Chen Ke has been afraid of pain since he was a child. He has been carefully cared for and grown up over the years. He has never suffered from this problem.
He just went back to the house to get his belongings, but unexpectedly he hurt his foot.
The ankle bone of my right foot must be broken now, otherwise how could it be so painful?
But now Ye Chen, who claimed to take care of him, was nowhere to be seen. The other candidates were also milling around the villagers, but no one paid attention to him.
This kind of human heart can only be seen at a critical moment. It is full of naked jealousy and coldness, and everyone cannot see that they are popular!
At this moment, he suddenly saw Teacher Feng from the training base running over with an equipment box in his left hand and a medicine box in his right hand.
When passing him, Chen Ke grabbed his feet.
"Teacher Feng, my foot is broken, please help me take a look first!"
Broken ankle? Although this injury was not minor, it was not as serious as Zhang Laoliu, who suffered a broken thigh and bruised skin. It was not as critical as Sister-in-law Huang, who had a piece of wood stuck in her stomach.
Ye Chen was taking care of another seriously injured person. He had to rush over to help Zhang Laoliu debridement, hoping that the road down the mountain could be cleared quickly and his leg could be saved in time.
"Wait a minute, there are more seriously injured people, don't be in a hurry..."
"But I can't bear the pain! Teacher Feng, you know my identity. Please help me take a look first!" Chen Ke cried while holding his leg.
When Uncle Wang, who was sitting next to him, saw this, he said: "We are all fine, and we can bear it for a while. You can show it to Dr. Chen first. He is from the city, and unlike us villagers, he can withstand consultation." Consult."
It’s a joke, people are all the same. In the face of pain, there is no difference between a city person and a village person.
Uncle Wang was injured when he went back to the house to get medicine. A beam fell down and injured his arm. There was a cut that was about an inch long and deep enough to show the bone. It was only bandaged roughly, but blood was still seeping out.
The old man was very tough and determined to let the people from the free clinic team take care of other lightly injured people first, and then deal with him last.
Feng Lei, with some enthusiasm, squatted down and touched Chen Ke's right foot.
At first touch, he seemed to have swallowed oil, salt, sauce, vinegar and sugar at the same time, and the expression on his face was extremely strange.
"Teacher Feng, is my leg hopeless? It hurts so much and I dare not move. Is it a comminuted fracture?" Chen Ke was frightened by the change in his expression, and tears fell out of his eyes.
Feng Lei let go and stood up.
"The bones are fine. It's just a slight twist, but it's not swollen..." He shook his head and strode past Chen Ke, heading straight to the infirmary.
For a moment, countless eyes shot towards Chen Ke's face. There were all sorts of emotions in their eyes, which made him feel panicked.
"Teacher Feng, you are a professional, have you misunderstood - I am in so much pain that I can't stand it!"
Feng Lei ignored him at all. I am an orthopedic resident who was transferred to a regular training base. I can't understand a small twist of the foot. It's a joke!
In the infirmary. Lying on the treatment bed outside was Zhang Laoliu. Yang Lipeng had cut off his trouser legs and was inspecting the injury.
In the bed that originally belonged to Dr. Wei, Sister-in-law Huang, a midwife who was deeply trusted in the village, was lying on it with a pale face, and a triangular piece of wood was inserted into her right abdomen.
"It can't be pulled out. If it is pulled out, it will cause severe bleeding - there is no sterile environment here, and there is no anesthesia and blood bags, so there is no way to operate. It must be sent to the hospital as soon as possible." Ye Chen said.
Tao Le quickly tied her blood pressure monitor and finger oxygen clamp on her. There is no bedside monitoring device here. She has a golden finger, but she has to hide it from others.
"Blood pressure 110/60, blood oxygen saturation 97% - not bad."
"I'm going out to ask if the road down the mountain has been explored." Doctor Wei hurried out.
Ye Chen was very worried. When a foreign body enters the abdomen, the most feared thing is damage to the organs. Judging from the location of the wooden block, it is very close to the liver. If it cannot be saved, liver damage will occur.
With liver damage, blood loss, and bile entering her abdomen, I'm afraid Sister-in-law Huang will go into shock soon.
"Give her an intravenous indwelling needle and prepare for rehydration." Although there is no plasma, rapid rehydration is the only way to resist shock and increase blood volume.
Tao Le immediately responded. She had a golden finger, and the situation inside Sister-in-law Huang's abdomen was clearly displayed in front of her.
Sister-in-law Huang's life is very good. The head of the wooden block is pointed and far less big than the exposed part. It basically missed the liver. Only a small wooden thorn stuck in the liver. It was already considered unfortunate. Great luck.
"After testing, the current conditions support the removal of abdominal foreign bodies. Is simulation guidance practice required? Yes/No. Note: Simulation guidance practice does not take up real time."
Tao Le almost laughed when he saw this line of writing. This operation is an emergency surgery, so it's not her turn to do it.
As soon as the road is open, Sister-in-law Huang and Zhang Laoliu will have to be sent down the mountain quickly to a large hospital for surgery.
Even in this village, Ye Chen and Teacher Feng still had nothing to do with her.
Although she had done intravenous catheterization during her internship, she was not very skilled at it.
Otherwise, just go into the Golden Finger Space and practice everything. There are so many skills that you don’t have to worry about, and it doesn’t take up time outside anyway, right?
With this in mind, Tao Le chose "yes".
Tao Le did not expect that this practice would take so long, so long that she almost forgot about the outside world.
If it weren't for the fact that the golden finger space can keep people energetic all the time, she would definitely not be able to persevere.
Intravenous catheterization, deep vein catheterization, fluid rehydration and anti-shock, acupuncture anesthesia, foreign body removal, debridement, abdominal flushing, suturing... I can't even count how many times I did it.
The male doctor opposite him was no longer as gentle and approachable as he had been when they first met.
No wonder I have to wear a mask, it must be to hide that poisonous tongue.
Tao Le, who was finally released with an excellent rating, is no longer sensitive to the hurtful power of words.
Tao Le's intravenous cannulation was done skillfully and smoothly, and his movements were so smooth that Ye Chen nodded secretly.
"Be prepared for rehydration. Crystals first, then colloids, salt first, then sugar. You know this."
In the space, Tao Le, who had done the repairs countless times, not only understood, but also knew where to put these things.
Crystals mainly refer to physiological saline. There are 8 bottles in the cabinet at the bottom left of the infirmary, all of which are 500ml. Take them out for spare use;
Colloid mainly refers to a mixed solution of hydroxyethyl starch and sodium chloride, which is the simplest plasma substitute.
There were 6 bottles of this stuff in the box under Dr. Wei's bed in the back room. Tao Le brought a pot of it.
"One intravenous catheter may not be enough. Should I add another deep intravenous catheter?" Tao Le asked.
The intravenous indwelling needle was inserted into the superficial vein of Sister-in-law Huang's left arm, which was not enough to meet the need for rapid and large-scale fluid replenishment during shock.
By adding an indwelling needle to a large deep vein, two or more veins can be replenished at the same time, and the latter has a large flow rate and can enter the body quickly and in large amounts.
Sister-in-law Huang, the simulated person in the space, told her with a bloody lesson that she must add, but it would not work without adding.
"It's not impossible." Ye Chen remonstrated: "Can you do it? How about I teach you?"
"I'll try it first. If it doesn't work, I'll ask Teacher Ye for guidance." Tao Le said politely, but his hand movements were rude.
Once an expert gets started, he or she will know if there is one. This movement, this precision, is just as good as Ye Chen's own. How did she achieve this at such a young age?
While Ye Chen was thinking about it, Doctor Wei came back sweating profusely.
"The rocks on the cliff have fallen off, the bridge is broken, and we can't get down the mountain." He said anxiously.
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