Of course, Sun Lien can't run away, and in the entire operating room, plus himself, there are a total of four doctors with medical licenses, one of whom is still anesthesia. If Sun Lien suddenly decides not to do it, then I am afraid that this operation will really not be able to come down.

In the past, artists in the music industry often said that "saving the scene is like fighting a fire". What happened in the operating room was worse than sitting in an audience of 5,000 and waiting for two hours without seeing the performance.

Chen Tianyang stood in his position and began to perform the surgery, and immediately revealed the skill of immersion on the operating table for decades. Even if it was just to do a necrotizing fasciitis debridement, he would be much better than the half-played Dr. Wang.

"The most important thing in the debridement of necrotizing fasciitis is to remove these necrotic fascia as much as possible. While Chen Tianyang was doing the operation, he muttered that Dr. Wang's operation was not in place. "Look at it, you don't make an incision here, how can you take out the fascia?" As he spoke, Chen Tianyang raised his hand and made another knife on the root of the patient's thigh. "You don't think you're doing a perianal abscess, so limit the incisions to the perianal area. This has now progressed to necrotizing fasciitis, do you know? What is necrotizing fasciitis? Ah? I want to die! If I don't clean it up, what if this person dies in the hospital?"

Dr. Wang nodded his head repeatedly, but he decided to defend his decision a little, "The incision is enough to debride the patient. If there are too many incisions, recovery can be difficult and long......

"Only the living can consider the recovery stage. Chen Tianyang seemed to have guessed that Dr. Wang would use such words to excuse himself, "If you don't remove all these necrotic fascia now, you will have to consider hip relief surgery in the near future." If the progress is faster and the condition is more serious, then you can consider what kind of coffin to choose for others!"

Sun Lien was holding a stainless steel basin next to him, and then the necrotic tissue liquid that was dripping down, listening to Chen Tianyang's fancy training, he couldn't help but feel a little emotionally that he had chosen the right internal medicine in the first place.

There are many things to consider during surgery, and many young doctors rack their brains and think that they have taken into account all aspects of the operation. But every time I get a bunch of problems picked up by older doctors.

Medicine is a science, while healing is more like an art. However, surgical treatment has added a touch of "craftsmanship" to its scientific essence and the art of treatment.

Older doctors are like old artists who have fully accumulated experience in the industry, and Dr. Wang, an attending doctor who is less than 30 years old, is at most a more talented art school graduate. Their experience shortcomings directly lead to their ceiling not being high enough, and being careful and cautious will only raise the lower limit at best.

And in the eyes of the master...... A work that doesn't have a high ceiling is no different from waste. No matter how careful you are to avoid mistakes during the operation, it is still something that cannot be put on the table.

"Don't worry about any additional injuries that are uncontrollable, this kind of surgery will not have time for you to be transferred to a higher-level hospital!" Chen Tianyang is still continuing to educate Dr. Wang, "You have to be clear about this mentality, there are some surgeries that your second-level hospital can't handle." At this time, there is no problem with damage control surgery. But now this kind of debridement of necrotizing fasciitis, you are not without the energy and resources to deal with it. The referral to your level will be terminated, do you know?"

Doctor Wang nodded, Chen Tianyang did get to the point. As a Level-II hospital, their main job is to receive patients referred from Level-I hospitals. When encountering a critically ill patient who cannot be handled by the hospital at the same level, the secondary hospital needs to carry out preliminary treatment of the patient's condition, and then send the patient whose condition is relatively stable to the tertiary hospital.

Due to the characteristics of the work of the secondary hospital, Dr. Wang unconsciously brings a trace of "timidity" in their daily work. Although they are excellent military doctors from Changhai Hospital, their job responsibilities are mainly responsible for stabilizing injuries and then transferring them upwards, so their usual style is more inclined to control injuries than to cure diseases.

However, it was clear that the Nigerian patient could not apply the guidelines for the treatment of injury control. His condition is not critical so far, and it is bound to progress rapidly. When the patient is not critically ill, the tertiary hospital is unable to accept the patient. But if the condition is critical enough and after a few hours of transport, I am afraid that there is no better way for the tertiary hospital to do this.

The peacekeeper must and can only receive thorough treatment in a level-II hospital. If it is delayed any longer, it may not be a question of "whether you can not leave a disability", but "whether you can save your life".

When Chen Tian was training people, his hands were not idle. He made five incisions on the thighs on both sides of the patient, and more than a dozen bottles of saline and hydrogen peroxide were desperately poured into the patient's wound as if they didn't want money. The stainless steel basin in Sun Lien's hand was full and then replaced, and six or seven basins were changed before and after, and Chen Tianyang gradually stopped the movements in his hand.

"The superficial fascia of the gluteus maximus on both sides was completely clamped, and the deep fascia was partially removed. Chen Tianyang shook his neck for a moment, and opened a yellow cavity by the way, "I'm going to deal with the perineal fascia later, if you are not confident enough in your size, you can avoid it first." When the time comes, I will hurt my self-esteem, and I will not be able to sew it up for you. ”

If the surgeon can make jokes, it means that the situation is basically controllable. Sun Lien put down the stainless steel basin in his hand and moved his sour arms, "Teacher Chen, I'll go and see the situation of dispensing medicine first." ”

More than ten minutes have passed since Sun Lien gave the doctor's order to use penicillin, but the medicine has still not been prepared. This made Sun Lien feel a little confused - with a penicillin solution, this kind of operation shouldn't be very difficult, right?

"The medicine has been prepared for a long time. Nurse Tian said to Sun Lien, "But this allergy test ...... Not very easy to do. ”

Penicillin has low toxicity but requires a skin test before it can be used. After a skin test on the Nigerian soldier, the infusion should be observed for 30 minutes without adverse effects.

The medicine has not yet been dispensed, partly because the skin test results have not yet been released, and partly because of ...... The nurses were not able to tell if the patient who was under general anesthesia had any significant adverse effects.

The rash is not so easily recognizable under the black skin.

If it weren't for the need to follow aseptic operations in the operating room, Sun Lien would have been eager to slap himself in the face.

"Change the dressing, don't wait for the penicillin skin test. He said to Nurse Tian apologetically, "Give him ceftriaxone." ”