medical simulator

Chapter 415 Big brother, I will do the work of a dog and a horse!
Zhou Cheng cheekily asked Ding Changle for a three-day vacation.

Ding Changle scolded: "You know what's going on in the department now, and you'll be able to get in again slowly in the future. Not in three days, but half a day is fine."

"But you can't go to a place 15 minutes away from the hospital. For ordinary emergency, you can directly leave it to several other general inpatients to do it. But for multidisciplinary emergency, or the kind of surgery for critically ill patients, you must go."

……

Outside the hospital, An Ruo, who had asked for leave from the No. [-] Hospital in Shashi, finally sat in a coffee shop with Zhou Cheng again...

After An Ruo came in, he said furiously, "Zhou Cheng, why don't we resign?"

Zhou Cheng took a look at An Ruo: "Really, you will support me after resigning?"

"You can raise him." An Ruo said without confidence, but felt that wherever Zhou Cheng went now, he could talk about it.

"If you dare to support me, I can't afford to pay liquidated damages. This amount." Zhou Cheng gestured with a finger.

1000 million, Zhou Cheng can't get that much money if he sells it now.

An Ruo, who has always liked medicine, said: "Others can't get 1000 million, but your friend can definitely get it, and he must have this idea to pull you out of the heat."

The general hospital is so busy, and then set up a trauma center emergency team.

An Ruo originally thought that Zhou Cheng was going to lead the team, but he asked how many people were in the department, two.

Where is the department?
No.

What is there, a mobile phone, ready to work at any time.

This is a der!

Zhou finished a cup of coffee, and An Ruo told the waiter to have another one.

After the waiter left, Lu Chengcai said: "Go to the emergency trauma center, the general consultation and the simple ordinary consultation have been cancelled!"

"Most of the work is allocated to the hospital chiefs of other departments."

"I think it's just the result of Dean Lei Zhong and Professor Ding Changle's deliberation."

"The period of general hospitalization is the best time to have the opportunity to choose and contact patients, and to be the chief surgeon. If you don't practice at this time, you will have no chance when you are promoted to the next step."

An Ruo said, "Are you short of this opportunity to practice your hand? What kind of surgery do you want now, Teacher Ding Changle won't give it to you?"

An Ruo told a story of another level, and you are not the kind of person who can be dismissed casually.

"I'm not talking about me." Zhou Cheng sniffed.

Yes, I have grown to the point where I have to properly give others opportunities.

Everyone needs to grow up. If you can spare some for others to practice, you will have more experience with others.

"It's the other general hospitalizations who need to practice. Then, I can use this opportunity to get out of the suffering of the general hospitalization as soon as possible."

"Once the trauma center is established, it will definitely recruit people one after another."

Zhou Chengcheng said: "At that time, I will be the boss of the department. All I have to do is arrange the subordinate doctors in the department, arrange interns, bring interns and so on."

After hearing Zhou Cheng's explanation, An Ruo became even more worried, and said, "I guess the responsibilities and tasks are greater. If you encounter such a large-scale emergency operation, you will be the first to escape."

"Why did you go to the emergency room?"

The emergency department and pediatrics have the most medical disputes, and dogs don't go there.What An Ruo is more worried about is this, if he encounters a bad character, it will be over.

"Isn't that how it's arranged. Someone has to go!"

"Besides, An Ruo, I need a better platform. It is in my best interest to build my own team and separate out alone." Zhou Cheng said.

After being with others for so long, it is always time to go out independently. If you don't build your own team, you will never be able to truly realize freedom.

The professor may be comfortable under the pressure, but Zhou Cheng himself is uncomfortable.

"That's true." An Ruo thought about Zhou Cheng's future, and felt that it was impossible for Zhou Cheng to be suppressed by others, and to hang around with others all the time.

This is a very good timing, Professor Lei Zhong saw this.

Maybe it was Lei Zhong who had planned to do this a long time ago, but he just didn't find a suitable time. Now that this is the case, he simply broke the boat.

"Let's not talk about this, let's go to the movies later, eat hot pot, and then, get up early tomorrow morning, and I will take you to work." Zhou Cheng suggested this.

He only has half a day off.

An Ruo nodded without blushing.

The next few hours, time is very fast.

Zhou Cheng and An Ruo ate two extravagant hot pot meals. What do you mean, they tried two newly opened hot pot restaurants, and then they were all blacklisted, and they were half full.

The movie was about to start, and the two planned to go to the movie first.

It's just that the movie just begins——

"I'm looking at the moon..." There are no lyrics, but the phone rings with this tone.

Zhou Cheng quickly muted, then connected, without speaking.

But after hanging up the phone, he looked at An Ruo.

"Go."

Zhou Cheng said seriously: "There is a hemorrhage, call me to have a look. Human life is the most important thing, I am in this position now, I have to go."

"I know, I'll wait for you to come back, and I'll watch it with you later." An Ruo became more sensible when she heard that something was going on, and stopped making trouble.

"..."

When Zhou Cheng came to the emergency department, he saw the patient and his family members there.

The patient was a middle-aged man in his 40s. He was lying flat on the hospital bed with a tube inserted, and other white coats who arrived before Zhou Cheng were doing physical examinations.

However, it can be seen with the naked eye that there are serious trauma marks on his thighs, calves, and upper limbs, and blood stains seep through his clothes and the gauze wrapped by the ambulance.

Next to the hospital bed, there was another woman, probably his wife, covering her mouth at the moment, looking at her husband's injury, her eyes were red.

Then finally a call came, she turned around and covered her mouth to answer, but was reminded by a nurse: "This is the emergency room, you can't make calls, if you want to call, please go outside!"

"Don't affect our treatment." The nurse cursed quickly, ready to speak, for fear of not being able to hear the doctor's order clearly.

Maybe the caller was quite important, so she walked out, saying, "Yes, Chen Wen is injured. We are in the hospital now, and the doctor said the situation is not very good..."

In addition to the middle-aged woman, there is also a fat man who is not very tall, less than 1.6 meters, with a cut head and a bald forehead. He is swallowing saliva and looking at the injured person nervously. Ask in a low voice: "Doctor, can I still be saved? Will I be disabled if I am saved?"

"Don't talk, don't you see the doctor is auscultating?"

"Please go out for a while, thank you." The nurse who spoke before was unceremonious and chased away again.

"Hey. Me." The middle-aged man seemed to have nothing to say, but he was pushed out by the nurse.

After this, in the emergency room, a few white coats made a sound: "Push the CT room first, and then send it to the emergency operating room. The pupils on both sides are slow to respond to light, and the pupils are constricted. It is estimated that there is intracranial hemorrhage. I don't know." Is it a ventricular hemorrhage or something."

This is the boss of Neurosurgery. Although he said so, his face was full of helplessness.

It is estimated that even if the patient has a craniotomy, the final effect will not be very good, and it is even difficult to get off the stage.

"How's the patient's blood pressure?" asked a white coat near the patient's right chest.

"104/67mmHg! Blood oxygen saturation is 93%."

"Blood pressure and blood oxygen are not bad. I suggest pushing the CT room first, and then look at the CT results. If the blood oxygen is really not good, I will put a tube here." Come down and decide on sex.

"..."

About 10 minutes later, the patient was pushed out of the emergency CT room, and then Zhou Cheng and other bosses from different departments went to the patient's family members, that is, after his wife signed the proposed emergency operation.

Only then did she plead sincerely: "Doctor, must you save my husband? Thank you all. I beg you."

The person closest to her was the boss of the Thoracic Surgery Department, who replied, "We will definitely try our best. We are not going to run away, please don't stop us. Thank you."

"You go to the door of the operating room first, and we will talk to you at any time later."

No one can give her an accurate and satisfactory answer to her question.

"You must save him, please." But the middle-aged woman was still praying, watching Zhou Cheng and others leave with reluctance.

In the emergency operating room, the patient chose general anesthesia for anesthesia, so he was quickly overwhelmed by the anesthesiologist.

The junior neurosurgery doctor immediately began to shave his hair, and then he was always hospitalized to read the CT results in the film reading system.

"There are blood lumps in the epidural and intracranial, which is a bit troublesome. If it's just epidural, it would be great." He said while cursing.

"Brother Chu, come here, I'll give it to you." Zhuo Zhigang from the neurosurgery department said.

The boss of the Thoracic Surgery Department called Chu Lin and said, "I can step down with a tube here! What's your opinion?"

Chu Lin quickly looked at Zheng Xianlin, the boss of the general surgery department.

Zheng Xianlin was in the third year of the general hospitalization, and he knew his name when he was Dr. Chu Lin.When he was in the Department of General Surgery, Zheng Xianlin had already been admitted to the hospital as a full-time employee.big brother.

Zheng Xianlin said casually: "Chu Lin, are you so confident? I have to take a good look. I guess we have to call the professor to come on stage."

As Zheng Xianlin spoke, he began to change the CT level: "Spleen is severely contused. Kidney contusion, pancreas contusion, liver contusion..."

"Is this because the abdominal cavity was gnawed by a mouse?"

"Traveling, urgent consultation with the Department of Urology!"

"Okay, Brother Lin." Xun Xun is also an old acquaintance with Zheng Xianlin, after all, he has been hospitalized for three years.

When Zheng Xianlin then looked at the layer below, Zhou Cheng's eye sockets shrank slightly.

Alas, it seems that the general inpatient of the vascular surgery department must be called!
There was bleeding in the pelvic cavity and abdominal cavity, and, Yang Yifeng came, so I can cooperate later.

Zheng Xianlin glanced around and saw Zhou Cheng three times. He felt that he was a bit in the way, but he didn't do anything. He asked, "Which subject are you following as a regular trainee or a graduate student? Get out of the way?"

This patient was sent to the emergency operating room!
The few people in the general surgery department didn't have much contact with Zhou Cheng before, so they didn't help.

Zhou Chengcheng said: "Thank you, brother Lin, for complimenting me on my youth. I'm sorry to block your way, brother Lin. I'm Zhou Cheng from the Department of Orthopedics."

Zhou Cheng didn't know Zheng Xianlin's name either, so he called him after others.

As he spoke, he stepped back a few steps.

Zheng Xianlin's pupils shrank a little at that time!
"I'm sorry! I didn't recognize it. Zheng Xianlin from the General Surgery Department." Zheng Xianlin quickly apologized, then pointed to the patient, and said, "Brother, go and see what's going on with you first, I'll buy you a drink next time." apologize!"

Zhou Cheng didn't remove the gauze, but just exposed the wound.

Chu Lin from the Department of Thoracic Surgery said with emotion: "Brother Zhou, the workload of your department is not small."

Zhou Cheng nodded: "It's not small, fractures in three places, debridement in four places. It's not ruled out whether the blood vessels were damaged."

But what Zhou Cheng didn't say is that the amount of work in your department is not as simple as you imagined.

Zhou Cheng retreated first, and at the same time called the bosses of several orthopedic wards.

This patient has multiple traumas all over his body, so he must be treated and operated on at the same time, so as to reduce bleeding, it is better to reduce bleeding.

After Zhou Cheng made the phone call, he hesitated a little, then returned to the operating table and said, "Has the boss of the vascular surgery called? This patient's limbs are so severely injured, but the amount of bleeding is not much. It is estimated that there are arteries in the limbs." Embolism, otherwise, the blood pressure would not be as stable as it is now."

"Moreover, there are multiple organ contusions in the chest and abdomen, which is even more suspicious. You see, there are still more than [-] high pressures."

Everyone glanced at the monitors, and they probably understood what Zhou Cheng meant!
But the problem is, they haven't done the corresponding inspection now!The diagnosis of thrombus depends on CTA. Where is the time to do it now?
Although he thought so, but it had nothing to do with him, he still called the emergency consultation number of the vascular surgery department.

……

After a while, Yang Yifeng ran in. After seeing Zhou Cheng, he gave Zhou Cheng a sideways glance, and then greeted several other elder brothers.

Zheng Xianlin said, "Your vascular surgery department is a bit troublesome."

Yang Yifeng glanced around, and saw Zhou Cheng was cleaning the wound.

The fluency and appreciation of the redefined debridement and suture exist at the same time.

It's like an elegant debridement machine.

Yang Yifeng saw that the nurse who washed his hands and several orthopedic surgery classes following Zhou Cheng were dumbfounded at first sight when they saw Zhou Cheng's debridement operation.

He also saw Zhou Cheng slice off some of the necrotic tissue like a piece of steak, without hesitation, his movements were smooth and delicate, without artificiality.

But the attack was so ruthless that he didn't hesitate at all.

Then there was gap debridement, Zhou Cheng used tweezers to stretch open the muscle gap, and the sharp knife began to scrape in the gap until a small amount of blood oozes from the surface of the muscle, and then he gave up...

Small stones and small pieces of glass were all taken out by Zhou Cheng's tweezers and put into the curved pan with a very crisp clanging sound.

The final result was that in about half an hour, Zhou Cheng directly completed the debridement and external fixation of an external fixation bracket.

After Zhou Cheng finished and bandaged the external dressing, he said, "Please call the boss of the vascular surgery department and tell them that they are ready for surgery."

The itinerant nurse froze for a moment, but did not respond for more than ten seconds.

"Stop rushing!"

"If you brag any more, I'll expose your awesomeness. Tell me, big brother, what are you asking me to do here? I will do my best." Yang Yifeng no longer pretended to be dead, and naturally recognized himself positioning.

When Zhou Cheng called him over, he was definitely not dealing with blood clots in the limbs. This little blood clot probably wasn't enough for Zhou Cheng to play with.

"Don't be kidding, open the abdomen quickly to stop the bleeding!" Zhou Cheng didn't look back, just ordered.

(End of this chapter)