Chapter Seventy-Two: The Last Silence

Although the emergency room is the first line of life and death, not every patient sent is dying and seriously ill, and it is also mixed with a bunch of patients with incurable diseases. Sun Lien's luck is indeed a little not good, and it is no wonder that Brother Luo had the question of "did you offend the director" before.

After carefully pasting the wound on Yuan Meng's forehead with seamless tape, Nurse Zhong took over the rest of the work - there was a wound about three centimeters long that was buried in Yuan Meng's hair. In order to facilitate the seamless tape to bond the open flesh, Nurse Chung prepared to shave off some of the hair around the wound.

"Actually......" Sun Lien looked at the razor in Nurse Zhong's hand, and suddenly asked, "Is it okay to stitch this wound directly on the inside of the hair?"

"It's not impossible to suture. Nurse Zhong looked at the wound carefully, "There should only be some vertical lacerations on this side of the scalp, and there is no tissue avulsion, which should not affect the regeneration of the hair follicles next to it." ”

Xu Yourong also observed the wound, "The wound is relatively shallow, and the stress is not too great after stitching." Use fast thread sewing, No. 3 is enough. ”

The Kuailing line is the nickname of the "QUILL" line of the Fourth Central Hospital, and some hospitals also call it "hedgehog line" or "barbed line" or even "fishbone line". Different from traditional medical silk threads, the biggest feature of Kuailing thread is that it does not need to be knotted after suturing. Only the tiny barbs on the thread itself can complete its own anchoring. And thanks to the absorbable material, the fast-feather thread does not need to be removed. It takes about 45 days to be fully hydrolyzed and absorbed by the human body, and the silk thread can maintain its strength for about 18 days, which is very helpful for wound recovery.

A box of No. 3 single-strand fast thread was delivered to Sun Lien, "I'll sew?" Holding the unopened box, Sun Lien was a little apprehensive. Although he sewed leather several times during his internship, it was the first time he had used the fast feather thread. "What method of stitching is used?"

"It's more convenient to use fast threads, so let's use continuous sutures in the dermis. Xu Yourong did not hesitate to give the best suture plan. "Intradermal continuous sutures, no need to consider the position of the needle and the tension, as long as the two sides of the skin are closed together. ”

"Continuous intradermal suture......," Sun Lien swallowed and foamed, "I'm just an emergency doctor, I've never learned this technique." ”

Xu Yourong spread his hands disapplausively, "It's not a silk thread that needs to be knotted, what's there to be afraid of? Patients who fainted, what a good test hand. ”

It seems that the comatose patient equals excellent experimental material, and this kind of thing has become a common opinion among doctors. Sun Lien rolled his eyes, picked up the needle holder, and clamped the curved leather needle in the box. Unlike the usual needle sutures, there is a skin needle in each of the two sections of the fast feather thread. Generally, the needle is inserted from the center of the wound and sutured upwards and downwards. The most central section of the wire is barbed without barbs.

The bent needle, which looked like a fishhook, pierced through the opening of the skin, but fortunately, Nurse Zhong had disinfected and debrided the wound in advance, and part of the skin that had no repair value had already been trimmed. Although it was the first time to do continuous intradermal sutures on a living person, Sun Lien still performed quite well.

The skin needle is pierced into the tissue layer below the epidermis, and then penetrated into the contralateral tissue layer. The needle was inserted from the center of the wound of about three centimeters, and after six stitches were sutured upward, the upper half was sutured. In the second half, because part of it has been pasted with seamless tape, the requirements for the tension of the silk thread are weaker, so Sun Lien sewed four stitches down and turned directly to the end.

"It's good for newcomers. Xu Yourong critically commented on the effect of Sun Lien's work, "As long as she is not a scar physique, when the wound grows, it should only leave a faint red mark." ”

Sun Lien held the pliers in one hand and nodded with satisfaction, "It's good, she won't have to wear a hat in the summer in the future." ”

With the help of a veteran like Nurse Zhong, Sun Lien doesn't even need to take care of the follow-up work. After re-ordering and adding glucose to the fluid, the work came to an end for the time being.

The two patients with minor concussions who were sent in earlier have both been revived and are able to communicate and communicate normally. After calling the family members and completing the examination, the two patients walked out of the emergency room by themselves - although they had bruises and hematomas on their faces, it was already a very precious thing to be able to get out of the emergency room by themselves. The families of these two patients also understood this truth, happily completed the discharge procedures, and walked out of the hospital with their families.

"If only every patient could do that. Xiao Guo put his hands in his pockets, looked at the back of the patient who walked out of the emergency room, and said in a low voice, "It doesn't matter if you lie down and come in, the important thing is to be able to stand out." ”

Sun Lien glanced up at Xiao Guo beside him, shook his head with a smile and said, "I didn't expect that your kid is still a saint." ”

Xiao Guo knew what Sun Lien was talking about, he scratched his head embarrassedly, "I was a little impulsive yesterday......"

"Teacher Zhou is strict with you, which is a good thing. Xiao Guo was reprimanded by Zhou Jun yesterday, but Sun Lien also understood that Xiao Guo was holding grievances for himself. He comforted, "Mr. Zhou is in charge of the rescue room, and he is strict with you, which is basically equivalent to being optimistic about your work here." Keep working hard, maybe you'll stay here after your internship. ”

Nurse Zhong finished her work and came over to have some fun, "Xiao Guo, you must come to us after you graduate." With a scene like you in the town, we are all down-to-earth. ”

Xiao Guo scratched his hair and smiled, "Then I should apply for a security guard." ”

Brother Liang, the security guard who was watching the excitement at the door, spoke with a serious face, "That's not good, our security department has rules, don't look more handsome than me!"

Seizing the gaps in work to make jokes is also a great way to relieve stress. Many doctors in the emergency room laughed together, even Zhou Jun, who had always had a straight face.

"Jingle bell!" the urging phone rang again. This time, however, the alarm was a bit unusual. Five telephones in the duty room were called at the same time.

"Forecast, serious serial car accidents on the Huyuan Expressway!" "Forecast, serial car accidents!" "Forecast, serial car accidents, chemical poisoning!" The nurses who answered the phone shouted together.

A serious serial car accident occurred on the Huyuan Expressway. Twelve cars collided in a row, and one of the trucks carrying a ton and a half of organophosphorus overturned directly on the highway.

When firefighters arrived at the scene, nearly 400 kilograms of organophosphorus had leaked out.

There were 17 injured people at the scene, and four firefighters were poisoned while resuscitating the wounded. Helicopters have arrived at the scene and are urgently evacuating the four firefighters.

The air in the rescue room was tense to the extreme.