medical simulator

"Mr. Luo, the right femoral artery! Let's ignore the peroneal artery." Zhou Cheng looked up for help.

He couldn't untie the tied femoral artery with one hand.

Hearing this, Luo Yun glanced at Zhou Cheng. Zhou Cheng's eyes were deep, and there seemed to be an unquestionable color.

Luo Yun immediately threw the tourniquet in his hand away!

It's a bit like a monkey going down the mountain, giving up halfway, but there are priorities!

Open a pair of gloves again, and take a sharp knife to cut the gauze when you are about to cut the gauze!

"Jingle Bell!"

"Jingle Bell!"

Luo Yun's phone rang.

Luo Yun knew that it might be Cai Dongfan calling, so he hurriedly said, "Help me answer the call, there is an emergency in the emergency department."

At the same time, the phone of Xie Cuizheng from the Department of Neurosurgery also rang.

"Say I'm in surgery!" Xie Cui Zheng also said.

The new itinerant nurse was about to cry, and hadn't stopped since entering the door!

In the end, she hesitated for a while, and chose to pick up Xie Cui Zheng first, and she seemed to be a little entangled!

When Zhou Cheng and Luo Yun saw this, their expressions changed slightly, but they didn't say anything. Xie Cui was the deputy director, and Luo Yun was just attending!

"Ms. Luo, go and answer the phone, I'm here to find blood vessels."

"You?" Luo Yun stared.

Zhou Cheng turned his right thumb in one direction, and gestured to Luo Yun for his volleying hand, "My hand has never been polluted!"

"The other side of the phone is also very important." Zhou Cheng took a deep breath while talking, and the right hand needed more strength!

Luo Yun immediately began to take off a glove without hesitation, and moved out of the way!

Then, while looking at Zhou Cheng, he walked sideways to the storage table, picked up the mobile phone, listened, and looked at Zhou Cheng. At this moment, he was using an incredible movement to stop the bleeding with one hand and hemorrhage with one hand. Look for the movement of the femoral artery.

And you must know that Zhou Cheng is right-handed, and the patient's right femoral artery is injured at the moment. He needs to press with his right hand, explore with his left hand, and cross his hands on his upper abdomen!

It's even more difficult.

"Okay, I got it!" Luo Yun nodded immediately after hearing this.

Hang up the phone and throw it directly on the storage table.

Walking to the operating table, seeing that Zhou Cheng's hands were stiff, he said, "Let me do it."

But at this time, Zhou Cheng's left hand has formed a strange movement of extreme shoulder lifting, elbow half, wrist extreme flexion and external rotation, metacarpophalangeal joint extreme retroflexion, and body side bending, as if digging an eel , Fingers back into the hole!

His right hand actually let go of the pressing action to stop the bleeding.

"Ms. Luo, the stump of the artery has retracted, I grabbed it. But I can't pull it out, I'm afraid the artery will break."

"You are going to cut and expose it!" Zhou Cheng raised his head, looked at Luo Yun and said.

The half palm of the left hand was directly inserted into the blood tofu, which looked extremely cruel.

"Director Cai asked you to go to the emergency department to participate in the emergency rescue on the car!"

"I've been trying to rescue the patient to the operating table, and let you run there!" Luo Yun said with a deadpan expression.

Zhou Cheng was taken aback, and looked at his left hand: "This is the femoral artery, Mr. Luo!"

I managed to find the ruptured femoral artery. When I pressed to stop the bleeding, my blood pressure had already risen, and now it has risen by 10mmHg.At this moment, as long as it is exposed and cut open, the blood pressure can be stabilized temporarily.

If you let go at this time, you don't know how much blood will come out at once!

It is possible to send Tan Yuanwen away in an instant.

When I didn't care about it before, there may be blood clots around the lumen of the blood vessel to stop the dart of blood!

Now I got rid of all the blood clots, if I let go, it would be bloodletting!

"Then if I leave, you just keep holding on to it?"

"Or I won't leave with you? No matter!"

"It will take at least 5 minutes to cut!" Luo Yun asked Zhou Cheng back.

Zhou Cheng's eyes, expressions and expressions all changed rapidly!

What Luo Yun said just now came true.

Let go, Tan Yuanwen may not necessarily die!But it is very likely that it will be gone!

If you don't let it go, then you are resisting the order?

What the hell is this thing?

Zhou Cheng just hesitated for five seconds and didn't reply.

Luo Yun continued to ask: "You go or I go. If you don't speak, I will leave!"

"Okay!" Zhou Cheng made a thought and made the final decision!

"Mr. Luo, go." Zhou Cheng's tone was very tangled.

But just at this time, the itinerant nurse said to Xie Cuizheng: "Dr. Mao in your department said that your director told you to go to the emergency department immediately. A firefighter came over there. After performing the task, his life is dying now, and he will be alive soon." Danger."

"Doctor Mao will come back immediately to take over your current operation!"

"Come here as soon as he comes! How can I let go!" Xie Cuizheng is not Zhou Cheng, he said politely, "Don't talk! I'm going to cut the meninges right away, get the suction device ready!"

Xie Cuizheng had already cut open the skull quickly, as if he didn't even have time to do the cooling down carefully.

Burnt smell bursts!

Luo Yun continued to glance at Zhou Cheng, but Zhou Cheng still had no intention of withdrawing his hand!

He went straight to the operating room.

At the same time, Du Yanjun and Zhang Zhengquan just rushed to the operating room!

Luo Yun hesitated for a moment, and took away Zhang Zhengquan who was about to enter the door: "You follow me to the emergency department, there must be a shortage of manpower there!"

"Ah?" Zhang Zhengquan was confused.

However, he had already been pushed away by Luo Yun's palm and walked for a while.

Du Yanjun was a little at a loss at the door of the operating room: "Ms. Luo, what about me?"

Luo Yun didn't reply.

When Zhou Cheng saw Du Yanjun coming, he was immediately overjoyed: "Yan Jun, you came at a good time, wash your hands and get dressed quickly, and come for the anatomical exposure of the femoral artery!"

Jun Du Yan was dumbfounded on the spot: "Huh?"

The exploration of the femoral artery is not a class I operation, it is a leapfrog operation.

Before walking far, Luo Yun remembered something, and hurriedly said, "Du Yanjun, go in quickly, do a femoral artery incision, don't be too wordy!"

Surgical Authorization.

In case of emergency, attendance may be granted by leapfrog.

Du Yanjun was terrified immediately, and hurried to wash his hands, and then put on his clothes.

Zhou Cheng freed his right hand and said, "Teacher on the tour, pour me a plate of complex iodine, put more sterile gauze in it, and prescribe a pair of sterile gloves for me!"

Now there are only him and Du Yanjun in the operating room.

Du Yanjun washes his hands first, so he can only wear gloves and disinfect one hand!

Manpower is limited, and it is too late to call someone.

The itinerant nurse looked at Zhou Cheng, hesitated, but the anesthetist said, "Hurry up, this doctor managed to stop the bleeding, and the blood pressure rose a little!"

"If his femoral artery is loosened, our operation can be stopped immediately and go back to rest!"

He probably also saw the intention of going on tour. Zhou Cheng was young and a young doctor, so he didn't know whether he should listen to him or not.

Zhou Cheng finished the substandard gloves-wearing movement with some difficulty, and then immediately picked up the gauze to disinfect his thighs!In fact, it was almost a pinch of blood mud.

Zhou Cheng's movements were not fast, because his left hand was fixed in a strange position, and he didn't dare to move around.

When Du Yanjun approached, he almost disinfected a small circle.

Du Yanjun asked: "Brother Zhou Cheng, do you want to lay the bill?"

"Put the small and medium orders, and the big orders will not be placed. Hurry up." Zhou Cheng said while twisting the direction his buttocks were facing, bowing his body and turning left and right to make room for the order.

when ready.

Zhou Chengcheng said, "Yan Jun, cut from here to expose the femoral artery."

Zhou Cheng pointed to the position about five centimeters below the femoral artery sheath in the groin, and said to Du Yanjun.

Du Yanjun is very tangled at the moment, Zhou Cheng's hand is still here, and this posture can also be seen, Zhou Cheng's hand is probably still inside, what if Zhou Cheng is cut?

"Brother Zhou Cheng, what's your hand?" Du Yanjun held the round knife, not daring to make a move.

"Cut it, cut it slowly, just be careful not to hurt me."

"Teacher Tour, give me a pair of tweezers." After Zhou Cheng finished speaking, he asked for a pair of tweezers, and gave Du Yanjun the line to cut the skin vigorously!Indicate the cutting range.

Only now was Du Yanjun trembling, and he lowered the knife very nervously. Because he was nervous, he was afraid of hurting Zhou Cheng, and his posture for lowering the knife was not standard.

Fortunately, he was holding the knife with his right hand, and Zhou Cheng used tweezers to separate his hands a little bit, so that Du Yanjun could know where he had cut.

"Use an electric knife to stop the bleeding first." Zhou Cheng told Du Yanjun to slow down.

If Luo Yun came to perform the surgery, the bleeding would definitely not stop, but Du Yanjun must not be familiar with these dissections, and if he didn't clean up the surgical field, he was afraid that he would pick out the arteries when he was exposed!

"Pull the hook!" Zhou Cheng said to Xun Xun again.

Zhou Cheng was going to teach Du Yanjun how to expose the femoral artery, and it was the femoral artery exposure under this special situation.

"Stop the bleeding, it doesn't have to be so thorough, it doesn't affect the lowermost surgical field." Zhou Cheng said while pulling the hook.

Du Yanjun nodded in a panic.

This scene, in the eyes of others, is quite strange, obviously two people of the same age, but one person is teaching the other person as if he is a senior doctor.

However, all this seems to be reasonable.

From the very beginning, the patient had massive bleeding in the extremities, and his blood pressure dropped drastically.

After Zhou Cheng came, he stopped the bleeding very quickly. Although there may still be bleeding, blood transfusion, fluid replacement, and medicine have stabilized the blood pressure!

If your income exceeds your expenditure, that is a good thing!

Xie Cuizheng from Shenwai and the people from General Foreign Affairs took a look at Zhou Cheng's teaching, and immediately completed their own operations.

The orthopedics department has stabilized the bleeding. If something happens again, it has nothing to do with the orthopedics department. They must complete their own department's problems well.

"Chichichi!"

Xie Cuizheng, the neurosurgery surgeon, cut open the meninges and finally found the hematoma in the dura mater. There was a strange sound in the aspirator.

At the same time, dark red blood continuously gushed out from the cranial cavity!

The intracranial hypertension caused by intradural hematoma is temporarily relieved, and the danger of life caused by intracranial hypertension is also reduced by one point, but this is far from over.

The patient is in a critical condition, and there is no time for CTA and MRA, so it is necessary to find out whether there are other bleeding lesions in the brain.

This is very time consuming...

The general surgery department has already started the preparations before the laparotomy. Abdominal CT showed that the intestinal tube was ruptured, which was an absolute indication for laparotomy. The reason why the laparotomy was not performed violently at the first time was because the intra-abdominal disease was fatal without intracranial hematoma and Open bleeding so strong...

About five or six minutes later, Mao Renjie and Xie Cuizheng from the Department of Neurosurgery completed the handover of the chief surgeons!

At this time, Du Yanjun exposed the middle layer of the muscles in front of his thigh: "Can this be cut?"

Du Yanjun asked Zhou Cheng with some fear.

He is really unfamiliar with this place!

Orthopedic surgical practice generally starts with a simple mid-tibial fracture, followed by fibula, and the middle and lower femur!

The position of the femoral neck and the femoral sheath is an unfamiliar area for him, no matter how courageous Cai Dongfan is, he dare not let him try it rashly.

But Zhou Cheng is different. Zhou Cheng has done the job of protecting his legs. Cai Dongfan has long known that Zhou Cheng's knowledge of anatomy is solid, and currently there are very few blind spots in orthopedics!

"Cut! Use a little less force." Zhou Cheng was still a little afraid that the unskilled Du Yanjun would cut his hand.