This doctor is very stable
Chapter 556 Emergency stitching on the spot [Please subscribe, ask for a monthly ticket. 】
Chapter 556 Emergency stitching on the spot [Please subscribe, ask for a monthly ticket. 】
Internal hemorrhage due to intracranial impact must require immediate use of hemostatic drugs!In addition, in order to prevent brain herniation caused by excessive internal pressure, antihypertensive drugs have to be used. As for the need for surgery, it is not in Lin Ran's consideration, and the conditions for surgery are not met here.
"Quick, antihypertensive drugs, hemostatic drugs, anesthetics, saline..."
Lin Ran was secretly startled after checking the wounded person's condition. Such an injury might already be a serious wounded person in the hospital, but the wounded person he was in charge of was relatively light among the many wounded.
An old doctor from Baiyun Hospital saw that Lin Ran was dealing with the patients he had treated, and frowned slightly.
In his opinion, the bleeding of this patient has almost stopped. In such a tense situation at the scene, it is very good to be able to stop the bleeding initially.
As for the problem with the head, it's not particularly serious, at least the impact to the brain is not very serious, at most it's a bleeding in the ear canal!
The emergency nurse who came with the car had just helped Lin Ran bring the medicine, when Li Yulong's resonant voice sounded from inside the tent, "Everyone pay attention, the skin test must be done first to understand the medicine? This is a matter of principle, so don't be careless The wound must be sutured on site and thoroughly disinfected, and saline and povidone iodine must not be saved, understand, and the instruments in your hand cannot be used again, so you must remember.”
In the face of large-scale accidents, often some small problems will be magnified and become big problems.
For example, instruments are reused without being thoroughly sterilized.
In case the wounded have patients with infectious diseases among them, not all the wounded will suffer in the future!
Even if there is no infectious disease, cross-infection is a big problem.
Li Yulong's words were still accurately heard by everyone in the noisy tent.
"understand!"
Not only the medical staff of the three hospitals responded to Boss Li, but even the doctors and nurses sent to the scene from other hospitals responded.
"However, Li Yulong is not the first to say this."
The tent became hot.
"Skin test, injection of hemosensitivity, antihypertensive drugs, I will debride the patient's leg injury, remember to thoroughly disinfect the injection site before injection!"
For open fractures, it is not the first time to perform osteosynthesis, but to thoroughly debride and suture the exposed wound to prevent infection from causing future disability of the patient.
"Understood, Doctor Lin."
After Lin Ran finished speaking, the nurses beside him nodded. With Lin Ran by their side, they have the backbone and know where to work hard.
There was a lot of dust at the scene. It can be said that every injured person seemed to have been rolled in a pile of cement powder.
Therefore, doctors often need to clean the wound many times when treating the wound.
Naturally, Lin Ran's side was no exception. He cut open the patient's left thigh to get a simple bandage. As for the patient's jeans, they had already been cut into shorts by the previous doctors.
Opening two bottles of [-]ml normal saline, Lin Ran held the tweezers with alcohol cotton in his right hand, and the bottle of normal saline in his left.
"It will hurt, bear with it!"
Lin Ran didn't care if the patient could hear him or not, anyway, he had already reminded him, and poured down on the patient's wound.
"what……"
A scream rang out, but it was just one of many screams, and it didn't attract the attention of other personnel!
The normal saline washed away the blood and sediment on the surface of the wound, and Lin Ran used the alcohol swab in his hand to clean the depth of the wound.
"It's painful, bear with it, and you can be anesthetized after cleaning."
Lin Ran almost cleaned the patient's wound while talking. Although the patient couldn't hear him, he still had to say what he had to say, otherwise he would feel uneasy!
"Hi...ah..."
The patient's painful forehead was covered with sweat.
After Lin Ran carefully debrided the wound, the broken leg bone of the affected thigh was clearly visible.
"After injecting Zhixuemin..."
"The antihypertensive drug injection is completed..."
"Very good, anesthesia injection!"
Throwing the thing in his hand into a small tray aside, Lin Ran took the injection from the nurse.
Local anesthesia.
In the sterilized position not far from the thigh wound of the child, the holes were pierced to give anesthesia!
After waiting for a while, the anesthetic took effect. Lin Ran looked at the dust flying around him, and immediately put the whole bottle of normal saline on it.
Boss Li said that there is no need to save!
And a bottle of normal saline is only 20 yuan, which is not too wasteful.
And this situation on the spot can't be saved.
In fact, even if it should be used in the hospital, it still needs to be used.
"Change your gloves first!"
While clenching his fists, Lin Ran felt that there was sand and sand on his hands. When the supplies were sufficient, the things that should be replaced should be replaced. Try to avoid the wound infection of the patients. If it is a battlefield where there is a lack of medical treatment, it is a different matter. up.
Some infections can be fatal.
After the nurse changed Lin Ran's gloves, he immediately said, "Needle holder, No. [-] triangular curved suture needle, and No. [-] non-absorbable suture."
On-site stitching, certainly not fine stitching.
On-site suturing must be aimed at stopping bleeding and preventing infection.
Moreover, the injured need to undergo open fracture correction surgery, so superficial closed sutures are enough. As for the fine sutures, let's wait until the injured are sent to the hospital.
Lin Ran took the needle holder from the nurse, picked up the suture needle and began to sew.
From the inside to the outside, inserting the needle, drawing the thread, and tying the knot, all in one go and in an orderly manner.
Lin Ran's hand speed was not uncomfortably fast, and the attending doctor of Baiyun Hospital who was peeking from the side was secretly surprised.
No wonder people dare to deal with the patients they have treated twice. It turns out that they are big bosses!
That's right, in his opinion, Lin Ran's stitching skills are very strong!
And this young doctor should have a sufficient understanding of open fracture wounds.
Unlike myself, who is an attending physician in general surgery, he also has only a half-knowledge of wound management for open fractures!
The wounded on the side were still wailing.
Lin Ran muttered silently, speed up!
As he muttered, the sewing speed in his hands increased by two points, as if he was on a Bf.
The attending doctor who watched from the side was shocked beyond belief.
Is this still human hand speed?
Seven or eight minutes later, Lin Ran completely stitched up the wound that was exposed to the outside.
After sewing, Lin Ran cut off the thread immediately, looking at Naturally, he was a little at a loss, and he didn't know where to put his hands, He Shaoqiu.
She's just a little resident!Where have you seen such a scene?
"Doctor He, you are here to bandage the patient. Remember, make sure the wound and the bandage are clean and tidy. If you can't do it, use a bottle of normal saline, and try not to affect the fractured part of the injured, understand?"
As Lin Ran spoke, he glanced at the only saline solution left beside him.
"Understood, team leader, I will definitely do well."
He promised, but He Shaoqiu was beating the drums.
"Good guy! Team leader? Such a young team leader!"
(End of this chapter)
Internal hemorrhage due to intracranial impact must require immediate use of hemostatic drugs!In addition, in order to prevent brain herniation caused by excessive internal pressure, antihypertensive drugs have to be used. As for the need for surgery, it is not in Lin Ran's consideration, and the conditions for surgery are not met here.
"Quick, antihypertensive drugs, hemostatic drugs, anesthetics, saline..."
Lin Ran was secretly startled after checking the wounded person's condition. Such an injury might already be a serious wounded person in the hospital, but the wounded person he was in charge of was relatively light among the many wounded.
An old doctor from Baiyun Hospital saw that Lin Ran was dealing with the patients he had treated, and frowned slightly.
In his opinion, the bleeding of this patient has almost stopped. In such a tense situation at the scene, it is very good to be able to stop the bleeding initially.
As for the problem with the head, it's not particularly serious, at least the impact to the brain is not very serious, at most it's a bleeding in the ear canal!
The emergency nurse who came with the car had just helped Lin Ran bring the medicine, when Li Yulong's resonant voice sounded from inside the tent, "Everyone pay attention, the skin test must be done first to understand the medicine? This is a matter of principle, so don't be careless The wound must be sutured on site and thoroughly disinfected, and saline and povidone iodine must not be saved, understand, and the instruments in your hand cannot be used again, so you must remember.”
In the face of large-scale accidents, often some small problems will be magnified and become big problems.
For example, instruments are reused without being thoroughly sterilized.
In case the wounded have patients with infectious diseases among them, not all the wounded will suffer in the future!
Even if there is no infectious disease, cross-infection is a big problem.
Li Yulong's words were still accurately heard by everyone in the noisy tent.
"understand!"
Not only the medical staff of the three hospitals responded to Boss Li, but even the doctors and nurses sent to the scene from other hospitals responded.
"However, Li Yulong is not the first to say this."
The tent became hot.
"Skin test, injection of hemosensitivity, antihypertensive drugs, I will debride the patient's leg injury, remember to thoroughly disinfect the injection site before injection!"
For open fractures, it is not the first time to perform osteosynthesis, but to thoroughly debride and suture the exposed wound to prevent infection from causing future disability of the patient.
"Understood, Doctor Lin."
After Lin Ran finished speaking, the nurses beside him nodded. With Lin Ran by their side, they have the backbone and know where to work hard.
There was a lot of dust at the scene. It can be said that every injured person seemed to have been rolled in a pile of cement powder.
Therefore, doctors often need to clean the wound many times when treating the wound.
Naturally, Lin Ran's side was no exception. He cut open the patient's left thigh to get a simple bandage. As for the patient's jeans, they had already been cut into shorts by the previous doctors.
Opening two bottles of [-]ml normal saline, Lin Ran held the tweezers with alcohol cotton in his right hand, and the bottle of normal saline in his left.
"It will hurt, bear with it!"
Lin Ran didn't care if the patient could hear him or not, anyway, he had already reminded him, and poured down on the patient's wound.
"what……"
A scream rang out, but it was just one of many screams, and it didn't attract the attention of other personnel!
The normal saline washed away the blood and sediment on the surface of the wound, and Lin Ran used the alcohol swab in his hand to clean the depth of the wound.
"It's painful, bear with it, and you can be anesthetized after cleaning."
Lin Ran almost cleaned the patient's wound while talking. Although the patient couldn't hear him, he still had to say what he had to say, otherwise he would feel uneasy!
"Hi...ah..."
The patient's painful forehead was covered with sweat.
After Lin Ran carefully debrided the wound, the broken leg bone of the affected thigh was clearly visible.
"After injecting Zhixuemin..."
"The antihypertensive drug injection is completed..."
"Very good, anesthesia injection!"
Throwing the thing in his hand into a small tray aside, Lin Ran took the injection from the nurse.
Local anesthesia.
In the sterilized position not far from the thigh wound of the child, the holes were pierced to give anesthesia!
After waiting for a while, the anesthetic took effect. Lin Ran looked at the dust flying around him, and immediately put the whole bottle of normal saline on it.
Boss Li said that there is no need to save!
And a bottle of normal saline is only 20 yuan, which is not too wasteful.
And this situation on the spot can't be saved.
In fact, even if it should be used in the hospital, it still needs to be used.
"Change your gloves first!"
While clenching his fists, Lin Ran felt that there was sand and sand on his hands. When the supplies were sufficient, the things that should be replaced should be replaced. Try to avoid the wound infection of the patients. If it is a battlefield where there is a lack of medical treatment, it is a different matter. up.
Some infections can be fatal.
After the nurse changed Lin Ran's gloves, he immediately said, "Needle holder, No. [-] triangular curved suture needle, and No. [-] non-absorbable suture."
On-site stitching, certainly not fine stitching.
On-site suturing must be aimed at stopping bleeding and preventing infection.
Moreover, the injured need to undergo open fracture correction surgery, so superficial closed sutures are enough. As for the fine sutures, let's wait until the injured are sent to the hospital.
Lin Ran took the needle holder from the nurse, picked up the suture needle and began to sew.
From the inside to the outside, inserting the needle, drawing the thread, and tying the knot, all in one go and in an orderly manner.
Lin Ran's hand speed was not uncomfortably fast, and the attending doctor of Baiyun Hospital who was peeking from the side was secretly surprised.
No wonder people dare to deal with the patients they have treated twice. It turns out that they are big bosses!
That's right, in his opinion, Lin Ran's stitching skills are very strong!
And this young doctor should have a sufficient understanding of open fracture wounds.
Unlike myself, who is an attending physician in general surgery, he also has only a half-knowledge of wound management for open fractures!
The wounded on the side were still wailing.
Lin Ran muttered silently, speed up!
As he muttered, the sewing speed in his hands increased by two points, as if he was on a Bf.
The attending doctor who watched from the side was shocked beyond belief.
Is this still human hand speed?
Seven or eight minutes later, Lin Ran completely stitched up the wound that was exposed to the outside.
After sewing, Lin Ran cut off the thread immediately, looking at Naturally, he was a little at a loss, and he didn't know where to put his hands, He Shaoqiu.
She's just a little resident!Where have you seen such a scene?
"Doctor He, you are here to bandage the patient. Remember, make sure the wound and the bandage are clean and tidy. If you can't do it, use a bottle of normal saline, and try not to affect the fractured part of the injured, understand?"
As Lin Ran spoke, he glanced at the only saline solution left beside him.
"Understood, team leader, I will definitely do well."
He promised, but He Shaoqiu was beating the drums.
"Good guy! Team leader? Such a young team leader!"
(End of this chapter)
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