Doctor Song, are you married?

Chapter 264 264. There is one last step left, how about you come?
[Save patients' lives in emergencies, embody the fearless spirit of doctors, and get rewards.Do you want to receive it? 】

Is there a reward for this?Isn't this what doctors are supposed to do?Song Qi was a little flattered.

Having said that, Song Qi naturally couldn't be polite to the system, so of course he received it.

So, I impatiently clicked the receive button.

The gift package opened brightly.

[Expert level tracheotomy. 】

Song Qi was pleasantly surprised, expert-level tracheal intubation + expert-level tracheotomy.If you encounter a suffocating patient, wouldn't you be invincible?

Song Qi was pleasantly surprised, and the system's tasks followed closely.

[System routine tasks: Complete 100 cases of tracheostomy. Do you want to receive it? 】

Do you still need to consider this?Definitely get it!
"Xu Dali, don't say you don't know how to do tracheotomy!" The nurse brought the tracheostomy bag.Li Da put his hands behind his back, looking like he was waiting for criticism.

Xu Dali smiled bitterly, "Brother Da, you must be able to operate. Isn't there a gap between the assessment and the actual operation?"

Clinicians know many operations well, and there is no problem in performing them. However, when it comes to assessment, various problems arise.

This is because there are strict rules and regulations for the operation assessment. There are specific regulations on what to do in the first step and what to do in the second step. There are also strict regulations on the operating techniques. Therefore, many clinicians will mostly follow their own rules in actual operations. Make some adjustments to your habits, but when it comes to the actual assessment, points will be deducted because they do not meet the assessment standards.

For example, the operating process of tracheotomy includes: preparation of preoperative materials, preoperative preparation, intraoperative operation and postoperative care.

The preparation of materials is basically done by nurses in actual operations. Even if there is something really wrong, you can just take it when the time comes. However, if the materials are not fully prepared during the assessment, points will be deducted.

The patient's preoperative preparation includes increasing oxygen concentration, patient positioning requirements, finding anatomical landmarks, and skin disinfection, etc.

These all need to be memorized by rote.Not even one step is missing.

Generally speaking, the order of doctors' actual operations and assessments are somewhat different. Take tracheotomy. Generally, doctors determine the anatomical position, directly disinfect and anesthetize, and then perform the incision on the midline of the neck. The incision is made through the skin, then the subcutaneous tissue, and the anterior cervical muscles are exposed, followed by a longitudinal incision along the linea alba.

The entire operation process is not complicated, but if the assessment standards correspond to each other, it will be difficult if there are no mistakes.

Xu Dali was facing such a dilemma at the moment.

If you told him to cut open Mrs. Li's trachea, he would just do it without saying a word.

However, when it comes to assessment
"Xu Dali, please tell me first, what is the scope of the midline cervical incision?" Before the operation started, Li Da's question came first.

"Start from the lower edge of the thyroid cartilage and go down to one finger transversely above the suprasternal notch."

"What should we pay attention to when cutting subcutaneous tissue?" Li Da continued to ask.

"Patients with difficulty breathing must be ligated due to dilation and thickening of the small veins to avoid intraoperative bleeding and affect the operation."

"What should we do if there are small blood vessels in front of the trachea that hinder the tracheotomy?" Li Da's questions kept coming.Xu Dali wiped the sweat from his forehead. It seems that Brother Da will not give up until he fails the exam today!

At this time, Song Qi, who had just received an expert-level tracheostomy, also had severe itching.

Especially since he still held the needle of the syringe in his hand. As soon as he stretched out his hand, he took the blade in the tracheostomy bag.
On the one hand, my hands are itchy, but there are still a hundred tasks left. How can I let go of the opportunity?

Facts have proved that there are some things that cannot be thought of and acted upon as soon as they are thought of.

For example, right now, while Xu Dali was still scratching his head and thinking about the question raised by Li Da, Song Qi's hand unknowingly touched the scalpel.

Dongfang Wenyan saw Song Qi's intention, gave him a thumbs up secretly, and then quietly took the needle he fixed.

Song Qi took the prepared lidocaine and applied local anesthesia on the neck. After quickly disinfecting it, he picked up the scalpel and made a slight cut in the midline of the neck.

The various steps of tracheotomy flashed clearly in his mind.

The sharp tip of the scalpel met the old lady's wrinkled skin, but there was not much blood. He picked up a piece of gauze and wiped it, and then continued to incise the subcutaneous tissue, the subcutaneous fascia and the latissimus dorsi muscle. Go to the anterior cervical muscle, then put down the scalpel, pick up the small hook, and pull the incision symmetrically to the opposite side.

During the whole process, Song Qi's operation was fast and neat. Even to Dongfang Wenyan, who knew the anatomy of the neck well, Song Qi's operation was almost perfect.

Truly an expert tracheotomy.

The most important thing is that Song Qi's knife seems to have cut lightly without thinking too much. However, the place where the knife was cut perfectly avoided blood vessels, even small blood vessels were not spared. Therefore, the entire incision process was There was almost no bleeding and the surgical field was quite clean.Moreover, Grandma Li was actually conscious at this moment, but she did not feel any pain at all, but only felt a slight pulling sensation in her neck.

"What should we do if the patient coughs violently after inserting the tracheal cannula stylet?" Li Da was still asking questions happily.

"If the patient has a strong cough, the tube core should be pulled out immediately, and the secretions and bloody fluids in the trachea should be sucked out with a suction device, and then the inner cannula should be inserted. After confirming that the cannula has been inserted into the trachea, the retractors on both sides can be removed."

When Li Da exhausted the last brain cells in his brain and recited the complete answer to this question, Song Qi had already taken out the stylet, inserted the tracheal cannula, and began to use suction to aspirate the secretions in the trachea. .

The sizzling sound of the suction device finally brought all the doctors who were taking the immersive exam back to their senses.

"What's the sound?" Li Da turned around and saw that Song Qi had already sucked the secretions and was fixing the strap on the tracheal tube to the patient's neck.

[System prompts, complete a tracheotomy case, task completion degree 1/100]

Seeing the system prompts, Song Qi breathed a sigh of relief!

"Song Qi, you, what are you doing?" Li Da's expression at this time can no longer be described as shocked!
What did this kid do?
He, he, he actually performed a tracheotomy on the patient quietly under his own eyes?

The problem is, why the hell is he standing nearby, still thinking about using this patient as a ready-made exam question?
This is still in the warm-up stage. Are his exam questions gone?

"Brother Da, I saw that you were busy asking questions, so I helped with the practical operation. Is there one last step left? How about you come?" Song Qi stopped the knotted fixed belt.

(End of this chapter)