medical simulator

Eleven fifty.

When Zhang Zhengquan enthusiastically brought the rice bowl box into the office again, there was a roar from the nurse's station.

"The doctor on duty, the doctor on duty, the emergency department called and said there was an emergency consultation."

Zhang Zhengquan's expression changed drastically upon hearing this.

Turning around, he hurriedly said, "Okay, here we come."

Then he said to Du Yanjun and Zhou Cheng: "Brother Zhou Cheng, the meal is here, you and Brother Yanjun eat first, I'll go and see what's going on."

Zhou Cheng and Du Yanjun were not polite to Zhang Zhengquan, nor did they wait for him, they picked up their lunch boxes and started working.

Eating on time and going to bed in time are necessary technical tasks for every doctor on duty.

……

However, Zhang Zhengquan just went to the nurse's station to answer the phone. Within a few seconds, Zhang Zhengquan came in a bit embarrassed, and said to Zhou Cheng: "Brother Zhou Cheng, it is said that there is a joint dislocation, and the patient is not suitable to be pushed to the orthopedic ward. Might have to go down there yourself."

Zhou Cheng didn't even have time to take a bite or two of this meal, so he could only put down his chopsticks immediately after hearing this, and then hurried towards the emergency room.

Looking at Zhou Cheng's back, Du Yanjun said with emotion: "Brother Quan, how old is this today? Brother Zhou Cheng said he was reading, but in fact he didn't stop all morning."

"The third one." Zhang Zhengquan remembered clearly.

"It's just that we want to help, but we can't."

Just as he was talking, Zhang Zhengquan saw that Luo Yun actually walked in again at this moment.

When Zhang Zhengquan and Du Yanjun saw Luo Yun, they immediately stood up and said hello, "Mr. Luo, Mr. Luo."

Then Zhang Zhengquan asked: "Mr. Luo, have you eaten?"

"I've eaten, where is Zhou Cheng?" Luo Yun turned his head around, but he didn't see Zhou Cheng's back.

"I went for an emergency consultation. The joint was dislocated." Zhang Zhengquan replied.

Luo Yun suddenly realized: "Oh."

"By the way, the patient who is going to have a joint replacement tomorrow, have you written the informed consent for the operation that you talked about before the operation? I almost forgot. You have never written this thing, so I just remembered it temporarily. Looking back Look."

When Luo Yun was in the outpatient clinic on Sunday, two patients were admitted to the hospital, and operations were arranged for tomorrow, even though it was all in the afternoon.

However, Luo Yun himself still had to watch the conversation before the operation.

Because even Zhou Cheng is not a professional joint surgeon, so if they missed any risks in their conversation, it would be a fool.

"I wrote it. Brother Zhou Cheng has finished writing it. Mr. Luo, can you come over and check?" Zhang Zhengquan and Du Yanjun took care of a joint replacement patient alone.

Therefore, both of them treated Luo Yunhui like this.

They did not write the informed consent form for the operation, nor did they write the risks in it, and there were no such patients in the department before, so they were not good at judging whether it was right or not.

Luo Yun printed out the two informed consent forms for surgery, and then carefully read them one by one.

But just started reading, Luo Yun immediately frowned and asked: "Did Zhou Cheng type this?"

"Yes, brother Zhou Cheng originally said he was going to read a book in the morning, but after not reading for long, he came to the emergency department intermittently, and then we were about to start talking again, brother Zhou Cheng came over and typed out the consent form for surgery."

"We didn't ask us to call Mr. Luo, Brother Zhou Cheng said so, so we don't bother you." Du Yanjun hurriedly replied.

Then ask: "Is there any problem, Mr. Luo, we haven't talked to the patient yet, can you change it?"

When Luo Yun heard Du Yanjun's words, he knew that Du Yanjun had never read the informed consent form for surgery, so he didn't know what was in the consent form.

He just shook his head slightly, and sighed secretly, Yan Jun, Yan Jun, this is the gap between you and Zhou Cheng.

You learn without taking the initiative, Zhou Cheng takes the initiative without taking the initiative.

This is not a concept at all.

To understand an operation, you must first start with its risks, that is, the informed consent for the operation. Have you not understood this yet?

"There's no need to change it, let's talk about it like this." Luo Yun shook his head.

Then he glanced at Zhang Zhengquan and Du Yanjun, and said after a thought: "If you two have time, remember to think about this informed consent form for surgery, at least read it word by word."

It must be too late for you to read books systematically, as much as you can read, and as much as you can learn.

Who made you a resident?

Luo Yun thought helplessly.

Then he walked out of the office, and his thoughts continued to be entangled.

Could it be that?

Zhou Cheng is so forceful, is it really possible to learn technology by watching videos?

He has never been in contact with joint replacement surgery, how can he know so clearly about the detailed risks of joint replacement?

The prerequisite for a smooth operation is that you have to understand the relevant risks in detail, and then you can avoid the corresponding risks. Otherwise, you will not even be able to step down. How can you understand a operation?

Watching videos to learn technology?

Then this talent and comprehension ability are really a bit awesome, right?

Luo Yun really couldn't figure out how Zhou Cheng started to study.

……

Chapter 149 It's none of my business!

Wearing a white coat, Zhou Cheng hurried to the emergency room of the emergency department.

He had just appeared at the door when he heard a doctor inside urging the emergency doctor on duty to ask, "Is the orthopedic person here? Is the orthopedic person here? We are going to the operating room right away, but we can't wait any longer. "

Zhou Cheng hurried in, walked up to the tall and thin man who was urging him, and said, "Hello, teacher, I'm from the second department of orthopedics. I came here as soon as I received the call."

The man is tall and thin, with a little dark skin, and his hairline is very flattering on his forehead, so he took a back seat early.

He glanced at Zhou Cheng, pointed to the patient on the cart and said, "This patient was injured in a car accident, and now we have to push it into the operating room immediately. You can see if there is any problem in your orthopedics department."

"Teacher, where are your legs injured?" Zhou Cheng asked, in order to save time.

However, the elder brother seemed to have a rather grumpy temper, so he replied angrily: "How do I know? If you can solve your orthopedic problems by asking me, why did I ask you to come here?"

Hearing this, Zhou Cheng immediately ran to the patient's bedside. After scanning around for a while, he went to watch the patient's film again.

It looks slightly frizzy.

Lu Yaohui, the old attending surgeon of the general surgery and gastrointestinal surgery, looked at Zheng Guowei in the emergency department at this moment.

Tucao said: "Director Zheng, did you not explain the situation when you called the orthopedics department? This patient is very likely to die, and they sent such a little doll over there?"

Zheng Guowei glanced at Zhou Cheng, and explained: "Yaohui, you can't say that. The person who came is Zhou Cheng, I know him, he is not an ordinary little doll?"

"It's the patient's luck that the orthopedics department can let him come here."

Lu Yaohui didn't have much contact with the orthopedics department, and the name Zhou Cheng is now commonplace in the emergency department, but it is still very unfamiliar to them in the general surgery department.

If you, Lu Yaohui, keep thinking this way, you will suffer secretly.

"New to the orthopedics department? Do you have a background?" Lu Yaohui asked in a low voice, obviously interested in Zhou Cheng.

After all, Zheng Guowei is famous for his old fritters, and there are not many young people who can get a word of praise from him in private.

"The orthopedic companion is not a newcomer, but he has been to our emergency department many times, and he is familiar with him."

"I can't explain a sentence or two, but I have been alone for almost a month, and I have never had anything wrong. And some problems that even the director can't solve, he can solve."

Zheng Guowei saw Lu Yaohui's expression of disbelief gradually, so he licked his lips and took back his enthusiasm.

Said: "I'm not joking with you. Our emergency surgery department, including your director Huang Shinan of the general surgery department, has witnessed this matter with their own eyes."

When Zheng Guowei mentioned Huang Shinan, Lu Yaohui's expression gradually became serious.

Just as he was saying that, Zhou Cheng had already approached. After seeing Lu Yaohui's badge, he greeted Zheng Guowei and Lu Yaohui respectively.

"Director Zheng, Teacher Lu."

"I've seen most of the patients, and now there are some cases of posterior dislocation of the hip joint, simple fracture of the tibia, and subluxation of the ankle joint."

"Our orthopedics department needs to deal with it, but the current patient's condition is not suitable for our orthopedics department to intervene. Let's go to other departments for specialized treatment first."

"After the follow-up vital signs are stable, then transfer to our orthopedics department for treatment." Zhou Cheng said firmly.

Then he looked at Lu Yaohui, feeling emotional in his heart, you kept urging Zheng Guowei to call the orthopedic emergency department, but never thought that the orthopedic emergency department would not cause the patient's current state?

Lu Yaohui instantly felt that he had been waiting for a while, and the pressure on his body was even greater.

People from departments such as neurosurgery, thoracic surgery, cardiology, etc. came over to look around, and they all said that there are no fatal symptoms in the corresponding departments that require emergency intervention, and they will be transferred to related departments for further treatment after general surgery treatment.

I thought that the orthopedics department had a fracture and could help him bear a little pressure.

"You can count on what you said? Your orthopedics department doesn't need emergency treatment?" Lu Yaohui asked Zhou Cheng.

Hearing this, Zheng Guowei frowned tightly. What is Lu Yaohui doing? Is he questioning the consultation opinions from other departments?My hands are stretched a little too wide.

Zhou Cheng's brows were also slightly condensed, and he recalled carefully: "I can confirm that the symptoms of our orthopedics department are not fatal for the time being, and can be treated at an optional time. I will write the relevant treatment opinions in the consultation opinion."

Fracture, joint dislocation, will be fatal?

Yes, but that's a complication.

But for this fracture, Zhou Cheng did local palpation, and the artery was not injured. It is estimated that there will be no blood clots in the veins of the lower extremities in a short time.

So fatal is accident.

The symptoms of the orthopedics department itself are of little significance in saving the patient's life if they are dealt with. This is an invalid operation, and Zhou Cheng will naturally not spend time doing such a meaningless operation at this time.

"Okay. As long as you are sure." After Zhou Cheng said so, Lu Yaohui didn't say much, and went directly to talk with the patient.

Zhou Cheng continued to write the emergency medical records, and wrote in detail the physical examination signs and auxiliary examination materials of the orthopedics department.

Then write down the orthopedic consultation opinion.

However, when Zhou Cheng was about to put down the medical records, he heard Lu Yaohui saying to the patient's family: "The doctors from the orthopedics department, neurosurgery department, and thoracic surgery department have all visited and said that there is no problem with their departments."

"So, if there are problems or troubles in these related departments during the operation, then I don't know. Our department needs emergency surgery now..."

Hearing this, Zhou Cheng secretly darkened.

Isn't there something wrong with Lu Yaohui?

To protect yourself, start talking nonsense?

Then I added another sentence: "4. If you have symptoms related to our department, you can ask our department for consultation to assist in diagnosis and treatment."

Seeing Zhou Cheng's addition, Zheng Guowei frowned, and asked, "Xiao Zhou, you really don't need to deal with the orthopedics department in time?"

"The case of dislocation is also one of the categories of emergency."

After Zhou Cheng finished writing, he said to Zheng Guowei: "Director Zheng, although this patient's joint dislocation needs emergency treatment, it is impossible to deal with it here, and even if it is treated, it will not be helpful to save the patient's life."

"On the contrary, the pushing and pulling during the reduction process may further aggravate the abdominal injury, so emergency reduction surgery is not suitable."

"Now the patient's blood pressure is unstable, his consciousness is not clear, and he is in a coma. It is a contraindication for reset."

"Director Zheng, if I have nothing else to do, then I'll go back first, I'm still eating!"

Zheng Guowei also had no reason to stay with Zhou Cheng. A sentence of contraindications for orthopedic manipulation can directly avoid all troubles.

Zheng Guowei only hoped that Lu Yaohui could have some snacks and not go to the orthopedic department.

It is not a matter of surgical contraindications. In the process of emergency consultation and surgery, it does not require other departments to be teachers for people from another department.

For example, Zhou Chengcheng has never asked how other departments deal with this kind of matter, what does it have to do with him?

……

But as soon as he left the emergency room, Zhou Chengcheng immediately called Luo Yun and explained the situation in the emergency room.

Then, while stepping away from the patients and family members who were passing through, he asked, "Ms. Luo, do you think there are any gaps in my handling of this patient's situation?"

Just as he finished asking, an old woman came out in front of Zhou Cheng, supported by a pair of middle-aged women, and asked him, "Doctor, how do I get to this CT examination room?"

Zhou Cheng put down the phone, turned sideways and glanced at the checklist. The clearly written address was on the east side. He pointed to them and said, "Go straight ahead from here, and turn right after reaching the hall."

After finishing speaking, Zhou Cheng ignored the patient's thanks, and then said to Luo Yun: "Mr. Luo, I just pointed the way to the patient, but I didn't hear it."

Luo Yun also heard what Zhou Cheng said, and said: "You don't care about this matter, I will call Lu Yaohui later to explain, I know Lu Yaohui."

"We're all colleagues. There's no need to lay a minefield for others. Just make it clear."

Zhou Cheng entered the work elevator and said, "Mr. Luo, um, yes."