medical simulator

"This? I have other tasks." The green clothes next to me were a little embarrassed.

The green suit named Zhou Cheng said: "Doctor Yang, I just found another assistant, do you think it is suitable?"

Zhou Cheng actually felt that he was very familiar when he was talking with his back to him, but he couldn't be sure, but when he heard Doctor Yang's words just now, Zhou Cheng realized that he was not Yang Yifeng?

How did he get to the scene here?

Yang Yifeng turned his head and was also very surprised when he saw Zhou Cheng, and nodded sharply: "It's the best!"

Then, he didn't hide his acquaintance with Zhou Cheng at all, and immediately said: "Zhou Cheng, I'm going to do a closed thoracic drainage! Come and hold down the femoral artery!"

Yang Yifeng usually called Zhou Cheng Brother Zhou Cheng politely, but now, he didn't want to waste a word.

After speaking, he violently took the debridement bag with one hand and dragged it on the ground to tear it apart.

Zhou Cheng hurriedly ran forward, glanced at it, and directly pressed the upper part of the femoral artery that Yang Yifeng was pressing, and said, "It's ok."

"Are there any sterile gloves? If so, I will pierce the femoral artery first!" Zhou Cheng asked.

"No, you can press it first. It would be nice to have a pair of gloves." Yang Yifeng let go of his hand immediately, and then he didn't care about the sterility. He directly lifted the handle of the knife and the sterile disposable pliers, and gave the sharp knife to After it is installed, the silk thread is threaded on the needle first.

Just poke in the side chest of the patient and make an opening.

Then, Yang Yifeng took out a new straw from the bag on the side with pliers, regardless of whether it was sterile or not, he directly inserted it into the chest cavity in a one-way way!

At this moment, Zhou Chengcheng heard that the patient immediately began to cough, his breathing became more rapid, and his chest heaved more violently.

But Yang Yifeng started to sew two stitches immediately, and made a '8' suture directly with the thread knot, only tying the knot to form a closed cavity!

Then I saw that a small amount of liquid drained out, and at the same time, Yang Yifeng immediately put the other end into a milk tea box filled with half a cup of water, and it still had a cover on it!

Closed chest drainage tubes were soon formed.

And at the same time.

On Zhou Cheng's side, when Zhou Cheng was watching Yang Yifeng make a closed chest drainage tube, Zhou Cheng saw that Yang Yifeng only needed to use a vascular clamp, and there were two blood vessels in a debridement kit. Pliers, even if it is a simple one-time bag.

There were also two pliers, so Zhou Cheng used the other one, simply took a full four threads to clamp the femoral artery, and then started to tie the knot from the outside to the inside!

After Yang Yifeng finished the closed chest drainage tube, he also saw Zhou Cheng tie the knot!

You know, Zhou Cheng's hands at the moment are polluted, but Zhou Cheng's hands are only holding the far end of the knot, but slipped the knot to the end of the blood vessel!

Can this kind of knot be tight?

How did it slide down?

This reminded Yang Yifeng that when suturing the rotator cuff, sports medicine physicians would also use an instrument to knot the single hole from the outside to the inside, but that was with the help of the instrument.

Zhou Cheng didn't explain too much, but took out the pliers after completing four knots.

He checked to see if there was any bleeding: "Is there any gauze? Give some more, pressurize and bandage the wound!"

"Only bandages. The gauze has long been used up. Someone went to get it, but I haven't had time to come back." Yang Yifeng said with a twinkle in his eyes.

"Brothers, this is caused by a ruptured femoral artery and a pneumothorax. We have dealt with it briefly, and it is out of danger for the time being. Please transfer it first!" Yang Yifeng immediately greeted the two green clothes.

"What is this?" The two people were stunned for a moment, seeing the milk tea bottle and milk tea straw, their scalps were numb!

He asked Zhou Cheng's question.

"Milk tea straw and milk tea bottle, there are no other equipment available around here, but the stuff inside is clean water from the boss, he is a good person." Yang Yifeng replied, a little bit wanting to name the milk tea shop, but he didn't look carefully and forgot .

Just added: "The name of the milk tea shop should be on the bottle"

The two green clothes didn't have time to look at them, so they carried them away.

At the same time, there was thunderous applause on both sides of the street.

"Good job, doctor!"

"Great!"

Yang Yifeng was completely unmoved. After standing up, he glanced at the other patients, and soon saw a person twitching all over his body.

Yang Yifeng rushed over immediately, checked the size of his pupils, and then began to search nearby.

But when Yang Yifeng had entered the role, Zhou Cheng was not quite used to it yet.

Because he didn't know if it was because of Yang Yifeng or other reasons, after he just had the femoral artery ligated to stop the bleeding, he unexpectedly found that the thank you value on the panel in his simulator was increasing crazily.

"This is an intracranial hematoma, is there an electric drill nearby?" Yang Yifeng asked the green clothes who came over.

"What do you want to do with an electric drill? Do drainage on the spot?" The visitor said something to Yang Yifeng, with a very bad tone.

Then they pulled the person away.

Yang Yifeng hesitated to speak but stopped!

But soon, Yang Yifeng saw two more fractures, and said: "Zhou Cheng, come here, there are two fractures here, let's reset them briefly and put some small splints on."

"It just so happens that there are small wooden boards here, which were also provided by the owner of a small shop nearby. He happened to be doing renovations in his shop."

Zhou Cheng was stunned for a while, because the gratitude value just now increased too much, so his simulator changed a little.

Before he had time to adapt to the new harvest, he was interrupted by Yang Yifeng, and Zhou Cheng rushed over.

Seeing so many treasures near Yang Yifeng, he couldn't help asking: "Where did you get so many good things?"

There are also milk tea bottles and straws filled with clean water, and this kind of small wooden board that is very suitable for clinical fixation.

Yang Yifeng asked: "Zhou Cheng, are you here to fix the position or reset it?"

"The things were contacted by a few enthusiastic people. I told them what they wanted, and they quickly contacted them and found them."

For the reduction of fractures, at least the assistant's position and the operator's position are available.

"It's okay, let me help you, hurry up!"

As Zhou Cheng was speaking, he had already started to tie up the bandages to save time in the follow-up.

Yang Yifeng threw the bandage to him, but he didn't know it.

On-site first aid for fractures, the simplest and time-saving fracture reduction is to fix while reducing, but it is only applicable to the upper limbs, and the assistant's fixing action can be completed with one hand.

Yang Yifeng didn't hesitate, and immediately started to reset, but the first time it didn't work.

Then I tried again, and then slowly pinched the fractured end to confirm the degree of displacement, while saying: "Next time, you should reset it, I will waste some time when I reset it."

Zhou Cheng was very surprised to hear Yang Yifeng's words!

Can Yang Yifeng still say such a thing?It doesn't seem like him at all.

"it is good!"

After about a minute, the temporary immobilization of this patient was finished, and Zhou Cheng and Yang Yifeng told him to rest well, while turning around again: "There are a few new people over there, let's go and have a look."

"Okay!" Zhou Cheng didn't have time to ask why Yang Yifeng appeared here, and why there were so many good things.

The primary purpose of everything now is to save people.

Moreover, what surprised Zhou Cheng even more was how Yang Yifeng was able to avoid being cleared as a plainclothes.

On the other side, Zhou Chengcheng saw two patients with damaged knee joints.One had damage to both knee joints, and the other had damage to only one knee joint!

They sat on the ground, looking at their feet, eyes full of horror and helplessness.

"Doctor, doctor, save us!"

But next to them, there were three people surrounded by four people doing cardiopulmonary resuscitation, as if they had no time to pay attention to the two of them.

Seeing this, Zhou Cheng and Yang Yifeng arrived. After looking at the condition of the leg, Yang Yifeng asked, "Is this tied up with clothes or what should I do?"

"In this case, I don't care so much. Just find the popliteal artery, preferably the lower part of the femoral artery, and tie it off." Zhou Cheng directly gave the plan without delay or hesitation.

"Infected?"

"If he doesn't amputate his limb, he will definitely get infected. If the blood vessel is punctured, even if the limb is amputated. At least there is a chance of saving his life." Zhou Cheng's words seemed beyond doubt.

"Doctor Yang, help me, please, help me." After seeing Yang Yifeng, the two of them acted as if they were facing a savior.

It may also be that he deeply believed in Yang Yifeng. After all, Yang Yifeng rushed to the scene from the moment the accident happened, and now at least more than 20 people have been sent to the ambulance.

Therefore, in the eyes of outsiders, the people Yang Yifeng has dealt with can at least last until they get into the ambulance. As for whether they can survive in the end, there is no way.

But if Yang Yifeng didn't deal with it, it might be gone on the spot.

Yang Yifeng stopped struggling and said, "Maybe it hurts a bit, you have to endure it!"

"It's okay, we!"

"Ah!~" Yang Yifeng just touched it, and the person who spoke felt a piercing pain.

At this moment, Zhou Chengcheng saw a girl running over with a medicine box next to her.He also said, "I found it, narcotics, and syringes."

"But there are only simple syringes." She explained helplessly as she handed the things to Yang Yifeng.

"It's enough." Yang Yifeng immediately opened the lid, and inside were local anesthetics, syringes, and 10ml of normal saline.

Yang Yifeng laughed immediately, and immediately broke open a lidocaine hydrochloride, which turned numb immediately on the spot.

The patient was in a coma before, so the patient didn't feel pain, maybe there was, but he didn't yell, but these two people are both awake, if there is no anesthesia?Then they will be in so much pain that they would rather die than live!

Yang Yifeng said: "I will block the anesthesia, you directly clamp the blood vessel with a disposable vascular clamp, and then leave the handle outside, loosen the vascular clamp a little bit periodically, leaving a chance for limb salvage. Can you do it?"

Yang Yifeng's voice was calm, but Zhou Cheng couldn't let go of it for a long time!

You are amazing, if you can numb, I can do it!

Then Yang Yifeng explained to the two people: "The legs may not be saved, but we have a chance to save our lives first. There is no way. If you continue to wait for other doctors to come, you may go into shock."

As he said that, Yang Yifeng stabbed directly into the back and outer side of the thigh, at a strange angle, without infiltration anesthesia of the skin!

However, after reaching a certain depth, Yang Yifeng pulled back and did not see any blood, so he just injected a small amount of anesthetic, and the man felt that his lower limbs seemed to have disappeared.

The pain sensation is dropping rapidly, as if he is ascending from the [-]th floor of hell to heaven, and what Yang Yifeng did just now is salvation.

Compared with the pain of the damaged area, the pain of needle pricks is nothing?

During Yang Yifeng's withdrawal, he was given some medicine, which also eliminated the little pain he had left.

"Thank you, Dr. Yang, Dr. Yang, you are definitely my benefactor!" The patient cried, his eyes were rosy, and tears were rushing.

Yang Yifeng was unmoved, but when he turned to the other leg: "I just relieve your pain, what Dr. Zhou did will save your life."

Yang Yifeng quickly saw that according to the shape of the muscles at the damaged wound, Zhou Cheng traced back from the distal end of the knee joint to the proximal part of the thigh, and after reaching a certain position, he chose to clamp.

Although he couldn't see any changes, Yang Yifeng knew that Zhou Cheng must have clamped the femoral artery or the popliteal artery!

He didn't ask much, just like Zhou Cheng didn't ask why he was able to accurately block the femoral nerve, he didn't bother to ask Zhou Cheng either.

Repeated tricks!

The other leg and the artery of another person were also cut off.

The two were friends, and they sat flat together when eating, and then a piece of cement fell down and hit three legs directly. One of them was lucky and only injured one leg!

After that, I didn't dare to move, and I couldn't move anymore.

After the two people finished all this, other emergency doctors came. After seeing the handles of the two pliers, they glanced at the two: "What's going on?"

Zhou Chengcheng explained what he did.

"Aha?" Zhou Cheng's words shocked the emergency doctor a lot!

"True or not?" He seemed a little unsure.

At this moment, loud footsteps suddenly sounded outside again, and then the group of people dispersed slightly, and a group of not young people walked in.

One of the leaders also said: "Professor Le, you will have to work hard for medical assistance. We must try our best to minimize medical casualties."

Behind a few people are people in various costumes, including firefighting, medical treatment, administration, and logistics.

The person named Professor Le said: "We can only say that we are doing our best."

Then Professor Le turned his head and looked around: "There are a lot of patients here. Are there enough hospital beds nearby? If not, mild patients will have to be transported a little farther away, but there are not enough ambulances." .”

After Professor Le finished speaking, someone immediately said: "Patients with mild symptoms can be transported by volunteers and our police station. Professor Le, you don't have to worry. Now the outside has begun to spontaneously organize a volunteer team to transport patients."

"Nearby residents, taxi drivers, and sports car drivers, many people are very enthusiastic."

Professor Le was a little surprised, and he couldn't help feeling a little emotional when he heard the words: "It's good to have so many people helping. Otherwise, it will not be enough with the strength of us."

"It's just that we don't know which people are mild and which are severe." The person who said that many people helped replied.

Professor Le hurriedly said: "Those with green labels and those who can walk can be transported to other hospitals by the patients themselves or their family members after the medical team outside confirms that they can be transported long-distance before getting in the car."

"People with yellow tags and red tags must be transported and transported by ambulances, and they must also contact the beds urgently. Director Lin of the Health and Health Committee should coordinate this."