467 Tourniquet
"Zhou Congwen, no problem, don't just try to do it." Director Wen persuaded kindly.
He has no trust in thoracoscopy.
Especially Zhou Congwen did it too quickly. He just started a service and found that his spleen had ruptured and other organs had not had time to see it. Zhou Congwen had already had the surgery.
How is this possible?
"The operation is very simple. Didn't you say it just now?" Zhou Congwen squatted down to look at the chest vial, "Brother Liu, help me bloating my lungs."
"Congwen, it should be fine, you are so cautious." Liu Wei smiled and looked at Director Wen while bloating his lungs. "I saw it very clearly just now. There was no gas overflow, and there was no blood in the rinsed salt water."
That's what I said, mainly to Director Wen, the lungs should be bloated.
The residual liquid flowed out along the chest tube, not large in quantity, and was light in color, so there was no sign of bleeding.
"Okay, that's it." Zhou Congwen turned around and stepped down.
"Zhou Congwen, wait." Director Wen shouted.
"Hmm? Didn't I just not need to be my assistant? My clothes were contaminated." Zhou Congwen said.
"You didn't ask you to be an assistant, wait twenty minutes before you bloated before you see. If it's okay, go on, open your chest quickly if you have something to do." Director Wen didn't believe that Zhou Congwen used a thoracoscopy to investigate and completed the operation so quickly.
"It's OK." Zhou Congwen smiled slightly, stood behind Director Wen to watch him undergo surgery.
"Director Wen, you are so cautious. You are even careful about chest." Liu Wei sarcastically.
Director Wen lowered his head for surgery and had no intention of arguing with Liu Wei.
The doorbell rang, and the nurse rang to open the door.
"Emergency! Is Old Liu here? Let's get a deep vein first!" A hurried voice came from the door, and the sound of a flat car came along with it.
"What patient?"
"It was cut by a chainsaw and it was not completely broken. Hemorrhagic shock, the high pressure below is 60."
Liu Wei immediately told his assistant to take care of him and hurriedly walked out.
"It's really busy today," said the general surgeon. "It's only the hour, and emergency trauma comes one after another."
"A few days ago, a patient's family member jumped off a building. Do you know?" Zhou Congwen asked.
"I know, the operating room was boiling that day, and we had 6 pieces of the appendix and one gallbladder."
Sure enough, there is general surgery involved in any emergency night.
"By the way, how was the patient who jumped off the building?" asked the general surgeon.
Zhou Congwen shook his head and signaled that he didn't know.
But he immediately remembered Shen Lang. That guy should know the patient's outcome, but he just didn't tell him.
Looking back, I asked Shen Lang, Zhou Congwen thought of it. But he also knew that he would probably forget this matter.
He is not a thoracic patient, and he is not Shen Lang, so he will definitely not worry about these gossip.
There was a messy sound outside, and Liu Wei had already started yelling.
"Deep vein puncture pack, hurry up!"
Zhou Congwen's heart moved, turned around and looked at the chest vial, explained a few words to Liu Wei's assistant, and then left the operating room.
Director Wen glanced at Zhou Congwen's back, then took a step back and glanced at the chest bottle with his eyes.
The water column fluctuates well and there is no gas to be drawn out. The drainage fluid in the chest tube is light red, which does not look like bleeding, but the remaining warm salt water after rinsing.
Really finished? And it's okay!
Director Wen couldn't believe it.
Wait for twenty minutes before bloating your lungs. If there is still an untreated trauma, you will definitely see the problem in twenty minutes.
...
...
Zhou Congwen strode to the next door to the art room and saw that Liu Wei was busy.
There was a cracked wound on the left thigh of the patient, which was deep and visible to the bone. The muscles were broken and crushed into a mess. The gauze pressed on the wound had been soaked.
In the future, this kind of wound should be accepted by the trauma department, but the current third hospital does not have the trauma department, and all limbs are received by the orthopedics.
Director Sui of Orthopedics stood aside with an unhappy look on his face and said something.
Zhou Congwen lifted up the clothes covered by the wound and saw a tourniquet strangle the upper edge of the trauma to stop bleeding.
It's true.
This is a routine operation, and the tourniquet should be left by the doctor in the 120 ambulance.
If a big hole like the patient in front of me kept bleeding, there would be no one. The tourniquet is indeed a useful thing.
But the tourniquet...
I hope there is another problem, Zhou Congwen thought to himself.
He touched his skin and his skin temperature was OK, probably not long.
Director Sui saw Zhou Congwen coming in and wanted to glare at him, but he still looked away without saying a word.
Last time, Zhou Congwen scolded him and Wang Chengfa as dogs, and Director Sui suffered a critical hit and hurt his heart. Until now, he still felt a little trembling when he saw Zhou Congwen.
Liu Wei acted quickly and quickly completed life supervision.
The induction of anesthesia is smooth and the tracheal intubation can be visually completed.
Then Zhou Congwen assisted him in the patient's right radial artery and right internal jugular vein to puncture the cannula to improve arterial monitoring and ensure the infusion channel.
This is already the highest level in the Third Hospital. The arterial blood pressure monitoring instrument has just been introduced and it is rarely used. Generally, the cuffs measure blood pressure.
"Go up." Liu Wei saw the liquid slipping in, and then he let out a long breath.
Director Sui began to debride and suture, and as the fluid and whole blood were injected, the patient's vital signs further rebounded.
During the operation, the arterial blood pressure was monitored, the body temperature was protected, and the arterial blood gas analysis was timely to maintain the patient's vital signs and internal environment in the operation, and the blood pressure was maintained at 100/55mmHg, and the heart rate was 70 beats/min.
"Unlock the tourniquet." Director Sui said to Liu Wei when he saw that the patient was in a stable condition.
"Wait." Zhou Congwen stopped Liu Wei.
Director Sui was stunned.
He was immediately angry. Zhou Congwen was too much. Is he the director of the Department of Anesthesiology? If he didn't provoke him, he actually came to provoke him.
It's so fucking, I don't know what my surname is.
"Prepare epinephrine, dopamine, methylangroxon, hydroprednisone, defibrillator."
Zhou Congwen talked about a lot of rescue medicines and equipment in one breath.
Liu Wei was stunned for a moment, and he looked at the patient's electrocardiogram monitoring.
Blood pressure is 110/60 mmHg, and the heart rate is slightly faster, but it is still within an acceptable range.
What are you preparing these things for?
Although he didn't understand it, Liu Wei did not speak much, but prepared various rescue medicines according to Zhou Congwen's wishes.
The situation has been very clear recently. Liu Wei's attitude towards Zhou Congwen has changed, which is more respectful than before to Wang Chengfa.
It is necessary to prepare for emergency rescue medication, and Liu Wei found a reason for himself in his heart.
"Unlock the tourniquet." Director Sui said in a deep voice, "Will you be responsible for the necrosis of your limbs for a long time?"
"Not one minute later." Zhou Congwen helped Liu Wei prepare things and replied coldly.
Chapter completed!