medical simulator

Chapter 388 No night of emergency?
"What are you doing? You haven't sent me a message for so long." An Ruo sent a message with an aggrieved expression.

"To tell you the truth, I haven't been to the house for two days, and the chances of getting implanted in the past two days are still low. I have just completed the transfer procedures for patients." At ten o'clock in the evening, there is no emergency department, and the burn department Several diabetic foot patients also turned over.

After all the formalities were completed, Zhou Cheng could finally rest for a while.

The bright moon outside is acceptable, but slightly curved.Moreover, all the departments of the hospital are equipped with central air-conditioning, so the cold wind outside cannot invade.

It's just that Zhou Cheng opened the window on purpose, letting the cold air severely stimulate the nerves in his cerebral cortex.

Many things are different after work and when I am studying.

Especially leading a group, something that different groups are good at.

Cai Dongfan has just arrived, and as the professor who leads the group, he is not well-known enough. Patients with purely traumatic surgical diseases will not seek him at all. Even Cai Dongfan's relevant resume is much thinner than that of Ding Changle and others.

Ding Changle and the others can screen the diseases by themselves, while Cai Dongfan can only eat their leftovers, and the patients who have been reconciled, do not have their own simple diseases.

Moreover, the patients that Ding Changle and others brought over were, to a certain extent, beyond the scope of Ding Changle's business.

Moreover, harmony between departments within the hospital is also necessary.

It is impossible for the orthopedics department not to consult with the burn department, and it is impossible for the burn department to never communicate with the orthopedics department in the future.

In fact, different diseases in medicine are all the same to Zhou Cheng.

Zhou Cheng himself has no interest in medicine. Now that he has come to this point, he simply feels that he should continue to work in the medical industry.

Therefore, which type of disease does not matter to Zhou Cheng.

If the hospital needs it and the patients also need it, Zhou Cheng and Cai Dongfan can naturally take over such an operation.

For a long time, most people have actually focused on terminal diseases with high mortality such as tumors and major trauma.

Diseases such as diabetic foot are thankless, but not many people pay attention to them.

But in fact, the lack of personality of diabetic foot patients is inevitable.

Just think, who wants to associate with a person who smells stronger than feces?

Except for the family, I am afraid there is no one.

And this type of disease happens to be a very classic type of disease. Since there is no one to take over now, then Zhou Cheng can do a good job if he takes over.

Shashi No. [-] Hospital, such patients may be directly persuaded to be transferred, and no one is willing to do foot washing.

But if this disease can be completely cured by being a foot cleaner, then the methods he summed up can benefit similar patients all over the country and the world!
At most it is a matter of simulating several times.

"So busy? If I had known, I would have gone directly to the laboratory." An Ruo sent a few hugs with some distress.

"I think it's okay, I guess I won't be able to take a bath for several days." Zhou Cheng replied.

"It must stink to death." An Ruo sent a disgusted expression.

"Maybe it will be even worse in the future. Our group is going to take over patients with diabetic foot. You can search the Internet." Zhou Cheng sent a message.

After about four or five minutes, An Ruo came back again.

"Scared me to death, can't you stop doing this disease?"

"Is it arranged by the superiors, or what?" An Ruo asked.

"It's almost the same. The other professors in our department don't want to touch diabetic foot. We can't really let patients go to Kyoto and Shanghai. Anyway, it's a job." Zhou Cheng said.

"Oh!~~~~" An Ruo let out a long sigh.

"You start to dislike me now?" Zhou Cheng replied with a smile.

"No, what I mean is that you have already started to lead the group alone, and you can already screen patients. This is actually the treatment that only professors have."

"And I just searched, diabetic foot is a bit difficult to treat, are you sure?" An Ruo said.

Through the information, we can know that An Ruo is at least not searched by Baidu, and the one found by Baidu is definitely not so real.

"Where there is anything that is not sure, anyway, just bite the bullet and try to do the best for the patient's curative effect."

"Oh, by the way, another advantage of this matter is that the hospital will consider recruiting an additional chief resident of trauma surgery to rotate with me, seeing how hard I work." Zhou Cheng told An Ruo the good news.

I don't have to be on duty for half a month, and I can go home without surgery!

This is Lei Zhong and Ding Changle's consideration that Zhou Cheng will be the boss by himself and lead a team to undergo surgery, which is too hard to do.

"Really??" An Ruo became excited, never thinking about the workload that Zhou Cheng has already undertaken.

"Of course it is true. Why should I lie to you?"

"I was thinking, should we hurry up and buy a house nearby!" Zhou Cheng now has a lot of spare money in his hand.

There's no way, I gave too much before, plus the rewards of the Science and Technology Progress Award and a series of bonuses, after Zhou Cheng bought a wedding house with full money, he can buy another set with full money.

Since we are going to work, we plan to build a set in the star area, which is close to home, and also set up a set near the Affiliated Hospital of Shonan University.

"Yes, yes! Your current annual salary is not low, about 20w, and there is a provident fund. We can definitely get it by our own ability."

"At least I still have a subsidy of [-], I can support myself!" An Ruo deliberately sent an exclamation point.

An Ruo is about to graduate, and what she is currently receiving is a postgraduate subsidy, one thousand and two.

"Are you busy tomorrow, do you want to rest early?" Zhou Cheng asked, afraid that An Ruo would be too tired. After all, girls' physical strength and energy cannot be compared with men's.

If there is still one more physical strength, the energy will definitely be gone!

"I don't want it. It's hard for you to be free. When we talk until you go to the clinic, or even until [-]:[-], you should pay attention to rest, understand?" An Ruo confessed deliberately.

During the general hospitalization, accidents are the most prone to accidents. It is more tiring than when leading the group for surgery. If you do not pay attention to rest, you may die on duty.

"Well, okay, let's talk for a while."

"Let me tell you, these days, my other things are all bad things, but there are also good things. I am in a few good restaurants nearby. Let's go and explore the restaurants one by one?"

"Okay? Did you find out where there is a delicious hot pot?"

"I got it, but it's a little far away."

"Don't be afraid, I have a car, tell me." An Ruo had a look on my face.

"Mountain city." Zhou Cheng gave a positioning post.

"I'll hit you, you've only been there for a few days, and you're starting to learn bad things?"

"However, it's not impossible. If you have a new chief inpatient in your department, we will choose a weekend. After you leave the chief inpatient shift, we will fly to the mountain city in the morning and have a hot pot meal!"

"Eat two meals, come back at night, and take a crazy trip?"

"Didn't you say that your friend went to the Northeast to eat noodles in the morning before coming back?" An Ruo suggested.

"Yes... yes!" Zhou Cheng used to think Zhang Zhengquan's lifestyle was extravagant, but now?
It's nice to have money!

"By the way, An Ruo, my parents said they would come over to help us with the decoration, and we might arrange for them to stay in a hotel then." Zhou Cheng said.

After Zhou Cheng bought a house, he didn't have to decorate it carefully, he had to do it himself, and someone had to watch over it, so Zhou Cheng's parents became better candidates.

"Why are you staying in a hotel? Just live in the neighborhood next door. You forgot, I still have a dowry there."

"My mother called me and said that my father was beaten again." An Ruo said in a message.

"Do you want me to learn some jokes from the Internet?" Zhou Cheng had an idea and asked.

"what?"

"Little rich woman! Hungry, begging for food!"

"'Punch and kick'"

"You?!" An Ruo really couldn't imagine what changed in Zhou Cheng, how could he say such a thing.

Zhou Cheng chuckled, now he also felt that he started to talk about family background and wealth in front of An Ruo, and he didn't feel so inferior.

Money is not a good thing, but money can make people courageous.

"Is the matter of our wedding photos settled?" Zhou Cheng hurriedly changed the subject...

An Ruo didn't care about it.

Today's Zhou Cheng was very lucky. He fell asleep at [-]:[-]. He didn't know when he fell asleep, and was not woken up until [-]:[-] in the morning.

I came to the emergency room, which was relatively simple, and the nearby residents brought it here by themselves.

While going to the bathroom, I fell and broke a bone.

If it was just a simple fracture, since he came to the emergency department here, Zhou Chengcheng used manual reset to deal with it, and then put on a plaster cast, and then walked in the direction of the department again under the thanks of the couple.

Zhou Cheng was thinking about whether he could still sleep, and whether he should take another nap.

Outside the emergency department, bibubibu's emergency 120 ambulance whistled loudly, and not long after that, Zhou Chengcheng saw a group of people crowded at the door, all of them were doctors and nurses from the emergency department in green clothes.

Moreover, an emergency patient was pushed down from the bed, covered in blood, with two severed steel bars inserted near the base of the thigh, and passed out in a coma.

"Call the orthopedic consultation and prepare for emergency chest, abdomen and head CT!" Seeing this situation, the surgeon on duty in the emergency department hurriedly shouted.

Luckily, Zhou Cheng didn't leave at this moment, so he hurried over and looked at the location where the steel bar was pierced!

The scalp tightened a little: "Teacher, I am the chief inpatient of the orthopedics department. In this case, he must be sent to the operating room or operating room as soon as possible."

"The place where the steel bar goes in and out looks like a femoral artery! I don't know if it was punctured or not."

"Get ready to push CT!"

"Where are the family members? The family members come here to sign!" The surgical doctor on duty in the emergency department had no idea about the authenticity of Zhou Cheng's identity, and immediately yelled.

However, in the process of pushing the patient to turn around under the car, there may have been shaking, and it was covered with gauze, but the blood was oozing, and it started to bleed, gurgling like a mountain spring!
At the same time, the instrument connected to the patient's vital signs started to alarm!
"Fuck!~"

Seeing this, Zhou Cheng quickly tore off the outer packaging of the gloves in his pocket, put on a glove within ten seconds and spread it out.

"Teacher, our orthopedics department has no time to sign. This is definitely an injury to the femoral blood vessels, and it is an open injury. It must be operated immediately."

"Call the orthopedic ward and ask the doctor on duty there to come over and sign, and I will follow the patient into the operating room!" Zhou Cheng said while using his hand to stop the bleeding, pressing to the position of the femoral artery.

The rate of blood oozing is reduced, but still present.

There is also a double vessel injury of the femoral artery and femoral vein.

"Mr. Nurse, bring the cotton pads and bandages!" Zhou Cheng shouted to the nurse's station again.

The emergency department prepared a lot of these first aid supplies, and someone ran over with them immediately, tearing off the outer packaging on the way.

no pollution.

"We still need a X-ray. You can find a way to stop the bleeding temporarily, or take an ordinary X-ray. I'm afraid there will be a hidden hematoma in the skull. When the time comes, your bleeding will stop, and you will be gone."

"I will call the general surgery department and the neurosurgery department to come to the operating room for emergency consultation."

"Send it to the emergency operating room. Bedside X-rays and CT can be done in the emergency operating room. I'll call the imaging department right away."

"Okay!" Zhou Cheng followed the arrangement and saw the bandages and gauze.

"Teacher, help me press this hemostasis position. You need to use the hypothenar muscle to press down hard, can you?" The patient was pushed from the emergency department to the emergency operating room, which required the cooperation of doctors and nurses in the emergency department.

The patient was bleeding profusely, so Zhou Cheng couldn't be the only one to deal with it.

The doctor on duty in the surgery department pressed it directly without saying a word, and slowly pushed Zhou Cheng's palm away skillfully.

This is a person who understands orthopedics.

Zhou Cheng calmed down, and then hurried to find the bleeding point of the vein, which had to be bandaged temporarily.

Then when he arrived in the operating room, he needed to stop the bleeding immediately.

The distance is not far, and the speed is very fast. In 3 minutes, I arrived at the emergency operating room from 120, and passed the bed to the operating table.

In an emergency situation, I couldn't take much care of it anymore, and ordered the assigned itinerant nurse to call the head on duty, and authorized the emergency operation after the afternoon operation for special emergencies!

Immediately called the orthopedics department again, and asked the doctor on duty to go to the family members to sign immediately.

At the same time, in just one minute, the anesthesiologist made corresponding preparations: "Dr. Lu, you can start the operation. The patient is currently in a coma. I will handle the anesthesia as appropriate. The patient should not be able to feel pain. "

"At most half a minute, I will make the patient lose their pain!" The doctor in the anesthesiology department is a middle-aged man, very mature and stable, and what he said made people feel safe.

"Okay!" Zhou Cheng didn't talk nonsense. Without extra assistants, Zhou Cheng could only start disinfection alone!
In fact, the wound was splashed with sterile complexed iodine. After reaching a relatively sterile state, Zhou Cheng immediately took six sterile vascular forceps from the sterile operating table, and then followed the patient's existing incision, Clamp them in one by one.

Everyone was taken aback by this operation.

At this time, Zhou Cheng breathed a sigh of relief and said, "Teacher anesthesiologist, teacher on tour, please watch first, the hemostasis of the patient's leg should have stopped, I will go down and ask the family members to sign, so as not to be troublesome .”

"Ah? Good!" The anesthetist and Xun Xun carefully stared at the affected area for a while, and only saw a small amount of blood oozing, not like just entering the operating room.

(End of this chapter)