Doctor’s Life Simulator

"Yeah, all other conventional hemodialysis equipment in the department has been put into use, and only two BaxterBm25 (US) blood purification devices are left. It is also a brand-new technology that I learned from the First Affiliated Hospital of Zijingang University this time. Unfortunately, this time The accident happened so suddenly that the rest of the physicians in the department did not grasp it, otherwise, another patient in the emergency department could be treated simultaneously."

Liu Feng is obviously a little regretful: "Now we can only see the peritoneal dialysis technology from Director Zhuang, and whether the patient can be rescued."

[Ding, new mission, use the vacant BaxterBm25 (United States) blood purification device to perform continuous blood purification treatment for patients. Mission reward: 1 life simulation point. 】

Upon receiving the new task, Qin Lang was overjoyed and said to Dr. Liu Feng:

"Doctor Liu, to be honest, I was fortunate enough to follow the teacher when I was in school and learned continuous blood purification treatment. I have some knowledge about the BaxterBm25 (United States) blood purification device. I can perform continuous blood purification treatment for patients."

"Have you studied?"

Liu Feng was obviously very surprised and surprised. Continuous blood purification treatment is difficult to say, simple and simple. As long as you have operated it and are familiar with the process, it is actually not a difficult technique to master.

Thinking of Qin Lang's outstanding performance and the importance of Director Wei, Liu Feng naturally believed in Qin Lang's words.

"Qin Lang, that's great. Wait a minute, I'll report to Director Wei immediately."

Liu Feng called Director Wei directly.

Director Wei was also very surprised when he heard that Qin Lang would have continuous blood purification treatment technology. The news was too timely.

"Okay, I will immediately ask Director Zhuang to arrange patients. Liu Feng, in order to ensure the smooth progress of the whole process, I will immediately contact Deputy Director Shen of Zijingang First Hospital and ask him to guide him remotely. This is foolproof."

After hearing Director Wei's arrangement, Liu Feng patted Qin Lang on the shoulder:

"Qin Lang, the other patient will be handed over to you. We will do the pre-operative preparations now, and I will help you recall and familiarize yourself with the entire operation procedure while we have the time."

In order to ensure the safety of the treatment, Liu Feng re-familiarized Qin Lang with the entire operation while walking.

During the conversation, Qin Lang's calm response impressed Liu Feng with admiration. Five minutes later, Liu Feng was full of confidence in Qin Lang's continuous blood purification treatment.

"Qin Lang, I didn't expect you to be so familiar with this treatment plan and master many small details very skillfully. That being the case, I'm also relieved. When the formal operation is scheduled for a while, Deputy Director Shen of Zijingang First Hospital will also be remote. Guidance, don't worry."

After Liu Feng took care of them again, the two rushed to their respective operating rooms.

In the emergency department, Zhuang Tong was also very excited when he heard that Dr. Qin in the burn department would continue blood purification treatment.

Directly arrange the transfer of patients in person, and he will also prepare to observe the entire operation process of the Qin Gallery in a while. After this crisis is over, he will definitely popularize this cutting-edge technology in the entire emergency department.

At the same time, he is also going to let Qin Lang come to their department to give a demonstration, and let this little doctor set an example for some senior doctors in their department. As a front-line clinician, he must keep the enthusiasm for continuous learning and the ability to continuously learn cutting-edge technologies. mentality.

Soon, the patient was sent to the operating room, and Director Zhuang Tong also entered the operating room. This time he will personally be an assistant to Qin Lang.

Before the whole treatment started, through the telemedicine system, it was also connected to Deputy Director Shen Jiamo of the First Affiliated Hospital of Zijingang University.

As the deputy chief physician of the burn department of Zijingang First Hospital, Shen Jiamo is very famous in the industry.

He is also the Assistant Director of the Burn and Plastic Surgery Department of Zijingang First Hospital. He graduated from the Medical Department of Yan University. He went to Fusang to study in burn surgery and plastic surgery. , face, neck and hand plastic and functional reconstruction.

Therefore, Deputy Director Shen is very experienced in dealing with sepsis complicated with acute renal failure.

After the remote system was connected, Wei Guoqiang and Zhuang Tong immediately communicated with Deputy Director Shen and exchanged the basic situation.

"Director Shen, since I have to direct the entire emergency operation, I will have you to check it remotely, and Director Zhuang will cooperate. This operation will be performed by Dr. Qin from our burn department."

Zhuang Tong was also a little ashamed:

"I'm ashamed to say that we old guys are a bit out of step with the times, and this time it's all up to these young people. Thanks to Director Shen's generous teaching to Liu Feng, he was able to rescue him this time. In the event, he was on his own and fully demonstrated the advantages of the new technique.”

The two exchanged again. In the picture, Deputy Director Shen also looked at Qin Lang with a soft gaze:

"Dr. Qin, let's get started. Don't be under any psychological pressure. Just follow your own pace. If there is any negligence or inappropriateness, I will check and correct it for you."

Qin Lang nodded and started the treatment directly.

The principle of continuous blood purification treatment is to eliminate inflammatory factors and metabolic wastes in the blood of patients, correct the acid-base balance of electrolytes, and stabilize the internal environment.

Therefore, the whole early stage is to give conventional anti-infection, fluid resuscitation, adjustment of water-electrolyte balance and acid-base balance treatment. Obviously, these have been initially completed in the emergency department.

"...Bicarbonate replacement solution: Na+138mmol/L, Ca2+1.50mmol/L, K+2.0mmol/L..."

After Qin Lang gave a good order, he started the first step of establishing the blood vessel channel.

Hearing Qin Lang's precise handling of the replacement fluid, Shen Jiamo nodded slightly, and seeing Qin Lang's operation, both Zhuang Tong and Shen Jiamo were a little surprised.

"This kid is very proficient in seldinger technology!"

Seldinger technique, also known as percutaneous puncture technique, is a non-surgical percutaneous vascular insertion technique with safe operation and little damage. Now it has been applied to vascular and non-vascular interventional operations, such as percutaneous biliary puncture. Drainage, aspiration of abscesses, and of course arteriovenous puncture.

Since the patient suffered from extensive burns, the usual catheter placement techniques were limited. Therefore, when Qin Lang came up with the most appropriate seldinger technique, the two directors were very satisfied and were full of confidence in the next treatment. .

"...The filter is NA69 membrane, and the membrane area of ​​UU Reading www.uukanshu.com is 1.60㎡...Heparin sodium low molecular weight anticoagulation..."

In the operating room, Qin Lang gave very accurate instructions and gave various optimal solutions at the same time.

Zhuang Tong on the side was thoughtful, while the distant Shen Jiamo was amazed.

"Dr. Qin is very skilled in this operation, and, in some subtle operations, it is slightly different from the operation method of our Zijingang First Hospital, but the effect is equally significant. It seems that he has learned from an expert." ."

Shen Jiayang is guessing where this Qin Lang is from, the Huashan Hospital affiliated to Aurora University in the magic capital? Or is it the Jishuitan hospital school in the imperial capital?

"...adjust blood flow to 200-300mL/min..."

Constantly monitoring various indicator data, Qin Lang constantly fine-tunes and optimizes the plan.

As for the judgment made by Qin Lang, the remote Shen Jiamo also nodded frequently, very agreeing with Qin Lang's choice.

"...The dialysate flow is controlled at 3L/h, and the dose is controlled at (150～300)mL/(kg·d)..."

Time passed minute by minute, and under Qin Lang's accurate operation, the patient's various indicators slowly recovered.

[Congratulations to the host for completing the task: use the vacant BaxterBm25 (United States) blood purification device to perform continuous blood purification treatment for the patient. Get a reward: 1 life simulation point. 】

PS: Thanks to Uncle Cauliflower for the reward of 1500 coins, thanks to Panda Burning Incense for the reward of 100 coins, and thanks for seeing you cry, but I can do nothing for the reward. In addition, thank you for your support, it is the first time to break into the top ten of the urban new book list. Ask for tickets and read, let's go further! Hey, hey, when it's on the shelves, it will start to explode!