medical simulator

"I'm in the Department of Urology. Brother, if you have any problems in this area, I can give you some guidance. Haha!" The green suit named Zhou Yu seemed to be very good at playing, so he made a joke.

When Zhou Cheng heard this, he immediately laughed back: "Whether it's guidance or fingering, it's not for Nan Haizi, is it? It's called finger circle at most."

After finishing speaking, Zhou Cheng walked over regardless of whether Zhou Yu from his family could understand or not.

Zhou Yu was stunned for a moment, and then shouted from a distance: "That's interesting, brother, you have used up another word in the complete collection of words."

Zhou Cheng didn't respond.

Kong Ling asked, "Are you driving again? Why didn't I understand?"

She thought she had seen a lot of speed battles between surgeons, but she never heard that there was a problem?

"Sister Ling, will you leave a finger when you dye your nails?" Zhou Yu explained in a very cryptic manner.

Kong Ling suddenly realized, but she didn't mean to blush. She is also a person who has been in the racing circuit for a long time, and said: "I never do nails."

"I'm going to get something."

Zhou Yu stretched, and then walked outside the operating room. His operation was nearing completion, and the rest was left to graduate students. He was going to take a rest.

But after walking a few steps, I heard another stone patient came to the emergency department: "Tell him to go back to drink water, or use some dilators."

"What, so big? 3.0? Are you kidding me?"

"Okay, I'll come down and have a look."

For kidney stones of 3.0 cm, conservative treatment is definitely not useful.Zhou Yu ran down, his figure disappeared in the passageway of the operating room, and he turned into a laborer at night...

Chapter 424 Find a way for me!

In the evening, after Zhou Cheng and Huang Xuanqi had supper, Huang Xuanqi went back to rest, and only Zhou Cheng was still on duty.

But it may also be that it really touched the mold star tonight.

Not only did the three general inpatients come to the stage at the same time, but the four chief inpatients including Yang Yifeng are still in the operating room.

Zhou Cheng still received a call from the emergency clinic.

After arriving at the surgical clinic of the emergency department.

There was a cart bed inside. A person whose face could not be seen clearly remained motionless on the cart bed. Judging by his clothes, he should be a man.He had scabs all over his body.

Beside him, several people were shouting emotionally and angrily: "What are you doing?"

"You guys save me, save my brother?"

"I'm sorry. There's no way to save him. He's been in cardiac arrest for several hours. He can't be saved anymore. Even if he continues to press the heart, it won't help." Liu Xuan, a newcomer to the surgical clinic, was very helpless.

"There is no objection to any inspection and operation that has been in cardiac arrest for more than half an hour."

The person who roared was probably in his forties, and his face was also bloody!

He's just skinned.

Fortunately, the car he was driving was protected by seat belts and airbags in the event of a car accident!

His younger brother was sitting in the back, thinking that he could lie on the chair comfortably.

The two brothers agreed to go home to celebrate the old father's birthday, and now the birthday present is such that they only have an only child?

Car crash on highway without seat belts and airbags!

Just sent the person away.

It's a great thing in itself, and now it's like this!

The middle-aged man with messy hair still couldn't accept it: "When your ambulance came, my brother wasn't dead yet, he was still talking! How could he just say no?"

"You save him, he still has two children who haven't grown up..."

"There's nothing we can do, it's too late and the injury is too serious."

"Sorry, we're sorry."

"There are still patients who need to see a doctor. I hope you can understand and let them." Liu Xuan then looked at the door, saw a cart coming in, and walked over.

The middle-aged man suddenly patted his head with both hands.

Mouth deflated, choked up, sobbing uncontrollably.Squatting down, patting the floor: "He's only 37, please help him..."

The eyes of the surrounding patients and their families were also full of distress.

God's cruelty, life and death jokes, but very understandable.

Not all emergencies can be cured, not all diseases can be cured, and the rare moments between life and death are the meaning of life.

People cannot be resurrected from the dead.

Even gods have to encounter the kind of conjecture that can bring the dead back to life.

Poor is pitiful, but only pitiful!

In front of life, there is no such thing as mercy.

Zhou Cheng pursed his lips at the time, and while squeezing into the crowd of onlookers, he asked the doctors in the surgical clinics: "I am the boss of the trauma center. Is this the patient you called me to see?"

If this is the case, then it is meaningless?

Hearing Zhou Cheng's words, one of them immediately bounced back from a distance like a catapult, standing still in a bit of embarrassment, but she was actually dealing with another patient a few seconds ago.

Regardless of the ugly posture, he said, "It's not this one, another patient has already been sent to the emergency room, follow me!"

Out of the crowd, her voice was urgent and her footsteps were hurried. It could be seen that the heel of her shoe had been stepped on, but she had no time to deal with it.

"This patient is crushed!"

"It was crushed obliquely from the middle of the thigh to the ankle, and the lower limbs were damaged. Fortunately, it only crushed the leg. If it was a little higher, the person would be gone."

"Do you have any photos?" Zhou Cheng asked.

"Yes, take a look!" Zhu Fang held the phone while running, and her heart beat unsteadily a few times, and when she opened the screen, she saw a photo of the general appearance of the patient!

Zhou Cheng saw it at the time, and he must have seen at least hundreds of traumatized people!

My stomach started to churn...

I have seen a lot of damage!

Some feet are gone!

Some ankles just fell off.But in this way, from the thigh down to the ankle, the bones and flesh are almost mixed together, squeezed like juice.

Zhou Cheng really saw it for the first time.

What's even more amazing is that this patient was sent to the emergency department alive!

Isn't this the miracle of life?

"What kind of car ran over it? Is it a big truck? Does the patient have any other symptoms, and now he has to amputate quickly?" Zhou Cheng said immediately after reading.

The broken bone end of the femur is exposed!

The thigh and calf structures that existed below are no longer visible, and the meat paste and broken bones are mixed like dumpling stuffing!

There are also residual deformities of blood vessels and nerves intertwined with muscle fibers, like fleshy wool balls...

This leg is definitely not going to be saved, and if we delay for a while, we don't know if we can save our lives.

"It was said that when there was a car accident, he couldn't dodge it in time!"

"I jumped out of the car, and my legs were caught under the wheels of the big truck."

"If I didn't get out of the car, I might have lost my life. I'm still stabilizing my vital signs and preparing for intubation. The patient is in a coma." The nurse said while running.

Zhou Cheng quickly put on the examination gloves, and then looked into the emergency room.

Sure enough, he saw the patient, with blood continuously gurgling from the stump of his thigh.

"It can't be done, the patient's blood pressure is not good, it's useless to continue to transfuse more blood!"

"Is the orthopedic department here? What should I do about the leg injury?" The person who was doing rescue work was about 50 years old, and he was a teacher Zhou Cheng didn't know, at least an associate professor or professor, with a hot temper.

After Zhou Cheng quickly ran in, he said, "The patient needs amputation immediately, can I send it to the operating room?"

"Mr. Song, this is the boss of the orthopedics department." The nurse said beside him.

He is doing endotracheal intubation and is ready to do a tracheotomy at any time. At this moment, he is tilting the patient's head to reveal his vision:

"If it could enter the operating room, it would have been sent in long ago."

"I came to your orthopedic department now, just to know how to deal with the bleeding on this leg. Is it impossible to let him bleed all the time? If it bleeds like this, he will die immediately, and I dare not bandage it outside."

Zhou Cheng ignored the other party's yin and yang aura!

So he went up with his own hands and grabbed the stump of the blood vessel, and then took off the gloves and tied them in knots.

It can be regarded as decisively stopping the bleeding of two relatively large blood vessels.

No one present could react to this dexterous and quick scene.

"Get me the instrument kit, the one with multi-vascular forceps, hurry up!" Zhou Cheng turned around and saw that she was still in a daze, and immediately yelled angrily, because he was a little anxious.

So the tone is not polite.

Then he turned his head to look at Mr. Song: "Teacher, such a situation can only be dealt with in the operating room. Have you done CT scans of other parts before?"

The person called Mr. Song has already sent in the endotracheal tube and taken out the visual laryngoscope for assisting intubation!

Tell the assistant to help fix the endotracheal tube, and then determine the remote position of the endotracheal tube.

Turning his head, he said, "You also saw that the person who came in was unconscious, and now his breathing is still restrained."

"I can't go to the CT room, and it's hard to move to the operating room. People may disappear at any time."

"What's more, his family members are not here. His mobile phone has been crushed and broken, and no one can contact him. How can he perform surgery without his family members?"

"If you don't enter the operating room, there is no way to deal with this situation?"

Zhou Cheng nodded and said, "The femoral artery and its branches are all very large arteries. It's not enough to just tie them up like this. The blood that should bleed still has to bleed, and there is a lot of body fluid lost through bleeding."

"We must go to the operating room to deal with the stump as soon as possible! Otherwise, no matter how much blood is transfused, it will be useless!"

"Have you called the chief on duty to authorize the operation? If there are no problems with other departments, we will." Zhou Cheng didn't finish his sentence.

When the doctor surnamed Song heard Zhou Cheng's words, he didn't know what to do, and became a little angry: "Does your orthopedics department know nothing but surgery?"

"How can he go to the operating room like this now? Is it impossible to save people except for surgery?"

Zhou Cheng looked at this person in astonishment!

I thought to myself that you are such a big person, there is something wrong with you, right?

"Have you called the chief on duty?" Zhou Cheng didn't ask Mr. Song. In such a situation, you asked me to save lives outside the operating room. You must have a brain problem.

Whether the operation should be performed depends on whether it is meaningful to the patient!

Song Yu continued to shout and asked: "You don't need to ask, this patient's current condition can't leave the intensive care unit!"

"I didn't call the chief on duty. What's the matter with the orthopedic department now?"

"Are you from the orthopedics department? Are you the general inpatient of the orthopedics department? You have to find a way to help deal with it. You can't enter the operating room."

Song Yu didn't know where his temper came from, or maybe he was eager to save people, so he asked anxiously.

Hearing Song Yu's strange tone, Zhou Cheng took a deep breath and said, "I am the chief resident of the orthopedics department! This is my badge."

"Now the best solution for the patient is to arrange surgery immediately to stop the bleeding and amputate the limb, otherwise the follow-up shock or even death."

"I can only temporarily stop the important bleeding site with a hemostat, but it won't last long. This is not a long-term solution."

"The patient can't go to the operating room now, so there is no other way?"

"Do you want me to call Ding Changle to come down in person and Lei Zhong to come in person?" Song Yu actually interrupted Zhou Cheng's speech!

Zhou Cheng couldn't make sense with the other party, so he came without saying anything: "Mr. Song, let me write the medical records."

"Our orthopedic department's suggestion is to perform the operation immediately, and complete the preoperative interview and signature immediately! Otherwise, we can only proceed with temporary treatment."

As Zhou Cheng said, he quickly took the equipment bag handed over by the nurse, and after violently dismantling it, he squatted down and began to quickly use the hemostat to temporarily clamp to stop the bleeding!

After this, Zhou Chengcheng wrote his opinion in the emergency medical record.

"The diagnosis is straight forward: 1. Right lower extremity damage and crushing injury: multiple fractures, multiple soft tissue defects and damage, multiple blood vessel ruptures, multiple nerve ruptures. 2. Hemorrhagic shock. 3. The remaining diagnoses are pending investigation."

"I can suggest."