Come on, Dr. Wu

Chapter 152 Rescue Moment
In this state, Wu Xiaofu felt like he was assisted by a god. Based on his feeling, Wu Xiaofu's curved forceps penetrated deep into the abdominal cavity, as if equipped with a navigation system, and actually touched the familiar thing accurately.

Clamp and pull outward.

When the appendix was clipped out of the abdominal cavity, everyone in the operating room was shocked.

Zheng Hua opened his mouth wide. Is this the strength of the boss? With a finger probing, the curved forceps pushed in, and with such a pull, the appendix came out?

When I think about my own surgery, I feel so infuriated by the comparison between people.

Duan Hao also narrowed his eyes. This junior brother has something. Calling him will not work with this move. I heard that Wu Xiaofu also blindly pinched him once last time. If it was just bad luck, then these two times, it is impossible to do the same.

Find the appendix and the rest is easy.

Starting from the lesser curvature, the ligaments, arteries, mesentery, etc. around the appendix are separated and ligated, and they are freed to the root of the appendix, and then removed directly.

The removed appendix was white and swollen, and the perforation was clearly visible.

After the appendiceal artery is sutured and the appendix stump is embedded with purse-string sutures, it is not over yet. The most important thing for appendiceal perforation surgery is to flush the abdominal cavity. Try to prevent the appendiceal contents and pus from entering the abdominal and pelvic cavity after the perforation. Clean them all to minimize the risk of infection, and when flushing the abdominal cavity, pay attention to protecting the fetus.

The patient was also completely relieved at this time, "No, it was just the surgery I just had. I felt too clear and I was a little scared."

"Okay, the operation is over, so I'll go back. By the way, the emergency ward on the second floor has been sorted out and will be handed over to us tomorrow. I will also announce you as the chief resident during the morning meeting. You should be prepared for things to happen."

Seeing this situation, Wu Xiaofu couldn't help but feel cold.

"Senior brother, junior brother, I didn't lower your status, did I?"

Moreover, being the chief resident is actually just like the department director’s secretary. He has many powers extended by the department director, but is the responsibility he needs to bear so great? The surgery is also very convenient, which is naturally good for Wu Xiaofu's development.

The doctor on duty today was a doctor from the internal medicine team. Wu Xiaofu gave the doctor's orders and started typing up his thesis.

After walking out of the operating room door, the patient's family members gathered around him. Wu Xiaofu raised his hand and said, "Don't worry, the operation has been completed and it went well. The patient can be sent back to the ward after the anesthetist gets there. However, I also told you before the operation that after the operation, you have just passed a big difficulty, and you will have to pay attention to the infection problem in the follow-up.

Wu Xiaofu nodded. This is the disadvantage of local anesthesia. Fortunately, the operation time is short and it is not a major operation. Otherwise, it is not impossible for some patients to have phantom pain or even psychological shadow in the surgical area because they feel clearly. Therefore, , Nowadays, general anesthesia is increasingly advocated for abdominal surgery.

As soon as these words came out, Liu Wengui felt most at ease. To be honest, in a relatively dangerous operation, the person who is most stressed may not be the surgeon, but the anesthesiologist who has been maintaining vital signs.

To be honest, writing papers is actually addictive. Moreover, Wu Xiaofu found that he is becoming more and more confident now. Before, he heard Yu Shifu said that he could consider SCI District 1 and District 2. Wu Xiaofu still lacked confidence, but now if Wu Xiaofu invests, Wu Xiaofu didn't even consider it from the second district to the third and fourth districts.

After walking out of the operating room, Wu Xiaofu looked at Duan Hao.

In addition to the two articles submitted before, Wu Xiaofu has prepared three more articles during this period. They are all inspirations derived from soul fusion, memory collision, and clinical interweaving. After repeated deliberation during this period, they are basically finalized. After another day today, Wu Xiaofu will be ready to submit.

Inside the medical office.

Of course, the disadvantage is that it will be very busy later.

Wu Xiaofu hesitated for a moment. He felt that this was not luck, but strength.

Because I am pregnant, it is inconvenient to take medication later. Even if I rinse completely during the operation, the risk of later infection does not rule out, and I have drainage, so I still have to stay in the hospital for a few more days for observation. "

The flushing fluid was clear and translucent. Wu Xiaofu also breathed a sigh of relief. He left the drainage tube in place and shouted, "Close the abdomen."

After becoming the chief resident, Wu Xiaofu was later promoted to attending physician, and there was almost no barrier to entry. This was definitely a good thing.

In addition, there are five articles in these three articles. Even if he can only pass two articles, it will be enough for the evaluation of professional titles later. What's more, Wu Xiaofu feels that his writing is pretty good.

Wow wow wow!

"Senior brother, after the surgical field was exposed, I knew it in my heart. I stretched out my hand to explore and determined the approximate location. After the middle curve was inserted into the abdomen, I felt that it was basically pointing directly at the appendix. It should be It’s not luck.”

This process is even longer than Wu Xiaofu's appendectomy.

Duan Hao glared at Wu Xiaofu, and the boy raised his eyebrows again, "You pulled out the appendix in one fell swoop. Tell me the truth, were you just lucky, or were you really sure?"

When he came to the hall, the patient was pushed down. Wu Xiaofu took a look and found that he was unconscious. There were many injuries all over his body, especially the lower limbs. There was already blood oozing. The fracture was definitely. In the ambulance, the medical staff were already treating him. Emergency treatment was performed, but the patient was unconscious, fearing that the brain was damaged, short of breath, and with obvious respiratory obstruction.

Ah!
Duan Hao was a little surprised. This was naturally not luck, but it was such a terrifying feeling. Even if he had done so many surgeries and accumulated so much experience, he didn’t dare to say that it would be accurate every time. How did Wu Xiaofu do it? Freak ah.

"Doctor, doctor, how is my wife? Is she okay?"

call!
We will talk about the later events later. When Wu Xiaofu said that mother and son were fine, the patient's family felt much more relieved.

Not only can laparoscopy be used, but also to avoid such shortcomings. After all, with the improvement of anesthesia, the damage to the body is almost negligible.

Wu Xiaofu didn't ask Zheng Hua to come this time. This operation was performed through laparotomy, so it shouldn't take too long and should be completed as soon as possible.

After submitting the three papers, it was already noon.

He nodded and watched Duan Hao leave.

I was preparing to go to Qu Ying for dinner.

After bandaging the wound, Wu Xiaofu looked at the patient.

In the previous two articles, the preliminary review has been passed and the process has begun.

call!
Wu Xiaofu raised his eyebrows. The doctor from the internal medicine team had already come out to pick up the patient, but Wu Xiaofu didn't care. He stepped on the foot of the bed and got on the bed.

"Thank you Dr. Wu, thank you very much."

Wu Xiaofu is no longer a novice now. Even without the help of instruments, just by looking at a patient, he can sometimes determine whether the patient's condition is good or bad. Just like the female patient in front of him, Wu Xiaofu felt very bad.

Wu Xiaofu's heart was shocked. After becoming a doctor, Wu Xiaofu began to have a conditioned reflex to the ambulance's alarm bell.

The shorter the time for administering anesthesia, the better. It took Wu Xiaofu a few minutes to suture the abdomen, and the operation was completely over.

However, when he is not busy when he is young, Wu Xiaofu is also full of energy.

"How's it going? Is there anything uncomfortable?"

"Heartbeat and respiratory arrest, hurry!"

Wu Xiaofu was already preparing to go back and change clothes. After all, this patient must be sent to the emergency room for rescue. He probably wouldn't need to be involved in the subsequent surgery, but it was different now. Visible to the naked eye, the patient's chest rose and fell. It flattened out like a deflated rubber ball.

The breath came out in a big mouth, and then disappeared.

I jumped into the car, almost subconsciously, and started cardiopulmonary resuscitation. Colleagues from the internal medicine team who came to respond, and other medical staff were also shocked.

They are all familiar with Wu Xiaofu, but they don't think that Wu Xiaofu is messing around.

"Quickly." Colleagues from the internal medicine team hurriedly cleared the way and quickly pulled the car into the rescue room. The monitors and rescue equipment started to be turned on, and the double venous channels were opened.

While Wu Xiaofu was doing cardiopulmonary resuscitation and looking at the connected monitor, he felt even more anxious and straightened up!
The blood pressure cannot be measured.

"Look at the pupils."

"It's not gone yet."

Wu Xiaofu did not dare to neglect. It was already the fourth round of compressions, and the amplitude was also increasing. After doing it for a long time, emergency doctors will know that cardiopulmonary resuscitation is not static. With enough experience, you seem to feel the heart condition of your hands. , knowing what kind of frequency and what kind of intensity can make it vibrate and respond to you.

Drop drop!
Normally, Wu Xiaofu would be shocked when such a sound appeared, but now when Wu Xiaofu heard the sound of the monitor, he felt happy.

Sure enough, the electrocardiogram started to show signs, and there was still hope.

"Remove armor..."

Wu Xiaofu hurriedly ordered the medicine to be administered. Since there was such a glimmer of hope, he could not give up. He must let this war start a prairie fire and continue to bloom with vitality.

"Doctor Wu, I have ventricular fibrillation."

Colleagues from the internal medicine team were also very happy at this time, but when monitoring the monitor, their expressions changed again, and ventricular fibrillation appeared. This is not a good sign.

His heartbeat and breathing had recovered, and his blood pressure had gone up. Wu Xiaofu jumped out of bed regardless of being sweating profusely.

"Prepare for defibrillation."

The nurses in the emergency room are all experienced nurses, and the defibrillator is already ready.

"250 joules ready."

"250 joules ready to go."

If you want to restart the heartbeat, it is natural to start at 200, but now you want to defibrillate, it is better to start at 250.

"One or two."

Wu Xiaofu shouted and started immediately, and everyone hurried away.

"Little Li!"

Wu Xiaofu's expression changed, and when he looked at the doctor lying on the ground, his whole face darkened.

"Pull aside and take a look at the situation."

I didn't dare to neglect it. Looking at the line spectrum on the monitor, I saw that the effect was not that good.

"300 joules ready."

"300 joules ready to go."

"One or two."

This time, even Leng Touqing knew how powerful it was and hurriedly moved away. They didn't want to be stunned like the unlucky guy before.

"OK OK."

Wu Xiaofu put down the defibrillator and breathed a sigh of relief when he heard the sound.

"Adrenaline..."

After handing the patient over to his colleagues in the internal medicine team, Wu Xiaofu went directly to the computer and began to get out of the way. The patient must have something on his mind, and his vital signs were only temporarily maintained. If the underlying disease could not be treated as soon as possible, he would soon be in trouble again. Everyone will fall down and all their efforts will be wasted.

"Move the mobile ct."

At this point, it is no longer realistic to push the patient to the imaging department, and it must be done at the bedside.

Although the bedside machine is definitely not as good as the imaging department, this thing is here to prepare for such a situation. Now is the time not to be precise about the precise disease, but to find out where the problem is. .

The doctors and nurses in the emergency room looked at Wu Xiaofu differently at this time.

Everyone who knows Wu Xiaofu knows that he is a talented newcomer in the surgical team. Today's hearty rescue has made them get to know Wu Xiaofu again. This rescue level is simply better than those of his colleagues in the internal medicine team. In the emergency department, rescue Level is a criterion for judging whether a doctor is good or not. After all, the first purpose of the emergency department is to save lives, and everything else is an extension.

No matter how it develops, the old profession cannot be lost. Wu Xiaofu has obviously won the recognition of these doctors and nurses.

Wu Xiaofu didn't care about this.

"Neurosurgery, who is the director here?"

"Director Xiong, I am Xiao Fu. There is a car accident patient in the emergency room. He is already undergoing CT scan. He is considering intraventricular hemorrhage. Please come down and take a look."

"it is good."

Not only neurosurgery, but also critical care, cardiology, respiratory, orthopedics, general surgery, and hematology, Wu Xiaofu directly called a circle of people.

It's too late to wait for the results. Now we have to call all the departments that may be used.

Wu Xiaofu's situation was urgent, so the directors of various departments naturally did not dare to neglect, and they all arrived soon.

Doctors in the cardiology department are definitely the most professional in dealing with heart problems, and the respiratory department is also here. With them, they can protect the patients and cover many problems that the emergency doctors can't think of.

The brain CT scan finally came out.

"Subdural bleeding, a lot of bleeding, brain stem damage, skull fracture, the fracture end has been embedded in the brain, surgery must be performed as soon as possible."

Director Xiong couldn't help but frown while watching the movie. Is it critical? It was definitely critical. Surgery to remove the hematoma and deal with the fractured end as soon as possible would be the only way to minimize the damage. However, even if the person was rescued, the prognosis would not be good. The brainstem damage was not serious, which was the most troublesome.

"Mannitol..."

When preparations begin for the operation, the medication cannot be stopped. The patient's intraventricular edema has become obvious. The swelling must be reduced as soon as possible, even if the edema is not allowed to continue. Otherwise, if this continues, the patient's vital signs may be lost before entering the operating room. Keep falling.

"Are the family members here? Where are the family members?"

Director Xiong said he needed an operation, so he had to have an operation. Naturally, he fully cooperated in the emergency department. Other doctors also assisted and protected Shenwai.

Arriving outside the rescue room, Wu Xiaofu called for his family members.

"I, I, I am a family member."

(End of this chapter)