Chapter 68 This is no joke
Zhou Can’s debridement skills are currently at level two, which is the lower level of regular training and not too advanced.
It's more than enough to treat the wound in front of me.
If it weren't for that stupid Dr. Lu who used the electrocoagulation knife to burn both bleeding points of the patient, the debridement would be much easier.
After the fragment was pulled out, a small column of blood spurted out of the wound.
It is possible that when Dr. Lu pulled out the fragment, the sharp edge of the fragment cut the blood vessel.
It is also possible that the fragment had punctured a blood vessel in the first place.
Before it was removed, it was embedded in the muscle and pressed tightly.
So there was no bleeding .
After it was pulled out, there was no obstruction at the ruptured blood vessel and blood spurted out directly.
This is also the reason why if someone is pierced by a sharp object and the object gets stuck inside the body, it must not be pulled out.
If you don't pull it out, it may just bleed slowly.
There is still hope of rescue if we send him to the hospital in time.
Once it is pulled out, the pressure disappears and heavy bleeding can easily occur.
The injured will die soon.
"This branch artery has been punctured by a fragment. What do you think should be done?"
Zhou Can pointed at the broken blood vessel and asked Dr. Fu to check it out.
This is a minimum respect for senior doctors.
No matter how capable he is, he will be unable to move forward if he does not know how to respect his senior doctors.
There is another thing he did very well.
Zhou Can did not say that Dr. Lu cut the blood vessel, but that the fragments punctured the blood vessel.
You can compete, or even involute, but you cannot undermine each other in front of patients.
"Well, the damage to the blood vessels is not serious. It can be repaired with a vascular anastomosis operation."
Dr. Fu’s biggest concern was injury to the femoral artery.
The results are now much better than expected.
"Can I perform the anastomosis? I have performed many anastomosis surgeries under Dr. Xu, and there have been no failures so far."
Zhou Can quickly promoted himself.
After all the effort, he only earned 1 debridement experience point. He was not easily satisfied.
Take the initiative to stay and work overtime.
It is to quickly earn a lot of surgical experience points.
As long as there is an opportunity, he will fight for it like a hungry wolf.
"I'll repair the blood vessels, and you can sew the skin!"
After seeing Dr. Lu's pig-like skills, Dr. Fu was really scared.
Such an important task as vascular anastomosis would never be easily handed over to junior doctors.
"Okay! Thank you, Dr. Fu."
It was also quite good that Zhou Can successfully got a chance for suture.
As long as he has the opportunity to perform, he can gain Dr. Fu's trust step by step.
Are you still worried that you won’t get the opportunity to exercise in the future?
Dr. Fu's suturing skills are already at the attending physician level. Watching him perform vascular anastomosis is simply a pleasure. You can learn a lot of anastomosis techniques.
After he finishes the stitching, do a blood circulation experiment.
The blood flow is smooth and the vascular anastomosis was done very successfully.
No matter how weak the attending physician is, he is still the attending physician. His ability level is there. He is really not comparable to the resident doctor.
"Doctor Zhou, the rest is up to you!"
Dr. Fu gave up his seat.
However, having learned from Dr. Lu's accident, he did not go off the stage to rest, but stood by and watched so that he could give instructions at any time.
As soon as Zhou Can finished the first stitch, Dr. Fu’s expression brightened.
His eyes showed admiration and a smile appeared on his face.
It seems that Dr. Xu did not exaggerate this boy's abilities!
Next, Zhou Can was unstoppable and met the opponent quickly and well.
The operation almost made Dr. Fu's eyes pop out.
Nurse Liu Xia was also shocked.
Is this really just a resident doctor who has just started working for three days? Why does he feel more capable than Dr. Lu, the resident doctor?
"Suture complete, please check it out, Dr. Fu!"
Zhou Can treated the patient's wound, and this dangerous operation with many twists and turns finally came to a successful conclusion.
He also successfully broke through Dr. Lu's blockade and showed his surgical skills.
"Haha, that's a great job! From now on, I can let you do all my surgeries and skin sutures."
Dr. Fu laughed heartily.
For him, successfully resolving a
"Push the patient out! Because he has a coagulation disorder, give him a bed in the observation area for a day to avoid any accidents."
This kind of minor surgery can be done on the go at Tuya Hospital.
When encountering postoperative risks, the conventional treatment method is to let the patient stay in the observation area for one or two days.
After sending the patient away, Dr. Fu breathed a sigh of relief.
Just as I was about to call Director Lou to report, I didn't expect that Director Lou had already arrived.
Rushed directly into the operating room.
"What about the patient who is bleeding?"
Director Lou asked with a sullen face.
Although his position as the director of the emergency department seems glamorous, he faces greater pressure than anyone else.
We have to find ways to improve the emergency department's rescue rate, and also find ways to generate revenue for the emergency department and improve the level of diagnosis and treatment. We have to worry all day long and pray that the doctors below don't make trouble.
If a patient undergoing a first-level surgery dies on the operating table, the entire emergency department will probably become a laughing stock.
The dean and the vice dean in charge of business affairs will definitely point at their noses and scold them.
"The surgery has been completed and it's healed!"
Dr. Fu reported truthfully.
He was really depressed.
If they found out that the patient had a coagulation disorder before the operation, they would solve the problem of the patient's bleeding through a series of methods. If the news got out, it would definitely be a great achievement.
But now that Dr. Lu has dealt with me like this, it would be good enough if I don't get scolded.
"Healed? Doctor Fu, this is not a joke, let alone a lie. If you treat the patient hastily because you are afraid of being scolded for causing trouble, and someone dies, no one can bear the responsibility."
After hearing this, Director Lou not only did not show any joy, but his face became even darker.
"Don't worry. Although my medical skills and achievements are mediocre, I never shirk my responsibilities. I will never joke about the lives of my patients. This is also the basic ethics of doctors. I guarantee with my personal integrity that the patient was really cured."
Dr. Fu had a serious look on his face and spoke in a serious tone.
Director Lou stared into his eyes for a full twenty seconds. Only when he saw that Dr. Fu's eyes were calm did he believe it a little.
Afterwards, I would definitely have to check on the patient in person to feel at ease.
"It is difficult to stop bleeding for patients with coagulation disorders. In addition, if the artery is ruptured, even I may not be able to stop the bleeding. I am really surprised that Dr. Fu was able to successfully stop the bleeding and complete the operation in such a short time. It seems that your medical skills have improved a lot!"
Director Lou's tone softened a little.
Dr. Fu felt ashamed.
It wasn't that his level had improved a lot, but that a trainee with outstanding abilities came and saved him.
"Tell me about the entire treatment process! Also, the patient had a coagulation disorder, so you didn't do any examination before the operation?" Director Lou's voice became harsh again.
The preoperative examination was not thorough, which was a serious mistake.
Surgery is not a joke and such low-level mistakes must not be made.
"It was indeed my negligence that I performed the operation without waiting for the results of the routine blood test before the operation." Dr. Fu is a real man and he took all the responsibility on himself.
Originally, the person who was most responsible for this matter was Dr. Lu.
