medical simulator

Chapter 62 You definitely didn't mean that just now! (PS: Ask for collection, ask for recommendation tickets, ask for follow-up reading!)

Zhou Cheng was the one who came to the operating room later!

Why do you say that?

Zhong Hua was able to become an associate professor. Apart from his own strength, another characteristic was caution.

One of the judgments for being promoted to a deputy high school is to see how many medical accidents you have, and you can't just rely on recklessness.

Therefore, the first thing to do when entering the operating room is to explain it in detail with Cai Dongfan and others, including the observers, including the process, principle, what he would do, and what other people should do. Do, under what circumstances, the operation must be stopped halfway...

After more than 20 minutes, Zhong Hua felt that he had opened a small class for the people here.

But not eggs.

At that time, Zhou Cheng hadn't come to the operating room yet, so a single word had nothing to do with him.

So he had no idea what he was going to do and what he had done?
But God is pitiful, how did Zhong Hua know that this unexpected situation would happen to a person Luo Yun casually pointed out?
Zhou Cheng was called by Luo Yun to help with the traction. Luo Yun was a senior doctor. When Yang Yifeng stepped off the stage, he said that the traction might not be strong enough, and his arms could not twist his thighs.

Is there something wrong with Luo Yun calling people?

Luo Yun is the attending physician, so is there something wrong with calling a Gui Peisheng to help?

Zhou Cheng came to the stage to help, is there something wrong?

If people are gone, it has nothing to do with them...

For a moment, Cai Dongfan's heart felt a sense of oppression passing by, followed by an extremely powerful sense of emptiness, as if his whole body was weightless.

It was a sudden feeling of suffocation, mixed with anger...

Luo Yun was chilled from top to bottom, he seemed to be able to imagine that after the operation, Cai Dongfan might be cutting him with a scalpel.

The person was called up by him...

Du Yanjun's mind was blank for a while, as if he was in the desert, lost his way, and had no idea why this happened.

Yang Yifeng's heart skipped a beat, and he thought to himself, oh well.

This week has been tough enough...

But just when everyone has different ideas.

All I saw was that the patient's thigh gradually changed from the previous rhomboid deformity in an extremely silky way.

The muscles on both sides of the thigh bounced crisply at the same time.

The previous rhomboid deformity disappeared.

This bouncing feeling was transmitted to the palms of Zhong Hua and others through muscles and bones...

Let everyone be stunned again.

This is?

The broken end slipped out of the muscle?
How could it slip out so easily?
The high-end nerve block anesthesia done before...

Before everyone could finish thinking, Zhou Cheng loosened the upward force at the tibial tubercle, and then turned the force to the axial direction of the thigh!
Work hard!

After pulling it out like a radish, he completely loosened his strength.

This process sounds complicated, but in fact it only takes seven or eight seconds.

After the whole process was over, Cai Dongfan, Zhong Hua and others didn't come back to their senses, they just stared blankly at the final result——

The rhomboid deformed thighs are gone.

Instead, swollen and straight thighs!

After finishing all this, Zhou Changcheng let out a long sigh of relief.I checked the tension of the anterior femoral muscles with my hands again, and found no tension.

What Yang Yifeng said before is correct. After the broken end of the fracture is inserted into the muscle, there will be torque, which will make the muscle tension greater. Now there is no tension in the muscle, which proves that his previous traction is to make the fracture The stump was pulled out from the insertion.

Then he took another deep breath and shouted: "Xuan, push the C-arm machine, let it pass!"

"Others get out of the way!"

The tone is very affirmative and commanding.

But just after he finished speaking, Zhou Cheng saw that the others looked at him with strange eyes, with different eyes!
Only then did Zhou Cheng react!

I just tried too hard again!

TM's.

I am now a junior doctor, not a superior.

I can get in and the role hasn't come out yet.

So he quickly changed his words: "Director Cai, Professor Zhong, why don't we take a look at the situation first?"

"OK?"

The tone was too good, this is the tone that a junior doctor should have when asking a superior doctor for instructions.

But you definitely didn't mean that just now...

After being awakened by Zhou Cheng's voice, Cai Dongfan and Zhong Hua planed Zhou Cheng away with their hands almost at the same time, and then squeezed Zhou Cheng away.

Almost at the same time, they went to the incision on the far end of the thigh that was made before, and began to pull it with their fingers to turn it inside.

What C-arm perspective and the like are completely unimportant.

TM's Zhou Cheng now as long as he doesn't cut the femoral artery, it doesn't matter if he cuts off all the nerves.

At least the patient will not die.

The idea is crude, but this is the real idea.

As long as people don't die, everything is still possible.

After pulling it apart, there was no sign of blood gushing as imagined.

Cai Dongfan and Zhong Huacai shivered slowly, let out a sigh of relief, and then felt a similar tiredness after finishing their work.

Although the experience and feelings after the incident are completely different from the current experience, but from a physiological point of view, it is the whole body fatigue after a high tension or a shiver after stimulation...

Hemorrhage has its own definition, that is, a large amount of blood comes out of the blood vessels, which is called bleeding.

The vessels in the body that hold blood are the organs, blood vessels, and heart.

The blood vessels and organs on the legs have nothing to do with the heart. If the artery is broken, there will definitely be a lot of blood gushing out in a short time.

When the artery is broken, the blood column can soar up to the ceiling. Even if the blood is not soaring, a large amount of blood will be lost, and it will soon gurgle from the incision leading to the outside world, and more than 1000ml of blood can be lost in a short time...

no blood came out...

According to the definition, the possibility of Zhou Cheng cutting the blood vessel can be ruled out.

With this guarantee, the two dared to relax.After all, if the main artery is cut, it will kill people.

Undead, let’s talk about the latter slowly!
Cai Dongfan and Zhong Hua glanced at each other.

Cai Dongfan said, "Professor Zhong, the artery is not broken."

This statement stunned everyone in the operating room, especially Director Zeng of the anesthesiology department. He was really frightened just now. He is an anesthesiologist and is responsible for the vital signs of the entire operation. He is ready for general anesthesia at any time. Then he was intubated.

If the artery is broken, for example, debridement and exploration and blood vessel suturing are required, then whether the patient can withstand the consequences of general anesthesia is irrelevant.

But okay.

The 'milk' he picked up put down again...

Zhong Hua also took a look at Cai Dongfan, and said in his heart: If you can see it, I can see it too.

Cai Dongfan continued: "Professor Zhong, this week Cheng is the regular trainee in our group and half of my student. Today's situation is due to my poor discipline."

"But the situation is not too bad, at least the main artery is not broken. It's just that the broken end may be displaced again."

"Let's take a look at the specific situation first?"

"I'm sorry, Professor Zhong, to trouble you."

Cai Dongfan hadn't introduced Zhou Cheng before, so he explained Zhou Cheng's identity.

And of course an apology!

Zhong Hua was invited by him to do the technique reset, and he was a foreign aid professor.

Then in the operating room, he was frightened by his subordinates. As a superior, he naturally had to apologize first.

People are their own, and if the rules are not taught well, then they are responsible.

Besides, with Zhou Cheng's current status, Cai Dongfan can completely understand that Zhong Hua may feel that Zhou Cheng himself has never disciplined him this week.In other words, it was a hole he left for Zhong Hua. Although Cai Dongfan didn't have such an idea, Zhong Hua could definitely think so.

One of TM's regular trainees, with the support of professors from other schools, is still acting his own way. This person is either mentally ill or lacks rules.

Even if Zhou Cheng hadn't heard Zhong Hua's previous explanation, it was still the same.

After Zhong Hua heard Cai Dongfan explain that there was no arterial injury, he also calmed down a bit.

Zhou Cheng's actions just now were a bit beyond his expectation.

But the result was not the worst, Zhong Hua began to look at the patient's legs.

Clinical medicine is an evidence-based discipline.

Fractures are defined and have their own special signs——

Fracture line exists, bone discontinuity, bone friction sound and bone friction feeling, limb deformity.

This patient already had obvious limb deformities.

This is caused by displacement of the fracture.

What manual reduction needs to do is to reset the displacement. After the displacement is reset, the deformity will disappear accordingly. Although bone friction sound and bone friction sensation will exist, no one will try it.

The patient must be in pain, right?

Was the displaced reduction of the fracture successful?
One of the most obvious and intuitive impressions is the disappearance of deformities.

For example, now, the deformity of this patient has disappeared.

But disappearing does not mean a complete reset. This is invisible to the naked eye and requires the use of tools, which is the C-arm machine that Zhou Cheng mentioned before.

The C-arm machine is actually a small X-ray device. The intensive reading and definition are not as high as those in the radiology department, but it is enough to see fractures. It is usually prepared in the operating room of orthopedics and spine surgery.

What cannot be seen with the naked eye needs to be seen with the help of it.

Zhong Hua doesn't know what the situation is now, but no matter what, if there is a problem, solve the problem, solve the problem first, and then go to accountability.

Rather than addressing the issue first.

Time is precious.

Moreover, Cai Dongfan is still a responsible person, and Gui Peisheng in his group can also be called his student, so Zhong Hua can't say much.

He just said: "Let's look at the specific situation first!"

"Everyone go out and go to the isolation room."

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(End of this chapter)