Chapter 168 Only your patients are your patients(1/4)
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While Zhou Cheng's thoughts were still churning, Luo Yun had already taken a deep breath to calm down his mood.
Seeing that Zhou Cheng's expression was still dull, he asked with a heavy voice: "Zhou Cheng, if Director Cai suddenly wants to transfer to another operating room while you are performing Qin Yuanwen's surgery later, what will you do?
?”
Zhou Cheng slowly turned his head, his eyelids flickering up and down.
He replied decisively: "I will follow Director Cai's arrangements."
Luo Yun pursed his lips, but it was covered by the mask: "What if Tan Yuanwen died after you left? Then he moved to other operating rooms and no one survived?"
Luo Yun threw out another mean question!
Zhou Cheng opened his mouth and swallowed the words that reached his lips. He didn't know how to answer.
He had just thought carefully about Luo Yun's first question. One of the prerequisites given by Luo Yun was that he was in charge of Qin Yuanwen's surgery!
Cai Dongfan is the superior and the director of the team, that’s right!
But if medicine is compared to a performance, Cai Dongfan is the superior, but he is in the audience!
After getting on the operating table and arriving at the surgeon's position, Zhou Chengcheng was the temporary master of this operating room. As long as he was not deliberately killing people, not to mention Cai Dongfan, even if he was the dean, the leader of the health committee, no matter how powerful the expert and professor was, the operating table
His divine attributes gave Zhou Cheng arbitrary rights!
It’s totally okay not to be a bird.
Off the stage, there is nothing wrong with subordinates obeying their superiors, but on the operating table, between life and death, the one who can control the situation is the chief surgeon Zhou Cheng.
Seeing that Zhou Cheng didn't reply, Luo Yun didn't embarrass Zhou Cheng and said, "This is because your growth curve is too fast and your work experience is still short. Even if your technical level is sufficient and achieved, your experience and accumulation are actually...
It’s still very thin.”
"This question is difficult for you to choose, so don't think about it."
Luo Yun stops as soon as he reaches the point.
To be a doctor, it is indeed very difficult and even torture to make such a choice. One thought leads to the gods and the other to hell!
Luo Yun’s teacher, Zeng Diwei, once made such a choice!
On one side is a pregnant woman, 31 weeks+ pregnant, who later went to the emergency room!
On one side was an acquaintance of the leader, who came to the emergency room first.
First come, first served? Or priority?
It is actually a very happy thing when you take questions with right and wrong options.
In that decision, Zeng Diwei missed the chance to be nominated as an academician...
The adult was not saved, and finally welcomed the new life of a little guy...
"I'm going to see the specific situation of Qin Yuanwen first. You call Du Yanjun and Zhang Zhengquan and ask them to come to the operating room immediately. I want to see them within fifteen minutes!" Luo Yun gave an order and ran away first.
go.
Previously, Cai Dongfan only considered Qin Yuanwen, so having three people in orthopedics would be more than enough.
but?
If an accident cannot exceed the expected scope, then it cannot be called an accident.
Zhou Cheng quickly called and after a few words, when he arrived at the door of the operating room, both of them had finished their calls.
As soon as he entered, Zhou Chengcheng discovered that the neurosurgery staff were already working non-stop to prepare for the "violent head shaving" of Tan Yuanwen -
It was a really violent type of shaving, and the scalp was so red that it was shaved.
"Hurry up! Hurry up!"
"There is intradural hematoma!~"
"Get your equipment ready!"
"Have you received anesthesia? I can't wait any longer."
"..."
A person from the anesthesiology department was complaining: "I'm having an injection, and my blood pressure can't be stabilized. I don't dare to give the drug casually..."
"I can't control it." Xie Cuizheng from the Department of Neurosurgery picked up the iodine complex and poured it on his head, not caring about disinfecting it slowly.
For intradural hematoma, the sooner the window is opened for decompression, the sooner the patient's symptoms will improve.
Intracranial hemorrhage cannot be ruled out...
People from the general surgery department were also anxiously watching movies with Luo Yun, looking for injuries in related departments——
The circulating nurse who was connecting the catheters of the suction device and other equipment suddenly noticed a little chill on her hand and forearm. When she pulled back and took a look, she was surprised to find blood dripping down.
"There's blood!"
Zhou Cheng happened to arrive at the operating table and immediately saw a large pile of simply wrapped gauze soaked in the direction of the patient's left upper arm where the circulating nurse was sitting. A large amount of blood seeped out, soaking the waterproof draping on the operating table.
Thick blood dripped onto the ground along the waterproof sheets.
At the same time, Qin Yuanwen's right hand and lower limbs on both sides had different open wounds.
This made Zhou Cheng feel certain that Tan Yuanwen was definitely not simply beaten, but chopped!
With a slight thought in his mind, Zhou Cheng shouted to Luo Yun: "Teacher Luo, there is still active bleeding in the left upper arm. It is probably due to a ruptured artery."
While shouting, Zhou Cheng quickly pressed his hand to the location of the brachial artery on his left upper arm, his thumb sunk deep into the skin, and pinched the lumen of the blood vessel forcefully.
Upper arm mobility appears, first hold down the brachial artery!
Luo Yun heard Zhou Cheng's words, took another quick glance, and then ran over. Seeing that Zhou Cheng was probably holding the brachial artery out of shape, he asked: "I raise my hand, can you survive it?"
When the patient's hands are on the table, when pressing to stop bleeding, the operating table can be used as a fixed side. It is easier to apply force and the force of pressing to stop bleeding is smaller.
But to cut and remove the gauze, you have to pick it up.
It's hard to find a focus, so you can only increase your efforts.
"Okay. Teacher Luo."
"Sterile gloves!" Luo Yun turned around and immediately shouted to the tour guide.
But he found that the circulating nurse was still helping the people in the neurosurgery department, so he had no choice but to run and get a pair of gloves. He violently took them apart and quickly put them on his hands. Then without thinking too much, he asked the instrument nurse for a sharp knife.
piece, and began to cut the gauze.
Using a knife to tear off the gauze is definitely not a formal procedure and may scratch the patient's skin, but in order to save time, this is definitely the fastest way.
After Luo Yun cut the gauze open, he immediately saw a pile of blood in the open wound!
The paste is as thick as porridge!
It feels slightly warm to the touch, but also like irregular, super-tender tofu puffs before they solidify, and they burst when touched!
Because Zhou Cheng pinched the proximal end of the brachial artery, the blood did not increase rapidly for the time being, but a small amount of small circulating blood slowly leaked out.
"Open another pair of gloves!" Luo Yun shouted to the others.
The circulating nurse really couldn't leave. She was so anxious that she was helping to hold a jar beside the operating table. When she heard Luo Yun's shouting, she raised her head in grievance and almost shed tears!
"Open another pair of gloves!" Luo Yun continued to shout.
Finally, a trainee anesthesiologist prescribed a pair of gloves to Luo Yun.
Luo Yun's hands were bloody. After violently tearing them apart, he put on a second layer of gloves, ignoring the blood in the interlayer, and then put his hand into the incision very neatly!
My hands violently crushed the blood tofu!
Pushing it outwards, regardless of where the blood paste would be pushed, after roughly clearing his field of vision, Luo Yun searched carefully with his eyes and hands, and finally found a half-broken blood vessel on the inside of his upper arm.
The diameter of the brachial artery is not small, but there is not a lot of blood coming out at this moment, which proves that Zhou Cheng's compression to stop the bleeding is very accurate!
"Silk thread!" Luo Yun shouted again.
"The thread hasn't been opened yet," said the hand-washing nurse.
"Then just grab a piece of wire!" Luo Yun continued to shout without holding anyone accountable. He knew that everyone was busy with the rescue, but there were only too few manpower.
"The stitches haven't been opened yet!"
Luo Yun is about to curse!
Fortunately, a tall and thin nurse walked in from outside. The handwashing nurse quickly asked her to help, which temporarily stopped Luo Yun's rampage.
Started to take the initiative to help open sutures.
Luo Yun got the sutures, carefully tied them off, and then said: "Open the saline solution and kick the bucket over."
The liquid used to rinse wounds with physiological saline must be put into the trash can and cannot be drained in the operating room.
"We still need the bucket here. The hematoma will come out soon." Xie Cuizheng, from the Department of Neurosurgery, heard someone asking for the bucket and immediately refused.
"Then just bring a basin first. If it is polluted, it will be polluted." Luo Yun could only think of other ways.
Disputing at this moment is definitely not the key to solving the problem.
To be continued...