medical simulator

Page 37



After pulling it out like a radish, he completely loosened his strength.

This process sounds complicated, but in fact it only takes seven or eight seconds.

After the whole process was over, Cai Dongfan, Zhong Hua and others didn't come back to their senses, they just stared blankly at the final result——

The rhomboid deformed thighs are gone.

Instead, swollen and straight thighs!

After finishing all this, Zhou Changcheng let out a long sigh of relief.I checked the tension of the anterior femoral muscles with my hands again, and found no tension.

What Yang Yifeng said before is correct. After the broken end of the fracture is inserted into the muscle, there will be torque, which will make the muscle tension greater. Now there is no tension in the muscle, which proves that his previous traction is to make the fracture The stump was pulled out from the insertion.

Then he took another deep breath and shouted: "Xuan, push the C-arm machine, let it pass!"

"Others get out of the way!"

The tone is very affirmative and commanding.

But just after he finished speaking, Zhou Cheng saw that the others looked at him with strange eyes, with different eyes!

Only then did Zhou Cheng react!

I just tried too hard again!

damn it.

I am now a junior doctor, not a superior.

I can get in and the role hasn't come out yet.

So he quickly changed his words: "Director Cai, Professor Zhong, why don't we take a look at the situation first?"

"OK?"

The tone was too good, this is the tone that a junior doctor should have when asking a superior doctor for instructions.

But you definitely didn't mean that just now...

After being awakened by Zhou Cheng's voice, Cai Dongfan and Zhong Hua planed Zhou Cheng away with their hands almost at the same time, and then squeezed Zhou Cheng away.

Almost at the same time, they went to the incision on the far end of the thigh that was made before, and began to pull it with their fingers to turn it inside.

What C-arm perspective and the like are completely unimportant.

As long as the fucking Zhou Cheng doesn't cut the femoral artery, it doesn't matter if he cuts off all the nerves.

At least the patient will not die.

The idea is crude, but this is the real idea.

As long as people don't die, everything is still possible.

After pulling it apart, there was no sign of blood gushing as imagined.

Cai Dongfan and Zhong Huacai shivered slowly, let out a sigh of relief, and then felt a similar tiredness after finishing their work.

Although the experience and feelings after the incident are completely different from the current experience, but from a physiological point of view, it is the whole body fatigue after a high tension or a shiver after stimulation...

Hemorrhage has its own definition, that is, a large amount of blood comes out of the blood vessels, which is called bleeding.

The vessels in the body that hold blood are the organs, blood vessels, and heart.

The blood vessels and organs on the legs have nothing to do with the heart. If the artery is broken, there will definitely be a lot of blood gushing out in a short time.

When the artery is broken, the blood column can soar up to the ceiling. Even if the blood is not soaring, a large amount of blood will be lost, and it will soon gurgle from the incision leading to the outside world, and more than 1000ml of blood can be lost in a short time...

no blood came out...

According to the definition, the possibility of Zhou Cheng cutting the blood vessel can be ruled out.

With this guarantee, the two dared to relax.After all, if the main artery is cut, it will kill people.

Undead, let’s talk about the latter slowly!

Cai Dongfan and Zhong Hua glanced at each other.

Cai Dongfan said, "Professor Zhong, the artery is not broken."

This statement stunned everyone in the operating room, especially Director Zeng of the anesthesiology department. He was really frightened just now. He is an anesthesiologist and is responsible for the vital signs of the entire operation. He is ready for general anesthesia at any time. Then he was intubated.

If the artery is broken, for example, debridement and exploration and blood vessel suturing are required, then whether the patient can withstand the consequences of general anesthesia is irrelevant.

But okay.

The 'milk' he picked up put down again...

Zhong Hua also took a look at Cai Dongfan, and said in his heart: If you can see it, I can see it too.

Cai Dongfan continued: "Professor Zhong, this week Cheng is the regular trainee in our group and half of my student. Today's situation is due to my poor discipline."

"But the situation is not too bad, at least the main artery is not broken. It's just that the broken end may be displaced again."

"Let's take a look at the specific situation first?"

"I'm sorry, Professor Zhong, to trouble you."

Cai Dongfan hadn't introduced Zhou Cheng before, so he explained Zhou Cheng's identity.

And of course an apology!

Zhong Hua was invited by him to do the technique reset, and he was a foreign aid professor.

Then in the operating room, he was frightened by his subordinates. As a superior, he naturally had to apologize first.

People are their own, and if the rules are not taught well, then they are responsible.

Besides, with Zhou Cheng's current status, Cai Dongfan can completely understand that Zhong Hua may feel that Zhou Cheng himself has never disciplined him this week.In other words, it was a hole he left for Zhong Hua. Although Cai Dongfan didn't have such an idea, Zhong Hua could definitely think so.

A fucking Gui Peisheng, with the support of professors from the outer courtyard, still acts independently. This person is either mentally ill, or lacks rules.

Even if Zhou Cheng hadn't heard Zhong Hua's previous explanation, it was still the same.

After Zhong Hua heard Cai Dongfan explain that there was no arterial injury, he also calmed down a bit.

Zhou Cheng's actions just now were a bit beyond his expectation.

But the result was not the worst, Zhong Hua began to look at the patient's legs.

Clinical medicine is an evidence-based discipline.

Fractures are defined and have their own special signs——

Fracture line exists, bone discontinuity, bone friction sound and bone friction feeling, limb deformity.

This patient already had obvious limb deformities.

This is caused by displacement of the fracture.

What manual reduction needs to do is to reset the displacement. After the displacement is reset, the deformity will disappear accordingly. Although bone friction sound and bone friction sensation will exist, no one will try it.

The patient must be in pain, right?

Was the displaced reduction of the fracture successful?

One of the most obvious and intuitive impressions is the disappearance of deformities.

For example, now, the deformity of this patient has disappeared.

But disappearing does not mean a complete reset. This is invisible to the naked eye and requires the use of tools, which is the C-arm machine that Zhou Cheng mentioned before.

The C-arm machine is actually a small X-ray device. The intensive reading and definition are not as high as those in the radiology department, but it is enough to see fractures. It is usually prepared in the operating room of orthopedics and spine surgery.

What cannot be seen with the naked eye needs to be seen with the help of it.

Zhong Hua doesn't know what the situation is now, but no matter what, if there is a problem, solve the problem, solve the problem first, and then go to accountability.

Rather than addressing the issue first.

Time is precious.

Moreover, Cai Dongfan is still a responsible person, and Gui Peisheng in his group can also be called his student, so Zhong Hua can't say much.

He just said: "Let's look at the specific situation first!"

"Everyone go out and go to the isolation room."

Chapter 62 I don't even want to step down!

Adults are no better than children. If you encounter a problem, if you don't think about how to solve it first, it can only show your physical maturity.

No matter whether the matter is caused by yourself or not, if it affects yourself, you have to find a way to solve it.

Society is complicated, and you are also a part of society after all...

Although on the surface, Cai Dongfan was still polite to Zhong Hua and cared for Zhou Cheng, and took the initiative to take the responsibility on his poor discipline.

But in his heart, Zhou Cheng had already been scolded bloody.

How complex is this patient?

How much hair did he lose because of this patient? First, he invited Professor Zhong Hua from the outer hospital, and then he happened to meet Yang Yifeng, so he got the opportunity to intervene now. What if something went wrong because of Zhou Cheng?

The key point is that the patient is still an acquaintance of his own.

What kind of big-tailed wolf are you acting like in front of this?

Cai Dongfan is a teacher who is responsible for his students, but at the same time, he can also deal with some thorns.

After the operation, Cai Dongfan could call the Regulatory Training Office and say, take this Zhou Cheng back, I don't want him here anymore.

Yes, you can say that directly!

It's very simple, Zhou Chengcheng has to be transferred to another group, as to whether the other groups want Zhou Cheng, that's not something that Cai Dongfan should care about.

But this is something for later, we still need to deal with the current situation according to the actual situation.

If it can be reset, continue, if it cannot be reset, then simply stop the operation, send the patient back to the ward, and explain to the family members...

There is a small isolation room in the orthopedic operating room, which is prepared for C-arm fluoroscopy during the operation!

Otherwise, after taking radiation for a long time, all orthopedic surgeons will mutate.

Orthopedic surgeons are human too, so of course they cannot be so inhumane.

Although patients will take radiation, there is no way to avoid it.

And every patient is undergoing this operation, the doctor is not...

When Zhou Cheng heard that Cai Dongfan apologized to Zhong Hua, he felt quite uncomfortable.

He is reckless, and he can also understand the thinking of Zhong Hua and Cai Dongfan, just as if Zhang Zhengquan was not the one who did the reset just now, Zhou Cheng would feel very surprised and at a loss in his heart.

Zhang Zhengquan, why should he deal with such patients?

But in the vision of Cai Dongfan and others, what is the difference between himself and Zhang Zhengquan?

But no way!

If Zhong Hua and Cai Dongfan were allowed to do manual traction from the ankles, the patient would probably die in front of them.

If they didn't come to the operating room, or they did it recklessly before coming, then out of sight, out of mind!

Now that you see it, you still have to take care of it.

As for the consequences, Zhou Cheng didn't think much about it.

Although there was probably something wrong with the procedure, Zhou Cheng had done everything he could do. Even if Luo Yun didn't ask him to take the stage, he would still be there.

Professor Zhong Hua had already spoken, and the others naturally followed suit.

In the process of going out, many people stared at Zhou Cheng intentionally or unintentionally!

Different minds.

At this moment, Du Yanjun hated Zhou Cheng a little bit.

The patient is under his care. If something really happened during the operation, and it was because of Zhou Cheng, then it would be very difficult for him to choose——

What about telling the patient's family?Or not?

Do the patient's family members believe what he said?

Zhou Cheng is a regular trainee, why would he skip Cai Dongfan and Zhong Hua to reset the technique, without Cai Dongfan's consent?

Is it a relative who still pushes the responsibility?


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