medical simulator
Page 596
When Cai Dongfan said this, an attending doctor next to Guang Yanhu and two graduate students were all looking at Zhou Cheng curiously.
While arranging the surgical mask and cap, Zhou Cheng asked in a low voice, "Master, what is the identity of this patient?"
After going through Chang City, Zhou Cheng also understood that, in fact, when a doctor is on duty, the phone calls and contacts they receive are different.
Before, Zhou Cheng's duty was always transferred by his superiors, and he was even a bastard in Shanghai. When others did things, he was only doing research projects there, without formalities.
When he arrived in Changshi, Zhou Cheng realized that when he was on duty, he could have endless calls in a day, at least every day...
When Cai Dongfan heard this, his footsteps faltered: "It doesn't matter to him. It doesn't matter if he is the only one injured in this car accident."
"At least I haven't heard anyone calling."
Zhou Cheng's eyes froze when he heard this, and Cai Dongfan noticed it, and continued: "But he wasn't in the car, he was thrown when the car was thrown out."
"Qianmei, oh no. Jinping, you go to the 22nd room and have a look first, and see what the situation is. If it doesn't work, just amputate it directly!" After Cai Dongfan finished speaking, he gave such instructions to the attending doctor behind Guangyanhu .
Jinping was taken aback when he heard this, and said, "Professor Cai, the patient in room 22 was greeted by the general surgery staff?"
When Jinping said this, Guangyanhu also looked at Cai Dongfan.Indeed, what Jinping said was correct. An associate professor of general surgery greeted the patient in Room 21 when he was admitted, but he was not in the operating room just to avoid suspicion.
If Cai Dongfan obviously ignored the other party's greetings, then when Cai Dongfan wanted to ask the other party for help, the other party might not try his best. Such a thankless thing was really unnecessary.
Huaguo is a society of human relationships, no matter what you do, it will be faster and more convenient if someone greets you!
Cai Dongfan narrowed his eyes and glared at Jinping, then narrowed his small eyes, and said in a formal tone, "Jing Ping, go to room 22 first."
When Zhou Cheng heard Cai Dongfan's ostentatious words, he couldn't help but look in Cai Dongfan's direction, and found that Cai Dongfan's face was calm at the moment, but his eyes revealed a strange content, which seemed that his whole temperament was abnormal.
Guang Yanhu also said: "Jing Ping, you go to Room 22 first."
Only then did Jinping go up to the floor where the operating room was located.
However, after Jinping brought a professional graduate student from our school, the atmosphere of the scene became quite subtle. Guang Yanhu seemed to be waiting for Cai Dongfan's order, not knowing what Cai Dongfan was going to do.
Cai Dongfan tidied up his mask: "Xiao Zhou, go up with me to see the patient's condition, and then decide whether to come down to rest or go home to rest."
Cai Dongfan didn't dare to be too aggressive, so he took a step back.
The meaning is obvious, if you come down to rest, you can save it, and if you go back to rest, you can just give up. After giving up, Cai Dongfan can only take someone to Room 22.
Zhou Cheng nodded and followed behind.
A group of people quickly ran to Room 21.
At this moment, in room 21, a group of people are busy working non-stop. People from the general surgery, neurosurgery and thoracic surgery have all arrived and are ready to open the stage at any time, but they have not yet operated.
Because of the anesthesia team, there are now three people running around. It can be seen that the indications of the patient's ECG monitoring are not very good.
A man who looked like a professor kept giving orders to the junior doctors in the anesthesiology department and several nurses in the operating room. The trachea had been cut and a tube was inserted from the throat.
"Galidocaine." The professor said calmly.
Hearing this, even his students were stunned.
"Galidocaine!" Seeing that no one moved, the professor quickly looked at the youngest student.
Then a little girl from the anesthesiology department quickly pushed a syringe in the tray through the intravenous infusion channel and pushed the drug in.
And within ten seconds after the medicine was pushed in, it could be seen that the rapidly fluctuating heart rate had gradually stabilized.
"Adjust the flow rate of dopamine to 25." The professor still calmly ordered. "Turn down the flow rate of oxygen and increase the concentration of carbon dioxide appropriately. Avoid respiratory alkalosis!"
When Cai Dongfan and the others heard these orders, they quickly stood aside to make room for them.
"Professor Cai." When Cai Dongfan reached the wall of the operating room, several people from other departments greeted him warmly.
Cai Dongfan hurriedly responded: "Hello, Professor Ning, and Professor Hu. What's going on?"
"Sudden ventricular tachycardia, fortunately, Professor Zhou was there. He didn't go to the next door to inspect, and he almost died." The person named Professor Ning replied, his tone was a bit old, but he was wearing a mask and hat. She is old, but looking at the eyelids from the eyebrows, she is already a little older.
"Professor Ning, I've finished dealing with it here. The patient's hemothorax should be quite serious at the moment. You can take care of it. I'll adjust the ventilation speed again." Professor Zhou turned his head and said.
Hearing this, Professor Ning, who was originally sitting, suddenly rose from the ground, and before he even finished speaking, he rushed to the operating table with a middle-aged man in his 40s next to him. It's been screwed more than once.
"Professor Cai, I'm going to have a laparotomy first. This patient is most likely to have a ruptured spleen. I have to do a laparotomy before he goes into hemorrhagic shock." Professor Hu also hurriedly said.
"How is the neurosurgery?" Cai Dongfan also stepped forward to ask Professor Hu.
"Neurosurgery, you are very bold. You say it's just a subdural hematoma. It's not a big problem. I'll come back later to deal with it. You are so brave. I think the problem of subdural hematoma is quite serious." Professor Hu While going outside to wash his hands, he ordered people to open the stage and returned.
Cai Dongfan just kept silent, then walked to the operating table, looked at the patient's lower limbs, the left knee joint was crushed and smashed up to the middle and lower part of the thigh, down to the middle part of the tibia, and the other leg was 5 feet from the ankle joint. At the centimeter point, the glove is injured, and the shape of the sole of the foot can hardly be seen.
Moreover, Zhou Cheng also saw that on the inside of the patient's thigh, there was a long bloody mouth tightly bound with a bandage.
"Alas!" Cai Dongfan sighed heavily, and muttered in a low voice, "Who said that the Affiliated Hospital of Shonan University doesn't have patients with simple trauma, this patient is not accepted by provincial doctors..."
"Hehe. Professor Cai, your orthopedic department is indeed in a bit of trouble. But it's okay."
"Mostly it's a problem of blood supply. Let Lao Jin from the Department of Vascular Surgery take care of it." Professor Ning smiled, a little bit jokingly, and also a little bit like shirking responsibility.
"It seems like this is the only way to go." Cai Dongfan nodded, frowning tightly.
Zhou Cheng looked at Cai Dongfan's expression, and then at Guangyanhu, and found that Guangyanhu was still calmer, and he didn't seem to be in a hurry to go on stage, nor did he think this operation was troublesome.
Cai Dongfan looked up and down for a while, then turned his head and asked, "Professor Guang, do you think there is another way to save this patient? I think both legs may have to be amputated?"
Damaged and injured, at this point, amputation should have been dealt with long ago.
Guang Yanhu did not make it difficult for Cai Dongfan: "You can try to rescue your right foot. Even if there is a blood supply problem, you can also do blood vessel transfer in the later stage."
"I think so too." Cai Dongfan blushed and was not out of breath.
Guangyanhu didn't mean to make fun of Cai Dongfan, and continued to sit firmly on the Diaoyutai.
Seeing this, Zhou Cheng finally understood, ah, how Cai Dongfan and Lao Cai have been messing around for more than half a year. It is indeed a bit miserable to be so messed up.
However, Cai Dongfan was thick-skinned enough, and then he sat under the timing panel in the operating room and said, "Xiao Zhou, I called you here, and I hope you can help save this child's leg."
"Today, the vascular surgery department is short of manpower, but I want to save him. When the time comes, you go to sleep first. After sleeping for a while, we will debride the wound and finish the vascular bed and other problems. You just come up to finish."
Cai Dongfan's voice was very low, and only Guang Yanhu heard it. He turned his head curiously: "Yes, I also heard from Xiao Yang that Xiao Zhou's accomplishments in vascular surgery are no less than his. If so, Rest well, we may be able to salvage both legs."
"Professor Cai, otherwise, you can go to the next door to take a look, and I will lead someone to support it first. This way, at least I can have an explanation with Professor Chang of the General Surgery Department." Guang Yanhu seemed to understand Cai Dongfan's meaning of.
"Professor Guang is here?" Cai Dongfan wanted to ask if there was a problem with his absence, but he immediately realized that if Guang Yan and Hu Ruo couldn't handle the problem, it would be difficult for him as a professor!
Then he walked out dejectedly.
Also took away a resident doctor.
After Cai Dongfan left, Guang Yanhu said to Zhou Cheng: "Xiao Zhou, go down and have a rest first, and wake up a little bit."
Zhou Cheng nodded: "Okay. Professor Guang, then I'll go to rest first, and I'll be up in a while."
Guang Yanhu said: "Aren't you drunk? Look at your condition. Although there is no provision that clearly stipulates that you can't drink alcohol, this can be strictly classified as irresponsible. You still have to be cautious."
Zhou Cheng nodded, and before leaving, he asked in a low voice: "Professor Guang, Mr. Cai? After coming here, has it always been like this? Is it also for acquaintances to say hello?"
When Guangyanhu heard Zhou Cheng's question, his eyes widened suddenly, as if he had encountered something strange: "Don't you know that Professor Cai has this habit? Isn't it right?"
"Isn't it rumored in the industry that Professor Cai has been moving towards chivalrous medicine and justice since he sent a prisoner in? At present, there are many trauma consultations in prisons, and Professor Cai is invited to consult."
"Oh! That's it.~" Zhou Cheng suddenly realized that he still had the memory of this matter.
"Mr. Guang, I left Shashi last December and went to Shanghai. It has been more than a year." Zhou Cheng hurriedly explained.
Indeed, it has been a full thirteen months since he left the Eighth Hospital last time and now he returned to the Affiliated Hospital of Shonan University, and he has experienced many things during this time.
He hasn't been in contact with Cai Dongfan for a long time, and he doesn't know that Cai Dongfan has developed this 'hobby'!
Heroic doctor?
Cai Dongfan really has such a bad fart.
"Of course, Professor Cai's emotional intelligence and sophistication are still handled quite well. I really admire this point." Guang Yanhu praised again.
Zhou Chengcheng hurriedly said: "Professor Guang, it may be that you have spent more time on the technical level."
"I'm going to sleep first." Zhou Cheng said and wanted to leave.
Guangyan Hu Wenyan was stunned: "You have learned the essence of Cai Dongfan in this regard."
"Does Professor Guang think that I haven't learned Teacher Cai's skills?" Zhou Cheng joked again.
"If you learn all of Professor Cai's techniques, it will be a little dangerous. Don't be poor, go take a rest and fall asleep quickly. After two hours, come up to receive the surgery. I will deal with it here, and I have to go to the next door " Guang Yanhu swallowed a mouthful of saliva while speaking.
"Okay, Professor Guang!" Zhou Cheng was in a very complicated mood on the way out of the operating room.
I took a special look at Room 22 and found that Cai Dongfan's eyebrows and temperament were much older than before.This Teacher Cai was really cheated enough.
Although Cai Dongfan was drunk and taught him some things when he passed by last time, these things are still not enough for Cai Dongfan to gain a foothold here.
As for Cai Dongfan's achievements that he added, it is not easy to stay in the No. [-] Hospital. Now that he has been promoted to a professor, his strength has not fully kept up. Isn't it because he can only rely on Professor Yu Guang for the most part?
However, it's coming soon, after the Chinese New Year, my master will bring it by himself.
Zhou Cheng quickly suppressed all his thoughts, and after sending An Ruo a message that he was in the operating room and would not be coming back, he turned off his phone and took a nap in the operating room.
In any case, after drinking, it will still affect your personal state, so it is right to take a break first, and after the alcohol has dissipated, you can recover some of your mind before going on stage.
And it is estimated that the rescue of this patient will be the critical moment in one or two hours.
"Why don't you order some naloxone?" Zhou Cheng thought for a while, but he still thought it's better to drink more water to dilute it and take less medicine.
After finishing speaking, Zhou Cheng ran to the lounge, drank a lot of water, and then went to bed and squinted...
Chapter 364 Do you want to put your face down? !
When Zhou Cheng woke up again, it was already eleven o'clock in the evening.
Clicking on the phone screen, I found that An Ruo had sent a few unread messages, which reported the basic situation that An Ruo was facing and was asked by a group of parents.
Zhou Cheng turned back with a smiling face, then went back to the door of the operating room, took a set of hats and masks, and went straight to the operating room.
In room 21, Zhou Cheng was at the sink outside first, and after washing his hands, he stepped on the sensor door and walked into the operating room.
At this moment, the atmosphere in the operating room was extremely delicate, and almost no one spoke.Moreover, Zhou Cheng also saw that Cai Dongfan and Guang Yanhu both stopped operating at this moment, and almost everyone was staring nervously at the team on the operating table.
When Zhou Cheng walked in, he was booed and warned by the patrol, and he reopened the storage bag of the sterile surgical gown for Zhou Cheng without Zhou Cheng asking.
After Zhou Cheng put on the sterile clothes, he went to Cai Dongfan. Cai Dongfan squeezed next to Zhou Cheng and said, "Xiao Zhou."
"Thank you for your hard work. Maybe this time, you have to waste your time."
"What's going on? Master." Zhou Cheng turned his head and asked strangely. He still doesn't understand what's going on.
"The abdominal aorta is injured. Professor Dewey of the General Surgery Department is currently dealing with it. The patient's blood pressure is unstable and he is in shock. If it is not treated properly, it will be useless elsewhere." Cai Dongfan explained in a low voice.
Zhou Cheng didn't reply after hearing this, but he also knew that now everyone stopped talking and gave up their positions, mainly to save the space and position.
It is a consistent principle to save life first and treat illness later!
Zhou Cheng hadn't stood still for a while, suddenly there was a commotion on the operating table, and there were bursts of irritability.
"I'm second! Where's the person in the vascular surgery department? Is there still no one out there?" The person named Professor Dewey began to complain.
"It seems that there is still no one from Professor Jin's side who can assign it to us. And at present, many people in the vascular surgery department are sent out, and there are even fewer people left. Professor Du, what should we do now?" The junior doctor hurried back.
"Call Fu Er and ask if anyone can come?" Dewey's eyebrows flickered.
Although vascular surgery used to be within the scope of general surgery, he specialized in surgery, but as a gastrointestinal surgeon, he really couldn't deal with such a complicated problem.
Attached one's vascular surgery is not very strong, and now many people have been assigned, so it can only be used by one person broken in half.
"I've done the fight. Attached Second has more people than Attached One. Now the manpower is even more insufficient. All the in-hospital consultations in this hospital are run by the Deputy Higher. It may be difficult to come to our side."
Dewey began to glance left and right, and when his eyes swept past Cai Dongfan, he was slightly taken aback. After looking carefully, he asked, "Professor Cai, is this your student Xiao Zhou?"
"Hello, Professor Du, my name is Zhou Cheng." Zhou Cheng greeted quickly.
Dewey squinted his eyes and thought for a moment, then asked, "Xiao Zhou, do you have any authorization for vascular surgery?"
To be honest, Dewey didn't know much about people beyond the professor level of orthopedics.
But Yang Yifeng is an exception. Dewey also hoped that Yang Yifeng could stay in the general surgery department, so he has been paying attention.
Then through Yang Yifeng, Dewey also learned about Zhou Cheng.Moreover, Dewey also knew that Zhou Cheng seemed to be able to stand up to Yang Yifeng.
Zhou Cheng nodded when he heard the words: "Professor Du, when I was in Changshi, Yang Yifeng got it through Professor Shu."
Zhou Cheng answered honestly.
Vascular surgery is another department. If you want to obtain a surgical authorization, you must be authorized by the specialized association of vascular surgery.Of course, Yang Yifeng had already arranged this matter when he was in Changshi, so Zhou Cheng is now authorized by the routine operation of vascular surgery.
"That's right, you come here and be my assistant, let's try again. If we still can't handle it."
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