13 You are in the emergency room
The suture was fixed, and Zhou Congwen did not even cover the incision, and then looked at the chest vial again.
In addition to gas, at least 300 ml of dark red blood was drawn out during the suture process.
Picking up the stethoscope, Zhou Congwen paused the lungs on the affected side, and his breathing sound became stronger. However, something unexpected was that the breathing sound on the opposite side was problematic, and Zhou Congwen frowned slightly.
This is just the first step in emergency first aid. Zhou Congwen took off his gloves and glanced at him, "The family of the patient who can sign it!"
A woman with tears in her eyes walked out.
"Who are you?"
"It's my son, doctor, please save him." The woman said wailingly.
"Emergency rescue, I don't have time to explain to you before surgery. It is possible that the operation will be shorter and later, and the person will be gone." Zhou Congwen said while walking out of the rescue room.
Taking off the sterile gloves without a drop of blood, Zhou Congwen came to the office while talking.
He directly took a blank preoperative confession document and placed it in front of the patient's family, "signed."
Domineering, no doubt.
But the more this happens, the more domineering people are worthy of trust. Emergency emergency treatment, tears are not believed in.
The patient's family picked up the pen and signed his name tremblingly. At the same time, Zhou Congwen had called Wang Cheng to report the patient's condition.
Although he is not in the way of dealing with Wang Chengfa, it is precisely because of this that we must be more cautious.
If he really comes back from birth, the boss standing at the top of medical care will be killed by a department director who has become a monk at the middle of the road. Zhou Congwen will probably commit suicide in shame.
"Director Wang, a patient stabbed with a right chest knife, was hemorrhagic shock and tension pneumothorax. Both breathing sounds were weak. I took the patient to have a CT scan and pushed him to the operating room."
Zhou Congwen briefly reported the situation to Wang Chengfa.
"What CT room to go! Take the time to go to the operating room. Are you confused? Hemorrhagic shock directly open your chest to investigate without taking an image."
Wang Chengfa on the other side of the phone yelled directly.
Zhou Congwen took a deep breath and repeatedly told himself his current identity. As a young doctor, it is necessary to obey the instructions of his superior doctor.
Otherwise, we can argue in front of the patient, or even fight first?
Isn't that nonsense?
Zhou Congwen was not worried about the patients, after all, he had his own control and there would be no major problems.
I pushed the patient to the operating room. Zhou Congwen hadn't had an emergency surgery for a long time. I felt... it was a bit fresh.
Since I went to the Magic City in my previous life, Zhou Congwen has no longer been exposed to low-level emergency surgery. At most, others cannot do it and he goes to the stage to put out the fire. However, the medical level of the Magic City is very high, and this kind of thing can never be encountered once a year.
"Zhou Congwen, you are quite busy."
The door of the operating room was called to open, and the nurse pulled the flat car in and joked with Zhou Congwen.
"There's no choice. I haven't eaten the food yet. I just broke the chopsticks."
"We just started eating, and Xiaohui said something more, and asked if you were on duty today. I thought something was wrong at that time. You are really good, and you don't miss each time. You are in the emergency department!"
"Don't mention it, I'll go change my clothes and let Master Ma quickly pierce the clavicle." Zhou Congwen sent the patient in and hurriedly changed his clothes.
The shabby locker room, the torn surgical gowns steamed in the steam pressure cooker, the scene is very nostalgic.
Zhou Congwen didn't have time to miss the past, so he quickly changed into an isolation suit and limped into the operating room with slippers.
"Xiao Zhou, what's wrong with your leg?" the anesthesiologist asked in surprise.
Zhou Congwen was also speechless. Can he say that his legs hurt because he saw Wang Chengfa?
No, and no one believed it even if it was said.
"How are the patients?"
"It's okay, a small problem." The anesthesiologist said easily, "It's blood-coated."
"It's right." Zhou Congwen began to install special surgical equipment for the thoracic department.
The right side is stabbed, the left side is lying, and the left side of the operating table needs a handrail, which is manually installed by the doctor.
After the anesthesia, disinfection and sterilization were placed, Zhou Congwen put on his hands and stood in the position of the surgeon.
The door of the operating room opened, and Wang Qiang and Wang Chengfa walked in.
Wang Chengfa glanced at Zhou Congwen, then looked at the patient's vital signs, and came back to squeeze Zhou Congwen to the second auxiliary position.
Although he was wearing a hat and a mask to cover most of his face, Wang Chengfa's expression was arrogant and domineering.
Wang Qiang stood in Ichisuke's position and directly asked the equipment nurse for a knife.
The anesthesiologist glanced at Zhou Congwen and comforted him with his eyes.
Except for some talented people, all surgeons cannot escape the curse of the word "just-handed" by hand. Of course, Zhou Congwen's slut is also the same.
If you have a good relationship with the director and are dedicated to cultivating, the path of a surgeon will be much simpler. If you don’t have one surgery, you can put ten ones; if you don’t have ten, you can put one hundred.
No matter how stupid a talented person is, he has become a surgeon after hundreds of surgeries.
Back then, Wang Chengfa relied on driving all the old directors away from the skills he practiced, and now he is focusing on cultivating Wang Qiang. In more than a year, Wang Qiang has practiced more than 70 surgeries of all sizes, and many colleagues have surpassed one class.
Zhou Congwen didn't say anything. Although Wang Chengfa claimed to be fair and said during a meeting that he would ask anyone to take the emergency department, as long as he came to the emergency department of his class, Wang Chengfa would call Wang Qiang and let his proud disciple practice.
In the last life... Zhou Congwen thought of what happened in the past and looked at Wang Qiang's proud expression, Feiyang's expression was a little funny.
He is about to be in trouble, if his return has not changed the big timeline.
From that incident, Wang Chengfa got closer and closer to retirement, and he no longer taught surgical skills. He thought that he could be the director for several years after he retired.
The anesthesiologist corrected the shadowless lamp, and Wang Qiang took the scalpel and cut it with one slash.
The skin is opened, the depth is different, the arc is not perfect, and it fails.
Isolation damages too many blood vessels and nerves and fails.
Zhou Congwen even saw that Wang Qiang had not avoided the intercostal artery at all, so he almost cut the artery.
The technical level in 2002 was really low.
Now that thoracoscopy has appeared, there are a group of new forces around 35 years old in the imperial capital and the demon city to study the use of thoracoscopy.
Even the Third Hospital bought a thoracoscopic device.
But thoracoscopy has not been popular yet, and the technical level is also... terrible. Zhou Congwen still remembers that there was a thoracoscopic demonstration surgery in Di this year, and the laparoscopic esophageal cancer resection was performed for 9 hours.
Therefore, whether it is the imperial capital, the magic capital or the grassroots hospital, they mainly use thoracic surgery. Those new doctors have no say and their skills are not mature, so they cannot compete with the old directors at all.
The old director would not give up on the chest opening surgery he had studied for a lifetime, and he would think about minimally invasive surgery at the age of fifty.
Chapter completed!