super anesthesiologist

Chapter 107 Chapter [-]: So many people come at once (please recommend, please collect, thank you!!!)

On Monday, Lin Xiaobei rushed to the hospital early in the morning.

The emergency doctor's office was full of people, and there were many new faces, many of whom Lin Xiaobei didn't know or looked strange to.

The two directors, Li Aiguo and Bian Wengang, were beaming with joy.After seeing Lin Xiaobei coming, Li Aiguo quickly pulled him into the middle and whispered: "There are many training doctors coming to the emergency department this time, and they all come here because of their reputation."

Then he said to those people: "This is Dr. Lin Xiaobei, you can ask him for advice if you have any questions in the future."

"Xiao Bei, please introduce yourself to everyone." Li Aiguo said with a smile.

Lin Xiaobei looked confused, so many people?No wonder Li Aiguo was in such a good mood early in the morning. In the past, there were very few trainee doctors accepted by the emergency department, otherwise the hospital would not have rotated the young doctors in the hospital. But this time the office is actually crowded, which is unprecedented!
Lin Xiaobei cleared his throat: "Hello everyone, I am Lin Xiaobei, an anesthesiologist at S University..."

"Cough! Cough!" Bian Wengang interrupted him: "Dr. Xiaobei, you are in our emergency department now."

Lin Xiaobei: "..."

"Hi everyone, I'm Dr. Lin Xiaobei, and I'm working in the emergency department of S University. Welcome everyone to come to our emergency department to study and study new technologies and new businesses together. Thank you!"

This self-introduction is really a bit of a time!Lin Xiaobei himself felt shriveled.

Some of the newcomers couldn't help pursing their lips and giggling.

Bian Wengang was much more calm on the contrary: "Our Dr. Lin, he is shy and introverted. However, his technical level is very good. I believe you have seen it many times from our live broadcast, so Well, coming to our emergency department to study is absolutely the right choice, and we will never let you down."

His words were met with applause and laughter.

Lin Xiaobei was secretly surprised. Director Bian Wengang's words were not very good, but he was able to brighten up the atmosphere. This must be a manifestation of personal ability.

After finishing the shift, I communicated with these trainees and found out that they were all emergency doctors from the following counties and cities, and many of them came from grassroots hospitals like Wang Xuguang.After watching the live broadcast, they simply worshiped Lin Xiaobei's anesthesia skills.

Many of these trainee doctors have dual identities, both anesthesiologists and surgeons.It turned out that in some grassroots hospitals, because the number of operations is insufficient, and the risk of anesthesia in grassroots hospitals is much higher than that in large hospitals, no one is willing to take up this position alone.

But it is true that there must be no anesthesiologist in the hospital, so many grassroots hospitals have such a situation: let young surgeons take turns to act as anesthesiologists, that is, several surgeons have dual identities and must rotate in the anesthesiology department.

Because there are so many people who came to study this time, director Li Aiguo discussed with Bian Wengang and Lin Xiaobei, and divided them into three groups according to the number of people, and the three of them led the group in turn.

Lin Xiaobei counted, and there were 18 points. Each of them led a group of six trainees.

Almost all of these trainees came for Lin Xiaobei, so when the group was divided into Bian Wengang and Director Li Aiguo, many people immediately showed displeasure.

Lin Xiaobei knew that the emotions of these people had to be stabilized, otherwise the subsequent work would be difficult.

After discussing with Li Aiguo and Bian Wengang in a low voice, he said clearly: "Doctors, because of the large number of you this time, in order to ensure that everyone has sufficient learning opportunities, we deliberately divided your studies into three groups and studied in three stages. .”

"The group that followed Director Li mainly learned the diagnosis and treatment of common acute abdomen; the group that followed Director Bian mainly learned the operation of trauma management and day surgery; and the group that followed me focused on the learning of anesthesia for day surgery .Everyone takes turns, and we strive to ensure that every student can cover everything."

The implication of his words is that every student has the opportunity to study with him for a period of time, and now those trainees who are not assigned to his group can feel relieved.

For township-level hospitals, learning nerve block and target injection is far more effective than general anesthesia.Because those hospitals have high qualifications, they can only accept some simple acute abdomen and trauma patients, and more complicated ones are transferred to higher-level hospitals.

Not every dean of a township hospital is as daring as Wang Xuguang's leader.

After the personnel were divided into groups, Lin Xiaobei took his group of training doctors to the operating room, asked them to put on disposable isolation gowns, shoes and hats, and then introduced the configuration of the emergency department operating room.

These configurations are beyond the imagination of those training doctors. The standard equipment of an operating room costs millions. If their hospital has the financial capacity, why should they use it to study here?
All the training doctors heard that this anesthesia machine costs more than RMB 30, this operating bed costs more than RMB 50, the 27-hole shadowless lamp is worth RMB 13, and the ultrasound that costs more than RMB 30... Everyone secretly clicked their tongues, the emergency department of S University really has money!
Lin Xiaobei secretly smiled, the operating room configuration of their emergency department is indeed a bit tall, or a bit extravagant and wasteful.In the month he came to the emergency department, the anesthesia machine worth more than 30 yuan had hardly worked. Most of the time it was in standby mode after checking that it was running normally, and then turned off after the operation.

Lin Xiaobei had never received general anesthesia in the emergency department!

The operating table is easy to use, and any position can be adjusted by remote control.However, almost all surgical patients in the emergency department are in the supine position, so this operating table is a bit of a waste.It's like buying the latest smartphone just to make a phone call.

"You don't need to have such a good configuration. The ordinary domestic Mindray (anesthesia machine brand) is fully capable of performing anesthesia in the emergency department." Lin Xiaobei said to them with a smile.

That kind of anesthesia machine can be bought for tens of thousands.

Whether emergency surgery can be carried out smoothly depends on the technical level of doctors. In fact, medical equipment does not need to be so high-end at all, as long as it can be used.Although the anesthesia machine in Wang Xuguang's department is old-fashioned, it can also perform anesthesia for major operations.But the key to that kind of anesthesia machine is to be able to check and adjust the parameter settings, otherwise it is equivalent to a waste product.

After leading the trainee doctors to visit the operating room, Lin Xiaobei led everyone to visit the layout of the emergency department, the layout of the hall, the diagnosis room, the observation room, and how many beds should be reserved in the observation room.

He hadn't come to the emergency surgery in the morning, Lin Xiaobei was bored, and chatted with the trainees about anesthesia, which made him almost doubt his life.The anesthesia level of these trainee doctors, regardless of their clinical operation skills, is simply unimaginably poor in terms of theoretical knowledge system.

For example, how to control the patient's blood pressure and what range of control is appropriate; for example, how much fluid should be given to the patient and when blood transfusion is needed; for example, how to calculate the dosage of some commonly used anesthetics...

Lin Xiaobei didn't realize that these trainee doctors didn't understand at first, he occasionally asked some simple questions while talking, and immediately asked them to be confused...

These doctors only know that when the blood pressure is low, they need to use booster drugs or infusion to expand the volume. The infusion is roughly calculated according to the roughest 10ml/kg body weight, and the commonly used anesthetic dose is based on the feeling, and it should not exceed the poisoning dose... …

They all know what they know about anesthesia and don't know why...

(End of this chapter)