Chapter 336: Powerful Enhancement Cards (Part II)
At this time, another part of the patients had already entered the operating room, some patients were still waiting outside, and the nurses and doctors of the provincial hospital were also carrying out simple hemostatic bandaging and wound debridement treatment.
Fang Han's gaze swept through the patient crowd, and he could preliminarily judge whether the patient's condition was serious or mild.
In such a large-scale emergency situation, the doctor's initial judgment is very important.
There are not enough doctors in the hospital, and there are not enough operating rooms, so most patients can only wait temporarily, and the treatment must be in the order of first priority and then lightness.
Whether a patient is in critical condition or in danger of life requires the doctor's initial judgment.
It is important to know that some patients may seem to be in serious condition but are not necessarily life-threatening, and some patients may seem to be fine, but they may have internal bleeding or even life-threatening.
At this time, not to mention that some examinations are too late to be done, even if they are in time, a lot of equipment is occupied, and if the doctor's judgment is inaccurate or there is an error, it is very likely to delay the patient's treatment.
Grandmaster-level visits, usually don't seem to be anything, but at this time, they can instantly reflect the power of grandmaster-level visits, Fang Han's eyes are like fiery eyes, he doesn't dare to say that he can judge the patient's injuries 100%, but he can also accurately judge whether the patient's life is in danger.
"Syringes!"
Fang Han quickly came to the side of an injured person, and shouted while stretching out his hand to check the wounded's pulse.
A nurse from a provincial hospital on the side heard Fang Han's shout and hurriedly stepped forward with a syringe.
Fang Han didn't care to see who gave him the syringe, reached out and took the syringe from the patient's hand, lifted the clothes on the patient's abdomen, and pierced the syringe, and gently pumped, the syringe was full of blood from the syringe.
The face of the little nurse on the side changed instantly, as a nurse in the emergency department, she knew very well what it meant, the patient was bleeding internally.
Wen Xueyi, who followed Fang Han, was also stunned for a moment, he didn't expect Fang Han to know how to paracentesis.
Paracentesis is a technique used in Western medicine to remove fluid from the peritoneal cavity directly from the anterior abdominal wall through a needle or catheter to assist in the diagnosis and treatment of diseases.
Fang Han has no kung fu to manage what Wen Xueyi thinks, and the paracentesis is not created by Western medicine, and there is also a paracentesis in the "Elbow Reserve Emergency Prescription" of Chinese medicine, but the abdominal puncture in "Elbow Reserve Emergency Prescription" does not use a syringe, but uses a silver needle to probe.
The silver needle probes the abdominal cavity according to whether the silver needle is contaminated with foreign bodies on the one hand, and the smell on the other hand, after all, the age of the syringe is not very long.
Exploratory paracentesis with a syringe is more intuitive and accurate than using a silver needle.
"Take the patient to a laparoscopy, then look at the operating room and schedule the operation as soon as possible. Fang Han stood up and said to the nurse on the side.
"Okay. The nurse nodded repeatedly.
The patient Fang Han explored really didn't care before, the patient had a few scars on his body, and it had been treated, at this time, the patient just looked red, and his spirit was actually not bad, who knew that there was internal bleeding.
After explaining to the nurse, Fang Han turned around and looked at the next patient.
"Silver Needle!"
As soon as Fang Han shouted, Ye Kai hurriedly handed the needle bag to Fang Han, Fang Han took out the silver needle to sterilize, and then performed acupuncture to stop the bleeding.
"Splints!"
"Silver Needle!"
"Quick, ginseng injection intravenous drip!"
"Qingkailing Injection!"
"This recipe should be taken to grab the medicine, and the speed should be fast. ”
Fang Han's voice came from time to time at the scene, and Wen Xueyi, who was following behind Fang Han, was already dumbfounded.
Fang Han's group, Chen Yuan is the attending doctor, Ye Kai is the general inpatient of the emergency department of Jiangzhong Hospital, he Wen Xueyi is the resident doctor of Yanjing Bone and Joint Sports Center, Yun Linchao's student, and the orthopedic doctor who knows how to replace joints, everyone is actually no worse than some residents in provincial hospitals.
But this will cause the three of them to completely become miscellaneous for Fang Han, and they can't keep up with the rhythm of Shang Han.
As soon as Pan Kelong turned around the department, he saw Fang Han busy in the crowd at a glance, and his eyes instantly straightened.
"Which hospital is that young man?" asked Pan Kron, pulling over a resident doctor passing by.
The doctors from Jiang Zhongyuan who came to the provincial hospital to support today were not only doctors, but also doctors from several other hospitals, and Pan Kelong really didn't pay much attention to Fang Han before.
The resident doctor had already noticed Fang Han, and he also recognized Fang Han, after all, Fang Han was not unknown.
"That's Fang Han from the emergency department of Jiangzhong Hospital. "Hospitalized doctors.
"Fang Han?" Pan Kelong heard the name familiar, but for a while he couldn't remember where he had seen it.
"Fang Han is one of the top ten outstanding young doctors in our province this year, and he has been on the Jiangzhou Daily several times. The resident added.
Pan Kelong now knows who it is.
"This Fang is amazing, his eyesight is accurate, his skills are skilled, he is simply a genius in first aid. ”
Pan Kelong only watched for five or six minutes, and Fang Han had already dealt with two patients, and the situation of both patients was not very optimistic.
Such speed, such efficiency, simply amazed Pankolon.
"The patient had a comminuted fracture of the shoulder joint...... A blood vessel ruptures and surgery is needed as soon as possible. ”
Fang Han checked on another patient, and said to Chen Yuan while examining, "Go and find Dean Pan to see if there is an operating room?"
Chen Yuan hurriedly got up, and as soon as he turned around, Pan Kelong was not far away, and he hurriedly strode over.
"Dean Pan!"
"Hello. "Pan Kelong is very polite, he also saw Chen Yuan when he looked at Fang Han just now, this person who has been following Fang Han should also be a doctor from Jiang Zhongyuan.
"Dean Pan, I'm Chen Yuan from the Emergency Department of Jiangzhong Hospital, and our doctor asked me to ask if there is a vacant operating room in your hospital, and there is a patient who has a comminuted fracture of the shoulder joint and needs shoulder replacement surgery. ”
Pan Kelong picked up his mobile phone and dialed a phone to go out and ask a few questions, and then hung up the phone: "Doctor Chen, there is still an operating room in the orthopedics department that can do joint replacement, but we don't have any idle doctors at this time." ”
"Dean Pan only needs to arrange an assistant, our doctor Fang can do joint replacement independently, and the doctor Wen next to Dr. Fang is from the Yanjing Bone and Joint Sports Center, and he can give Dr. Fang a hand!" Chen Yuandao.
"If only that were the case. Pan Kelong breathed a sigh of relief when he heard this, but he was still a little surprised and asked, "Will Dr. Fang still have joint replacement?"
It's not that Pan Kelong has to confirm it, but this kind of thing must be cautious, Fang Han is young, but he can't be irresponsible, if Fang Han can really do joint replacement surgery, it will naturally be the best, if he can't do it, he can't let Fang Han use patients for experiments.
"Dean Pan, please rest assured, our Dr. Fang has done dozens of joint replacement surgeries, and the prognosis is very good, and Dr. Fang also studied in Fengzhou Provincial Orthopedic Hospital, which was brought out by Director Liang Qunfeng Liang. ”
"Dozens of cases have already been done?" Pan Kelong was stunned for a moment, and then glanced at Fang Han again: "If I'm not mistaken, Fang Han is still an intern now, has he been an intern for half a year?"
"Dean Pan, you can ask our Director Fang about this, I won't joke with the patient's life. Chen Yuan's tone was a lot stiffer, he only came to the provincial hospital to help, but it was not under the jurisdiction of Pan Kelong.
Moreover, Pan Kelong questioned Fang Han so much, Chen Yuan felt that it was necessary to maintain the authority of Doctor Fang!
"Dr. Chen misunderstood, so I'll arrange it. Pan Kelong hurriedly smiled, he didn't want to quarrel with the doctors of Jiangzhong Hospital at this time, after all, they were foreign aid, although this time the support was uniformly dispatched from above, but if something really happened, the provincial hospital would bear the brunt.
......
The large operating room of the provincial hospital is basically not vacant at this time, and the operating room arranged by Pan Kelong for Fang Han is not large, but it is fully equipped inside, and it is definitely enough for joint replacement surgery.
Fang Han and Wen Xueyi changed into surgical gowns, and a surgical resident arranged by the provincial hospital also went to the operating room to help Fang Han as a second assistant, and the patient was sent to the operating room for anesthesia, and Fang Han took someone to the operating table.
This time the time was urgent, there were still many patients waiting outside, Fang Han didn't have the heart to be polite to Wen Xueyi, took the scalpel from the nurse's hand, and Fang Han began the operation.
Because of the promotion of the card, Fang Han's joint replacement has been upgraded to an intermediate level, which is a big level higher than before, if Fang Han's previous joint replacement surgery is just a beginner's path, and he can just operate independently, now Fang Han's joint replacement surgery has been regarded as a master, reaching the level of some senior deputy directors, and he really has the expert level.
Because the patient is not simply a shoulder joint crush, but also has a ruptured blood vessel, Fang Han first finds the ruptured blood vessel and sutures the blood vessel after incision.
Originally, Fang Han's suturing was at a high-level level, but now it has reached the grandmaster-level level, and suturing blood vessels is naturally not a problem.
"Pay attention to the retractor, I will do the blood vessel suture first. Fang Han prompted, and Wen Xueyi and the resident doctors of the provincial hospital hurriedly nodded.
Suturing blood vessels is a delicate job, even though Fang Han's suturing has reached the level of a grandmaster, it is also the first time in the true sense, so Fang Han is very careful.
"Suctify, clean, continue the operation. After suturing the blood vessels, Fang Han commanded, and while letting Wen Xueyi and the doctors from the provincial hospital suction and debridement, he changed a pair of gloves.
After changing gloves, Fang Han continued the operation.
Wen Xueyi and Fang Han have been on the same stage several times, but the first few times he was basically the main knife, Fang Han was nominally the main knife, but most of them were helping Wen Xueyi, Wen Xueyi had not intuitively seen Fang Han's level.
Today, Fang Han directly handled it, and he didn't ask Wen Xueyi at all, and Wen Xueyi didn't bother, just dutifully doing the assistant work, and at the same time watching Fang Han operate.
Looking at it, Wen Xueyi's eyes changed, and a look of shock gradually appeared on his face......