medical simulator

For emergency surgery, there are only patrolling nurses without equipment, and the anesthetist is alone, without students, so there are only two pairs of astonished eyes.

After Zhou Cheng walked out of the operating room, the anesthesiologist asked Xun Xun, his eyes full of astonishment: "Who is this boss? Do you know him?"

The anesthetist is unknown.

It was also a coincidence that after the itinerant nurse saw two pliers on the operating table, a past event was outlined in her memory.

"Sister Pian, don't tell me, I seem to know him, but I don't know his name." The roving nurse said with her eyes wide open.

"Qiong Qiong, are you still playing tricks on me?" Anesthesiologist Liu Xianpian just graduated from the hospital with a Ph.D., so there are many emergency departments.

The itinerant nurse has been working in the hospital for four or five years, but she is still younger than Liu Xianpian: "Sister Pian, I'm really not trying to cheat on you, it's true, I only know him, do you remember the collapse incident last year, when I Received an emergency mission and went to support."

"I saw him give first aid at the scene, but I didn't dare to ask what his name was. I followed the 120 bus to go there. If I transferred a patient, I had to come back immediately."

"It seems to have the same surname as mine, Zhou." Itinerant nurse Zhou Qiongqiong said.

Unknowingly, a year has passed since that incident, so Zhou Qiongqiong only has a deep understanding of that person's last name, and now he really can't think of his name for a while.

But she hurried to open the patient's case file: "It's called Zhou Cheng. It should be from the Department of Orthopedics."

"I heard later that Dr. Zhou is very powerful. When he was at the scene, he took a few vascular forceps and completed a lot of hemostasis operations."

"Let me just say, who is so courageous? In the operating room, two vascular forceps were clamped, and then dared to go out and ask the patient's family members to sign. If it is this Dr. Zhou, it is really not surprising."

"It turned out to be him. I've heard of it too, but I heard about it later when our teacher in the anesthesiology department told a story." Liu Xianpian began to gossip.

"I heard that he is still single, Qiongqiong, you and he are in the same family, please help me get a WeChat later, I heard that he is quite handsome." Liu Xianpian is no longer a little girl, knowing some things, You have to act quickly, or you will lose your share.

"Ah? Good good." Zhou Qiongqiong was surprised that Liu Xianpian had already broken up.

Zhou Cheng called and asked the doctor on duty to notify the patient's family members to the door of the operating room. After Zhou Cheng went out and called the patient's name, a bunch of people came up with frightened expressions on their faces.

"How is my husband?" A well-maintained young woman came up and grabbed Zhou Chengcheng and asked.

After all, in the middle of the operation, the doctor came out to talk, which is not a good thing.

Zhou Chengcheng said: "The patient's condition is very urgent now, and you need to sign it. Then there are some things that I have to tell you."

"The patient was admitted to the emergency department of 120 and took the green channel. The situation was urgent at that time. When you went to the emergency department, you should have seen the blood spurting that the doctors and nurses took pictures of you."

"At present, the bleeding has stopped, but the specific operation method, we need to change according to the situation during the operation. We will try our best to rescue the person."

"I don't have much time now, just one thing, save lives first, and then treat illnesses, so if there is any missed diagnosis or misdiagnosis, I can't take care of it. If you don't have an operation just now, the person will be gone, so we can only go to the operating room. Take your life back, can you understand?"

"If you can understand it, sign it, and I will rush back to continue the operation immediately."

"If there is a situation later, I will come out to communicate with you again. If we don't have a doctor come out, then it means that the operation is going well. At that time, we will temporarily order a CT during the operation to observe whether there is any damage to the head or other parts. "

"It's still the same sentence, save lives first!" Zhou Cheng said quickly.

He didn't dare to delay, but there were some things that should be explained. Zhou Cheng was also afraid that the doctor on duty would not see the patient's condition, so the explanation would be unclear.

"I know, doctor, hard work
You guys, let's sign, I have already paid the medical expenses, and there is only [-] for the time being, I didn't bring my card at home, and there is a limit on WeChat. "

"Doctor, why don't you give up the treatment just because you don't have money?" The young woman quickly grabbed Zhou Cheng's hand and confessed very eagerly.

After saying this, a middle-aged man in his 50s and [-]s walked out next to him: "Doctor, you don't have to worry about the cost. You must save my brother's life and minimize complications!"

"You may have read too many jokes on the Internet. For such an urgent disease, our medical staff will definitely not press you for the fee. The operation will be performed directly first."

"Anyone who can talk to you about the cost of surgery with peace of mind is a common disease and can afford it."

"Okay, after you sign, you can wait here with peace of mind, don't worry, don't think why the doctor doesn't come out, it's a good thing if the doctor doesn't come out to talk to you."

"Understood? I have to hurry up and go back to the operation." After Zhou Cheng got the signature, he turned back immediately without any delay.

After entering the hospital, the medical staff may be more worried than the family members about the consideration and worry of the disease.

After all, no one wants someone to die!

When Zhou Cheng entered the operating room again, Du Yanjun had already arrived!

"What's your situation?" Zhou Cheng asked.

"Brother Cheng, I am looking for someone to take the emergency room for him, and he never tires of it. Can't blame me?" Du Yanjun smiled cheaply.

Others didn't understand how rare the opportunity to learn from Zhou Cheng was, but Du Yanjun did.

Now, what he lacks is not articles, but technology. Articles can be accumulated slowly, and he can post them with his juniors, but the technology belongs to him and cannot be shared with others.

"Brother Ibi sent a message saying that he was too tired just after checking the literature, so I didn't call him." Du Yanjun once again proved that he is not a scheming boy, and he didn't deliberately not call Li Chongyue.

"Start the operation. I will sew up the large arteries and veins, and you will sew up the small arteries, veins and muscles. I'll cover you!" Zhou Cheng ordered immediately.

First save the life, then treat the disease. He saved the patient's life. There is no other problem. He can give Du Yanjun some opportunities to practice, and he will escort him. Only in this way can Du Yanjun grow.

Du Yanjun is not as qualified as Fang Yun, and needs a lot of surgeries.

Fang Yun, on the other hand, needs theoretical guidance, and the learning curves of these two people are completely different.

Du Yanjun was ecstatic: "Thank you Brother Cheng."

Hearing the conversation between the two, Zhou Qiongqiong and the anesthesiologist Liu Xianpian gathered together and muttered together, not knowing what to say.

Of course, Lu Cheng ignored it.

After coming to the stage again, the suture of the arterial stump that had already stopped bleeding was considered pediatrics in terms of Zhou Cheng's current technology, after a little polishing and rest.

The suturing of the femoral artery and femoral vein is completed, and after the clamped blood vessels are released, the blood can flow again!
The reason is that the time of the trauma was not long, no thrombus was produced, and the blood flow was smooth!

Zhou Cheng took another look, only small arteries were bleeding, and only the contusion of the muscle layer was left.

This puts my mind at ease.

This kind of disease looks very dangerous. Emergency treatment to stop the bleeding needs to be done quickly and accurately, but in fact, after the main points are solved, it is not easy for the patient to die of shock, unless it is a sudden cardiogenic shock. , with acute arrhythmia.

"Yan Jun, come up and stitch."

"Teacher on the tour, call again to urge the CT next to the bed." Zhou Cheng ordered each.

Zhou Qiongqiong said: "Dr. Zhou, you are too fast. We ordered an intraoperative CT, and it took only 10 minutes. Our operating room has an intraoperative CT machine. It is just a turnaround from the operating room to the emergency operating room. That's all."

Well, Zhou Cheng felt that he was a little ignorant, and he didn't even know about this matter.

Du Yanjun immediately started debridement, small blood vessel suturing and other operations. During the operation, when suturing a certain blood vessel, Zhou Cheng flicked his hand and took apart the stitches.
Finally, Du Yanjun was allowed to continue.

But at this time, the intraoperative CT has arrived.

Simply, the patient's abdomen and head CT showed no other injuries. It should be a sudden steel bar penetrating injury, which happened to be pierced into the femoral artery sheath, and the femoral nerve was not even damaged.

It's also a true coincidence, and it deserves no problem!

But even if Zhou Cheng was able to read the films, he still invited people from the neurosurgery department and general surgery department to come to the consultation and wrote the consultation opinions before it counted.

Specialize in specialization, specialize in one.

With such peace of mind, the progress of the operation can be further slowed down.

"Doctor Zhou, the patient's blood pressure has returned to a high pressure of 92. In order to avoid excessive bleeding, I kept the blood pressure near the shock blood pressure." Liu Xianpian said to Zhou Cheng.

"Okay, thank you!" Zhou Cheng felt at ease.

This is the difference between the Eighth Hospital and the Affiliated Hospital of Shonan University. The Eighth Hospital can't wait to restore the patient's blood pressure to normal, but the capable surgeons in the Affiliated Hospital of Shonan University will control the blood pressure at the shock blood pressure during the operation. nearby to reduce bleeding!

This is courage and self-confidence, hovering near the edge of death.

Shock blood pressure is terrible, but to a certain extent, it can reduce bleeding.

The operation was carried out slowly, but Du Yanjun's speed was too slow. It took more than an hour to complete the debridement and suturing of several blood vessels.

But the time was already pointing to more than six o'clock, close to seven o'clock.

So Zhou Cheng didn't have much time to waste, and directly grabbed his operating equipment: "I will practice more basic skills in private in the future, and your suturing and debridement speed is a bit slow."

"The effect of debridement is not bad, but when suturing, it is still not neat. Pay attention, find a little lumen membrane and suture it." Zhou Cheng pointed out patiently.

"Okay, Brother Cheng." Du Yanjun was a little disappointed.

But after looking at the time, he also knew that Zhou Cheng had no time to waste, and he was going to hand over shifts later.

After Zhou Cheng took over the surgical instruments, the operation process was completely different. At 07:30, the wound was closed.At the same time, Liu Xianpian seemed to be trying to show off his skills. At this time, he just restored the patient's blood pressure to a normal level.

It's also awesome!
Watching Du Yanjun continue to sew, Zhou Chengcheng said, "Thank you for your hard work, two sisters."

Zhou Cheng is 27 years old and has been working. In the hospital, unless he is a very tender young man, it is right to call him brother or sister.

Zhou Qiongqiong said, "Doctor Zhou, is your name wrong?"

"You should be called Miss Pian."

Since Liu Xianpian has the intention of flirting with Zhou Cheng, Zhou Qiongqiong doesn't mind pushing his own single high-quality young man to Liu Xianpian.

Zhou Cheng hurriedly apologized: "I'm sorry, I made a mistake. I will invite you to drink milk tea later to make amends."

In the Affiliated Hospital of Shonan University, there are a group of high-achieving eight-year students who enter school and graduate at the age of 26. Some people graduate early, maybe around 25!

Just like Yang Yifeng, the 23-year-old junior class, it is not impossible.

Zhou Qiongqiong covered her mouth and snickered.

Du Yanjun raised his head and joked, "Brother Cheng, you have met your opponent this time. You are not yet 27 years old, so you can't pretend to be young."

"Get over the bed." Zhou Cheng looked a little embarrassed, and began to put up the airs of a senior doctor with a blank face.

The follower general hospital is also a kind of resident doctor, which is the subordinate of the general hospital.

But Du Yanjun's words made Zhou Qiongqiong stunned, and let go of her covered mouth. She turned her head and glanced at Liu Xianpian, with the charm in her eyes, "Sister Pian, such a young lad, you have the nerve to do it. ?"

Liu Xianpian originally thought this was a good opportunity, but after hearing about Zhou Cheng's age, the flame in her heart went out instantly.

It may not matter if the boy is four or five years older than the girl, but if the girl is more than six years older than the boy, it is basically

I'm not too embarrassed to start.

Liu Xianpian is 32 this year, a woman with a doctoral degree.

Began to become serious, sighed helplessly in my heart, too tender...

However, after Du Yanjun asked Du Yanjun to send the patient out, and explained the precautions with the family members, Zhou Chengcai said, "What do you call the two young ladies? Let's add VX?"

"Wait a while so you can get milk tea."

Zhou Qiongqiong nodded quickly: "Okay, okay, Doctor Zhou, my name is Zhou Qiongqiong, Yu Jingqiong. You can also call me Qiongqiong."

"This is Liu Xianpian, I call her Sister Pian." Zhou Qiongqiong played a trick, I am younger than her.

Liu Xianpian is not suitable, she is suitable, she is only 28, and she is still single.

Sister Pian doesn't flirt, I'll flirt.

Liu Xianpian said, "You're welcome, Doctor Zhou, just now I was just joking. After I get off work later, I have to go back to catch up on sleep, otherwise I will be sleepy."

"Then you can also add a VX, and there will definitely be more cooperation in the future." Zhou Cheng said so, and it was logical to add it to the WeChat of the two.

After saying goodbye, on the way to the department.

Liu Xianpian did not reply, and Zhou Cheng sent his name: "Doctor Liu, I am Zhou Cheng from the Department of Orthopedics, please Huicun."

"Doctor Zhou, my name is Liu Xianpian, you can also call me Sister Pian." Liu Xianpian replied a message.

But Zhou Qiongqiong was not so quiet, and sent a long series of messages over.

The first sentence is: "Doctor Zhou, you also have to call Sister Pian Xiang, she was embarrassed just now."

"My name is Zhou Qiongqiong."

"I was at the emergency scene last year and saw you!"

"My name is Zhou Cheng, we are from the same family." Zhou Cheng smiled, and after sending such a message, he rushed to the department to take over the shift.

If you are always in the hospital, who cares if you have an emergency shift at night, you will get it when the shift is due, unless it is in an emergency operation, it is best to call the director of the ward to ask for leave.