Start as an Emergency Physician

Without saying a word, He Jianyi rushed to the hall of the emergency department, and by the way, he called Zhou Yuan, who was doing ward rounds.

"Teacher, what's going on?" Zhou Yuan asked, following He Jianyi.

"There's a patient coming in from the surgery department, and we need to take over from the emergency department. "

Zhou Yuan was the same as He Jianyi's surprise: "There is also a surgeon who sent a patient to our emergency department?

He Jian glanced at Zhou Yuan: "I guess it can't be separated from you." If the replantation is successful after crushing, you are the first person in our hospital. "

The two were waiting at the entrance of the emergency department hall, and it was estimated that they would come in a few tens of seconds.

Jiang Xiaoqi also heard the wind and was a little puzzled.

"Are you saying that the surgeon is going to transfer the patient to our emergency department?" Jiang Xiaoqi was puzzled.

Wang Ziqiao: "It seems that I heard what Lin Wen said." "

"No, we have always triaged patients, how can there be surgeons who bring patients to the emergency department?"

Jiang Xiaoqi felt very strange: "The surgeons in surgery all have solid professional skills, and our emergency department is mainly life-saving, and we can't compare with those who specialize in one department, and there are still people in our emergency department who can treat their patients?"

Even she, a Ph.D. from Harvard Medical School, can't handle it!

Wang Ziqiao: "Uh... Don't we have an intern!".

Jiang Xiaoqi took off her badge and looked at the words "deputy chief physician" on it, feeling particularly heartbroken.

Woooooooooooo

At that moment, a rapid whistle sounded.

One second for treble, one second for flat, one second between intervals... Ambulance!

An ambulance scurried to the door of the emergency department, and after slamming on the brakes, two beds were pushed down from it.

The beds were a little shocking, and most of them had been stained red. The bed in front was a patient, and the bed in the back was covered, but with Zhou Yuan and He Jianyi's eyesight, it could be seen at a glance that it was three or four arms.

"Amputated limb replantation!" Zhou Yuan instantly thought of the reason why the surgeon was here.

"What's going on?" He Jianyi and Zhou Yuan immediately rushed up, took the handrail of the hospital bed, and quickly pushed it to the rescue room.

"When the factory came, I dozed off when I was operating the punch, but I put my hand in, and my arm was cut into several pieces, and we don't have enough people in the surgery!" said Wu Guohui, deputy director of the Department of Surgery.

Originally, he could have done this surgery alone, but the patient's arm was not completely a relatively simple cutting severe, and after entering the punch, the severed arm was crushed at the same time.

In other words, this is not a simple disconnection, but a composite disconnection.

The difficulty of the operation is too high, and there are too many bones, blood vessels, and nerves that need to be connected, so Wu Guohui does not dare to act rashly.

In desperation, he thought of Zhou Yuan, who had a successful case, and could only push people here.

"Is the operating room vacant?" Zhou Yuan asked as he ran wildly with the hospital bed.

"Operating Room No. 1!" Lin Wen replied briefly.

Soon, the bloody hospital bed was pushed into the operating room, and only Zhou Yuan, Haiyang and the two deputy directors remained in the operating room.

Under the shadowless lamp, in addition to the operating table, there are three sterile tables. One contains the amputated limb, the other contains the instruments used to debride the amputated limb, and the other contains the surgical instruments.

"Three hours, huh?".

Zhou Yuan is not hypocritical, everyone knows why Wu Guohui sent people here, so he directly started to check it.

Wu Guohui was a little surprised, nodded and said: "Yes, but we chose to cryostore the severed limbs for the first time, and they have carried out simple cleaning and disinfection, which can ensure the vitality for twelve hours." "

The implication is that if you really can't do it, you can only think of other ways.

Zhou Yuan asked again: "Does the patient have any contraindications to amputated limb replantation?"

This is something that must be clarified before the surgery, in addition to the various signatures.

Amputated limb replantation is demanding and includes a variety of contraindications, such as systemic chronic disease that does not allow prolonged surgery. Or there is damage or long-term immersion in irritating liquids and disinfectants, etc.

"There are no contraindications!" replied Wu Guohui.

Zhou Yuan nodded and came to the patient, "Do you know where you are?"

The patient gritted his teeth, endured the pain, and said, "In the hospital." "

Zhou Yuan breathed a sigh of relief.

It's good to be conscious.

In amputated limb replantation surgery, the situation can be particularly complicated once the patient is in shock from a coma.

"Quickly transfusion, blood transfusion, placement of the retained urinary catheter, and let the blood bank prepare 2000cc of blood for backup. "

Wu Guohui immediately explained the patient's blood type and other conditions, and the blood bank immediately became operational.

Zhou Yuan looked at the four flattened arms on the sterile table, and couldn't help but become solemn.

It was the most difficult surgery he'd ever had!

"Cutting severance plus crushing severance. Start debridement immediately!" Zhou Yuan said.

Thorough removal is an important measure to prevent infection, and it is also the key to the success or failure of replantation surgery, this step also requires a lot of experience, and Zhou Yuan intends to do it himself.

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