"Hey, director, don't get me wrong." An Jun quickly explained: "There is simulation teaching here, and the effect is particularly good."
"Okay." Wei Changgeng said angrily: "I am old anyway. I am afraid that I will not be able to understand this kind of high-tech product. It is better for you young people to study it first."
When An Jun saw this, he knew he couldn't persuade him, so he immediately mentioned another thing:
"By the way, Director Wei. Just about an hour ago, a seriously injured patient with multiple broken ribs was to be transferred from the pastoral area to our hospital. At that time, Director Wang Zhangwang of the emergency center even called you. "
As soon as he heard that there were seriously injured people, Wei Changgeng immediately cheered up: "Where are they now? How are they doing?"
"He's not back yet." An Jun said, "Director Wang was afraid that the injured wouldn't be able to hold on until he was sent to the hospital, so he specifically wanted to ask you to pick him up in the car. But you weren't there, so he asked me if that was okay. "
"Then why are you still here?" Wei Changgeng frowned and looked An Jun up and down.
"Well, am I not sure?" An Jun said helplessly: "The rural hospital said it was very serious. The patient had five broken ribs, collapsed chest wall, hemopneumothorax, and atelectasis. Even if I went there, I might not be able to save him. Take it back well.”
"You!" Wei Changgeng glared at him fiercely: "You didn't take responsibility when you were needed at the critical moment!"
"What did I tell you originally? Regardless of success or failure, gain or loss, do your best until the last moment."
"It's good for you. When I heard that the injury was serious, I didn't even dare to go up! Okay, Xiao An, you are so young and you have started to cherish feathers? In this case, why are you coming to Tibet Province? Why don't you go home and become a Taiping doctor!"
"Hey, Director, you are right." An Jun knew his temper well, so he admitted his mistake first and then explained:
"But there are hundreds of millions of differences. It's not that I don't want to rush, it's that there are more suitable candidates."
"That's right." Wei Changgeng's anger disappeared immediately: "Tell me, who followed the car in the end?"
"It's Teacher Tao from the emergency center." An Jun said.
"Teacher Tao?" Wei Changgeng thought for a long time but couldn't figure it out. He simply waved his hands and said: "Don't be too pretentious. There are too many people rushing to the emergency center this time. I can't think of it all at the moment. Tell me, it's Beijing." Who is in the thoracic surgery department of which hospital in the city?"
"Well, it's not someone outside the chest." An Jun said quickly: "Teacher Tao Letao from Yunshi No. 1 Hospital is a disciple of Zhou Guoshou and a newly promoted honorary member of the Medical Association."
"You don't need to say anything. I know her." Wei Changgeng stood up with a straight face: "What a nonsense! Who made the decision to let a Chinese medicine doctor pick her up in the car?"
He turned around and walked outside: "This Wang Zhang, I'm going to go find him now and talk to him about what he did!"
An Jun didn't expect his reaction to be so big, so he quickly chased after him: "Director, listen to me, Teacher Tao was actually recommended by me, and Director Wang also approved it."
"You, you, you are so stupid!" Wei Changgeng paused for a moment and then sped up: "But you are still young after all. How old is Wang Zhang? Why don't you still have no idea in your heart!"
"If nothing else, the patient's condition means immediate chest drainage is the only way to have a chance of survival. You are afraid that you can't do it well, so why don't you think about it, does Xiao Tao, who studies Chinese medicine, not even know this term?"
The ambulance drove smoothly. Tao Le quickly cut off the clothes on the injured man's chest, disinfected it for a while, then raised his hand and inserted seven filiform needles.
Three are used to stop bleeding and four are used for anesthesia.
The capillaries in the chest of the injured person are still leaking blood. If it is not stopped immediately, the effect of rehydration and anti-shock will be affected.
In addition, although the injured person was in shock and unconscious, it was not advisable to puncture directly without anesthesia.
Tao Le selected the incision site, disinfected it, and took out the scalpel.
Xiao Chen organized the thoracentesis and drainage kit and spoke with some hesitation:
"Doctor Tao, how can you be sure that this is the location?"
This is a good question. Tao Le naturally followed the prompts on the golden finger interface to determine the position, but she definitely couldn't tell Xiao Chen truthfully about this.
"Rely on percussion." Her mind was spinning very fast, and she quickly remembered the answer from the textbook.
"When imaging examinations are not possible, we mainly rely on percussion to locate the area. Places with a lot of fluid accumulation will feel different."
So that’s it! Although Dr. Tao has never worked in the emergency department, his clinical experience and knowledge reserve are really rich!
With Xiao Chen thinking like this, he saw Tao Le making an incision of about 1cm in the second intercostal space on the right side of the midclavicular line of the injured person.
Is this incision too small?
The general thoracentesis and drainage incision should be at least doubled.
Although Xiao Chen has never done it, he has seen it many times and is impressed by the size of the incision.
It's so small, can it be operated?
But the fact is, here in Tao Le, nothing is impossible.
Tao Le concentrated on the operation. With such a small incision, she used two hemostats to bluntly separate the chest wall muscles and intercostal muscles in a staggered manner, and then without hesitation, she punctured the pleura with the tip of the forceps of her left hand and opened the crack in the pleura.
At the same time, the hemostatic forceps on the right hand held a rubber drainage tube with a side hole and inserted it into the chest through the wound.
This series of actions was clean, neat, and fast, just like she had done it thousands of times.
Xiao Chen could see clearly from the opposite side that the depth of the side hole of the drainage tube inserted into the pleura was between 0.5-1CM, no more, no less, just right.
Tao Le withdrew the hemostatic forceps and connected the drainage tube to the water-sealed bottle. The dark red fluid slowly entered the bottle, and occasionally bubbles floated to the surface.
Facts have proved that the position of the intubation tube was very accurate and the drainage was successful the first time.
With Tao Le's current hand-eye coordination ability and the golden finger's visual guidance, this operation is not difficult in the first place.
Coupled with the previous intensive training in the golden finger space, she was completely unconcerned when she made it, so she didn't notice Xiao Chen's admiring gaze.
This was the smoothest and most outstanding chest closed drainage she had ever seen since she started practicing!
Suture the incision and fix the drainage tube.
The golden finger interface pops up at the right time:
[Complete a case of chest closed drainage, which took 1 minute and 05 seconds and increased the health value by 11 points. Evaluation: Excellent.
Award one opportunity to practice puncture and drainage simulation guidance. Are you using it now? whether. 】
Puncture and drainage is a very practical technology in clinical practice, including but not limited to thoracentesis and drainage, abdominal puncture and drainage, pericardiocentesis, etc.
It would be good to get systematic learning opportunities, but at the moment Tao Le couldn't care less about it.
Speaking of which, she seemed to have another opportunity to study as a reward, but she had always forgotten to study.
No wonder I saw the man with a mask and a sharp tongue just now. His eyes were a bit sinister and his tone was also yin and yang. This is probably the reason.
I decisively refused to study now, and the pop-up window seemed to go back reluctantly. At the same time, Tao Le seemed to hear a sigh.
The injured person has not yet woken up, Xiao Chen is looking at him with bright eyes, and his family member Dama is sitting aside honestly, looking up at him, his eyes are full of trust - where are the other voices coming from? ? I must have heard wrongly.
As the previous interface recedes, new prompts appear.
(End of chapter)
