Doctor Peerless

Chapter 283 Orderly
During the time in the forest of heaven, the two had already cultivated a tacit understanding.

Zhou Zhousheng was watched by Old Tang himself, and took off step by step. He has long been used to the level of monsters, so naturally he will not talk about trust issues. He must deal with the bleeding of amputee patients as soon as possible. The value tends to be normal. As far as the principle of first aid is concerned, choose the difference.

While Zhou Sheng should be, he did not forget to throw out the A-level scanning detection function.

【The comminuted fracture of the left femur, the probability of repair is 10%】

【The amount of bleeding is higher than 1500CC, emergency amputation is recommended】

The probability of repair is low, the amount of bleeding is too large, and the patient is already in shock. What can be done now is high thigh amputation and stump embedding.

The risk of such an operation is undoubtedly great.

But after getting used to the surgery in the Forest of Paradise, neither Zhou Sheng nor Tang Aiyun showed nervousness compared to the current operating room with good equipment and environment.

Walking out of the harsh environment, since the environmental factors meet the standards, what surgery can't be done?

"Is the blood volume enough?" Zhou Sheng couldn't help asking.

"That's enough. Laborers will have a basic physical examination to determine their blood type. Just to deal with the current emergency situation, I have already arranged for someone to find someone... Oh, leave me alone and look at your patients."

Don't worry about the blood volume, the operating environment is so good.

It's so comfortable.

After regaining consciousness, Zhou Sheng used the A-level scan test on the patient in front of him.

[Kidney rupture degree 33.8%]

【Aperitoneal hemorrhage until water accumulation of 500CC rises】

【Multiple perforation injuries on the left colon】

[Recommended treatment: partial nephrectomy, colon suture]

There is no time for emergency imaging. For Tang Aiyun’s cut-off patient, the degree of ulceration in the left leg of the injured patient is enough to see the result of the treatment with the naked eye. If the patient here comes from a third-level hospital, there will naturally be a complete first aid examination procedure. Satisfy the judgment of his injury.

However, small emergency rooms certainly do not have such a complete first aid procedure, which also requires a doctor's experience and judgment.

To be precise, it is a laparotomy.

And Zhou Sheng has a system, so he can directly perform surgical treatment.

"Kelly, are you ready?"

Kelly had already gone to look for surgical gowns and instruments. They were located next to the instrument cabinet in the corner of the room. Fortunately, the instruments were placed logically. Kelly turned around and shouted, "Okay, you can start anytime."

"I'm going to disinfect, and you can get it done soon."

Of course, the current situation does not meet the disinfection rules for surgery in the hospital. After the two came in, there was no time for disinfection treatment. Kelly temporarily put on sterile gloves with the help of the black nurse, but this was also to prevent direct contact with the equipment, etc. After the preparation is complete, it must be disinfected again.

Zhou Sheng went to the disinfection room next to him, and took off all his dirty clothes, leaving nothing but a pair of underpants.

Kelly then came in and stared at the young man in front of her, she was stunned. She did not expect a seemingly weak Chinese young man, the figure hidden under the clothes was not bad at all, and he looked very well-proportioned.

Of course, before he was stunned for half a second, he began to put on the surgical gown and sterile gloves for Zhou Sheng.

"I'll go for anesthesia first, and you should be faster." Zhou Sheng went out first after finishing.

At this time, don't expect someone to help anesthetize the patient, you have to do it yourself.

However, what Zhou Sheng didn't expect was that when he came out on his front foot, Kelly came to his side just after the injection of drugs for anesthesia.

"So fast?" He was slightly surprised.

Kelly said calmly: "If the two-piece surgical gown is the standard uniform of the army, the speed will be twice as fast."

Just this little thing, you can see Kelly's confidence.

What Zhou Sheng didn't know was that Kelly really had the intention of emphasizing performance. She really regarded this time as an entry assessment, but she was a little puzzled as to where the two patients were found...

"Check the anesthesia."

"no problem."

"Operation begins...scalpel."

Kelly handed it over swiftly, even though he was thinking... so hastily?

But does she know what the responsibility of a nurse is?Follow the instructions and don't question the doctor's decision and judgment.

as predicted.

Soon she found that worry was unnecessary. Skillful cutting and extremely iconic movements made her feel happy physically and mentally. The last time she saw such cutting movements was before she retired, a special hire from Hopkins On the consultant's operating table, Kelly at the time was a third-aid nurse helping a patient undergo a heart transplant.

Well, Kelly has seen too many top doctors.

Of course, there are no military hospitals in the United States, just like New York City does not have a municipal committee, and the national conditions are different; but each military region has specially hired consultants and experts, who are undoubtedly the academic leaders of the top ten medical centers.

Do you really want to say that Zhou Sheng's incision is better than those people?
In fact, it is also exaggerated.

However, the extreme standard cutting can be said to be a textbook-level demonstration.

Wall hangings are always different.

Intraoperative.

Although partial kidney removal was involved, the incision site chosen by Dr. Zhou was not on the side of the waist, because the left colon tissue also had different degrees of perforation and ulceration. The system judged that the two operations were performed at one incision, so a single incision site was very difficult. Big, but it is always better than two wounds before and after, which avoids the trouble of resting patients in the prognosis.

The biggest bleeding point was in the kidney, but Zhou Sheng was not in a hurry to have the surgery removed.

After exchanging for [kidney removal], relevant experience told him that the patient's current state can still wait. In addition, the hydroperitoneal problem caused by bleeding will also greatly increase the infection probability of the resection work.

The colon suture was completed first, and then the nephrectomy was done in an orderly manner.

"Clean."

"Finish."

"Pinch to secure, sutures."

"Finish."

"Number One Stitched, Mark."

"Finish."

The two experienced surgery for the first time, but the tacit understanding is extremely high. This is the importance of a good assistant, never procrastinating, and maximizing the utilization of fragmented time.

Zhou Yisheng did not have time to feel all this, but was immersed in the state of the operation.

The degree of colon ulceration is exaggerated, because it was hit by a heavy instrument, it was really luck that he didn't break him in the middle, and the current degree of illness is considered mild.

In terms of intestinal tissue removal, Zhou Sheng had already exchanged relevant skills and had his own judgment.

If the damage is too large, it can be removed directly.

After witnessing a series of actions, Kelly no longer has any worries. Even after Zhou Sheng excessively cut off a section of festering colon, she did not ask: Can such a length of colon be cut off?
But the reality told her, yes!

The system has already given precise calculations to maximize the toughness of the colon tissue within a reasonable range. The colons at both ends are shortly anastomosed, and the height of the fit is intact.

Even Zhou Sheng himself let out a sigh of joy after finishing the stitching.

The benefits brought by the previous two [Sewing Method Experience Collections] cannot be described in words.

All in all, very strong.

"Aspiration, replacement of surgical instruments, preparation for nephrectomy."

At the same time, the blood source has been delivered, and everything is in place.

(End of this chapter)