Auto chess in the operating room
Chapter 254 Tanglou Rescue, Femoral Artery Exploration and Repair
Chapter 254 Tanglou Rescue, Femoral Artery Exploration and Repair
"Immediately, immediately, Director Wu still has an operation, I will contact the inpatient department now, and send a doctor down quickly."
Dr. Fei pretended to be calm and said to the patient, and when he turned around, he gave Cheng Sisi a wink and took a step away to discuss.
"Doctor Fei, I have already contacted the inpatient department. There have been a lot of surgeries recently, and I have arranged everything that can be arranged, so."
Dr. Fei really panicked now, thinking in his heart, what if he didn't do it himself?
But without the guidance of a superior doctor, to be honest, he would still be self-aware of his level.
"Well, it's no wonder that every hospital is eager for such a highly skilled doctor. In this critical moment, a doctor with extraordinary experience and extraordinary surgery is a Dinghaishenzhen."
Physician Fei suddenly regretted that he didn't focus on his technique at ordinary times. At this moment, if he could seize the opportunity and perform a femoral artery injury operation to turn the tide, he would be able to walk for several months in the department. Bring the wind!
"It's really not possible, so we can only make preoperative preparations first, and wait for Deputy Director Wu to come over and perform the surgery 15 minutes later. Although it increases the risk of amputation for the patient, it is better than making mistakes during the operation and causing medical accidents. It’s safe.”
Soon, Dr. Fei had already thought of a wise countermeasure to protect himself. After all, in today's society, medical troubles are too serious and no one dares to be a hero. If anything happens, illegal operation will harm others and himself.
When Dr. Fei was about to explain his plan to the patient's family, Tang Lou whispered in Tang Lou's ear:
[Ding, new mission, emergency rescue, give the patient first aid as soon as possible, and save the patient's thigh.Task reward: 2 gold coins, the card library is refreshed once. 】
Tanglou looked at his balance, which was quite abundant, and started to refresh the card library.
Exchange for femoral artery exploration and repair (one star, 2), exchange for femoral artery exploration and repair (one star, 2).
Automated synthetic femoral artery exploration and repair (Samsung, 18)
After being equipped with the three-star femoral artery detection and repair surgery, countless surgical skills and surgical experience were integrated into Tang Lou's mind.
"Doctor Fei, it's not good. The patient has lost a lot of blood and is in shock! If there is no surgery, I'm afraid this leg will be lost!"
The nurse on the side looked at Yang Jingtao's vital signs and shouted.
"Doctor Fei, please operate on my husband quickly. He cannot amputate his limbs. If he loses his legs, our family will have no source of income in the future. Doctor Fei, I beg you, operate quickly!"
When the patient's family heard that Yang Jingtao might have to amputate his limbs, they could not do it right away, and they almost knelt down to Dr. Fei.
Seeing the begging of the patient's family, Dr. Fei felt very sad, but there was really nothing he could do.
At this time, one hand pressed on the patient's flat car, and said to the nurse: "Prepare fresh blood, prepare the supply area for blood vessel grafts, and conduct neurological function tests, including electromyography, to determine whether the nerves are damaged, and range of damage."
Tang Lou gave the order very calmly, then looked at Dr. Fei at the side, and said calmly, "Dr. Fei, I can perform the femoral artery exploration and repair operation. Now perform the operation immediately, and if you drag it on, the patient's leg will fail. .”
"You come?"
Although Dr. Fei didn't know Tang Lou's level, he could tell by his age. He was really too young, and he had no idea about Tang Lou's level.
Tang Lou ignored Dr. Fei's questioning, and immediately looked at Cheng Sisi again: "Go organize the nurses, prepare for the operation, and remember every sentence I'll say."
"it is good."
Cheng Sisi's eyes lit up, and she looked at Tanglou with admiration. What she liked most was that every time, in times of crisis, Tanglou's confident and calm state of calm really made her feel safe.
Physician Fei at the side also didn't expect Tang Lou to be so powerful, he hesitated, looked at the family members who were about to collapse, and sighed: "Okay, I will go into the operating room with you."
Tang Lou said to Cheng Sisi: "After entering the operating room, give the patient general anesthesia, actively take blood preparation, infusion, monitoring, support and other treatment measures to prevent hemorrhagic shock. Repeatedly use 0.9% sodium chloride, povidone iodine, and hydrogen peroxide. Rinse the wound"
After hearing Tang Lou's arrangement, Doctor Fei frowned and interrupted Tang Lou directly:
"Doctor Tang, your operation procedure is not right. I remember that the treatment of lower extremity vascular injuries is firstly to fix the fractures in a simple and reliable way, and then repair or reconstruct the damaged arteries. Only when the bone bracket is stabilized can we have The prerequisite for the repair of vascular injury. Otherwise, the blood vessel will be re-injured due to repeated rubbing and holding the injured limb during the operation."
Although Dr. Fei has never been the chief surgeon, but as a resident doctor, he has followed several operations, so he has some doubts about Tang Lou's level.
Sensing Dr. Fei's doubts, Tanglou said confidently: "The traditional surgical procedure is indeed like this, but this patient is special. He was first sent to an external hospital, but when the external hospital was unable to admit him, he was transferred to our hospital. The time was already delayed. I think Dr. Fei also knows that the tolerance time of skeletal muscle to ischemia is 6-8 hours. If the traditional surgical sequence is followed, the time of limb ischemia will increase and the amputation rate will increase."
Hearing Tang Lou's explanation, Dr. Fei agreed very much: "Indeed, how to quickly restore the blood flow has always been a difficult problem for clinicians. Dr. Tang, how about your plan?"
At this moment, Dr. Fei has begun to accept Tang Lou as the surgeon. At least in theory and treatment principles, Tang Lou is more thoughtful than himself.
Moreover, the appeal of this patient and family members is that amputation is unacceptable.
While going to the changing room with Dr. Fei, Tang Lou explained: "I will use the temporary bridge technique of blood vessels to bridge the blood vessels first and then fix the fractures, so as to buy time for the patients to recover."
"Temporary blood vessel bridging technology?"
Under the three-star technique, Tanglou's knowledge is already at the master level. The proposed plan is of course not commonly used, and there are few clinical reports in the country, but it is indeed the most suitable for this patient.
"The time is urgent. We will prepare in a while and explain to you in a while. Don't worry about the doctor."
Under the aura of Master Tang, his words were well-founded. Although Doctor Fei was a little puzzled, his heart still settled down.
Looking at Tang Lou, who was much younger than him, Dr. Fei was so ashamed for the first time.
Moreover, if Tang Lou really couldn't do the surgery after a while, he would stop it directly, and at most wait for Deputy Director Wu to come to perform the surgery.
Soon, two people entered the operating room, the nurse and the assistant physician were already making preparations.
Under Tang Lou's prior arrangements, treatment measures such as blood preparation, infusion, monitoring, and support have been completed in an orderly manner, buying time for the operation.
After Tang Lou walked into the operating room, everyone looked at him. After all, in the orthopedics department, it was the first time for other people to cooperate with Tang Lou.
"Sterilized Drapes, Scalpel Prep"
There is no nonsense in Tanglou and we get straight to the point.
Physician Fei at the side was also taken aback, but Physician Tang was quite decisive.
(End of this chapter)
"Immediately, immediately, Director Wu still has an operation, I will contact the inpatient department now, and send a doctor down quickly."
Dr. Fei pretended to be calm and said to the patient, and when he turned around, he gave Cheng Sisi a wink and took a step away to discuss.
"Doctor Fei, I have already contacted the inpatient department. There have been a lot of surgeries recently, and I have arranged everything that can be arranged, so."
Dr. Fei really panicked now, thinking in his heart, what if he didn't do it himself?
But without the guidance of a superior doctor, to be honest, he would still be self-aware of his level.
"Well, it's no wonder that every hospital is eager for such a highly skilled doctor. In this critical moment, a doctor with extraordinary experience and extraordinary surgery is a Dinghaishenzhen."
Physician Fei suddenly regretted that he didn't focus on his technique at ordinary times. At this moment, if he could seize the opportunity and perform a femoral artery injury operation to turn the tide, he would be able to walk for several months in the department. Bring the wind!
"It's really not possible, so we can only make preoperative preparations first, and wait for Deputy Director Wu to come over and perform the surgery 15 minutes later. Although it increases the risk of amputation for the patient, it is better than making mistakes during the operation and causing medical accidents. It’s safe.”
Soon, Dr. Fei had already thought of a wise countermeasure to protect himself. After all, in today's society, medical troubles are too serious and no one dares to be a hero. If anything happens, illegal operation will harm others and himself.
When Dr. Fei was about to explain his plan to the patient's family, Tang Lou whispered in Tang Lou's ear:
[Ding, new mission, emergency rescue, give the patient first aid as soon as possible, and save the patient's thigh.Task reward: 2 gold coins, the card library is refreshed once. 】
Tanglou looked at his balance, which was quite abundant, and started to refresh the card library.
Exchange for femoral artery exploration and repair (one star, 2), exchange for femoral artery exploration and repair (one star, 2).
Automated synthetic femoral artery exploration and repair (Samsung, 18)
After being equipped with the three-star femoral artery detection and repair surgery, countless surgical skills and surgical experience were integrated into Tang Lou's mind.
"Doctor Fei, it's not good. The patient has lost a lot of blood and is in shock! If there is no surgery, I'm afraid this leg will be lost!"
The nurse on the side looked at Yang Jingtao's vital signs and shouted.
"Doctor Fei, please operate on my husband quickly. He cannot amputate his limbs. If he loses his legs, our family will have no source of income in the future. Doctor Fei, I beg you, operate quickly!"
When the patient's family heard that Yang Jingtao might have to amputate his limbs, they could not do it right away, and they almost knelt down to Dr. Fei.
Seeing the begging of the patient's family, Dr. Fei felt very sad, but there was really nothing he could do.
At this time, one hand pressed on the patient's flat car, and said to the nurse: "Prepare fresh blood, prepare the supply area for blood vessel grafts, and conduct neurological function tests, including electromyography, to determine whether the nerves are damaged, and range of damage."
Tang Lou gave the order very calmly, then looked at Dr. Fei at the side, and said calmly, "Dr. Fei, I can perform the femoral artery exploration and repair operation. Now perform the operation immediately, and if you drag it on, the patient's leg will fail. .”
"You come?"
Although Dr. Fei didn't know Tang Lou's level, he could tell by his age. He was really too young, and he had no idea about Tang Lou's level.
Tang Lou ignored Dr. Fei's questioning, and immediately looked at Cheng Sisi again: "Go organize the nurses, prepare for the operation, and remember every sentence I'll say."
"it is good."
Cheng Sisi's eyes lit up, and she looked at Tanglou with admiration. What she liked most was that every time, in times of crisis, Tanglou's confident and calm state of calm really made her feel safe.
Physician Fei at the side also didn't expect Tang Lou to be so powerful, he hesitated, looked at the family members who were about to collapse, and sighed: "Okay, I will go into the operating room with you."
Tang Lou said to Cheng Sisi: "After entering the operating room, give the patient general anesthesia, actively take blood preparation, infusion, monitoring, support and other treatment measures to prevent hemorrhagic shock. Repeatedly use 0.9% sodium chloride, povidone iodine, and hydrogen peroxide. Rinse the wound"
After hearing Tang Lou's arrangement, Doctor Fei frowned and interrupted Tang Lou directly:
"Doctor Tang, your operation procedure is not right. I remember that the treatment of lower extremity vascular injuries is firstly to fix the fractures in a simple and reliable way, and then repair or reconstruct the damaged arteries. Only when the bone bracket is stabilized can we have The prerequisite for the repair of vascular injury. Otherwise, the blood vessel will be re-injured due to repeated rubbing and holding the injured limb during the operation."
Although Dr. Fei has never been the chief surgeon, but as a resident doctor, he has followed several operations, so he has some doubts about Tang Lou's level.
Sensing Dr. Fei's doubts, Tanglou said confidently: "The traditional surgical procedure is indeed like this, but this patient is special. He was first sent to an external hospital, but when the external hospital was unable to admit him, he was transferred to our hospital. The time was already delayed. I think Dr. Fei also knows that the tolerance time of skeletal muscle to ischemia is 6-8 hours. If the traditional surgical sequence is followed, the time of limb ischemia will increase and the amputation rate will increase."
Hearing Tang Lou's explanation, Dr. Fei agreed very much: "Indeed, how to quickly restore the blood flow has always been a difficult problem for clinicians. Dr. Tang, how about your plan?"
At this moment, Dr. Fei has begun to accept Tang Lou as the surgeon. At least in theory and treatment principles, Tang Lou is more thoughtful than himself.
Moreover, the appeal of this patient and family members is that amputation is unacceptable.
While going to the changing room with Dr. Fei, Tang Lou explained: "I will use the temporary bridge technique of blood vessels to bridge the blood vessels first and then fix the fractures, so as to buy time for the patients to recover."
"Temporary blood vessel bridging technology?"
Under the three-star technique, Tanglou's knowledge is already at the master level. The proposed plan is of course not commonly used, and there are few clinical reports in the country, but it is indeed the most suitable for this patient.
"The time is urgent. We will prepare in a while and explain to you in a while. Don't worry about the doctor."
Under the aura of Master Tang, his words were well-founded. Although Doctor Fei was a little puzzled, his heart still settled down.
Looking at Tang Lou, who was much younger than him, Dr. Fei was so ashamed for the first time.
Moreover, if Tang Lou really couldn't do the surgery after a while, he would stop it directly, and at most wait for Deputy Director Wu to come to perform the surgery.
Soon, two people entered the operating room, the nurse and the assistant physician were already making preparations.
Under Tang Lou's prior arrangements, treatment measures such as blood preparation, infusion, monitoring, and support have been completed in an orderly manner, buying time for the operation.
After Tang Lou walked into the operating room, everyone looked at him. After all, in the orthopedics department, it was the first time for other people to cooperate with Tang Lou.
"Sterilized Drapes, Scalpel Prep"
There is no nonsense in Tanglou and we get straight to the point.
Physician Fei at the side was also taken aback, but Physician Tang was quite decisive.
(End of this chapter)
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