When doctors have a simulated operating room

The doctor said that the patient was in a state of emergency, and the patient was in a state of emergency.

"Doctor Chen, I have brought the things!"

Soon, the nurse handed over the rescue equipment needed for Reboa as Qian Zhenggang said.

Reboa is the abbreviation of resuscitative aortic balloon hemostasis.

The hemostasis method is similar to that of a urinary catheter.

In layman's terms, it is to puncture the rubber tube with a guide wire through the skin into the artery.

The head of this rubber tube must also have an expandable balloon.

Use the guide wire to bring the rubber tube to the upper end of the bleeding point and pull out the guide wire.

Then inject 10-20 ml of gas or saline into the rubber tube.

Make the balloon in the rubber tube fully expand, which can achieve a hemostatic effect.

The principle is the same as injecting saline into the balloon at the head of the catheter to fix the catheter.

At this time, Chen Fang had put on a condom and was ready to start the operation.

But today Dean Qian was here, so Chen Fang couldn't help but feel a little nervous when operating!

Isn't this just like when the teacher watched you do your homework in person when you were in school?

And this person is not a teacher, but the vice president of Tianhe First People's Hospital!

His top boss!

Chen Fang swallowed slightly and found a section of blood vessels below the bleeding point of the patient's right femur as the insertion point.

However, just as Chen Fang began to disinfect the skin, Zhang Yi came up with a brisk step!

"Teacher Chen, the insertion point should not be at this position!"

Chen Fang's heart: ? ? ?

Several other doctors and nurses on the side were stunned again!

What's wrong with this Zhang Yi today?

Why did he show up again and again?

You are excellent, but you are just an intern?

How can you, an intern, have a say in such an urgent rescue? !

"Zhang Yi! Your teacher Chen has been working in the emergency department for so long, how could he not know the insertion point? Don't make trouble here, step aside, don't delay Teacher Chen's operation!"

The speaker is a chief physician who has worked in the emergency department for nearly ten years.

His status is higher than Chen Fang.

Regarding Zhang Yi's series of reckless behaviors today, he looked at Qian Zhenggang carefully when he spoke.

But Qian Zhenggang didn't seem to react?

On the contrary... there was a hint of appreciation for Zhang Yi in his eyes?

Zhang Yi also knew that he must have been reckless today.

But for the sake of the patient's life safety, he simply said it all at once:

"Teacher Chen, this patient is bleeding from the femoral artery, although the needle insertion position you chose can reach the abdominal aorta as quickly as possible to stop the bleeding. But he still has a big problem, which is a fracture, and the fracture is still near your needle insertion point.

You put the needle insertion point here, what should you do when you go to the operating room later?"

After Zhang Yi finished speaking, Chen Fang was stunned.

Yes...

Putting the needle insertion point here will block the best surgical view...

Then, Chen Fang glanced at the expression of Dean Qian next to him, and sweat on his forehead was about to soak out...

This Zhang Yi...what he said is indeed right, but why are you picking on me in front of the dean? !

Can't you just say it quietly?

Now, the dean's face is dark...

Looking at Chen Fang's expression, Zhang Yi naturally knew that he must be blaming himself in his heart.

But the patient on the bed was gradually going into coma, so Zhang Yi had to bite the bullet and said again:

"Teacher Chen, I think you should insert the needle directly from the common iliac artery in the upper body. There is no internal organ damage and bleeding points from the iliac artery to the abdominal aorta, so that the best surgical field can be provided during the operation later."

Several doctors in the emergency department were stunned!

Isn't Zhang Yi like this usually?

It's really a ghost today!

An intern is so bold!

At this time, He Ming, the chief of the emergency department, heard that Dean Qian was coming, and hurriedly trotted all the way from the office.

"Dean Qian! How come you have time to come to the emergency department?" He Ming said respectfully.

Qian Zhenggang only glanced at him and didn't say anything. He turned his head and looked at Chen Fang again:

"Zhang Yi is right, start puncturing from the iliac artery."

Chen Fang didn't dare to breathe, and nodded and started the operation.

In Zhang Yi's sight, Chen Fang inserted the needle and slowly inserted the sheath catheter into the abdominal aorta along the puncture point.

Doctors working in the emergency department must be familiar with these common sense rescue work.

Only in this way can the patient's life be saved as quickly as possible in such a critical situation.

Although during Chen Fang's puncture

, the catheter often involves the blood vessel wall, which makes Zhang Yi's heart tighten, fearing that the needle tip will pierce the blood vessel wall and cause secondary bleeding.

Fortunately, Chen Fang's skills are still good, and he successfully sent the balloon into the abdominal aorta a few minutes later.

Then 10 ml of saline was injected into the catheter to expand the end balloon.

Soon, the blood pressure value on the ECG monitor stabilized at 87/62mmhg.

"Huh..."

Chen Fang's forehead was already full of sweat, and he took a long breath after finishing.

"Okay, I'll infuse fluid and raise blood pressure later, and I can go to the operating room when the blood pressure is stabilized at around 110/70." Chen Fang looked at Qian Zhenggang and explained.

(The blood pressure of patients going to the operating room must be above the normal value)

Qian Zhenggang hummed, and was quite satisfied.

Then, he looked at Zhang Yi again. After confirming that the badge on his chest did say "intern", Qian Zhenggang asked with a smile:

"Zhang Yi, how long have you been interning in our hospital?"

"Almost a year, today is my last day." Zhang Yi answered truthfully.

"The last day?" Qian Zhenggang thought for a while and asked again: "Then did you stay in the hospital? You are such an excellent intern, you should be able to stay in the hospital, right?"

"This..." Zhang Yi glanced at He Ming next to him. Should he say it or not?

Before Zhang Yi could speak, Wang Chenjun next to him stood up for him: "Dean Qian, Zhang Yi is the best among our interns, but... he was still rejected. Today is his last day here, and he will not come to work tomorrow."

Qian Zhenggang's wrinkles gathered instantly when he heard this:

"No. 1 among the interns? What's going on, Director He?"

Finally, he looked at He Ming who was silent on the side, his tone full of questioning.

What a blunder!

You eliminated such an excellent intern? !

"This... Dean Qian, it's like this, Zhang Yi... His grades are indeed good, but grades can't determine everything, right? Although the grades of several other interns are not the best, their operational practices and some work attitudes are better than Zhang Yi, so he was eliminated."

This He Ming lied without blinking an eyelid.

He is really cunning.

But Dean Qian is not so easy to fool, he naturally knows the ways in this hospital better than anyone else.

He knows that He Ming usually squeezes in people with connections to enter the hospital.

In the past, he turned a blind eye, as long as the people with connections can do practical things for the hospital, he can accept it.

But the intern named Zhang Yi in front of him is a good candidate for medical studies.

Such careful observation and calm analytical ability, this alone is better than most other interns.

So Qian Zhenggang didn't believe a word of He Ming's explanation.

After thinking for a while, Qian Zhenggang said, "Really? Is there anyone better than Zhang Yi? Well, I'll be in the hospital handling things during this period. Since these interns are so outstanding, I'll come and personally assess them! Let's see how outstanding these interns in our hospital are!"