medical simulator

Chapter 424 Bezoar Erliang! (seeking subscription)
When Zhou Cheng came to the operating room of the emergency department, he took a look at the basic condition of the patient.

Now it's very complicated. General surgery, chest surgery, etc. are all in the battle, and they are dealing with massive bleeding in the abdominal cavity.

The bleeding in the limbs was not particularly serious.

Therefore, Zhou Cheng planned to take the time to perform another joint dislocation reduction surgery.

When I rushed to another operating room, the patient with hip dislocation had already received anesthesia, and the two operating teams had arrived, sitting alone beside the operating table.

There are not many emergency operations at night, and the operating room is basically empty.

The anesthesiologist had already yawned and sat in front of the anesthesia machine to take a nap, and the patient was apparently 'put' down on the operating table by him.

In the emergency surgery at night, there was no follower to wash their hands. There was only one itinerant nurse, busy back and forth.

The roving nurse saw Zhou Cheng coming in at a calm pace, and she hurriedly asked, "Is the orthopedic department hospitalized? What kind of package do you want? I asked the surgery team, but he couldn't explain clearly."

"This patient doesn't need a bag for the time being."

Huang Xuanqi finally separated the anterior tibial and posterior tibial arteries, accompanying veins and popliteal nerve happily!

It's not a so-called attendant, it's one level higher than ordinary doctors in this hospital.

Huang Xuanqi walked around the emergency department!
Then after Huang Xuanqi took the initiative to cover all the conversations, signing medical records and other matters, the two of them rushed directly to the operating room again.

He took a few quick steps, turned around in front of Zhou Cheng, and then froze for a while.

Lift weights lightly.

"The force doesn't need to be too much, as long as the fracture is kept in place, I will temporarily fix it with two Kirschner wires."

The young man opposite Zhou Cheng was immediately surprised: "Wori, are you really that Zhou Cheng?"

After all, it is a dormitory. I heard that Huang Xuanqi went to work directly. It has been three or four years. I really thought I would meet him here.

These words are not pleasant to hear.

"The reset is over. I have been under anesthesia for more than ten minutes."

He even punched his eyes!Before, I thought that Zhou Cheng was a novice, at most he could flatter a few times and understand the world.

Zhou Cheng said: "Let's talk about the past when we have dinner later."

"You can start putting on the external fixator."

Very sensible.

In the emergency surgery of the Affiliated Hospital of Shonan University, in addition to the general inpatient on duty, there are also emergency surgery classes for residents. Five wards, one surgery class for each ward, are basically enough for a simple configuration of two or three emergency surgeries.

"You hide it really deep. I rely on the chief resident of the Affiliated Hospital of Shonan University."

According to the orthopedic department of surgery, as long as the patient's lower extremity fracture is not angularly displaced, shortened and displaced, and the broken ends of the long bones can be connected by one-third, the standard of functional restoration can be achieved.

Say patiently: "Come on, help me stretch this muscle, yes, that's it."

When the anesthesiologist saw this, he looked at Zhou Cheng more, and instantly regained his energy.

Zhou Chengcheng said to Liu Xiaoshan: "That's fine, Xiaoshan, you should go back to rest early. If you encounter such a special situation in the future, you can tell us in advance. As long as it is not a similar situation for 30 days a month, we can understand it."

"You can do the rest, I don't dare to do it anymore." Huang Xuanqi looked at the broken end, which was hidden in the intersection of popliteal nerve, tibial nerve and deep peroneal nerve!
He took the initiative to put down the electric knife to stop the bleeding.

"Would you like to go and see with me?"

Zhou Chengcheng said, "You can keep that stuff for yourself."

"By the way, put on this glove loop with nerves."

But if Zhou Cheng remembered correctly, this dude should be his college roommate.

A lot of levels higher than him at once...

"Brother Zhou, I won't go. My wife is here today, so that's why." Liu Xiaoshan is a graduate student in the Department of Urology, and he came to the Department of Orthopedics on rotation, and he also knew that the reason why Zhou Cheng called him must be polite.

"Help me take the muscle tissue spreader of the spine. Now the broken end of the fracture has returned to its position. There is no need to pull the nerves and blood vessels that were stretched before. After the spreader is stretched, you are responsible for fixing the fracture. Proximity and distal end. I will fix it temporarily with Kirschner wire..."

"Hey, okay." Liu Xiaoshan immediately came to help.

This is the triumphant sound of a successful reset.

But in fact, if it wasn't for Huang Xuanqi, Zhou Cheng wouldn't have accepted such a simple debridement at all.

The dormitory of Shashi Medical College is a room for six people.There are eleven boys in Zhou Cheng's class, and there are 24 students in the small class, and Huang Xuanqi is the sixth person added. Although he is not in the small class, he is from the small class next door.

……

Zhou Cheng's liberal arts grades in high school were not satisfactory...

"No, it's the General Manager."

The eyes of the two met at first glance.

At the same time, after disinfecting the towels, Zhou Cheng asked Huang Xuanqi to start debridement and sutures!
He directly acted as an assistant, and then paid great attention to the way he spoke. Step by step, he changed the tone of guidance into a tone of discussion to guide Huang Xuanqi's operations.

Zhou Cheng took it.

"Spine anesthesia, my muscles are relaxed after being hit, and the emergency department called me." The anesthesiologist was lazy, probably a little tired, or maybe he didn't think this operation was interesting.

Activities are pretty good.

In the same dormitory, Huang Xuanqi knew a lot about Zhou Cheng.

Then he said: "Bezoar, we may not be able to go to the midnight snack for the time being, and we came to the emergency department again. For open fractures of the lower limbs, it is estimated that the emergency department will be treated on stage."

Zhou Chengcheng and Huang Xuanqi were about to go to another emergency operating room to take a look, but before they could leave this operating room, Zhou Cheng's hospital phone rang again.

"Teacher anesthesiologist, what kind of anesthesia did the patient choose?"

Zhou Cheng nodded and said, "Our relationship is what it should be."

Huang Xuanqi wasn't even sure he did it himself.

"Zhou Cheng, Zhou of the Zhou Dynasty, succeeded." Zhou Cheng hurriedly reported his family name.

When they were undergraduates, the relationship between Zhou Cheng and Huang Xuanqi was much better than that of Dong Yuhai.

The general hospital has no other powers, but this is still available.

Zhou Cheng didn't refuse, and quickly took the hand, and then gave Huang Xuanqi the position of the hook.

It won't kill people, go to other hospitals to clean up slowly.

It's a little too scary.

Zhou Cheng is already hospitalized!

Huang Xuanqi felt that he could accept such a person appearing in anyone, but Zhou Cheng was forced to be an undergraduate, what kind of books did he study?
Zhou Chengcheng said: "Bezoar Erliang, what is it called? Let's talk about it later. Why don't we do emergency surgery now?"

With the previous operation opportunity to give up, Huang Xuanqi immediately followed suit.

This is a patient with lower extremity trauma, and the anesthesiologist was the same anesthetist who performed anesthesia for hip dislocation in the previous operating room.

Zhou Cheng first used the force to adduct and internally rotate the hip joint, and then stretched along the force of abduction and external rotation.

After hearing this, Huang Xuanqi said, "I'll call you Mr. Zhou as I used to call you."

Zhou Cheng immediately fractured the separated distal end of the tibia!
Pulled out from the nerve clump, narrowly avoiding all the nerves.

Come at your fingertips.

Huang Xuanqi nodded frequently, and did what Zhou Cheng did before he finally came to his senses and raised his head to look at Zhou Cheng: "Me? Should I use an external fixator?"

Zhou Cheng didn't call anyone else.

"What do you two call? Come here and help me." Zhou Cheng quickly said to the person sitting by the operating table.

Just like that, the patient's hip joint heard a click.

Immediately afterwards, Zhou Cheng grabbed the patient's ankle with his left hand and pulled it slightly. The patient's foot automatically returned to its position and rotated as if by magic power. The proximal end of the fracture was sent away.

"Amputation is not enough." Zhou Cheng smiled, and secretly said that what you said is too scary, and it is the terminal operation of orthopedics at every turn.

When he first came here, he had heard of Zhou Cheng's name, but no matter what, he didn't dare to match it with his roommate.

Just over 40 minutes.

Of course, Huang Xuanqi's most sincere thought is that you yourself are in training, and now you may not know where the county-level hospital went.

After Huang Xuanqi participated in the grassroots work, he took the kind of master's degree students who enrolled in the targeted recruitment. After signing the agreement, he had to go back to his hometown to work in the future, so that he could have the opportunity to study in graduate school.

After hearing this, the anesthesiologist turned around and said, "You young man is very interesting, aren't you?"

The spreader has well stretched the muscles of the tibialis posterior muscle group, and better exposed the broken end of the fracture!
Then Zhou Cheng said: "Huang Xuanqi, use your left hand to fix the proximal end of the tibia, with a little external rotation force to the outside, and your right hand with internal rotation and adduction force, to pull the distal end of the fracture."

The more I listened to it, the more I admired Zhou Cheng. He understood some parts so thoroughly that even he, who has been in anesthesia for almost seven or eight years, could understand it!
Moreover, it actually communicated with him in some things in the field of anesthesia, which seemed to mean returning to the sect.

Huang Xuanqi's 'vinegar jar' turned over: "Mr. Zhou, don't you really want to change your career?"

"What are you afraid of? The blood vessels and nerves are exposed. If you can see it, you can use the external fixation bracket casually!" Zhou Cheng smiled, and then quickly crossed two Kirschner wires to fix the broken end. after.

And it was getting late, he didn't want to stand between Zhou Cheng and Huang Xuanqi, but instead made Zhou Cheng and Huang Xuanqi chat unhappy.

Zhou Cheng saw that he stopped moving after turning around him, raised his head and asked, "Is there any problem?"

However, after listening to the conversation between the two, he knew Zhou Cheng's identity, so he listened carefully to Zhou Cheng's speech,

After all, the best person in their class, that is, Dong Yuhai, is now a Ph.D. from the Ninth Academy of Shanghai, with a bright future.

And the level of doctors.

The fractures at both ends immediately reset, leaving only a fracture line of only a few millimeters.

After Huang Xuanqi and Zhou Cheng got to know each other.

Liu Xiaoshan, who was called to help, also had a confused look on his face. By helping me, this is helping a lonely person, huh?

In such a short period of ten seconds or so, Zhou Cheng has already exceeded his quota.

Many years later, when I saw my old friend again, I felt an indescribable emotion, and the coquettish words learned from Zhang Zhengquan came out of my mouth.

Zhou Cheng's ability and state are more terrifying than the rumors?

But Huang Xuanqi also remembers clearly that Zhou Cheng stayed in Shashi before, but he was also trained in ordinary training, which was similar to his own situation.

"What's your name, you friend, I'm committed." Although he was older than Zhou Cheng, he was only in his forties, and the age gap was only ten years old.

"You're not kind. You came to Shashi and didn't call me as you promised when you graduated. I haven't changed my phone number."

Huang Xuanqi's gaze became slightly dull:

This worked directly, and it was really unheard of to work in such an awesome hospital.

When Huang Xuanqi's pupils shrank slightly, he still didn't forget to say: "Awesome, you are really awesome. You are really awesome!"

Huang Xuanqi used Zhou Cheng's hand, how could he not know that Zhou Cheng was deliberately giving him the opportunity to do it?
Otherwise, the operation might be over.

Another operation in the emergency operating room, Yang Yifeng came over, as long as he went to make sure Yang Yifeng was on the stage, it would be fine.

Huang Xuanqi said embarrassingly: "My phone was borrowed by someone else, let alone a phone, and I didn't even keep a hair."

Zhou Cheng nodded, jokingly said: "It may be that I don't respect the teacher enough, I forgot to call the teacher for supper, so I was fixed here. So this taught us a truth, we can't eat alone."

……

Huang Xuanqi was dumbfounded and defenseless.

Bezoar's two twos immediately made three consecutive rounds.

But teaching cannot be false, and what is said must have a sense of hierarchy.

"Yes, Mr. Zhou." Huang Xuanqi suppressed the fluctuations in his heart, then tilted his head and asked, "Wait a minute, debridement, can you?"

The main reason is that if he didn't recognize his relatives here, after talking so much, he would definitely have asked Huang Xuanqi to help, but now, in order to avoid suspicion, he still deprived Huang Xuanqi of the opportunity.

Zhou Cheng glanced at Huang Xuanqi, and said to Liu Xiaoshan, "Take a photo. You will be responsible for sending the patients out later."

Zhou Cheng didn't think too much about it, the dislocation was easy.The most important thing is to have an assistant.

The anesthetist immediately stood up and said, "Oh, good guy, it's only two minutes."

"Huang Xuanqi?" Zhou Cheng asked.

Trainees ≤ interns < regular trainees = graduate students < doctoral students < resident physicians of the hospital < chief resident physicians < attending physicians < associate chief physicians < chief physicians < ward directors < department directors...

Discussing with Zhou Cheng very happily: "Mr. Zhou, this patient's luck is too good. The broken end of the tibial fracture is only [-] centimeters away. Amputation is about to happen?"

Niuhuang Erliang is an allusion. Huang Xuanqi likes to drink, but after eating Erliang, his cowhide blows up, he is not down-to-earth, and he is quite easy-going.

The other person was about to reply subconsciously, and then suddenly seemed to recognize Zhou Cheng's voice.

"I'm going to go to the dormitory group and the class group to give a shout later."

"Teacher, you have worked hard." Zhou Chenghan smiled.

Did I call you to embarrass you?
"Let's not talk about it now, Xiao Shan, come here to help, Niu Huang, please take a look at the side first." Zhou Cheng directly sent his old classmate away.

Then he said to Liu Xiaoshan: "Xiaoshan, it's hard work. After the emergency operation on my side is finished, let's go out and have some supper."

After putting on the tourniquet, Zhou Chengcheng asked Huang Xuanqi to lift his leg and gave Huang Xuanqi the chance of disinfection.

The rotational shift seems to be completely reset at this moment as well.

"Are you a jerk? Keep quiet, the chief resident of the Affiliated Hospital of Shonan University????"

While administering anesthesia, he said, "Your orthopedics department is really busy today?"

Zhou Cheng remembered that he lived diagonally across from him at that time.

What's the matter, 20 seconds didn't arrive, and I wasn't ready to come here.

"Attention, don't move!"

"Let's have a late-night snack together."

"Teacher! My name is Liu Xiaoshan." A person hurried over to help.

Then Zhou Cheng checked the patient's range of motion again, straightening, adduction, internal rotation, abduction and external rotation.

After Zhou Cheng confirmed that Yang Yifeng appeared in another emergency operating room and came on stage, Zhou Cheng was completely relieved of that patient.

Can't even think about it.

"Diagonally opposite?" Zhou Cheng was really not sure if it was him.

This is Zhou Cheng's trust in Yang Yifeng. If the other generals were hospitalized, Zhou Cheng might not be so relieved.

He added: "You can let go now, Bezoar!"

"Brother, come on, I can't use this force." Huang Xuanqi blushed slightly.

Then he explained: "I don't know how to use external fixation brackets. In the place where I was working before, there was no chance for me to be on stage for emergency surgery."

"Okay!" Zhou Cheng has also been in hospitals, big and small, and knows that there are some things that he can't do anything about.

(End of this chapter)