(Thanks to my friends Silent Xiaowei, Naughty Dragon 1976, wxm18, Dancing Flame, kpkkan, Beizhai 404, Yitianji, TY~Wu, Book Friend 20170706084941649, Wandering Shadow, and 錵開 Closing Monthly Pass Encouragement)

For these interns, there is still some admiration because they have watched his small incision appendectomy. Now that they have started to help with patients so early, I am very excited, very excited.

In fact, all people will have a process like this, which will start with the excitement period, and slowly you will transition to the burnout period. Even the current Liu Banxia, after no daily tasks are bothered, he is a little lazy with such a small job.

He went back and forth between the two disposal rooms, this one for a while, the other for a while, and he really needed to assess the level of these interns.

On the whole, it is very good, especially with the lively Xu Yipromise and the shy Su Wenhao's suturing skills. These two are considered the two extremes of this small team, and the other four, if they are slightly worse, are not too far behind.

After all, there are not so many technical essentials of general surgical suturing, and they have mastered them very well when they practice in medical school.

Qi Wentao did not express any opinion on Liu Banxia's big package, and even the interns he brought with him to give guidance.

There's no way, the current Liu Banxia is the general hospital, and he is just a resident doctor. Even if there is some autonomy, patients who really want to go to surgery need Liu Banxia to come over to make sure.

It can be regarded as idle, what I have to do now is to seize all the time to practice surgical skills, and strive to overtake Liu Banxia.

"Dr. Liu, I just received a call that a patient who was injured by the beating was about to be sent to us and was already unconscious. At this time, Wang Ying came over.

"Doctor Qi, you can take them with you. Liu Banxia said.

Qi Wentao was stunned for a moment and nodded. Even if this is the opportunity that Liu Banxia gave him, he will not accept it.

After waiting for a while, a young man in his twenties was pushed in by a gurney, followed by a crying girl.

"Hit wound, blood pressure 75/110. He was already unconscious and had a contusion to his head. The first responder said.

"In the rescue room, the family members are waiting outside. Qi Wentao said.

Seeing that the girl was about to follow her to the emergency room, Liu Banxia stopped, "After you go in, it will affect our rescue, can you tell us what the situation is?"

"Doctor, you must save Dongzi, it's all my fault, it's all my fault, I shouldn't let him come. The girl cried.

"Do you need to call the police? I can contact you if you need to. Liu Banxia asked.

"I ...... , I have to think about it, I have to ask Dongzi. The girl wiped away a handful of tears and said.

Liu Banxia nodded, "You wait here first, I'll go in and see the situation." ”

In this matter, it is obvious that there is an inside story, and it is inconvenient for him to help deal with it on his own, so these can only be decided by the parties themselves. Otherwise, he would be just like that Xiaomei, he would be a disservice.

"How's the situation?" asked Liu Banxia after walking into the rescue room.

"Initial examination: currently breathing steady, soft abdomen, bruises on the left side of the chest. Qi Wentao said.

"The left breath sound is weak, the left arm and left leg are suspected to have fractures, and the blood oxygen is a little low, only 88. Blood tests and cross-matching have been scheduled, and x-rays will be done after the ultrasound. ”

"The ultrasound push is coming. At this time, the nurse also pushed the mobile ultrasound over.

Qi Wentao did not hesitate for a moment, and began to do an ultrasound examination of the patient's chest and abdomen.

"I need to do a thoracic intubation, and I have a pneumothorax. Dr. Leung, you do it. After checking for a while, Qi Wentao said.

"Good. ”

Liang Xiaolin responded to the doctor and operated directly.

For Liu Banxia and the others, it is not the first time to see Liang Xiaolin do chest intubation and drainage, but for these six newcomers, seeing her movements are refreshing and neat, but they are envious.

Because Liang Xiaolin and them are actually people of the same grade, and because Liang Xiaolin came some time earlier than them, such an important job was done so easily.

"Blood pressure and blood oxygen have risen, so I will be sent for X-rays and CT of the brain, chest and abdomen. After Liang Xiaolin finished the operation, Qi Wentao spoke again.

"Wait a minute. At this time, Liu Banxia said.

Qi Wentao frowned and looked at him very cautiously. I know that this product is not well-intentioned, no wonder I let myself be treated, in order to make a fool of myself in front of these newcomers.

Liu Banxia walked to the bed and pulled the patient's right and left hands, but the patient did not react. He took off the patient's shoes and pulled both of his feet, again without response.

Now everyone knows that Liu Banxia must have seen something.

Liu Banxia used a probe to do some tests on the patient's limbs, which was not bad, and it responded to pain, which proved that the nerve was still fine. He then examined the patient's left chest and pressed it on the patient's chest.

"A rib fracture caused subcutaneous emphysema, and Liang Xiaolin was intubated to protect her airway before she was sent for filming. Liu Banxia said.

"Wow...... , the blood oxygen really fell again. As soon as Liu Banxia finished speaking, he shouted a promise.

After finishing speaking, he also noticed that this performance was wrong, and hurriedly covered his mouth again.

"Dr. Liu, the patient's jaw seems to be dislocated and cannot be opened. Liang Xiaolin, who was preparing for intubation, encountered a problem.

Liu Banxia walked around and touched the patient's jaw, it was really. But it's also very easy for him. A faint "click" sounded, and the patient's dislocated jaw was reset by him.

The next operation is very simple, Liang Xiaolin was intubated not once or twice, although the patient's situation is a little complicated, it is also successfully intubated.

"Teacher Liu, how did you find out that the patient's condition was wrong?" asked Xu Yinuo after the patient sent it for filming.

Hearing her question, the rest of the people also took out the small notebook from their pockets, ready to record it carefully.

"Don't be so serious, there are many cases of subcutaneous emphysema caused by rib fractures, especially if this patient was still injured. Looking at the scars on his body, he should have been beaten for a long time. Liu Banxia said.

"Such a blunt trauma will cause a higher probability of subcutaneous emphysema. It's just that I didn't expect to have a dislocated jaw, but fortunately, I found it in time. ”

"Hmm...... The next time you receive a visit, this kind of traumatic patient should pay as much attention as possible to protect the airway, and today's case also reminds us. ”

"Teacher Liu, can we also do on-site intubation in the future?" Xu Yinuo asked again.

"Don't be so ambitious, intubation on a real patient is not the same as doing it on a mold. Liu Banxia said with a smile.

"Think about it when you go back, think you can do it, and let me know tomorrow. If there is such a task next time, I can let you give it a try. ”

"But think about it, I can give you a lot of opportunities to try, and as long as you can succeed, it won't matter. But if you fail, or if you have a flaw in the process, you may not be able to do it next time. ”

"We're surgeons, and every operation is critical. I allow you to have faith that this is the foundation of being a surgeon. But you can't blindly believe it, because that's going to hurt the patients. ”

"Teacher Liu, what is blind faith?" asked Huang Bo.

"Blind faith is blind self-confidence, referred to as blind faith. Liu Banxia said seriously.

"It's a good thing to love hands and dare to do things, and when someone first came, they were scolded and cried by me. If there are no other problems with the patient's chest and abdominal cavity, how should they be treated next?"

Originally, these people were still speculating in their hearts whether this person was Liang Xiaolin or Qing Keva, but Liu Banxia was stunned when he asked the question coldly.

To Liu Banxia's surprise, the first person to react was Su Wenhao, who was a little shy, and raised his right hand.

"Okay, let's talk about it. Liu Banxia looked at him and nodded.

"If there is no organ damage to the chest and abdomen, X-rays and head CT are also observed. Su Wenhao hurriedly said.

"Half of the answer is correct, is there anyone to add?" asked Liu Banxia.

"Do you have to insert a urinary catheter and a nasogastric tube?" Liu Yiqing said tentatively.

"May I answer?" said Chyokova.

Liu Banxia glanced at her and nodded with a smile.

"Get someone else to help. Qingkova said excitedly.

Liang Xiaolin was amused, "What she said meant was to find an orthopedic surgeon to come for a consultation, and in her understanding, it was to find someone else to help." ”

Qingkova nodded vigorously, that's what it meant.

"That's right, the patient has a broken bone after all. Regardless of whether it is serious or not, you should call an orthopedic doctor to come and have a look. Liu Banxia said with a smile.

Only then did the six interns suddenly realize, yes, if they have a fracture, they have to find an orthopedic attending for consultation.

However, they understood it, and the eyes that looked at Liu Banxia were slightly resentful, because they felt that they had fallen into his trap.

He asked if there is no problem with the abdominal cavity and thoracic organs, what to do next, which induces everyone to think about the chest cavity and abdominal cavity. It's hard to find a reason for yourself, after all, you forgot to think about the broken bone.

But today this patient also really taught them a lot of knowledge, more than the patient with abdominal pain in the morning.

You have to be careful when treating emergency patients, and if you look too little, you may put the patient at risk. Mr. Liu is really powerful, especially his method of repositioning the jaw is also very neat.

After waiting a little longer, the X-ray and CT were all done.

This patient is also considered lucky, except for the broken ribs, the injury is not particularly serious, and it is estimated that there will be some minor concussion.

I also called an orthopedic attending consultation, and there was some fluid accumulation in the left knee, and I took a look at it with conservative treatment, and if it could be absorbed on its own, I didn't care.

Ding! Completion of the consultation

Gain 100 XP, 150 Diagnostics Skill Proficiency, and 50 Osteopathy Skill Proficiency

For this reward, Liu Banxia is still very satisfied. The system's current task rewards are really more tendentious, and if you check it yourself, it's good to have 50 diagnostic points.

Now because of the teaching of these students, this is what is given so much. It seems that you can educate and upgrade in the future, which is also quite good.