Chapter 28 Injection Medicine
"Kuo Yisa! The sutures are neat, the suture spacing is reasonable, the knots are firmly tied, and the incision cortex is tight and tight. The level is quite good!" After the examination, Dr. Xu nodded repeatedly with satisfaction.
"Have you had your tetanus shot?"
"It's already happened!"
"Okay, remember to have the patient go to the epidemic prevention station to get rabies vaccine in time. Come back every day to change the medicine. Push the patient out."
Dr. Xu wrote out the medical advice.
The biggest risk from a dog bite is rabies.
The mortality rate of this disease is 100%.
Vaccination is the only effective form of protection.
"Dr. Zhou was able to sew so well right after entering the operating room. He is really excellent!"
Dr. Lu praised him with a smile.
“Thank you so much!”
Zhou Can handled it carefully.
From Dr. Lu's careless attitude when treating patients, we can see that he has average character.
The second debridement performed on the patient just now may have left Dr. Lu with some resentment.
Have to be on guard.
"Don't be so modest! The fact that you have received praise from Doctor Xu is enough to prove how extraordinary you are. You are so outstanding, and you will have to share more of the responsibilities for any surgeries that our emergency department performs in the future!"
Doctor Lu still praised him with a smile.
But no matter how Zhou Can listened, he felt that this guy had bad intentions.
As a newcomer, Zhou Can naturally lowered his posture.
I might as well show myself as "Xiaobai" .
"No problem, no problem. I'm the younger generation, so it's my duty to do more work."
This answer is impeccable.
Doctor Lu didn't say anything more.
The atmosphere between the two sides was quite harmonious.
The operating room in the emergency department is actually quite busy.
As soon as the patient bitten by a dog was pushed out, a new patient was pushed into the operating room.
"This patient accidentally fell and had a 4cm long wound on his left forehead. After examination, there was no bleeding in the brain. Doctor Luo Yong examined him and said that he just needed to suture the wound in the operating room."
Doctor Xu took the film and looked at it carefully, but found no problems.
"Okay, go ahead!" Dr. Xu said to the nurse, then turned to look at the patient. "Can you walk?"
"Can."
"From the X-rays we've taken so far, we can't find any major problems. It's just a flesh wound. We're going to clean and suture you. According to your description, your head hit the edge of the coffee table when you fell, right?"
"That's right. The floor was so slippery after it had just been mopped that I fell accidentally."
"You're lucky! We treated an old lady two days ago who fell and fractured her femur. She needs major surgery. Be careful with the floor you just mopped in the future."
Dr. Xu is strict with his doctors, but he is kind and friendly when talking to patients.
This made Zhou Can see his lovely side.
"Doctor Zhou, I'll leave this patient to you!"
Doctor Xu turned around and handed the patient over to him.
"Okay!"
Zhou Can couldn't help but be overjoyed, the opportunity to earn experience points had come again.
It seems that there is no acquaintance without fighting with Dr. Xu. After the misunderstanding of lying was resolved, Dr. Xu's trust in him soared.
In addition, he demonstrated good surgical skills, so this patient with a broken head was directly awarded to him for training.
He knew that if he wanted to get more surgical opportunities from Dr. Xu, he had to do every operation carefully.
"Come, please lie down first. I will give you local anesthesia and clean the wound first. If there is no problem, I can sew the wound directly."
Communicating with patients before surgery is a basic quality that every doctor must possess.
It can give patients a general understanding of the entire surgical process, increase their trust in doctors, and reduce medical disputes.
"Please take care, Dr. Zhou, when you sew it up, and try not to leave an ugly scar."
"Yes."
When it comes to the head, face, neck, arms and other parts of the body, in addition to considering wound healing, we must also consider the patient's aesthetic appearance after recovery.
Whether ugly scars are formed is not only related to scar-prone constitution, but also closely related to the doctor's suturing skills.
Zhou Can's suture skills are almost equivalent to those of a chief physician in a county-level hospital.
It's definitely enough to sew up a small wound on the forehead.
Let the patient lie on his side and inject anesthesia first.
Local anesthesia injections have been tested many times on small animals before, but this is the first time it has been used on humans.
The forehead has fewer muscles and only a thin layer of skin, with a hard skull underneath.
The difficulty of injecting anesthetics is higher than that of other parts.
This is not a problem for Zhou Can.
The problem can be solved by inserting the needle at an angle and then injecting.
[Congratulations on obtaining the injection medical skill. Current experience value is 1/10 of level 1. Internship failing level.]
Zhou Can was a little confused.
Is giving an injection considered a medical skill?
Generally speaking, nurses are the best at giving injections.
Nurses are the ones who inject various drugs into patients. With more practice, their skills will become more refined.
"Fortunately, I was only injecting anesthesia into a patient. If I had given an injection to a child, I would have been beaten to death by the family members in a matter of minutes with my poor injection skills."
The internship level is failing, which is just slightly better than that of an average person, so I need to improve quickly.
Two injection sites are sufficient.
Zhou Can envied the extremely high experience points he would get when injecting into the human body.
The anesthetic was injected into four parts of the body.
In this way, a total of 4 injection experience points were easily earned.
We must quickly find a way to improve this medical skill.
Injection medicine is not only used for injections, but can also be used in multiple scenarios during surgery.
It's always good to have many skills.
No matter which medical skill it is, being too bad is not a good thing.
It could easily become a flaw in him.
"How is it, can you still feel the pain now?"
he asked the patient.
"It feels numb, but it doesn't hurt anymore."
Patients reflect their true feelings.
It seems that the anesthetic has taken effect and we can start debridement.
After using hydrogen peroxide to rinse out the blood clots and possible debris in the wound, he carefully observed it and found that the wound was in good condition.
Just sew it directly.
It took Zhou Can less than ten minutes to complete the suture.
Five stitches in total.
I checked it and there's nothing wrong.
This was the first operation Zhou Can presided over. Although it was only a minor operation, it was of great significance.
Hosting an operation and participating in an operation are two completely different concepts.
Presiding over an operation develops one's comprehensive abilities to handle things on one's own.
"Doctor Xu, please check me out." Zhou Can looked up and found Doctor Xu standing next to him watching.
"Well, it was handled well."
After the patient's wound was disinfected twice, gauze was applied and the patient was sent away.
The rest will be handled by the nurses according to the doctor's instructions.
"I have a basic understanding of Zhou Can's surgical ability. Jin Mingxi, you try the next patient."
"become!"
Jin Mingxi had been itching to do something since he saw Zhou Can making great achievements one after another.
I agreed immediately.
Soon, another patient was brought in.
The patient had a mild femoral hernia.
Jin Mingxi took the initiative to step forward and examine the patient.
"The patient's condition is not serious, and there is no incarceration. I think manual reduction will be enough, and no surgery is necessary. Dr. Xu, what do you think?"
It can be seen that Jin Mingxi has extremely rich diagnostic experience and strong capabilities.
"Are you sure you can complete the manual resetting?"
Dr. Xu asked back.
"have."
He answered decisively.
"What are you waiting for? Hurry up and do it!"
Dr. Xu delegates power fully.
Jin Mingxi asked the patient to lie down and relax, and then he skillfully repositioned the patient.
In fact, patients can sometimes put it back themselves.
The so-called hernia is most often caused by the intestines leaking out through the weak point of the hernia sac.
A raised bulge may form in places such as the abdomen or groin.
Some are big, some are small.
Sometimes it may not even be noticeable to the naked eye.
The patient will experience extreme pain.
The symptoms are mild and can be corrected by manual repositioning. No surgery is required.
But the disease is prone to relapse.
"alright."
As soon as Jin Mingxi finished speaking, the patient's groan of pain stopped.
This also fully demonstrates his strong strength.
"Rest well after you go back. Do not cough hard, lift weights, or do strenuous exercise within a short period of time to avoid recurrence. If you feel unwell, come to the hospital immediately for treatment."
After he cured the patient, he professionally reminded the patient of some precautions.
This patient with femoral hernia was cured so easily and walked out of the operating room on his own.
"Not bad, not bad. This time our emergency department has recruited two capable people back. This is definitely good news."
Doctor Xu rarely smiled.
The arrival of two capable people in the emergency department is enough to greatly alleviate the serious shortage of staff in the emergency department.
"Doctor Jin, I see that you are very experienced in both treatment and prescription. Which hospital did you work for before?"
Even Dr. Xu's way of addressing him changed.
This is a recognition and more importantly, a respect.
