8: Minor Surgery in the Emergency Department
"You report to the head nurse and change clothes to prepare for surgery." Zheng Ren finally waited for the emergency treatment. Stimulated by the bloody smell, Zheng Ren felt that the ATP high-energy phosphate bond in his body was breaking and cracking, releasing his strength.
Looking at the patient, the patient's condition has been shown in the upper right corner of the field of vision.
This is a patient with a stab wound. The vital signs are stable, the wound is on the back, and no internal organs are injured.
The condition is relatively simple, that is a small injury that can be fixed after a few days with anti-inflammatory drugs.
Although the wounded looked bloody, it did not scare experienced clinicians.
What's more, Zheng Ren is now blessed system.
Zheng Ren strode back to the duty room and put on white clothes.
It is not allowed to wear white clothes to eat in the cafeteria. God knows which department has what bacteria outbreak, such as Acinetobacter baumannii, which is resistant to all antibiotics. If it spreads in the cafeteria, the entire hospital would have to collapse.
Change your clothes as fast as possible, the injured and family members have come to the emergency surgery door.
"Doctor, my elder brother was chopped and rescued him." The young man who helped the wounded came with a look of horror, and seemed scared enough.
"Yuan Brother, you prescribe a treatment fee and anesthetic, I will take the patient to treatment room." Zheng Ren arranged.
Yuan Li is very happy. There are dozens or dozens of Treatment room in the emergency department every day.
The most annoying thing is that when there is only one person on duty, there are two or three accident treatment patients at once, which one is treat first and which one is treat second.
He took the patient to the operating room next door and asked his family to pay. Zheng Ren and a nurse helped the patient to the operating table.
The operating table in the emergency department is relatively simple, covered with a brown slightly soft crystal plate.
Every day, there are accidents, and the accidents in the emergency department are all minor treatment, which pollute the wounds and are not afraid of secondary pollution. The crystal plate has the advantage of being easy to scrub and not stained with blood.
Cut off the patient's clothes, and a wound about 20cm appeared in front of Zheng Ren.
The cut was turned outwards, and blood was flowing out of several small blood vessels, which quickly flowed along the patient's clothes to the operating table.
Zheng Ren took out a sterile cotton pad to cover the cut, and then began to prepare for the operation.
The Xie Yiren ran in quickly, wearing a blue disposable sterile cap, and blue and white sterile masks did not speak, and started to help Zheng Ren prepare things.
Cut bag, knife and cut bag, cotton, lidocaine, saline ...
...
At the same time, deep in Zheng Ren's mind, a cloud of clear water suddenly rose from the pond. The mist quickly became thick, and the seven colors of light flickered, as if a rainbow was hidden in it, and countless fuzzy shadows were looming, like a mirage.
The glory flowed, and the blurred image in the shadow began to become clear.
If Zheng Ren saw this scene, he would be surprised. What appeared in cloud was what he saw at this moment.
...
"The 0.5% Lika is ready." The nurse acted very well.
The nurses coming out of the operating room are different. They are professional when they prepare for surgery.
Zheng Ren took the cotton pad from the patient's wound, and said to the patient, "Be patient, it hurts a bit."
The wounded nodded, because it was lying on the operating table, so the movement was not obvious.
After rinsing with normal saline, Zheng Ren picked up a large group of iodine cotton balls with tweezers and wiped them from the outside in.
The moment the iodine disinfection range entered the wound, the muscles of the injured person's back suddenly rose up.
The muscles of the back keep trembling, and they are very symmetrical.
"Hold on, disinfect." Zheng Ren said without emotion.
"Doctor, can you give me an anesthesia?" The wounded asked.
"Of course you need anesthesia, but it's not local anesthesia." After Zheng Ren disinfected for the first time, he threw the polluted iodophors into the trash can, and clamped a ball of iodophors, and hesitated on the wounds without hesitation.
"Well ..." The wounded whispered.
"Even local anaesthesia must be disinfected first," Zheng Ren comforted. "Soon, rest assured."
This is iodophor. If iodine and alcohol were disinfected 20 years ago, the pain would increase exponentially.
"Bear it" Zheng Ren said to the patient that he could bear it.
Zheng Ren also put on sterile gloves and first gave the patient a local infiltration anesthesia.
"Clamp line, No. 4." Zheng Ren skillfully found the bleeding blood vessels, looking at the wound, and stretched out his hand.
A curved pair of pliers was gently patted into Zheng Ren's hand. The No. 4 suture left with Zheng Ren's hand and landed on his little finger.
The nurse cooperate with the standard of surgery, and they are called masters.
"scissors..."
"Clamp the line ..."
"Pin No. 1 ..."
In the operating room, only Zheng Ren's tedious instructions and the patient's heavy breathing sounds.
The wound is long and deep, and every layer of tissue must be stitch. Otherwise, if there is a cavity after surgery, there will be complications such as suppuration and infection.
For Zheng Ren, who has 330 points of surgical skills, this stitch is a piece of cake. As he stitched, he wondered if the system should give himself any task? Such as stitching once, giving a treasure chest and the like.
But what Zheng Ren hoped didn't happen. The mechanical female voice representing the system was quiet, as if it had disappeared.
Zheng Ren felt a little regretful, but still meticulously stitched the wound layer by layer.
"Corner needle No. 7 thread." Zheng Ren reached out and patted the needle holder on his hand.
Just then, there was a loud noise outside.
The door of the operating room was kicked open, and several drunk guys broke in.
Zheng Ren scolded a bad word in his heart.
Why are the number of emergency doctors small? Because no one wants to have surgery or see a doctor under these conditions.
"Where's my elder brother?"
"God's day, take care of my elder brother. If there is any problem, I will kill you!"
"Brother, how are you doing?"
Several dog legs threatened Zheng Ren while showing loyalty.
Zheng Ren couldn't decide to laugh or cry. Shouldn't they be warm to the surgeon so that the doctor can concentrate on the operation?
But for alcoholics, especially the drunken drinkers who drink at noon, there is no reason to speak.
"You get out to father!" The wounded roared. He still has a sense of reason, knowing what to do and what not to do at this time, and then with a point of apology, three points of charm, and six points of restlessness, said: My brother is not sensible, don't worry about it. If there is any damage, I will pay for it in a while.
The drunk brother immediately became a lot more obedient after listening to the elder brother's scolding. He scolded Zheng Ren again, and urged by the injured, left the operating room and closed the door.
Zheng Ren sighed, the angle needle dropped, and it was pulled out from another time, and he skillfully tied a knot.
Hanging on his little finger all the time, the scissors holding in the palm of his hand appeared magically on his finger, and cut the seventh line.
"Dr. Zheng, your hand is really slippery." Xie Yiren had done nothing and began to shout 666.
"I don't have a helper for my abdomen habit, so it's easier."
Zheng Ren explained.
"Are you afraid? That's it for the emergency department."
Zheng Ren tried to comfort the Xie Yiren, but before the words were heard, they heard a scream in the hallway outside, followed by a banging sound made by a heavy blunt device falling on the body.
Isn't the emergency department really special, Zheng Ren thought to himself.
A few seconds later, the operating room door was opened again, and several strong men with baseball bats appeared at the door of the operating room.