medical simulator

Cai Dongfan connected while trotting.

But after listening for a while, Cai Dongfan stopped: "Okay, I see, I'll be right over."

Immediately afterwards, Cai Dongfan tightly squeezed the phone with his right hand, his eyes rolled.

Luo Yun and Zhou Cheng also stopped after seeing Cai Dongfan stop suddenly, because they didn't know where the operating room was.It was enough to just follow Cai Dongfan, but Cai Dongfan didn't move.

Still on the phone, they don't want to interrupt halfway.

Cai Dongfan immediately said: "You two, go to room 18 first, and keep the phone open at all times."

"There's an emergency patient in the emergency department, and it's the firefighter!"

"Just pulled over, I'll go to the emergency department to see the specific situation, you may need to come to help."

The faces and hearts of Luo Yun and Zhou Cheng changed instantly!

On one side is Tan Yuanwen, and on the other is the fire department!

If it's time to choose between the two.

How will Cai Dongfan and others choose?

This moment TM is definitely a field of Shura on earth.

Chapter 166 Only your patients are your patients!

While Zhou Cheng's thoughts were still tossing, Luo Yun took a deep breath to restrain his emotions.

Seeing that Zhou Cheng's expression was still dull, he asked with a heavy voice, "Zhou Cheng, what would you do if Director Cai suddenly wanted to transfer to another operating room while you were performing Tan Yuanwen's operation later on?" ?”

Zhou Cheng turned his head slowly, his eyelids flickering up and down.

Resolutely replied: "I will follow Director Cai's arrangement."

Luo Yun pursed his lips, but was covered by the mask: "What if Tan Yuanwen died after you left? Then you transferred to another operating room, and no one survived?"

Luo Yun threw out another harsh question!

Zhou Cheng opened his mouth, and swallowed the words that came to his lips.I don't know how to answer.

He had just thought about Luo Yun's first question carefully. One of the prerequisites Luo Yun gave was that he was performing Tan Yuanwen's surgery!

Cai Dongfan is the superior, the director of the team, that's right!

But if medicine is compared to a performance, Cai Dongfan is the superior, that is in the audience!

On the operating table, at the position of the chief surgeon, Zhou Chengcheng is the temporary master of the operating room. As long as he is not deliberately killing people, let alone Cai Dongfan, even the dean, the leader of the health committee, and even the most powerful experts and professors, the operating table All the sacred attributes gave Zhou Cheng the right to be arbitrary!

It is completely possible not to be a bird.

Offstage, the subordinates obeyed the superiors, and there was nothing wrong with it, but on the operating table, between life and death, the one who could control the situation was Zhou Cheng, the chief surgeon.

Seeing that Zhou Cheng didn't answer, Luo Yun didn't make things difficult for Zhou Cheng, and said, "This is because your growth curve is too fast, and your work experience is still short. Even if your technical level is sufficient and achieved, your experience and accumulation are actually Still very thin."

"This question is difficult for you to choose, so you don't have to think about it."

Luo Yun clicked to the end.

Wanting a doctor, making such a choice, is indeed very painful, even torture, one thought of enlightenment, one thought of hell!

Luo Yun's teacher, Zeng Diwei, once made such a choice!

On one side is a pregnant woman, 31 weeks of pregnancy +, and then to the emergency room!

On one side is an acquaintance of the leader, who came to the emergency room first.

First come, first served?Or according to priority?

It is actually a very happy thing to do a question with right or wrong options.

At that time, Zeng Diwei was not eligible to be nominated as an academician...

The adults didn't keep it, and finally welcomed the new life of a little guy...

"I'll check on Tan Yuanwen's situation first. You call Du Yanjun and Zhang Zhengquan and tell them to come to the operating room immediately. I want to see them within 15 minutes!" Luo Yun ordered and ran away first. .

Previously, Cai Dongfan only considered Qin Yuanwen alone, so three people in the department of orthopedics are more than enough.

but?

If the accident cannot exceed the scope of thought, then it cannot be called an accident.

Zhou Cheng hurriedly called, and after speaking a few words, both of them finished their calls when they reached the door of the operating room.

As soon as he entered, Zhou Chengcheng discovered that the neurosurgery staff were already preparing to open Tan Yuanwen's head by "violent shaving"—

It's a really violent kind of shaving, the scalp is red from the knife.

"Hurry up! Hurry up!"

"There is an intradural hematoma!~"

"Get your equipment ready!"

"Have you had the anesthesia? I can't wait here."

"..."

A person from the anesthesiology department complained incessantly: "I'm taking a shot, my blood pressure can't be stabilized, I don't dare to give medicine casually..."

"It's out of the question." Xie Cuizheng, a neurosurgery surgeon, picked up complex iodine and poured it on his head, not caring about slowly disinfecting it.

For intradural hematoma, the sooner the window is opened for decompression, the sooner the patient's symptoms will improve.

Intracranial hemorrhage cannot be ruled out...

The people from the general surgery department were also urgently watching the film with Luo Yun, looking for injuries in related departments——

The itinerant nurse who was connecting the catheter of the suction device and other equipment suddenly found that his forearm was a little cold. He retracted and saw blood dripping down.

"There's blood!"

Zhou Cheng just arrived at the operating table, and immediately saw the direction of the patient's left upper arm where the itinerant nurse was. A large lump of simply wrapped gauze was soaked, and a large amount of blood oozed out, which wet the waterproof sheet on the operating table.

Thick blood trickled down the waterproof sheet to the ground.

At the same time, Tan Yuanwen's right hand and lower limbs on both sides have different openings.

This made Zhou Cheng feel certain that Tan Yuanwen was definitely not simply beaten, but chopped off!

With a thought, Zhou Cheng shouted to Luo Yun: "Mr. Luo, the left upper arm is still bleeding actively, probably because of a ruptured artery."

While shouting, Zhou Cheng quickly pressed the brachial artery on the left upper arm with his hand, and his thumb sank deep under the skin, pinching the lumen of the blood vessel forcefully.

The mobility of the upper arm appears, first press the brachial artery first!

Hearing Zhou Cheng's words, Luo Yun glanced again, and then ran over. Seeing that Zhou Cheng had probably held down the brachial artery, he asked, "I raised my hand, can I hold it?"

When the patient's hand is on the table, press to stop the bleeding, you can use the operating table as a fixed side of one side, it is easier to press hard, and the pressure to stop the bleeding is also smaller.

But to cut and remove the gauze, you have to pick up your hands.

It's hard to find a focus, so we can only increase our efforts.

"Yes. Teacher Luo."

"Sterile gloves!" Luo Yun turned around and immediately shouted to Xun Xun.

But when he found that the itinerant nurse was still helping the neurosurgery staff, he had no choice but to run to get a pair of gloves by himself, quickly disassembled them and put them on his hands. Without caring too much, he asked the equipment nurse for a sharp knife slice, and began to cut the gauze up.

Using a knife to break the gauze is definitely not a formal operation process, and it may scratch the patient's skin, but in order to save time, this is definitely the fastest way.

After Luo Yun cut the gauze, he immediately saw a pile of blood in the open wound!

The paste is as thick as porridge!

It feels a little warm to the touch, and it is like irregular super-tender tofu brain before it is solidified, and it will break when it is touched!

Because Zhou Cheng pinched the proximal end of the brachial artery, the blood did not increase rapidly for the time being, but there was still a small amount of small circulating blood slowly seeping out.

"Open another pair of gloves!" Luo Yun shouted to the others.

The itinerant nurse really couldn't leave, she was in a hurry, and she was helping to hold a jar beside the operating table outside Shenwai, when she heard Luo Yun's shout, she raised her head aggrievedly, tears were about to flow out!

"Open another pair of gloves!" Luo Yun continued to shout.

In the end, an intern anesthesiologist prescribed a pair of gloves for Luo Yun.

Luo Yun's hands were bloody. After tearing them apart violently, he put on a second layer of gloves, regardless of the blood in the interlayer, and then put his hand into the incision very neatly!

The hand violently crushed the blood tofu!

Pushing it outward, regardless of where the blood would be pushed, after roughly clearing his vision, Luo Yun searched carefully with his eyes and hands, and finally found a half-broken blood vessel on the inner side of his upper arm.

The diameter of the brachial artery is not small, but there is not a lot of blood coming out at this moment, which proves that Zhou Cheng's pressure to stop the bleeding is very precise!

"Silk thread!" Luo Yun shouted again.

"The silk thread hasn't been opened yet," said the handwashing nurse.

"Then just take a thread!" Luo Yun continued to shout, without pursuing responsibility, knowing that everyone is busy with the current rescue, but there are relatively few people.

"Stitches haven't been cut yet!"

Luo Yun is about to scold her!

Fortunately, another tall and thin nurse walked in, and the hand washing nurse hurriedly asked her to help, which temporarily stopped Luo Yun's runaway.

Began to take the initiative to help open the sutures.

Luo Yun got the suture and carefully pricked it off before saying, "Prescribe physiological saline and kick the bucket over."

The liquid used to wash the wound with normal saline must be put into the trash can and cannot be drained in the operating room.

"We have more barrels here, and the hematoma will come out soon." Xie Cuizheng, a neurosurgery surgeon, immediately refused when he heard that someone wanted to take the barrel.

"Then just take a basin first. Pollution is pollution." Luo Yun could only think of other ways.

Arguing at this moment is definitely not the key to solving the problem.

"Drip drip drip drip!"

The voice of the anesthesiologist and the alarm of the anesthesia machine sounded at the same time: "The patient's blood pressure suddenly dropped again, you may still have to stop the active blood loss as soon as possible!"

The circulating nurse has brought the basin back.

Hearing this, Luo Yun immediately put the patient's hand away.

Then he continued to take off his gloves and threw them far away on the edge of the trash can. The shot was not allowed!

But Luo Yun didn't care, but said to Zhou Cheng: "Stop the bleeding first."

Hearing this, Zhou Cheng also immediately let go of the hand that was pressing to stop the bleeding, then ran back immediately, poured a little hand sanitizing foam, and opened a sterile glove, which was put on behind the glove!

He just ran to Tan Yuanwen's right hand again, and then quickly followed the shape of the blood vessel with his fingertips to detect it retrogradely.

Because if the distal blood supply is normal, then the proximal blood vessel is most likely not ruptured.Even if it breaks, there won't be much bleeding.

However, Zhou Cheng quickly found the weakness of the lateral dorsalis pedis artery of the left lower limb.

So he quickly raised his head and said to Luo Yun: "Left peroneal artery. Apply a tourniquet, it will save time."

"Hit!" Luo Yun didn't hesitate at all, and directly ordered someone to pass over the salt water pad.

The peroneal artery is located at the distal end of the femoral artery, and hemostasis can be achieved by directly pricking off the femoral artery with a tourniquet.

"Then I'll go to the right and have a look!" Zhou Chengcheng handed over the operation of applying the tourniquet to Luo Yun to save time.

Luo Yun didn't reply, and now he looked up at the anesthesia machine. The patient's high blood pressure has risen slightly, but it's not known whether it's because of the booster drug or because of the reduction in bleeding volume, but the increase in high pressure is not obvious!

After Zhou Cheng came to the right and took a look, his face suddenly changed, the blood flow at the far end was very weak, and his scalp tightened suddenly.

Weak arterial pulse, it is better to directly embolize it!

Weakness means that the artery is ruptured, and if it is not, it means that it is blocked. If it is blocked, it will not bleed.

Then I looked up and went back to the right femoral artery, and found that the pulsation of the femoral artery was normal!

The right femoral artery is broken!

But at this moment Luo Yun was already applying a tourniquet, Zhou Cheng immediately used his dirty gloves and pressed hard on the butt sheath!

Then look up in the direction of the anesthesia machine.

Five seconds later, it was discovered that the patient's blood pressure jumped another 5mmHg!