Big Doctor Live Room

Chapter 96 Fasciotomy
Chapter 96 Fasciotomy
Huang Haitao led a group of doctors and ran into the ward three rooms ahead, and saw a female patient in her 30s crying, "My leg! My leg!"

Two nurses nearby were holding the patient down, preventing her from picking up the thermos cup and smashing it against her thigh.

"Relax, relax, the doctor is here. What's going on?"

"She said early in the morning that her legs hurt badly, and she couldn't take morphine for long. It was the freezer quality inspector who was sent yesterday. Because the electronic lock was out of control, she was locked in the freezer at minus 10 degrees Celsius. Minutes before the person was rescued."

The nurse handed the medical record to Huang Haitao who came to make rounds, wiped the sweat from the patient's forehead, and comforted her, "Dr. Huang is the best doctor in the emergency room. He will heal your legs."

Chen Qun saw the big-eyed Qi Hong putting on sterile gloves and massaging and pinching the patient's legs. He gave the diagnosis at the first glance.

"The patient's legs are stiff, it should be a typical compartment syndrome, the legs must have been frozen in the freezer."

Qi Hong raised her head in a panic, and looked at Huang Haitao, "Doctor Huang, I can't feel the patient's femoral artery. It should be that her lower extremity blood pressure is very low. Give me a syringe, we need to raise the patient's blood pressure." stand up."

Huang Haitao made a decisive decision and shook his head, "It's too late, the pressure on the four fascia compartments of her lower limbs must be released immediately, otherwise she will lose both legs. First inject 100 microliters of fentanyl to stabilize the patient. You have 30 seconds to think about it."

"Complete blood count."

"Electrolyte test."

"Creatine Phosphokinase."

"Need a fasciotomy!"

Four mouths immediately opened from the side. Chen Qun instantly realized that he had become a heretic. Everyone was talking about examination items, but he was talking about surgery.

This is a chicken talking to a duck.

This kid hangs out with a group of schoolmasters, and he is still so annoying, no wonder the big boss treats him differently, and specially assigns him to himself.

But Huang Haitao remembered that this guy had already saved seven or eight lives from the death line, all done in an instant.He directly refused to give the other four rookie doctors a chance, and ordered them directly.

"Prepare two injections of ketamine, [-] mg each, and two midazolam! Immediately contact the operating room and send the patient there."

Qi Hong was taken aback for a moment, and then quickly yelled, "Doctor Huang, why don't you intubate the patient and stabilize her breathing?"

Huang Haitao took the syringe and pointed at Chen Qun, "Who, please explain why you don't need to intubate?"

"Who?" looked at Qi Hong with wide-eyed almond eyes, and said weakly, "Deep anesthesia can relieve the patient's pain, whether it is intubated or not is the same."

"All six operating theaters are in use."

The nurse said something to Huang Haitao with embarrassment.

"Surgery in situ, the new one, have you ever had a fasciotomy?"

The "newcomer" shook his head quickly.

"It's okay, just follow my example. One person is responsible for one foot."

Qi Hong raised her palm weakly again, "Doctor Huang, ketamine won't last that long, the risk is too great."

"That's why I need to hurry up and perform fasciotomy surgery on both legs at the same time. So, let me know when you're ready."

Putting on the surgical gown in a hurry, Chen Qun, who put on gloves, nodded, "Ready."

Huang Haitao pointed to the four Xueba doctors who hadn't entered the state in front of him, "Two on each side, responsible for holding down the patient's lower limbs. Are you anesthetized?"

As soon as he finished speaking, the patient's kicking legs stopped suddenly, and he lost consciousness all at once.

Huang Haitao picked up a scalpel and made a long incision on the patient's left ankle. As the skin split, the blood-red calf muscle inside was exposed.Outside the calf muscles, a layer of milky white aponeurosis wraps the inner muscles, which looks like a small balloon that is a little swollen.

"Blood pressure 124/85, heart rate 113, oxygen saturation 98%."

"OK, let's deal with the posterior fascial compartment, cut the fascia, and stop the patient's bleeding!"

Huang Haitao seemed to be talking about minimally invasive surgery, and began to guide a few students.

Chen Qun glanced at it, but had no intention of using the treasure chest. For him, such a small wound was commonplace.Dealing with patients with systemic fractures is infinitely more difficult than before.

He only took a second look, and he knew that this operation was actually too simple for him.You don't have to be polite, picked up the scalpel, and cut an incision on the patient's other leg.

However, the opening is one-third shorter than the one where Huang Haitao directly pulls down his knees.Chen Qun's next cut was even more rapid. He raised the knife with his hand and opened a hole in the aponeurosis.Originally, scissors should be used for this step, but a scalpel can achieve the same effect, so there is no need to change the surgical tools again.

"Hemostatic Curved Forceps!"

A lot of blood flowed out of the bulging fascia, and the blood vessels exposed inside were torn.The moment the nurse handed over the hemostat, Chen Qun clamped the forceps tightly over the small blood vessel to stop the bleeding.The movements are so proficient as if they have been practiced thousands of times.

The two school masters who were in charge of pressing the legs widened their eyes even more. Looking at this newcomer, a thought popped up in their minds.Why is he so proficient?
"Scissors, needle holders, 7-0 sutures!"

Chen Qun naturally issued a series of instructions and began to sew up the patient's blood vessel by hand.Qi Hong, who was going to pick a problem, watched Chen Qun thread the needle and thread like flowing water, and his movements were as proficient as the textbook version in the video. He almost finished suturing the blood vessels in a few breaths.

Only then did the suturing of the fascia begin, and the jumping needle tip, as if possessing spirituality, showed a beautiful line of stitches.

Huang Haitao, who had just used an electric knife to stop a few small bleeding spots for the patient, turned around, only to find that a certain freshman who did it later than him had already cleaned up the patient's wound and started to suture the fascia.

Can't help but feel a little dazed, this... speed, this technique, makes it seem like he is a novice who came here for training.No wonder it is more powerful than a high-precision robotic arm. Hideo Tsunaari called him to be the chief surgeon because he liked his skillful hands of a natural top surgeon.

These hands should be developed in the heart and brain, which is the highest achievement.

"Okay, so who, stop after you suture the fascia and let Xiaoqi complete the next steps. As for me, whoever has good suturing skills will volunteer to take over."

While Huang Haitao was speaking, he casually glanced at Chen Qun's stitches and decided not to sew any tissue in front of him in future teaching, lest he lose all his remaining self-confidence.

(End of this chapter)