super anesthesiologist

Chapter 47 First Work in the Emergency Department (Please collect, recommend, and support!)
The whole story goes like this: three funny brothers gathered together at noon, drank and chatted, and when the drink was almost done, the more sober ones went to pay the bill.The other two drunkards were dissatisfied and thought they should treat the guests themselves.

According to the staff in the tavern, the dispute between the two is roughly as follows:

"I have to pay for this drink."

"Fart, why should you buy it? Do you think you earn more money than me?"

"Then you mean you can make more money than me?"

"I didn't say that, I just said that I will pay the bill."

"That's what you mean, I won't let you pay."

"If you fuck with me on purpose, I'll be out of money."

"If you pay me, I will have trouble with you, and I will not treat you as a brother."

"Don't treat me as a brother? What the hell are you? I still look down on you."

"what are you?"

One of them got excited and slapped the other person in the face.

"You hit me."

……

When the person who paid the bill came back, he saw this scene: his closest two iron buddies rolled on the ground, twisted into a ball, tore each other's clothes and hair, and a few broken wine bottles rolled on the ground.

The people in the hotel tried to persuade the fight, but they didn't dare to bully him.

The palms and backs of the hands were full of flesh. He tried his best to separate the two, and together with the staff in the restaurant, they bandaged them briefly and sent them to the hospital.

Lin Xiaobei looked at the person who was speaking, and only then noticed that his face was also bruised and purple, probably from being punched a lot.

Liu Kai was checking the wounds of two drunks, and as soon as he touched them, one of them howled like a pig: "Oh, doctor, take it easy, you hurt me."

The other one also avoids like an electric shock, "It hurts! It hurts! It hurts!"

"You two friends have serious injuries. You need to pay for the debridement first." Liu Kai said to the sober person after reading.

Lin Xiaobei also walked over to check on the injuries of the two, "Doctor Liu, don't these two need to be transferred?"

No wonder the two teasers were moaning and whimpering, they were seriously injured, one of them had a big hole in his forehead, bleeding profusely, and his clothes and hair were already clotted together.A deep cut was made on the outside of the other elbow joint, and the flesh was turned out.

In principle, these two people should be transferred to neurosurgery and hand surgery.

Liu Kai glanced at him and thought to himself that you are so talkative!

"Director Li said that starting today, all patients requiring surgery will be treated in the emergency department."

The hotel waiter asked cautiously: "Doctor, are these two okay?"

"It's not clear at the moment. We'll give them debridement first, and then do some related checks. They can leave the hospital after two hours of observation."

Lin Xiaobei frowned secretly, there was obviously something wrong with Liu Kai's handling.These two should go to the radiology department first to see if there is any fracture, the one with the forehead injury should be especially careful about the epidural hematoma, and the other may have damaged the ulnar nerve.

Li Aiguo and Bian Wengang rushed over at the same time.

"what happened?"

"Two drunks fighting each other." Liu Kai briefly reported.

Li Aiguo stepped forward to check his injuries, but the two drunks avoided him as if they had seen a plague god.

"Let me see." He said forcefully.

Those two people cooperated with great reluctance, their mouths were vague: "Doctor, take it easy."

Li Aiguo didn't remove their bandages, he just took a look at them and said, "Prepare for debridement."

Their buddies went to pay the bill, leaving only the hotel waiter.

Liu Kai and he supported the two wounded respectively, while Lin Xiaobei went to the operating room to prepare.

This was his first time working in anesthesia in the emergency department, and it was also his first surgery since the opening of the new operating room in the emergency department.

The two patients were sent to two operating rooms respectively.

Bian Wengang was transferred from the brain surgery department. The one with forehead trauma was naturally assigned to him for debridement and sutures, while the other wounded was treated by Director Li Aiguo with Liu Kai.

Seeing that Bian Wen was alone, Lin Xiaobei took the initiative to help him.

The patient was lying on the bed, still whimpering.Lin Xiaobei was connected to ECG monitoring, his vital signs were normal, and he is fine at present.

"Be patient!" Bian Wengang said to the patient.

But as soon as he started the man howled, "It hurts, oh, it hurts, it hurts! It hurts! It hurts!"

"You have to bear the pain!"

Bian Wengang tore off his clothes lightly. He didn't know what this drunkard's iron buddy used to smash it. The hole was bigger than the cap of a beer bottle. It hurt from the eyebrow arch to the frontal bone, and the skin fell off on one side, and the scalp stuck to it. above.

Bian Wengang frowned, and told Lin Xiaobei, "Pour some iodine."

"You just disinfect like this?" Lin Xiaobei asked in surprise.

Vitality iodine is irritating, let alone rubbing with gauze on such a large wound, the med stimulation alone is enough to put this alcoholic into shock.

"Then how to disinfect?" Bian Wengang seemed uncomfortable with his questioning.

"I think the infusion channel should be established for the patient first, and then some analgesics should be given through the vein, and he may feel better if it is eliminated."

Lin Xiaobei said it very euphemistically. In fact, it is very necessary to establish an infusion channel so that the patient can be rescued in case of an accident.

The patient also seemed terrified, and shouted, "Doctor, you relieve the pain first. Please, I can't take it anymore."

Bian Wen just thought about it and felt that what he said made sense, so he stopped there, and then called the nurse to come over for an injection.

At this moment, the screams from the next door were also endless.

"Doctor Lin, come here and help."

Lin Xiaobei walked through the inner door, Li Aiguo was at a loss with the pliers, and Liu Kai bent over to support the patient's injured limb.

"Director Li, what's the matter?" He asked.

"I've already given two lynchpins, but he still complains of pain. Can you see if he needs a plexus?"

Lin Xiaobei glanced at the wound, thinking that one more blow would not be enough.

He quickly connected the patient to ECG monitoring and administered oxygen through a nasal cannula.

It may be that they are negligent in the workplace. They have not noticed these necessary details. They think that the patient under local anesthesia is awake and does not need to monitor vital signs.

"Xu Zhenzhen, if you call here, call here as well." Through the wall, Lin Xiaobei called to another operating room.

"Okay, I'll be right over."

The sound made people come in, so fast, with a tray in their hands.

Lin Xiaobei said to Li Aiguo: "Director Li, give him an injection first."

He returned to Bian Wengang's side again, quickly took the emergency medicine and analgesic, instilled 15ug SF from the Murphy test tube, and then put the mask of the anesthesia machine near the patient's mouth to give oxygen.

"Is the pain better now?"

"Yeah, but it still hurts." The patient stopped moaning, but his fear remained undiminished.

"Don't worry, I will give you some local anesthetic later and you won't be in pain."

After comforting him, Lin Xiaobei said to Bian Wengang, "Director Bian, you can enlarge the area of ​​disinfection, and I will give him targeted injections from the surrounding area, so the effect will be better."

He originally suggested it with good intentions, but Bian Wengang said coldly, "No, I will give it for local anesthesia. I have been working in neurosurgery for several years, and I take it almost every day."

"Alright then." Lin Xiaobei said no more, and went straight to another room.

Xu Zhenzhen has already established an intravenous infusion channel and is helping Li Aiguo prepare the equipment.

Lin Xiaobei also gave the patient some intravenous analgesics first, then opened the epidural epidural, and performed an axillary brachial plexus block in a few minutes.

Because the upper extremity had to be ligated with a tourniquet, he injected at the target site to block the musculocutaneous nerve.

A total of 50mg of roxime and 75mg of roxime were used. According to Director Li Aiguo's previous calculations, the poisoning dose of local anesthetics was not enough.

"Ding"! "Ding"!The long-lost ringtone came to mind.

[Nerve block +2, vital signs monitoring +5; reward: 1 gold bracelet].

"Does it still hurt?" Lin Xiaobei gently tested it with a 5ml syringe needle after the injection.

Just when the patient saw the needle point pricking his arm, he yelled in fright: "It hurts! It hurts! It hurts!"

"Close your eyes!" Lin Xiaobei growled, and poked him with the end of the needle.

"Does it hurt here?"

The patient habitually opened his mouth and shouted, "It hurts, it hurts, it hurts!"

I hurt your sister!Lin Xiaobei cursed in his heart, "Open your eyes and see!"

The patient obeyed, but found that the tail of the inverted needle in Lin Xiaobei's hand was pressing on his arm.

"Does this hurt too?" Lin Xiaobei pressed hard.

"It doesn't hurt."

"Then you were crying just now?"

"I thought you were pricking me with the point of a needle."

Lin Xiaobei ignored him, dripped 2 mg of militone from Murphy's test tube, and said to Li Aiguo, "Director Li, you can start now."

　Today at 2 o'clock in the afternoon, it will be launched to test the water. The selection of new books is said to be a very good position. Uh uh, the level of the idiot is so high, I can't blame anyone. I hope everyone can give support, count votes, and add a favorite!
　　bow! ! !

　　
　
(End of this chapter)