medical simulator

"Teacher, our orthopedics department has no time to sign. This is definitely an injury to the femoral blood vessels, and it is an open injury. It must be operated immediately."

"Call the orthopedic ward and ask the doctor on duty there to come over and sign, and I will follow the patient into the operating room!" Zhou Cheng said while using his hand to stop the bleeding, pressing to the position of the femoral artery.

The rate of blood oozing is reduced, but still present.

There is also a double vessel injury of the femoral artery and femoral vein.

"Mr. Nurse, bring the cotton pads and bandages!" Zhou Cheng shouted to the nurse's station again.

The emergency department prepared a lot of these first aid supplies, and someone ran over with them immediately, tearing off the outer packaging on the way.

no pollution.

"We still need a X-ray. You can find a way to stop the bleeding temporarily, or take an ordinary X-ray. I'm afraid there will be a hidden hematoma in the skull. When the time comes, your bleeding will stop, and you will be gone."

"I will call the general surgery department and the neurosurgery department to come to the operating room for emergency consultation."

"Send it to the emergency operating room. Bedside X-rays and CT can be done in the emergency operating room. I'll call the imaging department right away."

"Okay!" Zhou Cheng followed the arrangement and saw the bandages and gauze.

"Teacher, help me press this hemostasis position. You need to use the hypothenar muscle to press down hard, can you?" The patient was pushed from the emergency department to the emergency operating room, which required the cooperation of doctors and nurses in the emergency department.

The patient was bleeding profusely, so Zhou Cheng couldn't be the only one to deal with it.

The doctor on duty in the surgery department pressed it directly without saying a word, and slowly pushed Zhou Cheng's palm away skillfully.

This is a person who understands orthopedics.

Zhou Cheng calmed down, and then hurried to find the bleeding point of the vein, which had to be bandaged temporarily.

Then when he arrived in the operating room, he needed to stop the bleeding immediately.

The distance is not far, and the speed is very fast. In 3 minutes, I arrived at the emergency operating room from 120, and passed the bed to the operating table.

In an emergency situation, I couldn't take much care of it anymore, and ordered the assigned itinerant nurse to call the head on duty, and authorized the emergency operation after the afternoon operation for special emergencies!

Immediately called the orthopedics department again, and asked the doctor on duty to go to the family members to sign immediately.

At the same time, in just one minute, the anesthesiologist made corresponding preparations: "Dr. Lu, you can start the operation. The patient is currently in a coma. I will handle the anesthesia as appropriate. The patient should not be able to feel pain. "

"At most half a minute, I will make the patient lose their pain!" The doctor in the anesthesiology department is a middle-aged man, very mature and stable, and what he said made people feel safe.

"Okay!" Zhou Cheng didn't talk nonsense. Without extra assistants, Zhou Cheng could only start disinfection alone!

In fact, the wound was splashed with sterile complexed iodine. After reaching a relatively sterile state, Zhou Cheng immediately took six sterile vascular forceps from the sterile operating table, and then followed the patient's existing incision, Clamp them in one by one.

Everyone was taken aback by this operation.

At this time, Zhou Cheng breathed a sigh of relief and said, "Teacher anesthesiologist, teacher on tour, please watch first, the hemostasis of the patient's leg should have stopped, I will go down and ask the family members to sign, so as not to be troublesome .”

"Ah? Good!" The anesthetist and Xun Xun carefully stared at the affected area for a while, and only saw a small amount of blood oozing, not like just entering the operating room.

Chapter 387 Save lives first, then treat illnesses!

For emergency surgery, there are only patrolling nurses without equipment, and the anesthetist is alone, without students, so there are only two pairs of astonished eyes.

After Zhou Cheng walked out of the operating room, the anesthesiologist asked Xun Xun, his eyes full of astonishment: "Who is this boss? Do you know him?"

The anesthetist is unknown.

It was also a coincidence that after the itinerant nurse saw two pliers on the operating table, a past event was outlined in her memory.

"Sister Pian, don't tell me, I seem to know him, but I don't know his name." The itinerant nurse said with wide eyes.

"Qiong Qiong, are you still playing tricks on me?" Anesthesiologist Liu Xianpian just stayed in the hospital after graduating with a Ph.D., so there are many emergency classes.

The itinerant nurse has been admitted to the hospital for four or five years, but she is still younger than Liu Xianpian: "Sister Pian, I really don't want to cheat on you, it's true that I only know him, do you still remember the collapse incident last year, when I Received an emergency mission to support."

"I saw him give first aid at the scene, but I didn't dare to ask what his name was. I followed the 120 bus there, and if I transferred a patient, I had to come back immediately."

"It seems to have the same surname as mine, Zhou." Itinerant nurse Zhou Qiongqiong said so.

Unknowingly, a year has passed since that incident, so Zhou Qiongqiong only has a deep understanding of that person's last name, and now he really can't think of his name for a while.

But she hurried to open the patient's case file: "It's called Zhou Cheng. It should be from the Department of Orthopedics."

"I heard later that this Dr. Zhou is very powerful. When he was at the scene, he took a few vascular forceps and completed a lot of hemostasis operations."

"Let me just say, who is so courageous? In the operating room, two vascular forceps were clamped, and then dared to go out and ask the patient's family to sign. If it is this Dr. Zhou, it is really not surprising."

"It turned out to be him. I've heard of it too, but I heard about it later when our anesthesiology teacher told a story." Liu Xianpian began to gossip.

"I heard that he is still single, Qiongqiong, you and he belong to the same family, please help me get a WeChat later, I heard that he is quite handsome." Liu Xianpian is no longer a little girl, knowing some things, You have to act quickly, or you will lose your share.

"Ah? Okay." Zhou Qiongqiong was surprised that Liu Xianpian had already broken up.

……

Zhou Cheng called and asked the doctor on duty to notify the patient's family members to the door of the operating room. After Zhou Cheng went out and called the patient's name, a bunch of people came up with frightened expressions on their faces.

"How is my husband?" A well-maintained young woman came up and asked while grabbing Zhou Chengcheng.

After all, in the middle of the operation, the doctor came out to talk, which is not a good thing.

Zhou Chengcheng said: "The patient's condition is very urgent now, and you need to sign it. Then there are some things that I have to tell you."

"The patient was admitted to the emergency department of 120 and took the green channel. The situation was urgent at that time. When you went to the emergency department, you should have seen the blood sprayed by the doctors and nurses taking pictures of you."

"At present, the bleeding has stopped, but the specific operation method depends on the situation during the operation. We will try our best to rescue the person."

"I don't have much time now, just one thing, save lives first, and then treat illnesses, so if there is any missed diagnosis or misdiagnosis, I can't take care of it. If you don't have an operation just now, the person will be gone, so we can only go to the operating room. Take your life back, can you understand?"

"If you can understand it, sign it, and I will rush back to continue the operation immediately."

"If there is a situation later, I will come out to communicate with you again. If we don't have a doctor come out, then it means that the operation is going well. We will temporarily order a CT during the operation to observe whether there is any damage to the head or other parts. "

"It's still the same sentence, save lives first!" Zhou Cheng said very quickly.

He didn't dare to delay, but there were some things that should be explained. Zhou Cheng was also afraid that the doctor on duty would not see the patient's condition, so the explanation would be unclear.

"I know, doctor, thank you for your hard work. We signed the contract. I have already paid the medical expenses. For the time being, it is only [-] yuan. I didn't bring my family card with me. Wechat has a limit."

"Doctor, don't give up the treatment just because you don't have money?" The young woman quickly grabbed Zhou Cheng's hand and confessed very eagerly.

After saying this, a middle-aged man in his 50s and [-]s walked out next to him: "Doctor, you don't have to worry about the cost. You must save my brother's life and minimize complications!"

"You may have read too many jokes on the Internet. For such an urgent disease, our medical staff will definitely not press you for the fee. The operation will be performed directly first."

"Anyone who can talk to you about the cost of the operation with peace of mind is an ordinary disease and can afford it."

"Okay, after you sign, you can wait here with peace of mind. Don't worry, don't think why the doctor doesn't come out. If the doctor doesn't come out, he will take the initiative to talk to you. This is a good thing."

"Understood? I have to hurry up and go back to the operation." After Zhou Cheng got the signature, he turned back immediately without any delay.

After entering the hospital, the medical staff may be more worried than the family members about the consideration and worry of the disease.

After all, no one wants to have the dead under his command!

When Zhou Cheng entered the operating room again, Du Yanjun had already arrived!

"What's your situation?" Zhou Cheng asked.

"Brother Cheng, I'm looking for someone to take the emergency room for him, and he never tires of it. You can't blame me, can you?" Du Yanjun smiled meanly.

Others didn't understand how rare the opportunity to learn from Zhou Cheng was, but Du Yanjun did.

Now, what he lacks is not articles, but technology. Articles can be accumulated slowly, and he can post them with his juniors, but the technology belongs to him and cannot be shared with others.

"Junior brother sent a message saying that he was too tired just after checking the literature, so I didn't call him." Du Yanjun once again proved that he is not a scheming boy, and he didn't deliberately not call Li Chongyue.

"Start the operation. I will sew up the large arteries and veins, and you will sew up the small arteries, veins, and muscles. I'll give you the bottom line!" Zhou Cheng ordered immediately.

First save the life, then treat the disease. He saved the patient's life. There is no other problem. He can give Du Yanjun some opportunities to practice, and he will escort him. Only in this way can Du Yanjun grow.

Du Yanjun is not as qualified as Fang Yun, and needs a lot of surgeries.

Fang Yun, on the other hand, needs theoretical guidance, and the learning curves of these two people are completely different.

Du Yanjun was ecstatic: "Thank you Brother Cheng."

Hearing the conversation between the two, Zhou Qiongqiong and the anesthesiologist Liu Xianpian gathered together and muttered together, not knowing what to say.

Of course, Lu Cheng ignored it.

After coming to the stage again, the suture of the arterial stump that had already stopped bleeding was considered pediatrics in terms of Zhou Cheng's current technology, after a little polishing and rest.

The suturing of the femoral artery and femoral vein is completed, and after the clamped blood vessels are released, the blood can flow again!

The reason is that the time of the trauma was not long, no thrombus was produced, and the blood flow was smooth!

Zhou Cheng took another look, only small arteries were bleeding, and only the contusion of the muscle layer remained.

This puts my mind at ease.

This kind of disease looks very dangerous. Emergency treatment to stop the bleeding needs to be done quickly and accurately, but in fact, after the main points are solved, it is not easy for the patient to die of shock, unless it is a sudden cardiogenic shock. , with acute arrhythmia.

"Yan Jun, come up and stitch."

"Teacher on tour, call again to urge the CT next to the bed." Zhou Cheng ordered each.

Zhou Qiongqiong said: "Dr. Zhou, you are too fast. We asked for an intraoperative CT, and it took only 10 minutes. We have an intraoperative CT machine in our operating room. It is just a turnaround from the operating room to the emergency operating room." That's all."

Well, Zhou Cheng felt that he was a little ignorant, and he didn't even know about this matter.

Du Yanjun immediately started debridement, small blood vessel suturing and other operations. During the operation, when suturing a certain blood vessel, Zhou Cheng flicked his hand and opened another stitch before letting him Du Yanjun continued.

But at this time, the intraoperative CT has arrived.

Simply, the patient's abdomen and head CT showed no other injuries. It should be a sudden steel bar penetrating injury, which happened to be pierced into the femoral artery sheath, and the femoral nerve was not even damaged.

It's also a true coincidence, and it deserves no problem!

But even if Zhou Cheng was able to read the films, he still invited people from the neurosurgery department and general surgery department to come to the consultation and wrote the consultation opinions before it counted.

Specialize in specialization, specialize in one.

With such peace of mind, the progress of the operation can be further slowed down.

"Doctor Zhou, the patient's blood pressure has returned to a high pressure of 92. In order to avoid excessive bleeding, I kept the blood pressure near the shock blood pressure." Liu Xianpian said to Zhou Cheng.

"Okay, thank you!" Zhou Cheng felt at ease.

This is the difference between the Eighth Hospital and the Affiliated Hospital of Shonan University. The Eighth Hospital can't wait to restore the patient's blood pressure to normal, but the capable surgeons in the Affiliated Hospital of Shonan University will control the blood pressure at the shock blood pressure during the operation. nearby to reduce bleeding!

This is courage and self-confidence, hovering near the edge of death.

Shock blood pressure is terrible, but to a certain extent, it can reduce bleeding.

The operation was carried out slowly, but Du Yanjun's speed was too slow. It took more than an hour to complete the debridement and suturing of several blood vessels.

But the time was already pointing to more than six o'clock, close to seven o'clock.

So Zhou Cheng didn't have much time to waste, and directly grabbed his operating equipment: "I will practice more basic skills in private in the future, and your suturing and debridement speed is a bit slow."

"The effect of debridement is not bad, but when suturing, it is still not neat. Pay attention, find a little lumen membrane and suture it." Zhou Cheng pointed out patiently.

"Okay, Brother Cheng." Du Yanjun was a little disappointed.

But after looking at the time, he also knew that Zhou Cheng had no time to waste, and he was going to hand over shifts later.

After Zhou Cheng took over the surgical instruments, the operation process was completely different. At 07:30, the wound was closed.At the same time, Liu Xianpian seemed to be trying to show off his skills. At this time, he just restored the patient's blood pressure to a normal level.

It's also awesome!

Watching Du Yanjun continue to sew, Zhou Chengcheng said, "Thank you, two sisters."

Zhou Cheng is 27 years old and has been working. In the hospital, unless he is a very tender young man, it is right to call him brother or sister.

Zhou Qiongqiong said, "Doctor Zhou, is your name wrong?"

"You should be called Miss Pian."

Since Liu Xianpian has the intention of flirting with Zhou Cheng, Zhou Qiongqiong doesn't mind pushing his own single high-quality young man to Liu Xianpian.

Zhou Cheng hurriedly apologized: "I'm sorry, I made a mistake. I will invite you to drink milk tea later to make amends."

In the Affiliated Hospital of Shonan University, there are a group of high-achieving eight-year students who enter school and graduate at the age of 26. Some people graduate early, maybe around 25!

Just like Yang Yifeng, the 23-year-old junior class, it is not impossible.

Zhou Qiongqiong covered her mouth and snickered.

Du Yanjun raised his head and joked, "Brother Cheng, you have met your opponent this time. You are not yet 27 years old, so you can't pretend to be young."

"Get over the bed." Zhou Cheng looked a little embarrassed, and began to put on airs of a superior doctor with a blank face.