortness of breath, and his condition was extremely unstable.
At this time, the family members never mentioned anything that should not be admitted to the intensive care unit, but listened to everything the doctor said as an imperial edict.
Perhaps, at this moment, they really understood the good intentions of the doctor's original decision from the heart.
Any profession has professional ethics that any profession should abide by, especially doctors. In the face of a once-in-a-lifetime life, as medical staff, we dare not slack off. In the face of life, all the grandiose reasons that affect the treatment of patients are pale and powerless; In the face of life, all human factors that are not conducive to the transition of patients' diseases will not be recognized by everyone. The reason why doctors can firmly and confidently stick to their own judgments is not influenced by the narrow thinking of patients' families. There is only one reason and starting point, that is, standing at the commanding heights of life, with no distractions and selfish distractions.
So, why do doctors let patients live in the intensive care unit when they are conscious, instead of the general ward?
1. This disease is not stable at the initial stage.
Many people have a misunderstanding that as long as they get to the hospital and doctors start to intervene, the disease will develop in the direction they imagine. As we all know, many diseases are unstable at the initial stage of onset, and the development of diseases will not be transferred by human will. You will make any progress as long as you want.
Many clinical experiences tell us that the temporary stability of patients' condition is sometimes just the appearance of life. Don't be fooled by the appearance of the disease itself, but see the essence of the disease clearly and have foresight.
Just like patients with hypertensive cerebral hemorrhage, being conscious temporarily does not mean that the condition will not deteriorate. As time goes on, the amount of bleeding in those parts that rupture and bleed sometimes increases. Moreover, with the increase of blood loss, patients' brain edema will become more and more serious, and will gradually decline after reaching a certain peak state, and some patients' edema peak will even last for more than ten days. Therefore, patients with brain injury or surgery will not be relieved in the first few days, but will get heavier and heavier, and the brain edema will develop better after the peak.
Sometimes, the change of disease needs timely intervention by nurses with discerning eyes, and nurses in intensive care unit have this ability.
2. The intensive care unit is adequately staffed, able to detect changes in the condition in time and take timely intervention measures.
As all the medical staff working in the hospital know, each intensive care unit has a special person in charge, and the number of patients each nurse is responsible for is limited. Although nurses will be very busy, although the pressure will be much greater than that of nurses in ordinary wards, after all, every patient is in the sight of nurses. Once any patient's condition changes, the nurse will find it at the first time, and will also inform the doctor at the first time and take corresponding intervention measures. Strive for the best opportunity of rescue and operation, reduce the occurrence of postoperative complications, improve the quality of life of patients to a certain extent, and reduce the economic burden brought by follow-up rehabilitation to their families.
Nurses in general wards have no conditions for panoramic observation of all patients. At special time in the evening, one person is often responsible for managing dozens of patients. No matter how busy a nurse is, it is impossible to cover everything.
3.ICU rescue equipment is complete, which is convenient for rescue.
As we all know, the intensive care unit is equipped with advanced rescue medical equipment. Usually, there is a special person to check the management every day, and he is always in an emergency standby state. When a patient is in a life-threatening situation, all kinds of instruments and equipment can be put into use at any time to buy time for rescue and escort life.
And these equipment and instruments are not available in ordinary wards.
4. The environment in the intensive care unit is relatively quiet, which is helpful for the recovery of the disease.
The difference between intensive care unit (ICU) and general ward is that people come and go, and relatives are not allowed to visit. Compared with the open environment, the relatively quiet environment in ICU is more conducive to the rehabilitation of patients with hypertensive cerebral hemorrhage and other diseases that are greatly affected by emotions.
When people are sick, their psychology will become more fragile and vulnerable to external stimuli. Often a word of concern from a visitor can cause great fluctuations in the patient's heart. These are not difficult to see from the rising heart rate and blood pressure figures on ECG monitors. The case of rebleeding caused by sudden increase of blood pressure after emotional fluctuation is not unheard of in clinic.
So we will emphasize the importance of not letting visitors over and over again, but people who know you will understand eventually. People who don't know you will only think that you don't know how to put yourself in the other's shoes, don't consider it from the perspective of your family, and some even compare things with the staff's family.
Those who are accused for no reason, those family members can get shot while lying down, and perhaps only those who are in it can deeply understand it.
5.ICU is in a closed state, and disinfection in place can reduce the probability of infection and reduce the occurrence of complications.
The intensive care unit is closed, with less personnel flow and complete disinfection facilities. The sterilizer is turned on regularly every day. Compared with the general ward, the probability of relative infection of the same patient here may be much lower, and the probability of postoperative complications will be relatively lower. In this way, the hospitalization days of patients will be shortened, and the economic burden of families will be reduced to some extent.
As the saying goes, interlacing is like a mountain. What's more, medicine is a highly specialized subject.
Facing life, each of us should learn to respect. In front of your career, don't use your own heart to measure the goodness of others, and don't use your own arbitrariness to guess other people's judgments. Please believe that if you give doctors a trust and confidence, they will repay you with 100% efforts and persistence.