medical simulator

Chapter 426 Find a way for me! (seeking subscription)
In the evening, after Zhou Cheng and Huang Xuanqi had supper, Huang Xuanqi went back to rest, and only Zhou Cheng was still on duty.

But it may also be that it really touched the mold star tonight.

Not only did the three general inpatients come to the stage at the same time, but the four chief inpatients including Yang Yifeng are still in the operating room.

Zhou Cheng still received a call from the emergency clinic.

After arriving at the surgical clinic of the emergency department.

There was a cart bed inside. A person whose face could not be seen clearly remained motionless on the cart bed. Judging by his clothes, he should be a man.He had scabs all over his body.

Beside him, several people were shouting emotionally and angrily: "What are you doing?"

"You guys save me, save my brother?"

"I'm sorry. There's no way to save him. He's been in cardiac arrest for several hours. He can't be saved anymore. Even if he continues to press the heart, it won't help." Liu Xuan, a newcomer to the surgical clinic, was very helpless.

"There is no objection to any inspection and operation that has been in cardiac arrest for more than half an hour."

The person who roared was probably in his forties, and his face was also bloody!
He's just skinned.

Fortunately, the car he was driving was protected by seat belts and airbags in the event of a car accident!

His younger brother was sitting in the back, thinking that he could lie on the chair comfortably.

The two brothers agreed to go home to celebrate the old father's birthday, and now the birthday present is such that they only have an only child?
Car crash on highway without seat belts and airbags!

Just sent the person away.

It's a great thing in itself, and now it's like this!
The middle-aged man with messy hair still couldn't accept it: "When your ambulance came, my brother wasn't dead yet, he was still talking! How could he just say no?"

"You save him, he still has two children who haven't grown up..."

"There's nothing we can do, it's too late and the injury is too serious."

"Sorry, we're sorry."

"There are still patients who need to see a doctor. I hope you can understand and let them." Liu Xuan then looked at the door, saw a cart coming in, and walked over.

The middle-aged man suddenly patted his head with both hands.

Mouth deflated, choked up, sobbing uncontrollably.Squatting down, patting the floor: "He's only 37, please help him..."

The eyes of the surrounding patients and their families were also full of distress.

God's cruelty, life and death jokes, but very understandable.

Not all emergencies can be cured, not all diseases can be cured, and the rare moments between life and death are the meaning of life.

People cannot be resurrected from the dead.

Even gods have to encounter the kind of conjecture that can bring the dead back to life.

Poor is pitiful, but only pitiful!
In front of life, there is no such thing as mercy.

Zhou Cheng pursed his lips at the time, and while squeezing into the crowd of onlookers, he asked the doctors in the surgical clinics: "I am the boss of the trauma center. Is this the patient you called me to see?"

If this is the case, then it is meaningless?

Hearing Zhou Cheng's words, one of them immediately bounced back from a distance like a catapult, standing still in a bit of embarrassment, but she was actually dealing with another patient a few seconds ago.

Regardless of the ugly posture, he said, "It's not this one, another patient has already been sent to the emergency room, follow me!"

Out of the crowd, her voice was urgent and her footsteps were hurried. It could be seen that the heel of her shoe had been stepped on, but she had no time to deal with it.

"This patient is crushed!"

"It was crushed obliquely from the middle of the thigh to the ankle, and the lower limbs were damaged. Fortunately, it only crushed the leg. If it was a little higher, the person would be gone."

"Do you have any photos?" Zhou Cheng asked.

"Yes, take a look!" Zhu Fang held the phone while running, and her heart beat unsteadily a few times, and when she opened the screen, she saw a photo of the general appearance of the patient!
Zhou Cheng saw it at the time, and he must have seen at least hundreds of traumatized people!

My stomach started to churn...

I have seen a lot of damage!

Some feet are gone!
Some ankles just fell off.But in this way, from the thigh down to the ankle, the bones and flesh are almost mixed together, squeezed like juice.

Zhou Cheng really saw it for the first time.

What's even more amazing is that this patient was sent to the emergency department alive!

Isn't this the miracle of life?
"What kind of car ran over it? Is it a big truck? Does the patient have any other symptoms, and now he has to amputate quickly?" Zhou Cheng said immediately after reading.

The broken bone end of the femur is exposed!
The thigh and calf structures that existed below are no longer visible, and the meat paste and broken bones are mixed like dumpling stuffing!

There are also residual deformities of blood vessels and nerves intertwined with muscle fibers, like fleshy wool balls...

This leg is definitely not going to be saved, and if we delay for a while, we don't know if we can save our lives.

"It was said that when there was a car accident, he couldn't dodge it in time!"

"I jumped out of the car, and my legs were caught under the wheels of the big truck."

"If I didn't get out of the car, I might have lost my life. I'm still stabilizing my vital signs and preparing for intubation. The patient is in a coma." The nurse said while running.

Zhou Cheng quickly put on the examination gloves, and then looked into the emergency room.

Sure enough, he saw the patient, with blood continuously gurgling from the stump of his thigh.

"It can't be done, the patient's blood pressure is not good, it's useless to continue to transfuse more blood!"

"Is the orthopedic department here? What should I do about the leg injury?" The person who was doing rescue work was about 50 years old, and he was a teacher Zhou Cheng didn't know, at least an associate professor or professor, with a hot temper.

After Zhou Cheng quickly ran in, he said, "The patient needs amputation immediately, can I send it to the operating room?"

"Mr. Song, this is the boss of the orthopedics department." The nurse said beside him.

He is doing endotracheal intubation and is ready to do a tracheotomy at any time. At this moment, he is tilting the patient's head to reveal his vision:
"If it could enter the operating room, it would have been sent in long ago."

"I came to your orthopedic department now, just to know how to deal with the bleeding on this leg. Is it impossible to let him bleed all the time? If it bleeds like this, he will die immediately, and I dare not bandage it outside."

Zhou Cheng ignored the other party's yin and yang aura!

So he went up with his own hands and grabbed the stump of the blood vessel, and then took off the gloves and tied them in knots.

It can be regarded as decisively stopping the bleeding of two relatively large blood vessels.

No one present could react to this dexterous and quick scene.

"Get me the instrument kit, the one with multi-vascular forceps, hurry up!" Zhou Cheng turned around and saw that she was still in a daze, and immediately yelled angrily, because he was a little anxious.

So the tone is not polite.

Then he turned his head to look at Mr. Song: "Teacher, such a situation can only be dealt with in the operating room. Have you done CT scans of other parts before?"

The person called Mr. Song has already sent in the endotracheal tube and taken out the visual laryngoscope for assisting intubation!
Tell the assistant to help fix the endotracheal tube, and then determine the remote position of the endotracheal tube.

Turning his head, he said, "You also saw that the person who came in was unconscious, and now his breathing is still restrained."

"I can't go to the CT room, and it's hard to move to the operating room. People may disappear at any time."

"What's more, his family members are not here. His mobile phone has been crushed and broken, and no one can contact him. How can he perform surgery without his family members?"

"If you don't enter the operating room, there is no way to deal with this situation?"

Zhou Cheng nodded and said, "The femoral artery and its branches are all very large arteries. It's not enough to just tie them up like this. The blood that should bleed still has to bleed, and there is a lot of body fluid lost through bleeding."

"We must go to the operating room to deal with the stump as soon as possible! Otherwise, no matter how much blood is transfused, it will be useless!"

"Have you called the chief on duty to authorize the operation? If there are no problems with other departments, we will." Zhou Cheng didn't finish his sentence.

When the doctor surnamed Song heard Zhou Cheng's words, he didn't know what to do, and became a little angry: "Does your orthopedics department know nothing but surgery?"

"How can he go to the operating room like this now? Is it impossible to save people except for surgery?"

Zhou Cheng looked at this person in astonishment!

I thought to myself that you are such a big person, there is something wrong with you, right?

"Have you called the chief on duty?" Zhou Cheng didn't ask Mr. Song. In such a situation, you asked me to save lives outside the operating room. You must have a brain problem.

Whether the operation should be performed depends on whether it is meaningful to the patient!
Song Yu continued to shout and asked: "You don't need to ask, this patient's current condition can't leave the intensive care unit!"

"I didn't call the chief on duty. What's the matter with the orthopedic department now?"

"Are you from the orthopedics department? Are you the general inpatient of the orthopedics department? You have to find a way to help deal with it. You can't enter the operating room."

Song Yu didn't know where his temper came from, or maybe he was eager to save people, so he asked anxiously.

Hearing Song Yu's strange tone, Zhou Cheng took a deep breath and said, "I am the chief resident of the orthopedics department! This is my badge."

"Now the best solution for the patient is to arrange surgery immediately to stop the bleeding and amputate the limb, otherwise the follow-up shock or even death."

"I can only temporarily stop the important bleeding site with a hemostat, but it won't last long. This is not a long-term solution."

"The patient can't go to the operating room now, so there is no other way?"

"Do you want me to call Ding Changle to come down in person and Lei Zhong to come in person?" Song Yu actually interrupted Zhou Cheng's speech!
Zhou Cheng couldn't make sense with the other party, so he came without saying anything: "Mr. Song, let me write the medical records."

"Our orthopedic department's suggestion is to perform the operation immediately, and complete the preoperative interview and signature immediately! Otherwise, we can only proceed with temporary treatment."

As Zhou Cheng said, he quickly took the equipment bag handed over by the nurse, and after violently dismantling it, he squatted down and began to quickly use the hemostat to temporarily clamp to stop the bleeding!

After this, Zhou Chengcheng wrote his opinion in the emergency medical record.

"Diagnosis is straight forward: 1. Right lower extremity damage crushing injury: multiple fractures, multiple soft tissue defects and damage, multiple blood vessel ruptures, multiple nerve ruptures. 2. Hemorrhagic shock. 3. The rest of the diagnosis is pending investigation."

"I can suggest."

"1. Our department has temporarily stopped the bleeding, but we must go to the operating room for emergency surgery. Otherwise, life is in danger. 2. The patient's vital signs are absolutely unstable, and there is a risk of death at any time. Please consult the anesthesiology department, emergency department, and ICU. Is it possible? Into the operating room for surgery."

"3. It is recommended to perform a whole-body CT scan and send it to the operating room,"

"4. Please consult with other departments during the operation."

"5. When the patient is waiting for surgery, please contact our department for follow-up at any time."

After Zhou Cheng finished writing, the look of the little nurse next to him changed slightly.

Zhou Cheng directly threw the medical record to Song Yu's side!
Said: "Mr. Song, when will this patient here be able to get out of the emergency room, and when will he get in touch with the chief on duty, please contact me, and I will start the operation immediately!"

"The temporary hemostasis has reached a limit, but it is impossible to stop it completely. This kind of trauma is too big, and it cannot be treated outside the operating room."

Zhou Cheng really felt desperate!
Song Yu can do endotracheal intubation on his side. This must have been reported to the chief on duty and authorized!
But he didn't report the surgery.What kind of brain is this?
For such a big person, no one must be used to you being a professor, right?

"Who are you? What's your name? Who is your teacher? Is this how your teacher taught you to be a doctor?" After reading Zhou Cheng's comments.

Song Yu said angrily, saying such a sentence.

Zhou Cheng was about to turn around and leave!

After hearing this, he turned around and said calmly, "Teacher, this patient must be pushed into the operating room!"

"I can't do amputation outside the operating room, and I can't stop the bleeding, let alone the principle of asepsis. If there is any delay, the patient will die!"

"That's why you need to find a way? This is a problem with your orthopedics department, you don't want to find a way!"

"Who thought of a solution? Huh?" Song Yu said aggressively.

"If you dare to leave, I'll call the medical department right now and tell you that I haven't found the chief resident of the orthopedics department!" Song Yu seemed to want to confront Zhou Cheng directly.

"All right, I'll call first." Zhou Cheng listened!
Immediately, he called the medical department directly.

Zhou Cheng opened his mouth and said, "Is it the medical department? There is a teacher in the emergency department who wants to report to you that I cannot be found in the orthopedic general hospital!"

"Yes, this teacher and I are in the emergency department now. Then he said that I am not in, what should I do now?"

"Ok, I will wait for you!"

Zhou Cheng finished the phone call!

Song Yu on the opposite side seemed to be slightly taken aback.

Zhu Fang was immediately dumbfounded, Zhou Cheng's temper is also strong enough this week.

Zhou Chengdao: "Mr. Song, let's stop arguing. The patient's situation is urgent now. You should quickly find a way to stabilize his vital signs. I have already done all the orthopedic operations outside the operating room to the limit."

"Your emergency and intensive care unit is the place to find a way to send patients to where they should go!"

"Instead of our specialist trying to find a way to move the specialist to the intensive care unit of the emergency department!"

Zhou Cheng is just a consulting doctor.

Oh shit.

The first visit responsibility system, whoever receives the consultation is responsible to the end, this is a patient belonging to the emergency department, not their orthopedic department!

Zhou Cheng himself only has the right to assist in treatment, unless he is on the operating table and can be treated by a specialist. Now, Zhou Cheng doesn't have any right to prescribe at all.

Such a patient can't be on the operating table, what are you doing to eat, so many other patients can be on the operating table?

Zhou Cheng was so anxious that he even asked him to think of a way. If what the fuck I did just now was not the way I thought, the patient might be gone by now.

Operating room, operating room, only temporary treatment outside the operation?How many times should I say it?

Amputation in the emergency department, I dare to do it, and someone will dare to arrest me later!
(End of this chapter)