(Thanks to my friend 08a for his encouragement)

Originally, Zhou Li said that he would give him sauce bones to eat at night, but Wang Lei couldn't get off work on time, and the meal could only be delayed.

When you become a doctor, you can't help it. Not to mention on weekdays, even if you encounter a critically ill patient who needs treatment on a day off, you have to rush back.

"Think about it, what are you going to be on duty this month, I'll get out. After eating, Liu Banxia came to Liang Xiaolin's side.

"Normally, isn't it a class every four days? Otherwise, I will have one class every three days, can I accumulate more experience?" Liang Xiaolin asked after thinking for a while.

"Yes, yes, you have to be mindful. I've taught you so hard, but you're still not bold enough. Liu Banxia said.

"Look...... , as soon as you say it, you will stare at it. Although I can take care of you, I can't favor you, if the technology doesn't work, it won't work. ”

Liang Xiaolin was so angry, "Did I use you to favor me? Didn't you take me by poking the basket? What are you running to? You came back for me." ”

The fool went back, and Liu Banxia, who ran away, resolutely did not look back. It's not easy to discipline, and it's harder to bring one session than another.

"Dr. Liu, get ready, there are two car accident patients. Wang Ying greeted.

"Sister Wang, you still call me Shoutian, I always feel that I am calling someone else when I call Dr. Liu. Who is on duty today?" asked Liu Banxia.

"Wei Yuan is on duty. The phone said there was a patient who was seriously injured and hit the windshield. Wang Ying reminded.

Liu Banxia nodded and came to the door of the emergency room.

At this time, Wei Yuan also led Qi Wentao and Liang Xiaolin over, and Qi Wentao's expression was a little awkward.

"Brother Wei, let me and Dr. Liang have a priority in a moment?" asked Liu Banxia.

Wei Yuan was happy, "I can't wait for it, you can choose." ”

As soon as Wei Yuan finished speaking, the ambulance stopped in front of the emergency door, and Liu Banxia hurriedly caught up.

"The patient, a 28-year-old female, had a laceration on her head that shattered the windshield and was bandaged. Blood pressure 50/90, heart rate 140. The first responder said.

"Brother Wei, I'll take this away, Liang Xiaolin followed, and rescued a room. Liu Banxia shouted.

Ding! Receive emergency patients

Open-ended quests: Rewards will be awarded based on the host's medical operations during the first aid process

"Come, listen to my command, one, two, three, lift. ”

After coming to the emergency room, Liu Banxia said.

Liang Xiaolin protected the airway and prepared to be intubated and connected to the monitor. Xu Dan opened an intravenous path, prepared 2 units of O-negative blood, rapid trauma blood test, and pushed mobile ultrasound. ”

"Blood pressure is decreasing. Shen Lin, who connected the monitor, said.

"I'll treat the head wound first, and I'll rinse it with saline. Liu Banxia opened the gauze wrapped around the patient's head.

The nurse hurriedly picked up saline and flushed it over the wound.

Liu Banxia took a closer look, "There's no problem, press and bandage." I started with an abdominal ultrasound and made an appointment for CT. ”

"Blood pressure is still dropping. Shen Lin said.

"There may be internal bleeding, blood and fluids. There is a large amount of free fluid in the abdominal cavity, and the operating room should be notified immediately. Have you contacted the patient's family?" Liu Banxia frowned as he looked at the ultrasound interface.

"The phone was broken, and the patient who came with me was a new acquaintance and didn't know anything. Wang Ying said.

"Brother Wei, how are you over there?" Liu Banxia shouted.

"Just after the examination, there was a hematoma in the abdominal cavity, and the vital signs were quite stable, so I was sent for CT first. Wei Yuan, who rushed over, said.

"Okay, come with me to the operating room, if it's not serious, you'll be responsible, I'll come back and watch." Liu Banxia said.

Wei Yuan nodded vigorously.

Under normal circumstances, Liu Banxia should be responsible for the end, and there will be such an arrangement to give Wei Yuan a chance to perform and prepare for being transferred to the emergency department in the future.

Really speaking, compared to Wei Yuan, Liu Banxia is now the one who needs the most experience.

"Morita, I hate you. Just the next one, you come again. As soon as he entered the operating room, Wang Lei's complaint sounded.

"Comrade Wang, we must have a spirit of dedication. Everyone has worked hard, Lao Wang doesn't count. Liu Banxia said seriously.

"Nothing in the past?" asked Wang Lei after making a joke.

Liu Banxia shook his head, "I can only wait for the patient to wake up." ”

Wang Lei sighed in his heart, such patients are the most dangerous. Because you don't know if you have a history of allergies, you can only pay close attention to the patient's vital signs during the anesthesia.

"Brother Wei is the main knife, and Liang Xiaolin is helping. Liu Banxia said.

Wang Lei glanced at him in surprise, but he usually didn't pay attention to it, Shoutian was quite a general.

Wei Yuan, who took the scalpel, was not ambiguous, and directly opened his abdomen to explore. There is really too much blood in the abdominal cavity, and the blood pressure also decreases again after the laparotomy.

"It's too late to suction, gauze filling. Wei Yuan said.

Pieces of gauze were inserted into the patient's abdominal cavity and the patient's blood pressure was maintained. It's just that it's only temporarily maintained, and it's still slowly decreasing.

"It can be seen that the spleen is partially severed and the hilum of the spleen is ruptured, and the spleen needs to be removed and hemostats needed. Wei Yuan said after looking for it.

"It's okay, I can save my life, let's see the head injury later. Liu Banxia let out a sigh of relief.

"There should still be bleeding spots, and the blood pressure is still dropping. Wang Lei, who was staring at the monitor, said.

His words startled both Liu Banxia and Wei Yuan, which was also the most worried problem encountered during the operation. Many occult bleeding spots can also be life-threatening if left untreated.

"Morita, come and take a look, I didn't find it. Wei Yuan said anxiously after looking for a while.

Liu Banxia put on his gloves, "Don't worry, let's look for it slowly." The blood pressure drops slowly, and the bleeding point should not be large. Haha, found it, the mesentery is bleeding. ”

Everyone looked at Liu Banxia's overturned mesentery, and sure enough, there was a bleeding point, which could also see how violent the impact of this car accident was.

"Blood pressure has gone up. Wang Lei said with a smile.

The big guys were very happy, which proved that all the bleeding points had been found and the initial rescue of the patient was successful.

Splenectomy is not a minor operation, and it is also a tertiary surgery in the general surgery list. Even though Wei Yuan has been in charge for more than three years, he has not been removed independently.

That's one of the benefits of working in the emergency department, where there are a lot of emergency surgeries to deal with. Of course, there are risks associated with such surgery. If you make a mistake, it can affect your career.

Wei Yuan handled it very carefully, especially in the process of dissociating the spleen, and also told Liu Banxia and Liang Xiaolin the corresponding technical points.

When Wei Yuan removed the spleen and put it on the tray, Liu Banxia gave a thumbs up, "Brother Wei, I won't look at the treatment of the spleen and colon ligament and spleen pedicle, I still have to see another patient." ”

"Xiao Liang, follow Dr. Wei to study hard. I'll leave the work of closing the abdomen to you, be serious, don't laugh, I have to listen to Dr. Liang's comments when I go back. ”

Ding! The task of receiving emergency patients has been completed

Gain 300 XP, 300 Diagnostic Skill Proficiency, and 200 Splenectomy Skill Proficiency

This rating is flawless, gaining 500 experience points, 500 diagnostic skill proficiency points, 500 splenectomy skill proficiency points, and 1 glory value

Looking at the system prompt, Liu Banxia was still very satisfied.

Now that the patient's rescue is basically completed, the abdominal wound is treated and a head CT scan is taken, and the mood of the big guy is relaxed.

Liang Xiaolin just can't say if she suffers, who makes her lower than Liu Banxia. Originally, it was only one level lower, but now this product has become the total hospitalization, and it is two levels higher all of a sudden.