Chef Wu, who has no relatives in Han, has a sudden cerebral hemorrhage, so he can't sign it

The doctor stepped forward: operate first, and I will bear the responsibility

Recently, Master Wu, who has no friends in Han, has a sudden cerebral hemorrhage, and if he doesn't operate in time, he may become a vegetable. Dr. Zhou Zhaowen, director of neurosurgery at Liyuan Hospital, broke the precedent for him. In a critical moment, he said, "Surgery first, I will bear the responsibility" and snatched Master Wu back from the hands of death. After the operation, Master Wu turned the corner and was discharged smoothly yesterday.

A 42-year-old catering chef has a sudden cerebral hemorrhage

No one in Han has friends and no one to sign

Master Wu is 42 years old and is still single, working as a catering service in Wuhan. When I got off work last Monday, my left leg suddenly became weak, I couldn't walk normally, and my hemiplegia was obvious. When I was discovered by my colleagues, I suddenly fell to the ground, and my mind was blurred. After that, I was rushed to Liyuan Hospital by 121 ambulance.

After CT examination, Master Wu was found to be in a coma with hemorrhage in the right basal ganglia of his brain, and his condition was very critical, requiring immediate operation.

However, Master Wu's family situation is very complicated: at present, he works alone in Wuhan, his father and sister have long died, his brother is still serving his sentence, and there is only a 75-year-old mother at home, and his colleagues dare not rashly sign the consent form for surgery.

As the golden time of the operation passed by, the doctor tried his best to get in touch with Master Wu's mother while making preparations for the operation.

"Let's operate first, and I'll bear any responsibility"

The surgeon rushed to operate in prime time

However, after many contacts, Master Wu's mother was far away in Guizhou, and she couldn't write, so she couldn't get here in time to press her fingerprints. "Surgery first, I will bear any responsibility." The words of Zhou Zhaowen, the surgeon and director of neurosurgery, made the anxious medical staff start to operate immediately. Director Zhou Zhaowen also asked the hospital leaders for instructions and got the consent of the hospital leaders.

The whole operation lasted only 31 minutes. The operation was performed with minimally invasive skull drilling+soft catheter hematoma aspiration+urokinase. On the third day after operation, the head CT showed that Master Wu's intracranial hematoma had basically disappeared.

Director Zhou explained his choice to our reporter yesterday: According to the routine, the operation must be signed by the patient's family members or himself. However, Master Wu was suffering from massive hemorrhage in the right basal ganglia of his brain at that time, and the situation was very critical. If the family members arrive, on the one hand, it may aggravate his illness; on the other hand, with the occurrence of brain injury, he may become a vegetative person in the future, which will bring great trouble to his future recovery.

"I also consider that under normal circumstances, the operation can only be performed with the signature of my family or myself, but the patient's condition is critical and I don't want to miss the golden rescue moment." Zhou Zhaowen repeatedly stressed to reporters.

I was confident in the operation at that time.

I didn't expect audio and video recording and other protective measures.

When asked what to do if there were problems in the operation at that time, did you ever think about taking audio and video recording and other protective measures? Zhou Zhaowen said with a smile: "At that time, the situation was urgent, and there was no time and energy to do this. I am a professional brain surgeon with relatively rich clinical experience. Before the operation, I will have a comprehensive prediction and grasp before I can perform the operation for the patient. I have done many related operations before. At that time, Master Wu's condition was really critical, and the patient's life was above everything else, so I immediately made up my mind to operate. "

The patient's mother came to have her handprint repaired

Master Wu walked out of the hospital yesterday

After the operation was successful, Director Zhou Zhaowen called Master Wu's mother in Guizhou to report her safety. He told the old man that her son had turned the corner now, so she didn't have to worry. "Old man, you have time to come as soon as possible and press a handprint on the consent form for surgery."

Three days later, Master Wu's mother rushed to the hospital from her hometown in Guizhou. When the old man saw Director Zhou, he burst into tears: "Doctor, thank you! If it weren't for you, my son would definitely be gone! "

In view of Master Wu's financial situation, Director Zhou Zhaowen also applied to the hospital for a corresponding reduction in the comprehensive treatment expenses such as operation expenses.

When he was discharged from the hospital yesterday, Master Wu had completely recovered his limbs and walked out of the ward happily.

when the patient has to be rescued, no one signs

the person in charge of the hospital signs

the doctor exercises the power of emergency treatment

when the patient has to be rescued by surgery, no one signs. Who will be responsible at the critical moment? Yesterday, the relevant person in charge of the Medical Administration Department of the Municipal Health Planning Commission said that saving lives is always the first priority, and many laws and regulations have clearly defined this.

The relevant person in charge said that in order to rescue the patient, no matter whether the patient is a person with full capacity for civil conduct, limited capacity for civil conduct or no capacity for civil conduct, the person in charge of the medical institution or an authorized person in charge can sign it if the legal representative or a close relative or related person cannot sign it in time.

Article 56 of the Tort Liability Law stipulates that if the opinions of patients or their close relatives cannot be obtained due to emergency situations such as saving dying patients, the person in charge of the medical institution or the authorized person in charge can immediately implement the corresponding medical measures with the approval, which belongs to the doctor's exercise of emergency disposal right and the emergency hedging behavior stipulated in Article 129 of the General Principles of the Civil Law.

article 33 of the regulations on the administration of medical institutions stipulates that when patients' opinions cannot be obtained and no family members or related persons are present, or other special circumstances are encountered, the attending physician shall put forward a medical treatment plan and implement it after obtaining the approval of the person in charge of the medical institution or the authorized person in charge.

Article 11 of the Basic Specification for Medical Record Writing stipulates that in order to rescue patients, the person in charge of a medical institution or an authorized person may sign it if the legal representative or the authorized person cannot sign it in time.

The reporter found that it is not uncommon for patients to be in urgent need of surgery without signature. In case of emergency, doctors should report to the hospital in time, do their best to save lives, and at the same time, contact their families as much as possible to reach verbal approval and avoid risks.