My Medical Skills Give Me Experiences
Chapter 68: this is no joke
Zhou Can's debridement technique is currently at the second level, which is a low level of regular training, not too advanced.
It was more than enough to deal with the wound in front of him.
If it wasn't for Dr. Lu's stupid pig, he scorched the patient's two bleeding points with the electric coagulation knife. Debridement will be less difficult.
After pulling out the fragments, a small column of blood spurted out from the wound.
It is possible that when Dr. Lu pulled out the fragment, the sharp edge of the fragment cut the blood vessel.
It's also possible that the fragment had punctured the blood vessel in the first place.
Before it was pulled out, it was tightly pressed because it was embedded in the muscle.
So there was no bleeding.
After pulling out, there is no barrier at the opening of the blood vessel, and the blood spurts out directly.
This is also the reason why someone is pierced by a sharp weapon, and the sharp weapon is stuck in the body and must not be pulled out.
If you don't pull it out, it may just be bleeding slowly.
There is still hope for rescue if sent to the hospital in time.
Once pulled out, the pressure disappears, which can easily cause massive bleeding.
The wounded will die quickly.
"This branch artery is punctured by debris. What do you think?"
Zhou Can pointed to the broken blood vessel and asked Dr. Fu to check it.
This is a minimum respect for superior doctors.
No matter how powerful he is, if he doesn't know how to respect the superior doctor, he will be unable to move forward.
There is one more thing he did well.
Zhou Can did not say that Dr. Lu cut the blood vessel, but said that the fragments punctured the blood vessel.
They can compete and even involve, but they cannot tear each other down in front of patients.
"Well, the damage to the blood vessel is really not serious. It can be repaired with a blood vessel anastomosis."
What Dr. Fu was most worried about was hurting the femoral artery.
The result now is much better than expected.
"Can I do the anastomosis? I have done many anastomoses under Dr. Xu, and there are no failed cases yet."
Zhou Can hurriedly promoted himself.
After spending so much effort and only earning 1 point of debridement experience, he is not so easily satisfied.
Take the initiative to stay and work overtime.
It is to quickly earn a lot of surgical experience points.
Whenever he gets the chance, he will fight for it like a hungry wolf.
"I'll repair the blood vessels, and leave the rest to you!"
Dr. Fu was a little scared after seeing Dr. Lu's pig-like skills.
Such an important task as vascular anastomosis should never be easily handed over to junior doctors.
"Okay! Thank you, Doctor Fu."
It is also quite good that Zhou Can successfully got a chance to suture.
As long as he has the opportunity to perform, he can gain Doctor Fu's trust step by step.
Are you afraid that you will not get the opportunity to exercise in the future?
Dr. Fu's suturing ability is already at the level of attendings, and it is simply a pleasure to watch him perform vascular anastomosis. A lot of matching skills can be learned.
After he finished sewing, the blood test will be done.
The blood flow was smooth, and the anastomosis was very successful.
No matter how weak the attending physician is, he is still the attending physician, and the level of strength lies there. It's really not comparable to a resident doctor.
"Doctor Zhou, I will leave the rest to you!"
Doctor Fu gave up his seat.
However, after learning the lesson from Dr. Lu's accident, he did not go to the stage to rest. Instead, stand by and watch, so you can guide as you go.
As soon as Zhou Can got the first stitch, Doctor Fu's expression lit up.
With appreciative eyes, a smile appeared on his face.
It seems that Dr. Xu didn't exaggerate this kid's ability!
Next, Zhou Can's momentum was like a broken bamboo, and the meeting was fast and good.
Doctor Fu's eyeballs almost fell out in shock.
Nurse Liu Xia was also shocked.
Is this really just a regular training doctor who just went to work for three days? Why does it feel stronger than Dr. Lu, a resident doctor?
"The stitching is complete, please ask Doctor Fu to check it!"
Zhou Can treated the patient's wound well, and this dangerous operation with twists and turns finally came to a successful conclusion.
He also successfully broke through Dr. Lu's blockade, showing off his surgical prowess.
"Haha, the stitches are very good! In the future, I can entrust you with all my operations and skin stitches."
Doctor Fu laughed heartily.
A successful resolution of a crisis, to him, was like a catastrophe of life and death.
"Push the patient out! Because he has coagulation disorders, give him a bed in the observation area for observation for a day to avoid accidents."
This kind of minor operation is always carried out in Tuya Hospital.
For patients with postoperative risks, the routine treatment method is to let the patients stay in the observation area for a day or two to observe.
After the patient was sent out, Doctor Fu breathed a sigh of relief.
I was about to call to report to Director Lou, but I didn't expect that Director Lou had already arrived at this time.
Straight into the operating room.
"What about the bleeding patient?"
Director Lou asked with a sullen face.
He, the director of the emergency department, looks at the scenery, but the pressure is greater than anyone else.
It is necessary to find ways to improve the rescue rate of the emergency department, but also to find ways to generate income for the emergency department and improve the level of diagnosis and treatment. I have to worry about it all day long, praying that the doctors below will not make trouble.
If a first-level surgery patient died on the operating table, the entire emergency department would be a laughing stock.
The dean and the vice dean in charge of business pointed to their noses and cursed.
"It has been cured after surgery!"
Doctor Fu reported truthfully.
He was really depressed.
If it is found that the patient has coagulation dysfunction before the operation, they will solve the problem of the patient's bleeding through a series of means. If it is spread out, it is definitely a resounding achievement.
But now that Dr. Lu treats her like this, it's not bad if she doesn't get scolded.
"Healed? Doctor Fu~www.readwn.com~ You can't joke about this matter, let alone cheat. If you get into trouble and are afraid of being scolded, you will deal with the patient hastily. I can't bear this responsibility."
After Director Lou heard this, not only did he not look happy, but his face turned even darker.
"Don't worry, although I, Fu Chachun, have mediocre medical skills and mediocre performance, I never shirk my responsibilities. I will never make fun of the patient's life. This is also the basic morality of a doctor. I guarantee with my personality that the patient really healed me. alright."
Doctor Fu had a serious face and a serious tone.
Director Lou stared into his eyes for a full 20 seconds. He didn't believe it until he saw the calmness in Dr. Fu's eyes.
Afterwards, I will definitely have to check the patient myself to be relieved.
"For patients with blood coagulation disorders, it is difficult to stop the bleeding. In addition, if the artery is broken, even I may not be able to stop the bleeding. Dr. Fu was able to successfully stop the bleeding in such a short period of time, and performed the operation Finished, it really surprised me. It seems that your medical skills have improved a lot!"
Director Lou's tone softened a bit.
Doctor Fu was ashamed.
It's not that his level has improved a lot, but that a super-strength Gui Peisheng came and saved him just once.
"Tell me about the whole treatment process! Also, the patient has blood coagulation dysfunction, so didn't he get checked before the operation?" Director Lou's voice became sharper again.
The preoperative inspection is not in place, which is a serious flaw.
Surgery is not a child's play, and such low-level mistakes are never allowed to be made.
"It was indeed my negligence to carry out the operation without waiting for the results of the routine blood test before the operation." Doctor Fu is also a man, and he took this responsibility directly by himself.
Originally, the person most responsible for this matter was Dr. Lu.
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