Auto chess in the operating room

Chapter 258 Doctor Tang please move to the orthopedics department

The First Hospital of Hecheng City.

Orthopedics, Hand and Foot Surgery.

Deputy Director Wu had just completed a surgical consultation and returned to the office when the resident doctor rushed over.

"Director Wu, the department has admitted an old lady with a femoral artery injury. She was transferred from Tongshi Hospital. The situation is very critical. You need to go and see her."

Deputy Director Wu got up quickly, and soon came to the reception room, and was startled when he saw the patient.

"Director Wu, the patient has received infusion, monitoring, support and other treatment measures to prevent hemorrhagic shock, but the current situation is very bad. If the operation is not performed as soon as possible, this leg may not be able to survive."

Hearing the nurse's report, the family members on the side panicked and urged: "Director Wu, we were in Tongshi Hospital just now. Director Huang over there is not good enough and said he couldn't do it. He suggested that we come to the No. [-] hospital for surgery. He I said that the doctor in the city's No. [-] hospital is very sure about this operation. He didn't lie to me, did he?"

Deputy Director Wu looked at the patient's condition. Because he was transferred to another hospital in the middle, it took a lot of time. The thigh was already ischemic for almost 75 minutes, and the capillary reaction of the distal limbs was not very good. The pulse of the dorsalis pedis artery and the skin temperature were mild exist.

Based on his experience, of course he has a preliminary judgment: "Generally speaking, your mother's situation is still very difficult. Due to the transfer midway, time was delayed, pulsating bleeding in the wound, hematoma formed, and not only expanded. Now We can only save lives first and then save limbs. If it is routine to treat and fix the fracture first, and then repair the damaged artery, due to the limited tolerance of skeletal muscle to ischemia, it is very likely that the limb will be amputated.”

Hearing Director Wu's words, the patient's family immediately became anxious: "Amputation is definitely not an option. Isn't your city's No. [-] hospital very powerful? Can't even do this kind of surgery?"

Hearing the patient's doubts, Deputy Director Wu couldn't help it: "Don't worry, we can definitely cure your mother's injury. It is not impossible to save limbs. The latest temporary vascular grafting technology developed by our hospital is can solve this problem, just"

Before Deputy Director Wu could finish explaining, the family members of the patient directly held Deputy Director Wu's hand: "That's fine, let's do this temporary vascular grafting operation."

After speaking, Deputy Director Wu regretted it. In theory, this operation can solve the problem of routine amputation, but in practice, he has never done it!

I just watched the video of Tang Lou. If there is no professional doctor's guidance, Deputy Director Wu can't guarantee that it will be successful once.

"This is how to do?"

Deputy Director Wu suddenly felt a bit stuck, but he couldn't save his face and asked Tanglou to perform the surgery. After all, he was also a deputy chief physician.

"It's not good, Director Wu, the patient is in shock again, and the pulse of the dorsalis pedis artery is weak. If there is no surgery, the limb will really be amputated, and it may cause osteofascial compartment syndrome and kidney failure."

The resident doctor is constantly observing the patient's vital signs.

"Doctor, quick operation, what time is wasting, don't you know it too?"

"Of course our hospital can do it, no problem. Prepare for surgery immediately."

Deputy Director Wu looked at the patient's condition and couldn't care less about these things. He hurriedly arranged for the resident doctor to prepare for the operation, and went to the general surgery department to invite Tang Lou himself.

Along the way, Deputy Director Wu also felt that it was absurd that the deputy director of the Department of Orthopedics would come here to seek a fellowship doctor in general surgery.

"Ma En, where is Tang Lou? I have something to do with him."

Deputy Director Wu walked into the general surgery office and asked immediately.

"Doctor Tang is currently in the dressing room, debridement of several burn patients."

Ma En said to Deputy Director Wu that debridement and dressing change of burns should be done by other interns and residents. However, Tang Lou's debridement level is too high, and he has already gained a good reputation in the general surgery department. The patient was outside, so the patient strongly asked Tang Lou to change the dressing and debride the wound.

In addition, Tang Lou had just returned to work, and there were no major surgery arrangements recently, so the requirements of those patients were met.

"Okay, I see."

Deputy Director Wu immediately rushed to the medicine changing room, and saw Tang Lou very focused on changing the medicine for a big brother.

The eldest brother pouted his buttocks, and was watching Guo Degang's "The King of the Pit" with a tablet in his hand. His virtue was very flattering.

看了看患者囊肿的肛周，以及唐楼手中的0℃2%利多卡因注射液浸透一块7cm×8cm×8cm的无菌纱布湿敷着，吴副主任也是微微有些诧异。

"Doctor Tang, your dressing change operation is a bit special."

Only then did Tang Lou notice Deputy Director Wu and quickly raised his head: "Oh, this is the lidocaine wet compress and dressing I modified before, which can greatly improve the patient's pain."

"Lidocaine actually has such a wonderful effect. I thought before that in addition to anesthesia, I would just spray it for delay."

As a veteran player, Deputy Director Wu is of course very clear about the concentration and dosage of lidocaine delay, but it is the first time he has seen it used in changing medicine.

The patient who was lying on his stomach was originally listening to Guo Degang's storytelling. When he heard about the delay, he suddenly turned his head, as if he was curious about the baby.

It is written all over the face: social experience has improved again!
"Deputy Director Wu is looking for me for something?"

Then Deputy Director Wu thought about the business: "Yes, our department just admitted a patient with femoral artery injury, but due to the transfer in the middle, the time was delayed, so it may be amputated according to the conventional operation. I checked, the last time you used The temporary vascular grafting technique is very suitable, so I would like to invite you to be the chief surgeon."

In the end, Deputy Director Wu himself felt a little blushed.

"It's not impossible to go for surgery, but I still have a few debridements and dressings, especially this big brother, who has already done half of it. Why don't you wait for me to finish his debridement first?"

"Then how can it be, there's not enough time. This is all right, you go for the operation, and I'll change the patient's dressing for you."

Deputy Director Wu also went all out. Speaking of which, in his capacity, he hasn't done this kind of work himself for a long time.

Hearing what Deputy Director Wu said, Tang Lou thought for a moment: "That'll work, I'll leave it to you. But my dressing-changing technique is a bit special. If you're not familiar with it, you can use the regular dressing-changing technique."

"Okay, okay, okay, you go. Isn't it just a small change of dressing."

Deputy director Wu waved his hand impatiently, and joked that he is also the deputy chief physician after all, so it is easy to change the medicine.

After Tang Lou left, Deputy Director Wu began to change the perianal dressing for the patient.

"Hiss, can you do it?"

In less than a minute, the patient directly turned off the tablet computer, turned his head and glared at Deputy Director Wu angrily.

"It doesn't hurt to change the dressing, as for what. Be patient, it will be fine soon."

Deputy Director Wu frowned. His skills were very good, but he was still dismissed.

"It doesn't hurt when Dr. Tang changes the dressing. You are quite old, so why are your skills so poor? You are not a temporary worker, are you?"

The patient with perianal pain looked disgusted and didn't want Deputy Director Wu to continue.

"Me? Temporary worker?"

Deputy Director Wu was also angry. Is he that good?

"I'll tell you. I'm a dignified deputy chief physician, and my level of dressing change is top-notch."

"That's the level of the deputy director? Isn't Dr. Tang the chief physician?"

The patient looked at Deputy Director Wu in disbelief.

Sensing the patient's eyes, Deputy Director Wu was also depressed for a while. Of course he knew that it was not because of his own level. The only explanation was that Tang Lou's level was too good.

"Okay, bear with it for a while and pass. Doctor Tang is a gifted person, not the same."

"It's not like you're too good at it."

"Can you change it?"

"If you don't want to change it, don't think I don't know. Changing the dressing is not something to worry about. I have read it all on Baidu. I have time to wait for Dr. Tang to come back."

The two confronted each other unwillingly.

Deputy Director Wu was on the verge of crying, and he was disgusted by changing the medicine, so if he said it, he would be fooled.

"Ahem, if you ask me to change the medicine, I will tell you the concentration and dosage of lidocaine."

Deputy Director Wu took out his trump card.

"really?"

For the happiness of the front, then sacrifice the back.

The patient thought for a while and asked the nurse for a small wooden stick, twisted his body and lay down, then turned his head: "Let's start!"

"Oh, man!"

Seeing the fully armed patients, Deputy Director Wu was really humiliated.

I finally replaced one.

When it was time to switch to the next one, it was a young woman in her thirties who looked at Deputy Director Wu coldly: "I don't need it. I have to wait for Dr. Tang to come."

Obviously, she heard about the previous py transaction between the perianal brother and the deputy director, and was very disdainful.

Deputy Director Wu smiled awkwardly, but he had already reached this point, so he could only be cheeky, and he did not drive less in the operating room anyway:
"But you have a husband!"

My sister is thoughtful.

Think about beneficiaries.

Think about a few minutes now and a few minutes in the future.

After pondering for a while: "Okay!"

After 10 minutes, the dressing was changed while the sister paper was struggling.

"Oh, woman!"

(End of this chapter)