Gou in the operating room to add some upgrades

Chapter 120 Sudden (please subscribe)

Fang Xian just came out of Professor Wang's office, walked to the rest room of the suture group, and was about to relax for a while before starting to work.

Zou Junzi, who was resting in the lounge of the cutting group, looked at it with a smile, and asked Fang Xian's wrinkled expression, "Brother Xian, what's bothering you?"

"I want to transform into a dragon." Fang Xian looked at Zou Junzi and replied.

"What, what do you mean?" Fang Xian's words were too worthy of consideration. Zou Junzi didn't particularly understand. He turned to the sewing team's lounge, sat across from Fang Xian, and asked.

"Actually, there is no special meaning, you will know after a while."

"Brother Junzi, when will Senior Brother Han leave? Do we want to have a meal with him or something?" Fang Xian asked when he saw Junzi Zou.

In any case, Han Liangsheng was also one of the brothers that Fang Xian met after he entered the operating room of the trauma center, not to mention that it was of special help to him, but he also gave some pointers.

"It's not necessary."

"The operating room of a trauma center is not a place where you meet and go, you come and go as you please."

"Even if we leave, we should get together in private, not when we leave. This is the rule set by the former senior brothers."

"The one who leaves is a loser overall, but does not need the pity and empathy of others. Personally, he is still successful." Zou Junzi said quite objectively.

And his big ears moved slightly a few times.

Fang Xian paid special attention to Zou Junzi's big ears, thinking whether this man was inextricably related to Professor Yang...

Fang Xian also agreed with Zou Junzi's remarks.

Although the training in the operating room of the trauma center did not meet the standard, the personal growth is incomparable outside, and the world that can be seen is also different.

Of course, there is no distinction between high and low in the world itself.

After Zou Junzi pondered for a while, he suddenly remembered something and understood the meaning of Fang Xianhua.

"Brother Xian, so the Hubei Provincial Medical Association, the organizer of the Central China Division, sent you an invitation letter?" Zou Junzi asked.

Zou Junzi still remembers that when he first entered university, that was five years ago, one thing that all the seniors at Xiangnan University discussed a lot was a senior who was said to be particularly awesome.

One year, Zou Junzi also specially watched the provincial competition, and saw that senior, on the field of the competition, he was extraordinarily chic and lively talking and laughing.

Whether outsiders understand it or not, Zou Junzi doesn't know, but in the first introductory class when they entered school, this senior brother appeared in the PPT, listed one after another and in sequence with the predecessors in the history of Shonan University.

The limelight is all the time.

Now, no similar character has appeared for several years, but it doesn't mean Zou Junzi doesn't remember this incident.

It seems that this senior brother is so awesome because his basic skills have reached level 5.

And beside him, there is such a senior brother again!
That's why Zou Junzi guessed that Fang Xian, the host of the Huazhong Postgraduate Skills Competition, was the one who invited Fang Xian to do that kind of thing instead of that senior brother.

Since Zou Junzi guessed it, Fang Xian nodded.

Zou Junzi immediately gave Fang Xian a thumbs up.

"Senior Brother Fang, this kind of dragon is not called an evil dragon. It is a dragon among men and should be respected."

"There was a brother in our hospital before. When he was about 25 or 5 years old, he had a level 32 skill. Now he is only 4 years old, and he has become a level [-] doctor and the title of professor!" Zou Junzi explained.

Fang Xian blinked.

The two chatted for a while, and Fang Xian went to work.

It's just that when he walked to the operating room again this time, Fang Xian was in a slightly moody mood.

It felt like I was stepping on the clouds for a moment, which was not solid enough.

This kind of thing, whether it is the current self or the senior brother in the past, has done it. This is an unspoken rule in the industry.

It is also something to be done to stimulate more people to grow into great doctors with more potential.

Pretend?
Fang Xian found that he was not good at this at all.

"I don't know why Old Professor Yang insists on saying these things. Wouldn't it be good for me to be a little doctor down-to-earth?" Fang Xian murmured inappropriately.

But in the end, all these things were suppressed by Fang Xian the moment he entered the operating room.

Surgery is the most important.

Fang Xian's current status is very special.

He has released a level 5 suture technique and a level 5 debridement technique, which roughly means that Fang Xian can now cross several groups at will!
As long as Fang Xian wanted to, he could freely wander between the suture, incision and debridement groups.

Moreover, Fang Xian considers himself a member of the suturing team, so most of the professors in charge still let Fang Xian be mainly responsible for suturing related matters.

But for example, if it is more difficult to deal with, and it is difficult for professional sutures to solve the tricky and broken things, Fang Xian will be called away.

This time is still the case.

When Fang was wearing sterile surgical gowns and gloves, someone was 'reporting' cases to him.

"This is a patient who was accidentally touched by an excavator on the construction site. The left abdomen penetrated back and forth, and the soft tissue was completely damaged and turned into meat paste."

"Fortunately, it's the lower left abdomen, only the pelvic fragments. There is no major organ damage, nor the spine. Only the intestinal tract, front and rear abdominal walls are in a mess..."

When Fang Xian came to the stage, he didn't see Professor Xu Fengnian, only a professor of trauma surgery and the chief surgeon of general surgery were frowning.

It seemed that although he was undergoing an operation, he didn't know where to focus on for a while.

Just do it first.

This is normal.

The patient's disease had nothing to do with the textbook, and no textbook mentioned such a messy disease.

Half of the abdomen was like meat, with no clue at all.

"This is..." Fang Xian walked in, just as the orthopedic professor was about to explain something to him.

Suddenly, the patient jerked.

Then, several people on the stage saw a column of bright red blood gushing out from the wound.

There was a loud splash in all directions!

Even though a professor quickly blocked the spray of blood with his palm, a large pool of blood could still be seen surging inside the abdomen.

At the same time, the beeping sound of the anesthesia machine was loud, and the anesthesiologist also began to panic——

"Heavy bleeding!"

"Contact the blood bank to apply for bleeding." The professor in charge of the surgery ordered the tour.

"Adrenaline boost!~"

"Open multiple intravenous channels." The anesthetist and his students started to activate in an instant.

It was as if a huge machine was operating instantly.

When Fang Xian saw this scene, his consciousness almost moved without hesitation!
He frantically raised his hemostasis to level 5, and quickly raised all surgical skills related to hemostasis to the extreme.

Nearly 8000 skill points were instantly cleared.

The reason why Fang Xian saves his skill points is mainly due to the fact that Lin Hui told him a theory.

That is Shashi's medical resource storage and transformation.

That is to say, if you need something, you can put it on top. This is called sufficient reserves.

Therefore, this time, Fang Xian didn't get enough five-level skill points, so he chose to add points, but to see if it could be used in an emergency. If he encountered an emergency, he might be able to use it.

This is because Fang Xian knew that he might encounter an unexpected situation one day, so he saved the skill points, and he was not prepared to use up all the skill points immediately.

Although everyone said that in the operating room of the trauma center, I was just a younger brother, and I didn't need to cover the details of any operation, I was just an employee doing things!

But Fang Xian was still prepared in case he was to be used.

Fang Xian quickly approached the operating table.

The concept of hemostasis, a level 5 basic skill, instantly penetrated into his mind.

Level 4 manual hemostasis, level 4 bandage hemostasis, level 4 packing hemostasis and other hemostasis concepts merged with the basic theory of major surgery, Fang Xian's hands were like tigers, and penetrated deep into the abdominal cavity, like twisting a snake Carefully find the proximal and distal ends of the abdominal aorta in a pool of blood!

At the same time, pinch them and twist them slightly!
At the same time, he said in a calm voice: "Suck blood! Activate the autologous blood recovery mechanism for reinfusion. Prepare to establish extracorporeal circulation immediately!"

"Can blood vessels?" A professor immediately asked Fang Xian.

The voice is not finished.

"The hemostasis is over." Fang Xian replied decisively.

"Really?" When the professor wanted to ask one more question, Fang Xian's eyes were already burning.

In a blink of an eye, the other party immediately ordered to use the autologous blood recovery machine.

When the patient's condition is urgent, allogeneic blood cannot be infused in a short time, so the autologous blood recovery machine is urgently used for autologous blood reinfusion.

So everyone started to work.

The bleeding was temporarily controlled, giving everyone time to breathe.

Fang Xian didn't need to continue the operation, just to maintain the bleeding until the other two surgeons finished suturing the abdominal aorta.

"Intraoperative abdominal bleeding was 2600ml, blood recovery was 1500ml, and after rapid reinfusion of 1500ml autologous blood, the patient's blood pressure was stable at 95-105/55-65mmHg, heart rate was 80-95 beats/min, hemoglobin concentration was 83g/l, and hematocrit was 0.31... ..." the anesthetist and his students returned after a sigh of relief.

"Is the blood oxygen level okay?" asked a professor of trauma surgery.

"No problem. The operation can continue." The anesthesiologist injected everyone with a sedative.

Only at this time did Fang Xian loosen his hands, and at the same time use the method of [precipitation] to suck blood from the blood remaining on the inner surface of the abdominal cavity.

[Separation] Hematoma evacuation is also a concept of hemostasis. Gauze is used to cover some possible bleeding points to reduce the amount of bleeding from hidden bleeding points in a large area.

Fang Xian's previous temporary hemostasis had cut off the main blood flow of the abdominal aorta, causing the collateral circulation to run wildly and greatly increasing the amount of bleeding in the collateral circulation.

So now it is necessary to deal with such sequelae in time.

The end of hemostasis that Fang Xian said was just the beginning of heavy bleeding and the end of fatal bleeding.

At this moment, Professor Zeng of the general surgery department glanced at Fang Xian and asked in a low voice, "Xiao Fang is still majoring in vascular surgery?"

Fang Xian raised his eyelids and glanced at the other person, knowing that Professor Zeng said this because Professor Zhu Daotao often asked him to do blood vessel sutures before.

And Professor Zhu Daodao is the super expert in the arterial group of vascular surgery.

"Yes." Fang Xian replied.

"The patient's current blood pressure is still low and the blood loss rate is still high. Small bleeding points must be treated one by one." Fang Xian changed the topic, hoping that everyone could reduce gossip.

There is hidden bleeding during surgery, so special attention must be paid to it.

After Fang Xian said this, the other two professors in charge of the surgery discussed in low voices: "Should we call other people from the vascular surgery team to come over?"

"I don't think it's necessary. Xiao Fang is here, and Xiao Fang's ability to stop bleeding is not low."

"You can take another look."

"Okay!" The two of them finalized it like this, and they probably sensed something.

This is the first time for Fang Xian to feel that basic skills can be so awesome.

Although it is not fancy, once the basic skills have reached a high level, when combined with the professional skills, it is like a godsend.

Just at this moment, Fang Xian at least deliberated at least five or six ways to stop the bleeding, and he chose the fastest, simplest, and most effective.

Moreover, Fang Xian also knew that the method of hemostasis with his hands just now was actually using the concept of [hand forceps].

Ordinary people cannot grasp the blood vessels to an absolute tight state with both hands, but Fang Xian can.

At the same time, if the hand control is not strong enough, after ordinary people grasp the proximal and distal ends of the abdominal aorta, the strong blood flow impact will easily cause a pool of blood to pour, and the hemostatic effect will not be achieved.

There is a rule that circulates in trauma centers.

Specialist skills affect the upper limit of surgical quality, while basic skills determine the lower limit of surgical quality.

If the lower limit is too low, the upper limit is destined not to reach a high level.

"Teacher Zeng, please come and ask for Chuang, and I will cooperate to stop the bleeding." Fang Xian's suggestion like this is naturally to give the two of them face.

The middle-aged professor Zeng nodded when he heard the words: "Okay."

Although the current situation is indeed very complicated, in fact, it is safest to use the simplest debridement to deal with such a mess of wounds, so that there are other important things to do.

Naturally, the request for creation was attributed to him and the other chief surgeon.

When the three began to cooperate slowly, one of the assistants found that his hands seemed to have no place to rest.I can only occasionally look up at the ceiling to find a sense of presence.

There is no way, such a high-end surgery, and such an accident, he, the attending physician, seems extraordinarily redundant.

The anesthesiologist said at this time: "I will try to control the blood pressure as close to the shock blood pressure as possible, and some blood will come later, but not much."

"Teachers, I would like to trouble you to end the operation as soon as possible. To avoid further accidents."

"Teacher on tour, ask, who sent this patient down from the trauma center, and ask him why he didn't diagnose the injury of the abdominal aorta."

When the anesthesiologist spoke like this, Fang Xian couldn't help but look up at him, his eyes slightly stunned.

Seeing this scene, Professor Zeng explained: "The injury of the abdominal aorta is not marked in the diagnosis. This is a serious misdiagnosis in the trauma center, and the responsibility will be held all the way to the individual."

Fang Xian opened and closed his mouth a few times before asking, "What about when someone is held accountable? How will we deal with it?"

"No special treatment will be given, but it is very likely that he will be asked to leave the trauma center."

"MRI reading is the basic skill of the trauma center. If you can't see this, there is no need to cause trouble here..." Professor Zeng's voice was ruthless.

(End of this chapter)