medical simulator

Finally, another 5 minutes passed, stumbling and cowering, finally Du Yanjun exposed the femoral artery, and Du Yanjun immediately stopped moving.He hurriedly asked Zhou Cheng: "Brother Zhou Cheng, didn't you cut your hand?"

He really didn't know where Zhou Cheng's hand was, so he didn't dare to move it rashly!

"No, very good. Now you use a vascular clamp to clamp out the femoral artery. I let go and tie it off with a silk thread. Then do debridement, will it?"

After the femoral artery was punctured here, the danger of Qin Yuanwen's life caused by arterial hemorrhage was temporarily relieved.Then slowly debride the wound and suture the blood vessels, so there is no need to rush.

The debridement operation is quite simple, and Du Yanjun can do it slowly by himself.

Du Yanjun first slowly clamped the proximal end of the femoral artery with a vascular forceps, then raised his head and asked Zhou Cheng, "Brother Zhou Cheng, are you leaving? Am I alone?"

A little empty.

Although he usually likes to do clearing to fight for opportunities, but if such a large clearing machine is really handed over to him, he still panics a lot in his heart.

"Do it slowly. Remember that both the brachial artery and the femoral artery are tied. If you can't control the necrotic muscle level, then wait for Director Cai or Teacher Luo to come back before debridement." Zhou Cheng let go of his hand and said to Du Yan Military confession.

After the aorta is tied, the necrotic muscle layer cannot be judged by oozing blood, which is indeed a bit difficult.

"That's good!" Du Yanjun breathed a sigh of relief. If someone came over again, he would be relieved.

Zhou Cheng then walked to the opposite side and put on the hemostatic tape!

After instructing the roving nurse to pay attention to the duration and interval of the tourniquet, he took off his gloves and walked outside the operating room.

However, when he was about to go downstairs, he found a lot of people rushing in at the door of the operating room!

Luo Yun and Cai Dongfan were impressively among them, and Luo Yun was kneeling on the stroller, performing cardiopulmonary resuscitation!

The patient's whole body was black, his hair seemed a little burnt, and his face could not be seen clearly.

The trachea has been cut, and the trident is directly connected to the trachea!

Zhou Cheng's expression changed immediately, and then he took a step back and began to run along with the green-clothed troop that was pushing the bed at high speed...

When I came to the operating room, I was connected to the ECG monitor while pressing.

However, although the ECG monitoring is not a straight line, there are electrical fluctuations, but they are interference fluctuations of pressing people, not sinus waveforms at all.

Luo Yun had already got off the bed, replaced by another unknown doctor, and knelt on the bed...

"Ms. Luo, this patient?" Zhou Cheng felt a little apologetic in his heart!

Luo Yun glanced at Zhou Cheng: "On the way to the imaging department, the patient I received had a sudden cardiac arrest."

"Extensive burns on a large area of ​​the body, and aftershocks from the explosion, the diagnosis is still unclear..."

"Oh!~~" Luo Yun let out a long sigh.

"Why didn't you send it directly to the operating room?" Zhou Cheng asked with a thought.

"When I entered the emergency department, my vital signs were already very weak. The director of the anesthesiology department, Zeng, was present and said that he dared not give anesthesia!"

"I took the electrocardiogram, and there was already sinus tachycardia at that time."

"The whole body was burned in a large area, the amount of blood loss was unpredictable, and the arterial and venous channels were not easy to establish. I asked the head nurse of the ICU to open up the venous channels..."

"In the end, it was after Yang Yifeng arrived that he said he was anesthetized."

While talking, a person walked in from the operating room, but when he saw the patient being resuscitated on the bed, he clenched his fists tightly!The look in the eyes is complicated!

But no one left, just quietly waiting for the cardiopulmonary resuscitation. The patrol nurses prepared a large number of surgical instrument kits. The directors of six surgical departments and five internal medicine departments were all waiting in the operating room, just waiting for the operation time!

Once there is a heartbeat, other rescues will be started as soon as possible...

……

After half an hour.

Everyone in the operating room bowed deeply to the bed.

Then Yang Yifeng was the first to exit the operating room silently.

Looking at Yang Yifeng's back, Zhou Cheng's expression changed again. When he walked out of the operating room with Cai Dongfan and Luo Yun, Zhou Cheng asked Luo Yun, "Didn't Yang Yifeng stop coming? Why is he here?"

"The place where the explosion happened was not far from where he lived. He said he was typing at home, and rushed to the scene as soon as he heard the sound, just in time to see the second explosion."

"Because of his participation, several people were rescued urgently, but this firefighter, although Yang Yifeng urgently performed a gas cut and took off his clothes."

"But the well-meaning people directly poured a basin of cold water..."

"At that time, Yang Yifeng's scalp was cold!"

Zhou Cheng opened his mouth.

For small burns, a large amount of water is the most correct first aid method, but for large and extensive burns, cold water is a reminder!

There is no one right way to first aid...

"Later the patient was brought to our hospital. Yang Yifeng took a taxi. After a while, seeing the quarrel, he told Zeng Yi to move to the operating room immediately."

"Just passing by the imaging department, the patient's heart stopped suddenly." Luo Yun said with emotion.

The eyes are extremely tangled.

Zhou Cheng rubbed his eyes vigorously with both hands, feeling complicated!

If I followed Cai Dongfan to the emergency department at that time, would I have suggested that Cai Dongfan perform surgery on the spot in the emergency department?

if?I went to Cai Dongfan at the time when Luo Yun was there, would there be any other changes?

Zhou Cheng himself definitely couldn't answer these questions.

Moreover, it is useless to pursue this issue now.

Seeing Zhou Cheng's dim eyes, dull expression, and a little absent-minded, Luo Yun said as he walked, "Your actions and choices just now were correct."

"The reason why I want to force you is to let you make a choice!"

"Because no matter what choice you make, you will never leave the operating room in the end."

"Because, in this whole world, only your patients are your patients, and only the lives saved by you are called life-saving! Only when you try your best to cure your patients first, can you be qualified to greedily To see patients who don't belong to you."

Zhou Cheng raised his head slowly and closed his eyes slightly.

Take a deep breath and let it out again.

Then he said: "Yes, this firefighter soldier is lucky to meet Yang Yifeng in the first place. Otherwise, he might not even be able to make it to the hospital, right?"

Luo Yun didn't give Zhou Cheng a specific answer, but took him into Tan Yuanwen's operating room again.

After washing hands, dressing, and completing formal preparations for going on stage, the search for the peroneal artery began...

Cai Dongfan did not come to the operating room. As the main representative of the orthopedic consultation today, there was a death case, and he needed to report and participate in the communication with the patient's family.

And Qin Yuanwen's remaining orthopedic debridement surgery is actually not difficult.

Two hours later, with the help of Zhou Cheng and Luo Yun and the help of Du Yanjun and Zhang Zhengquan, all the operations were completed.

After stepping down, Shenwai was still carefully looking for the part of the intracranial hemorrhage, and carefully completed the hemostasis. The intestinal suture in the general surgery department has come to an end, and is about to finish it!

When he left the operating room, Du Yanjun was still a little excited, because he had just completed a debridement alone, although he also learned from Zhou Cheng and Luo Yun how to judge ischemia after the artery was punctured.

But it was also completed: "Ms. Luo, the prognosis for this patient should still be good, right?"

Luo Yun didn't reply, neither did Zhou Cheng.

Zhang Zhengquan pulled Du Yanjun away, and whispered in his ear for a while, mainly about Tan Yuanwen's identity and the identity of the firefighter who died, Du Yanjun immediately shut his mouth obediently.

After changing his clothes, Luo Yun said: "You three go back and rest. Remember to come for rounds early tomorrow."

Today is Friday, and tomorrow is the weekend, Luo Yun wants to go back to his mother early to be with her.

Zhou Cheng and the three of them nodded, although they were all in a slightly bad mood.This is one of the few incidents they have experienced that was not rescued, and there are still people who died.

"Mr. Luo, goodbye!" Zhou Cheng and the three waved to Luo Yun at the same time.

But Zhou Cheng and Luo Yun went to the department first, his bag was still in the department, Zhang Zhengquan and Du Yanjun rushed back from home, so they didn't have to go back to the department, they could go home directly.

When Zhou Cheng returned home, it was already past one in the afternoon.

Just at this time, he received a call from Du Yanjun, which probably meant that everyone had dinner together and he was treating them.

Cai Dongfan became the director, and Du Yanjun benefited a lot.

Zhang Zhengquan had already agreed, so Zhou Cheng couldn't refuse. He said that he needed to tidy up a little before going out, and Du Yanjun sent Zhou Cheng the location information directly.

Then, Zhou Chengcheng changed into clean clothes and washed his face.

Just as she was about to go out, she received a call from Qin Min.

"Zhou Cheng, thank you!"

"I heard about my dad from my former colleague. Her name is Li Xun, and she is today's itinerant nurse. Thanks to you, otherwise my dad would never have stepped down."

"Junior Sister Li called me just now and said that my father's operation is almost over. It's hard to say what will happen after the operation, but he is out of danger for the time being. Thank you!"

"Thank you." Tan Min played alone on the opposite side.

And after finishing speaking, Tan Min cried, hung up the phone crying, sat at the door of the operating room, closed his eyes, his eyes were red, but no tears fell out.

She has been crying a lot recently, maybe her body is dehydrated from crying, that's why she didn't cry.

And, soon, Tan Min calmed down, wiped the corners of her eyes, turned her head, looked left and right, and looked at the family members of the patients who were waiting with her to come out.

Tan Min sniffed, and slowly cleared up her emotions, but her thoughts began to float again.

How wonderful it would be without all of this...

When Zhou Cheng came to the place to eat, he unexpectedly discovered that there were three people in the hot pot restaurant where he was eating.

And one of them happened to be the unexpected guest——Yang Yifeng.

At this moment, Yang Yifeng was telling Du Yanjun the general history of the fire incident and the scenes he saw when he was at the scene with a blank face.

When Zhou Cheng arrived, he was feeling: "Actually, it's best to hope that this kind of thing doesn't happen again!"

"Simply improving medical skills, no matter how good the medical skills are, it can't be worth the accident that doesn't know when it will happen."

"When manpower is exhausted..."

While talking, Zhou Chengcheng approached and sat down without disturbing Yang Yifeng's speech, but Yang Yifeng stopped on his own initiative, and then turned to look at Zhou Cheng.

"Brother Zhou Cheng, I'm waiting for you now that you're here."

Zhou Chengcheng asked Yang Yifeng: "I thought you wouldn't come! Director Cai just said this morning that you ended your study journey due to personal reasons."

When Zhou Cheng asked this question, Zhang Zhengquan cast the most curious eyes——

No, brother, why are you here again!

You didn't go over there to understand the matter of your master, did you?

Yang Yifeng said: "Yes, the journey of learning is over for the time being. But that's what happened this morning."

"Just now I found my teacher again and told him my thoughts, and I'm going to come back again. And it's the kind that comes back to manage the bed."

After finishing speaking, Yang Yifeng poured himself a cup of tea, held it up, and said to Zhou Cheng and the others, "In the future, I will try to manage one or two beds first, please take care of me!"

Chapter 167 Redemption in Despair!

Yang Yifeng's words were very polite, his movements looked quite chic, and he had a chivalrous demeanor!It is in line with the second temperament of his age.

However, his face really made everyone unable to imagine that he was actually the youngest person in the group, or in the department!

Zhou Cheng picked his eyes, he didn't understand what Yang Yifeng was doing!

He didn't show up in the department for life and death before, Cai Dongfan said in the morning that Zhou Cheng was going back to the Affiliated Hospital of Shonan University, and now while eating hot pot, Yang Yifeng said that he was going back to take care of the bed!

Yang Yifeng doesn't care about playing games in the world, but if he plays games in the department, there is no one to play with him!

But no matter how many difficulties you have.

So Zhou Cheng didn't lift the tea cup for a while.

What Zhou Cheng thought was the same as that of Zhang Zhengquan and Du Yanjun. Du Yanjun was a little bit scared of Yang Yifeng, so after trembling, he raised the cup and saw that Zhang Zhengquan and Zhou Cheng didn't move, so he put it down again. The action is a little flustered.

Zhang Zhengquan was not afraid of Yang Yifeng, and asked, "Brother Yifeng, you want to come back to take care of the bed? But didn't you say before that you are not interested in clinical things?"

While talking, Zhang Zhengquan didn't mind the extra free labor of the bed doctor.

Yang Yifeng does not belong to the regular training of the No. [-] Hospital, nor is he an employee of the orthopedics department. He does work without being paid, which is the best of both worlds.So he took the initiative to pick up the water glass and touched Yang Yifeng.

Holding the water glass in both hands, Yang Yifeng touched Zhang Zhengquan first, then Du Yanjun who raised the glass after Zhang Zhengquan raised it, and then Zhou Cheng also picked up the glass with one hand.

While touching, they faced Zhou Cheng, but looked at Zhang Zhengquan, and replied, "Isn't that the past?"