Gou in the operating room to add some upgrades

Chapter 23: Settling down and establishing a life (Please collect and read)
The basic principles of the basic operations are very simple. Incision means cutting, and suturing means suturing.

It is relatively different from the basic theory of a specialist, and it does not mean that you will definitely use it if you understand it.

The results of different surgeons may be very different.

It was the first time for Fang Xian to enter the operating room of the trauma center. After the suturing was completed, he was a little at a loss and muttered in a low voice: "I don't know if the suturing like this can meet the requirements of 'Mr. Wang'."

"It would be nice if he came to take a look before stepping down."

In the operating room of the surgery building where the ward belongs, junior doctors have the opportunity to suture as assistants. Most of them have associate professors, attending physicians, chief resident and doctoral fellows at the helm.

Zhou Xiyin stared at Fang Xian and blinked. After thinking for two seconds, he said, "Dr. Wang has transformed the degloving injury into a normal wound through debridement. Complete debridement will reduce the chance of infection."

"Currently, most doctors in China are at Level 3 in suture skills. Only a very small number of doctors, such as those in hand surgery and plastic surgery, regard suture skills as basic skills for their specialty and have higher requirements."

"Senior, your current suture technique has reached level 3, so it is definitely feasible."

In fact, Fang Xian thought so too, but after all, it was his first time entering the operating room of a trauma center, so Fang Xian didn't dare to be too careless.

At this time, the equipment nurse and the circulating nurse both said: "Dr. Wang is not here, you have the certificate, and it is up to you whether the patient comes off the stage or not."

"I just called Dr. Wang, but he hung up."

Then four or five people, including the anesthetist, stared at Fang Xian, making Fang Xian feel that the responsibility on his shoulders was not light.

However, it is also a basic skill for surgeons to evaluate the quality of surgery.

The degloving injury is indeed complicated, but after being hospitalized by General Wang Chuntao, it has been debrided to the greatest extent. The suture level of Level 3 suture is guaranteed, and Fang Xian knows it well.

Drainage strips have been placed to minimize the occurrence of subcutaneous hematoma, and Wang Chuntao has proposed upgrading the level of antibiotics after surgery.

Nothing is missing.

"Let's step down, and empty the operating room as soon as possible."

"Such emergency debridement patients are usually sent to emergency surgery or trauma centers, right?" Fang Xian asked Zhou Xiyin, hoping the other party would know.

A decision must be made as early as possible, because the trauma center just called and a patient with a ruptured liver will enter the operating room. The operating room must be reserved!

"The patient enters the operating room from the emergency surgical ward, and is also transferred to the emergency surgical ward when he is transferred out."

"Senior, I'll just send the patient down. You can go find Dr. Wang and see if he needs help." Zhou Xiyin said this because he didn't do any sutures.

"Okay!~" Fang Xian nodded and left with peace of mind, not worried that Zhou Xiyin would not be able to handle the remaining matters.

This is due to the strict authorization and access system of the Affiliated Hospital of Shonan University.

To be able to become an assistant in the operating room, you must have at least four level 4 skills and have basic professional theory. You are definitely not an amateur or unreliable 'special' intern.

Anyway, Xiyin has a level 3 hemostasis this week!It shouldn't be easy for her to see the whole leopard at a glance.

Fang Xian left, and the patient was pushed away by the anesthesiologist and Zhou Xiyin.

But when Fang Xian went downstairs to find Wang Chuntao in the emergency department, he found that he was completely lost.

The Emergency Department of the Affiliated Hospital of Shonan University does not occupy a particularly large area, but the division of labor is very detailed.

The major categories include emergency surgery and emergency internal medicine. Emergency surgery is further divided into trauma center, emergency surgery clinic, emergency neurosurgery clinic, emergency cardiac surgery clinic...

Like a small outpatient department, the emergency patients, family members, and medical staff who seek medical treatment flow through like weaving.

Fang Xian had no choice but to come to the guidance desk. Wang Chuntao didn't call again and asked, "Teacher, where is Mr. Wang Chuntao from trauma surgery?"

"Who is Wang Chuntao?" Fang Xian asked the three nurses at the consultation desk. The nurse on the far left answered particularly truthfully.

Fang Xian frowned: "The head of the Trauma Surgery Department is here for consultation. Do you know where I need a consultation from the Trauma Surgery Department?"

"Many, I don't know which patient you are talking about."

"You didn't ask for directions, so let the family members behind..."

Fang Xian was disliked and dismissed!

Fang Xian took a few steps back and decided that it was completely unscientific to search from clinic to clinic. It would be more practical to go to the dressing room of the emergency operating room and wait for Wang Chuntao's call.

He walked into the locker room wearing a hand sanitizer, and no one stopped him. After throwing the disposable slippers bag that he went out into the trash can, Fang Xian sat on the only vacant seat left on the rest sofa in the locker room.

Looking at a row of unknown people who were lying or sitting or playing with mobile phones or squinting, Fang Xian also straightened his body and lay down on his back.

At this time, another green washclothes came and searched for it, then left silently.

Someone seemed to know him, and said with a smile, "Brother Lu, come earlier next time..."

"I'll go up and squint for a while..."

Fang Xian did not actively give up his seat, but took advantage of this free time to look at the gains of the patient just now.

[You used debridement to assist in the debridement, found neglected foreign bodies, and assisted in the treatment of degloving injuries, foreign body residues, and possible foreign body syndrome. You have caused 33 points of damage to the degloving injuries (accounting for 10%) , get 10 skill points! 】

[You completed the suturing with the assistance of suturing. You caused 21 points of damage to the degloving injury (accounting for 8%), and gained 8 skill points! 】

[Current skill points remaining: 67 points]

After adding points yesterday, Fang Xian had 34 skill points left. He worked in the department all morning and got 2 skill points. This operation just now gave him another 31 skill points.

You can look forward to adding another skill to level 3.

However, Fang Xian currently has 3 level 7 skills!
3 theories - General Basic Theory of Surgery Level 3, General Theory of Orthopedics Level 3, General Theory of Trauma Surgery Level 3.

4 operations - debridement, suture, X-ray reading, incision.

It's just that Fang Xian only has two skills that have been certified by the Medical Association, and only three skills that he has demonstrated to his superiors in the department.

Fang Xian and Wang Chuntao saw the condition of the patient with degloving injury just now. However, when Fang Xian was designing the debridement procedure in his heart, he found that his level 3 debridement technique was not suitable for such a patient. It still seems difficult to take off the glove injury.

It’s not that there’s no way to solve it, but it’s not as smooth and fast as Wang Chuntao’s. It may take at least two hours, and the final debridement effect is not as good as Wang Chuntao’s.

I think there is a difference in quality, which proves that Wang Chuntao's debridement technique may be at the level of a level 4 expert!
Be taller than yourself!

Looking at the damage ratio, I found some foreign objects and completed the stitches, and the whole accounted for 18% of the damage value. 'fatal'.

In other words, Wang Chuntao's operation made a greater overall contribution to the treatment of this patient!
'Dimensionality reduction strike' Ah!

How desirable is this?

Fang Xian slowly moved his eyes to debridement.

Level 3 0/500!
The upgrade from level 2 to level 3 is a watershed, and from level 3 to level 4 is another huge watershed.

This saying has been circulating in the industry since the Medical Association divided medical skills into different levels.

You can settle down at the specialization level, and with level 3 skills, you can basically make a living.

The expert level counts as life, and it is the real step into the palace of medicine, with the capital to roam, and after possessing this level of skills, you will clearly feel that medical skills are not only the scope of occupation and work!

There will also be thoughts on various aspects such as inheritance, academic schools, and life-saving.

Specialized level medical skills allow you to complete various basic operations and perform them well.But level 4 skills will create a fundamental gap between your operational level and that of others.

Some diseases are very difficult for doctors with level 3 skills to handle, or even cannot be handled well. But with level 4 skills, doctors can handle them with ease and ease!

However, level 4 skills are generally something that senior attending physicians and associate professor-level physicians will ponder.

Ordinary medical students, unless there is something wrong with it, will build themselves a single-sided super-high wooden barrel, which becomes a fancy shelf...

(End of this chapter)