After raising a cat, the goddess doctor became popular in the interstellar

Chapter 528

"Hey, Director, don't get me wrong." An Jun hurriedly explained: "There is a simulation teaching here, and the effect is very good."

"Okay." Wei Changgeng said angrily, "I'm an old man anyway. I'm afraid I won't be able to understand this kind of high-tech product. Let you young people study it first."

Seeing this, An Jun knew that he couldn't persuade him anymore, so he immediately mentioned another matter:

"By the way, Director Wei. Just about an hour ago, a seriously injured patient with multiple broken ribs was about to be transferred from the pastoral area to our hospital. At that time, Director Wang Zhangwang of the emergency center called you. "

As soon as Wei Changgeng heard that there were seriously wounded, he immediately cheered up: "Where is the person now? How is it?"

"I haven't come back yet." An Jun said: "Director Wang was afraid that the wounded would not last long enough to be sent to the hospital, so he specially asked you to pick him up with the car. But you are not here, so he asked me if I could. "

"Then why are you still here?" Wei Changgeng frowned, looking An Jun up and down.

"Well, am I not sure?" An Jun said helplessly: "The township hospital said it was very serious. The patient had broken five ribs, collapsed chest wall, pneumothorax, and atelectasis. Take it back nicely."

"You!" Wei Changgeng gave him a hard look, "I didn't take responsibility when I needed you!"

"What did I tell you before? Regardless of success or failure, gain or loss, I will do my 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! It's okay, Xiaoan, you are so young, you have started to cherish feathers? If this is the case, why are you coming to Tibet? Go home and be 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 still a million points of difference. It's not that I don't want to fight, but there are more suitable candidates."

"That's right." Wei Changgeng immediately lost most of his anger: "Tell me, who went with the car in the end?"

"It's Teacher Tao from the emergency center." An Jun said.

"Teacher Tao?" Wei Changgeng thought about it for a long time but couldn't figure it out. He simply waved his hands and said, "Don't be tricky. There are too many people rushing to the emergency center this time, and I can't figure it out for a while. Tell me, it's Jing." Who is in the Thoracic Surgery Department of which hospital in the city?"

"Uh, not someone outside the chest." An Jun hurriedly said: "Ms. Tao Letao of the First Hospital of Yunshi is the disciple of Zhou Guoshou, and a newly promoted honorary member of the Medical Association."

"You don't need to talk about it. I know her." Wei Changgeng stood up with a straight face: "Nonsense! Who made the decision to send a Chinese medicine practitioner to follow the car to pick her up?"

He turned his head and walked outside: "This Wang Zhang, I will go to him now and talk to him about what he did!"

An Jun didn't expect him to react so strongly, 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, pointing blindly!" Wei Changgeng paused a little, and then sped up: "But you are still young, how old is Wang Zhang, why don't you have any points in your heart!"

"Not to mention anything else, in this patient's condition, it is only by doing chest drainage immediately that there is a chance of survival. You are afraid that you will not be able to do it well, so you don't think about it, does that little Tao who studies Chinese medicine don't even know this term?"

The ambulance drove smoothly.Tao Le quickly cut open the clothes on the wounded man's chest, after a little disinfection, he raised his hand and inserted seven needles.

Three are used to stop bleeding and four are used for anesthesia.

The capillaries in the injured chest were still leaking blood, if it was not stopped immediately, it would affect the anti-shock effect of rehydration.

In addition, although the injured have been in shock and unconscious, it is not good to puncture directly without anesthesia.

Tao Le selected the incision site, sterilized it, and took the scalpel.

Xiao Chen sorted out the kit for thoracentesis and drainage, and spoke hesitantly:

"Doctor Tao, how can you be sure that this is the position?"

This is a good question.Tao Le naturally decided on the position based on the hints on the Golden Finger interface, but she definitely couldn't tell Xiao Chen the truth about this matter.

"Rely on percussion." Her mind turned very fast, and she quickly remembered the answer in the textbook.

"When imaging examinations are not available, the positioning is mainly based on percussion. Where there is a lot of fluid, the hand feels different."

So it is!Although Dr. Tao has never worked in the emergency department, he has a lot of clinical experience and knowledge reserves!
As Xiao Chen thought about it, he saw Tao Le make an incision about 1 cm in the second intercostal space on the middle clavicle line on the right side of the injured person.

This incision is too small, right?
The general thoracentesis drainage incision should be at least doubled.

Although Xiao Chen has never done it before, he has seen it many times after all, and he is impressed by the size of the incision.

It's so small, can it handle it?
But the truth is, here in Tao Le, there is nothing impossible.

Tao Le concentrated on operating.For such a small incision, she used two hemostatic forceps to bluntly separate the chest wall muscles and intercostal muscles, and then pierced the pleura with the tip of the forceps in her left hand without hesitation, and separated the pleural gap along the way.

At the same time, the hemostat in the right hand held the rubber drainage tube with side holes and inserted it into the chest cavity through the wound.

This series of actions is clean, neat, and fast, just like she has done thousands of times.

Xiao Chen could see clearly from the opposite side. The depth of the side hole of the drainage tube inserted into the pleura was between 0.5 and 1 cm, no more, no less, just right.

Tao Le withdrew the hemostat, and the drainage tube was connected to the water-sealed bottle, and the dark red fluid slowly flowed into the bottle, with occasional bubbles floating to the surface.

Facts have proved that the position of the intubation is very accurate, and the drainage was successful once.

With Tao Le's current hand-eye coordination ability and the visual guidance of the golden finger, this kind of operation is not difficult at all.

Coupled with the intensive training in the golden finger space before, she was completely indifferent when she made it, so she didn't notice Xiao Chen's admiring gaze.

This is the smoothest and best closed thoracic drainage she has ever seen since practicing!
The incision was sutured, and the drainage tube was fixed.

The cheat interface pops up in due course:

[Complete a case of chest cavity sealing and drainage, which took 1 minute and 05 seconds, increased the health value by 11 points, evaluation: excellent.

Reward one chance of puncture and drainage simulation guidance practice.Do you use it now?whether. 】

Puncture and drainage is a very practical technique in clinical practice, including but not limited to thoracentesis and drainage, abdominal puncture and drainage, pericardiocentesis and so on.

It's good to get systematic learning opportunities, but Tao Le doesn't care about it right now.

Speaking of it, she seemed to have a rewarding learning opportunity, but she had always forgotten to study.

No wonder I saw the masked man with a poisonous tongue just now. His eyes were a little dark and his tone was also yin and yang. This is probably the reason.

Decisively refusing to study now, the pop-up window seems to regress reluctantly.At the same time, Tao Le seemed to hear a sigh.

The wounded hadn't woken up yet, Xiao Chen was looking at him with sparkling eyes, and his family member Dama sat aside obediently, looking up at him, full of trust—where did the other voice come from? ?I must have heard wrong.

As the previous interface recedes, a new prompt appears.

(End of this chapter)