medical simulator

Both lower limbs were anesthetized, but the abdomen was still trembling slightly!

Heart of beauty in everyone!

Let alone a little girl, she has always been looking forward to growing up, wearing nice clothes and high heels...

Amputation, this is something she has never considered, but when she arrived at the hospital, the doctor said that amputation is the only way to save her life, and she couldn't do anything about it.

Her parents had already quarreled with the doctor a lot, to no avail.

There was even mention of transferring to the Affiliated Hospital of Shonan University and the Second Hospital, but to no avail.

No beds.

Now, the doctor asked again, and she could only answer like this.

Zhou Cheng looked at the time on the timing panel, and it was already 41:[-].If it is calculated according to the time of embolism, it should only have been embolized for more than four hours.

Zhou Cheng looked at the wound again, active bleeding was looming, although it was not much, but it also confirmed from the side that the little girl may not have had a serious embolism.

This may not necessarily meet the indications for amputation? !

"Does it have to be amputated?" Zhou Cheng didn't dare to talk nonsense, and stepped forward to lower his voice with Zhang Zhengquan.

However, when Zhou Cheng asked this question, Zhang Zhengquan thought of what Zhou Cheng wanted to do, and hurriedly left the operating table for a certain distance, feeling that the distance was almost enough.

He approached Zhou Cheng and said in a very low voice: "Brother Zhou Cheng, she still has to jump in the queue for this amputation operation! This is also considering that she is relatively young."

"There are still several emergency departments in the back! If you want to do limb salvage surgery, there will be too little time, right?"

Zhang Zhengquan did not say that Zhou Cheng would not be safe, but just told Zhou Cheng the fact!

Ok?

What's the meaning.

Zhou Cheng's expression froze, and he looked at Zhang Zhengquan.

Is there a time limit for surgery?

Zhang Zhengquan saw the suspicious look on Zhou Cheng's face again: "Well, Director Cai and Teacher Luo have already discussed it during the rounds."

"Her operation was inserted temporarily. The operation time is only half an hour!"

"Otherwise, the subsequent emergency surgery arrangement will not win! If it is delayed for too long, the life of the subsequent surgical patients may be in danger.~"

"Now everyone in the department is working exhausted, it is impossible to save this time." Zhang Zhengquan still whispered.

Limb Salvage and Amputation!

Although the difference is only one word, the difference is actually huge.

The cost of time spent is completely different.

After Zhou Cheng heard it, he felt a little irritable!

This shit? !

In this situation, if it is in a normal emergency situation, he feels that if he works a little harder, he can keep his leg!

but?

In the case of a major emergency, should it be so cruel?

This little girl is young, according to the principle of giving priority to the elderly and children, she jumped in the queue for surgery, but the time of the surgery cannot be delayed!Otherwise, it is unfair to the patients behind.

The operation time was limited, and her hope of limb salvage was completely wiped out!

Originally there was hope of limb salvage, but amputation was necessary because of lack of time.

There are a lot of emergency patients now, if too much time is spent on her, the patients behind may die!

And this is the case when all the people in the two departments of orthopedics are dispatched by the whole army, and it is not said who is being lazy!

"I'll think about it again, wait a moment." Zhou Cheng forced himself to calm down.

This choice is not easy to make. If it is an elective operation, then you can take it slowly, as long as you give the best treatment to the patients you meet.

But this little girl was cut in line for surgery, if she spends too much time on her body, what about the patients behind?

What if someone dies? !

That's death for wasting time!

This is a firm and cruel choice.

It must be done, and it must be done as soon as possible.

"Can't the emergency patients be transferred?" Zhou Cheng asked Zhang Zhengquan, but Zhang Zhengquan looked confused.

"All of them are overloaded. If they can be transferred out, Teacher Cai pushed them away yesterday."

"Also, last night." Zhang Zhengquan suddenly stopped in the middle of speaking.

"Brother Zhou Cheng, amputate! Don't even think about it."

"Last night, a relative of Director Yan died because he didn't have time for surgery."

"At that time, he scolded Director Cai! He said that he got you out at this time, no one!" Zhang Zhengquan said in a low voice.

"Director Yan also blew up in the department this morning."

Zhou Cheng felt a little wronged, he went to TM to participate in the on-site first aid, I didn't go to play!

Can this be my fault?

However, Zhou Cheng thought about it carefully, and it seemed that there was nothing wrong with Director Yan blaming him.

No matter what, Zhou Cheng still occupied the quota in the department. If Zhou Cheng was not in the department, another person would come, at least one more person to help!

With one more person, all possibilities will change.

However, Zhou Cheng was left on the scene, which caused Director Yan's relative to be operated on too late and died!

Even if you, Zhou Cheng, have a huge mission outside, he is still absent from the orthopedics department of No. [-] Hospital.

Although it has been reported to the hospital, everyone else in the eighth hospital has come back, so why don't you come back?

Just you special?

Zhou Cheng asked: "Director Yan didn't let you jump in the queue?"

"No. Director Yan was on the stage at the time, and he thought that Director Cai could have three people performing surgery, but you also know that the situation like yesterday was really true."

"If we can't arrange manpower, we will go into shock soon." Zhang Zhengquan said.

Zhou Cheng took a deep breath, suppressed the fluctuation in his heart, and said, "Then let's do it, amputation!"

When he said this, Zhou Cheng's eyes were a little red.

Very reluctant!

Because of this surgery, even if the amputation is done flawlessly, it is a regret, and it is a regret that cannot be changed once it happens.

But no way!

Zhou Cheng has no right to affect the right to life of subsequent patients because of his selfishness.

There are gains and losses, sometimes, life is full of all kinds of regrets, and the regrets in front of you are nothing compared to life!

"Okay!" Zhang Zhengquan immediately started to move.

Then Zhou Cheng changed his clothes and was about to go on stage.

Zhou Cheng's mastery of anatomy has reached an unimaginable level.

Because it was an amputation of the middle and lower part of the calf, Zhou Cheng made an incision in the middle and lower part first.

Then, he quickly found the course of the artery and vein, and then tied it firmly!

Puncturing the arteriovenous means that there will be no hemorrhage, and it doesn't matter if Zhang Zhengquan uses a chainsaw to play with the chainsaw.

Moreover, Zhou Cheng also made the skin incision for Zhang Zhengquan.

Finally, he looked at the little girl's leg reluctantly.I said sorry in my heart!

Then he turned his head and said, "Quanzi, in a moment, you can directly amputate from the far end of the artery and vein where I tied it, as long as the artery and vein are cut off!"

"For the osteotomy of the tibia, put more in. For the rest, you should have followed the stage many times, it doesn't matter."

"I went next door and there was debridement for an open knee injury."

Zhou Cheng was about to go out. The amputation here was not too difficult. Zhang Zhengquan could practice his hands and familiarize himself with anatomy.

As for the third-degree open injury of the knee joint next door, it is obvious that people need to deal with it in time.

Half an hour was enough for Zhang Zhengquan to amputate.

Although she came to jump the queue because she was younger and the operation time was short.

She couldn't delay the surgery.

but?

"Wait a minute!" Zhou Cheng suddenly thought of something, and then he raised his hand when he walked into the operating room.

After interrupting Zhang Zhengquan, he turned to look at him.

"You mean in this operating room, her operation is to jump in line for amputation, right?"

"The debridement of the third-degree knee injury next door should not be limited in time, right?"

"Then if the next surgery can be done next door, can the time difference be avoided?" Zhou Cheng asked Zhang Zhengquan.

He didn't participate in the operation arrangement, so he didn't know how to pick up the patients later.

"For the debridement of the knee joint, the time given by Director Cai is more than two hours. It may be a little more. Brother Zhou Cheng?"

"You mean, the next patient will go to the next one?"

"But the knee joint debridement, half an hour?" Zhang Zhengquan's eyes widened.

"Enough! Half an hour is enough." Zhou Cheng said.

Then took a deep breath.

"If you try hard, the last time it will be amputation."

After Zhou Cheng finished speaking, he was about to leave, but Zhang Zhengquan ran up to catch up with Zhou Cheng, and said, "Brother Zhou Cheng, you can't shorten the operation time of other patients for the sake of other patients, and you must ensure the quality of the operation."

"I know."

Zhou Cheng nodded: "Quanzi, I'll go to the next door right away to help Du Yanjun debride the wound, and the operation will be completed in half an hour."

"On your side, debride the wound first, and do as much as you can. Give me half an hour, and I'll come over and try limb salvage, and then go to the next operating room for the next operation!" Zhou Cheng suddenly found a chance.

Three surgeries were performed consecutively, with a time difference.

Then this can maximize the benefits.

Hearing this, Zhang Zhengquan immediately became anxious: "Brother Zhou Cheng, this is not very good, is it?"

"In principle, an open third-degree injury of the knee joint is not a primary suture. There is nothing wrong with it."

He does not have the ability and right to decide the life and death of other people, but if he can save time, reduce the turnaround time, and save the time of this limb salvage operation, he can fight for it!

Surgery is prioritized, and some diseases must be treated in stages, and it just so happens that this open injury of the knee joint is one of them!

The first-stage debridement and drainage + muscle insertion fixation + ligament start-and-end fixation, and the second-stage wound closure.

But it's a race against time, and it has to be fast!

The third-degree debridement of the knee joint must be completed in half an hour, and welcoming the next patient into the operating room is equivalent to shortening the time of the patient next door.

"Brother Zhou Cheng, can this work?" Zhang Zhengquan was still hesitating.

"Let's do this first, I know what to do!" Zhou Cheng took a deep breath and resolutely chose to step down.

To be honest, he made this decision out of selfishness.

But Zhou Cheng's selfishness was not for his own honor or anything else, but just to keep a girl's leg!

It doesn't matter if you don't meet him, it doesn't matter much to Zhou Cheng if someone died.

but?Now that you have encountered it, what if you have the ability?

The operation of the patient next door only increases the risk of infection at most. Such infection risk can be eliminated through technology.

And must be able to accept the second stage surgery!