This doctor is very stable

Chapter 265 The sense of achievement of being a teacher
Appendicitis, either in the general surgery, or in the emergency department.

But as far as appendicitis removal is concerned, it is almost one of every surgeon's obsessions!

During the internship, I thought I would not be able to cut it, and during the training period, I would not cut it casually. After I became a resident doctor, I realized that there was no chance to cut it if it was not the emergency department or general surgery department.

This may be like the regret of first love, deeply planted in the heart of every surgeon, and it will not be let go for a long time!

After seeing Lin Ran's small incision appendicitis surgery, the members of the joint team were all shocked.

It turns out that laparotomy can also remove appendicitis!
After De Linran also won an SCi paper because of this small incision appendicitis.

Their hearts began to itch a little.

There is no high or low in academics, and the arts are not overwhelming!

Lin Ran also had no intention of hiding his secrets, so he explained the "big data method of finding appendix" and the main points of operation of small incision appendicitis surgery under the laparoscopy.

As he talked, Lin Ran felt a sense of accomplishment as a teacher for the first time.

An appendicitis removal operation ended quickly without Lin Ran slowing down.

After the operation was over, Li Jinxia and the others were a little unfinished.

At the same time, they were also amazed that Lin Ran's skills were comprehensive and highly proficient at the same time.

You can even have your own insights and improvements to a certain extent.

This is no ordinary genius can describe!
Creating is much harder than learning!
None of the three appendicitis operations took more than an hour.

The extrahepatic surgery didn't start until two o'clock.

Lin Ran and the others naturally became busy in the emergency department.

At around twelve o'clock, there was a rush of sirens outside the hospital.

Not long after, an emergency vehicle drove into the hospital gate.

The person who picked up the car was Tian Ji, the leader of the second emergency rescue team.

"Open the door quickly."

Tian Ji, male, Chief Physician, 43 years old, is in the prime of his life, with a cropped cut. When the ambulance stops, he asks you to direct the nurses and doctors to pick it up.

The patients sent to the emergency room by the ambulance are generally those who need first aid, and there is no delay!

In the ambulance, lay a car accident patient covered in blood.

Tian Ji saw that the patient's abdomen was obviously scraped.

The chest of the human body is protected by ribs, but the abdomen is different. The weak abdominal wall is the most vulnerable to damage in the face of a car accident!

The patient was carried out of the car by the doctors and nurses, and after being put on the hospital bed, they hurriedly pushed the patient into the emergency room.

After rushing through the rescue process, there is not much useful information that can be learned from the ambulance doctor!

Blood routine, blood type, biochemistry, liver and kidney function, coagulation function, four items of infectious diseases, electrocardiogram—.

The doctors and nurses in the emergency department are like fighters in war. They look messy, but they do their own thing, cooperate skillfully, and are extremely efficient.

It hits the nail on the head, pierced through the vein of the scalp, and the blood immediately flows to the tubes under negative pressure, one tube after another, placed on the push rack, and then immediately sent to the fully automatic testing machine in the laboratory.

The life monitor was pushed to the side by the nurse, and the leads were placed accurately and quickly.

The feeding paper creaked and spit out with characteristic wavy lines.

…………

When the patient was pushed in just now, Lin Ran also saw it, but he didn't get close to it.

One rescue team is enough for a patient's rescue. If there are too many doctors entering the rescue room, it may be a disservice!

Of course, Lin Ran yearns for the emergency rescue in the emergency room, but their combined team is only initially capable of rescue.

I really don't know what will happen if I practice it!

This is certainly not reassuring.

Fang Junhui, who was standing behind Lin, naturally also saw the scene just now.

He said leisurely: "Team leader, when do you think we can formally rescue a seriously injured patient like other rescue teams in the emergency department?"

Lin Ran is definitely fine, but rescue is not like surgery!

Surgery can be done at a slow pace, but rescue requires a race against time.

A little bit of poor cooperation will delay the rescue of the patient, and it will definitely not work.

Lin Ran is very clear about this.

The joint team is saving this area, and it will take some time to polish it.

Seeing the two people looking in the direction of the emergency room with envy on their faces.

The head nurse of the emergency department smiled and said: "You don't have to be envious, your joint team is already powerful enough, maybe while you are envious of others, others are also envious of you!"

…………

Not long after, another patient with an open arm fracture came to the emergency department.

The appearance of this patient made both Fang Junhui and Wang Yihu cheer up.

They wanted to learn about fracture reduction and correction surgery from Lin Ran.

Lin Ran and the others pushed the patient with an open arm fracture into the treatment room, and did a preliminary physical examination and wound examination.

Then let the little nurse lead the patient to do the preoperative examination, fracture X-ray, CT examination...

After patients with open fractures enter the emergency department, surgical treatment should be performed immediately to reduce the contamination of the tendon and nerve, and reduce the possibility of postoperative disability.

On the way to the locker room, He Shaoqiu felt envious when he saw the energetic appearance of the three male doctors behind Lin Ran!

Even if she is a woman, she still wants to learn the idea of ​​orthopedic technology.

Of course, there are also female doctors in orthopedics. If she really wants to learn from Lin Ran, she will definitely teach her.

However, orthopedic surgery is also a very labor-intensive thing.

Swinging a hammer, holding an electric drill, and setting up a chainsaw are very common in orthopedic surgery.

It can be said that the orthopedics department is like an old carpenter.

Orthopedics does not welcome female doctors, especially those who are timid.

Walking into the locker room, Lin Ran and the others quickly finished the pre-operative disinfection preparations.

Raising his hands over his chest, Lin Ran led the way out of the locker room.

Behind Lin Ran, Fang Junhui looked at Wang Yihu, who was tall and burly, and asked, "Old Wang, are you a little nervous?"

Wang Yihu looked at Lin Ran's tall and straight back, and smiled confidently, "What are we afraid of with the team leader around?"

Lin Ran was younger than them, but the level of surgery and maturity he showed was enough to reassure people.

Walking into the operation, the patient was lying obediently on the operating table.

His fractured left hand has also been placed on the operating table.

Lin Ran did his part to stand at the position of the surgeon on the right hand side of the patient.

The position of the chief surgeon is not static, it can be left or right, it mainly depends on the habits of the chief surgeon and which side is more suitable for the operation.

Wang Yihu was the first assistant, Fang Junhui was the second assistant, and Qin Xiaoming was in charge of pulling the hook.

And He Shaoqiu is a reserve, that is, she can only go to the operating table when there is a need for help.

With the help of the nurse, they quickly put on the gloves.

Lin Ran looked at the middle-aged anesthetist who was sitting on a small bench beside him, "Please anesthetist, give me some medicine! Brachial plexus anesthesia, two hours."

Two hours is enough for a small arm fracture reduction and correction operation, and there may even be some leftovers.

Soon the anesthetist injected four injections of anesthetic on the patient's left arm.

The patient's arm was injured on the construction site, and it is said that it was accidentally injured by a machine.

Dr. Lin, you can start now. "The anesthesia took effect, and the middle-aged anesthesiologist returned to his little bench after speaking!"

Naturally, Lin Ran didn't have much ink, so he stretched out his hand and said, "Tweezers, alcohol cotton, physiological saline."

For open fractures, the first step is to debride the patient's injured arm without leaving any dead space, and try to avoid secondary contamination of the wound.

Wound debridement, pre-operative disinfection, nurses spread drape, and determine the location of surgical loosening and incision.

Lin Ran performed the operation very smoothly, which is pleasing to the eye.

Even the uncle at the construction site who was more curious at the beginning stared at Lin Ran fascinated.

"Scalpel..."

There was only one voice from Lin Ran in the operating room.

"Crack..." The scalpel was caught in Lin Ran's hand.

The patient's left hand ulna and radius were severed and the bones were exposed to the air.

Lin Ran held the scalpel in his right hand and started.

The surgical incision he carefully selected naturally planned the tendon, nerve and blood vessels reasonably.

The choice of surgical incision is also a science.

A good and small cut will naturally cause less damage to the tendon and nerves. Of course, the exposure of the surgical field of view must also be considered when reducing side damage.

On the operating table, the exposure of the surgical field can often determine the quality and success of the operation.

Looking at the fractured and torn wounds, Lin Ran went under the knife!
Cut from the upper part of the wound to form an inverted T shape with the wound.

Cut the top and cut the bottom.

The others looked at Lin Ran's technique with envy!

They feel that Linran's choice of incision and operation is worth learning for half a year!
After Lin Ran finished cutting, Qin Xiaoming quickly put on the retractor hook.

"Don't be nervous, we're all just mortals."

(End of this chapter)