Chapter 67 Gui Pei saved the attending physician

"Collect a blood sample immediately for testing! At the same time, give the patient an intramuscular injection of vitamin K1 to control bleeding!"

Dr. Fu is quite capable .

We acted decisively and made safe arrangements for rescue.

The patient's legs cannot be tied up all the time. If the extremities are not supplied with blood for a long time, they will soon become necrotic.

And this ischemic necrosis is irreversible.

It needs to be untied every 15 minutes or so to allow the blood to circulate.

"Doctor Fu, the patient's bleeding is quite serious. Would it be safer to use intravenous drip?" Zhou Can reminded from the side.

His hemostasis skills have now reached the level of a master.

His ability to stop bleeding is no worse than that of a rich doctor.

Dr. Fu was probably a little confused because of his anxiety.

I don't pay much attention to some minor details.

In patients with severe bleeding, intramuscular injection can easily cause muscle bleeding.

Intravenous drip takes longer to work, but is safer.

"Thanks for your reminder. Don't give it an intramuscular injection. Give the patient an intravenous drip. Safety is the most important thing."

Dr. Fu looked at Zhou Can with gratitude.

This young man is indeed extraordinary.

If I had listened to his advice, I would have postponed the surgery.

I don’t know if I can get over this hurdle right now?

Nurse Liu Xia seemed a little nervous when inserting an intravenous needle into the patient.

She is an experienced nurse, so there must be no problem with her skills.

However, this patient had a coagulation disorder, and there was an atmosphere of panic in the operating room, so she couldn't help feeling nervous.

"Let me do it!"

Zhou Can took the indwelling needle.

"This injection requires very high standards. Can you... do it?" Liu Xia also understood that Zhou Can meant well.

But Zhou Can really lacks work experience.

Including one year , I have only been working for about one year in total.

Doctors rarely practice injections, and many residents are not as good at giving injections as nurses. It is impossible for a resident doctor to be any better.

This patient had already encountered an accident during the operation. If something went wrong again while creating the intravenous access, Dr. Fu would probably be furious no matter how good-tempered he is.

"Isn't that good enough?"

Zhou Can's injection technique is skillful and accurate.

It only takes about two seconds to complete the indwelling needle.

"Oh my God... Doctor Zhou's injection technique is so amazing!" Liu Xia's mouth opened wide, and her round face looked even bigger because of the shock.

Doctor Lu stood under the operating table, feeling depressed.

Things were developing in the direction he least wanted to see.

Not only has Zhou Can won the attention of Dr. Fu, but even nurse Liu Xia has begun to admire Zhou Can's abilities.

On the other hand, he, a senior resident, had failed miserably.

After getting into trouble this time, Dr. Fu will definitely be on guard against him in the future.

Bonuses may also be deducted.

After successful intravenous access was established, the patient began intravenous infusion of vitamin K1.

Dr. Fu quickly called Director Lou to report.

If something went wrong during the operation, not only would he, the attending physician, be in trouble, but even Director Lou would be in trouble.

We are all in the same boat.

After hanging up the phone, Dr. Fu looked unhappy.

"Director Lou will arrive at the hospital in half an hour. Let's stop the bleeding first and see how it goes. If it doesn't work, we'll have to ask a specialist to come over for a consultation."

After more than ten minutes, try to untie the gauze tied around the patient's legs.

As soon as it was untied, blood spurted out again.

Everyone's heart sank; the worst outcome had occurred.

Vitamin K1 injections had no effect.

Dr. Fu even felt like crying.

Who could have thought that a level one surgery could cause such a big mess.

His ability to stop bleeding is limited, so it seems he can only seek help from a specialist.

I'm afraid the specialists will inevitably be ridiculed again.

Zhou Can kept frowning as he watched the patient's bleeding.

At this point, Dr. Fu was at his wits' end, so he decided to try his own plan to stop the bleeding.

"Doctor Fu, the patient is bleeding non-stop, and conventional hemostatic drugs have little effect. Can we try a combination treatment plan?" Zhou Can suggested.

"Doctor Zhou, please speak!"

Now, if someone can stop the bleeding of this patient and help him get through this stage, he would even call me dad.

Zhou Can's performance just now was excellent, which made Dr. Fu no longer dare to treat him as an ordinary resident intern.

"Give intravenous oxygen and ice, and it would be best if the temperature in the operating room could be lowered to below 15 degrees."

Zhou Can gave a combined hemostasis plan.

Dr. Lu would never even think about using this advanced treatment plan flexibly during surgery.

I could only listen in shock.

"There will be no danger or sequelae to the patient."

Zhou Can added.

These two methods of stopping bleeding are safer than stopping bleeding with drugs.

Needless to say, ice cooling is a common emergency method of stopping bleeding.

Intravenous oxygen is used to treat various acute and chronic hypoxia and ischemic diseases, various shocks, acute and chronic cardiopulmonary failure, drug poisoning, carbon monoxide poisoning, etc.

It is not a conventional means of stopping bleeding.

But it is very suitable for emergency hemostasis of this patient.

It can not only help lower blood pressure, but also help the patient's coagulation factors become more active.

Anyone who can come up with this unconventional solution to hemostasis has at least reached the level of a chief physician in terms of his understanding and skills in hemostasis.

Dr. Fu couldn't help but look at Zhou Can in shock again.

There is no false reputation under a great name.

This Doctor Zhou is indeed worthy of his reputation.

"Immediately lower the temperature in the operating room and bring ice packs to cool the patient's wound. I will personally administer the intravenous infusion of high-oxygen solution."

Dr. Fu was like a drowning man grasping at his last straw.

The treatment plan given by Zhou Can was implemented completely.

"Doctor Lu, go get an ice pack."

Dr. Fu instructed Dr. Lu.

"ah……"

Dr. Lu is a senior resident doctor with a very distinguished status. Shouldn't Zhou Can, a junior intern, be asked to do this kind of errands?

"What? If I don't ask you to go, will I ask Dr. Zhou to go? You don't even have half of Dr. Zhou's ability..." Dr. Fu stopped cursing as he was about to say something.

The patient was listening nearby. Although Dr. Lu was hateful, his image still had to be maintained.

Soon, after implementing Zhou Can's series of hemostasis plans, the patient's bleeding rate dropped visibly.

In the end, some capillaries even stopped bleeding automatically.

Everyone breathed a sigh of relief.

Doctor Fu's frown relaxed a lot.

There was an expression of relief on his face

"Doctor Fu, the bleeding has been controlled now. Judging from the amount of blood spurting out after Doctor Lu removed the metal fragments, there must be an artery ruptured. But this is probably not the femoral artery. It's probably just a branch."

Zhou Can finally got the chance to perform.

"Well, your analysis makes sense."

Dr. Fu nodded in agreement.

Unconsciously, he, the attending physician, used the tone and mentality of a peer when discussing Zhou Can's condition.

And he seems to be the weaker party.

This is the direct impact of strength.

Even Dr. Fu found this drastic change in status a little ridiculous.

If it weren’t for Zhou Can’s age, he’s only 24 years old.

He almost suspected that Zhou Can was some attending physician who was deliberately playing the pig and eating the tiger?

"Can you let me do the debridement? It will also be convenient for me to quickly find out the bleeding situation!"

Zhou Can's request this time was truly justified and confident.

"Okay! But be careful!"