Chapter 104 The Other Role of Out-of-Hospital First Aid General Surgery

"You two can have a snack in the future! Go out less ~ read more books, it is definitely beneficial. Ruan Bin pouted.

"Don't dare in the future, don't dare again!" Zhou Tianlei regretted it at the moment.

"Damn, it's too bad!"

The two brothers and sisters can be regarded as having learned a lesson in blood.

"No, I think the problem we have is definitely a problem of going out and mingling, in fact, we have another way to go. Suddenly, Zhou Tianlei smiled cheaply.

"Oh, what way?" Huang Hongwen suddenly became interested.

"I am a senior brother, and now he is still training in a big hospital for three years. He was also married. Doctor Guipei is very tired and tired, and he doesn't have time to go back to the small county town where he is home to meet the children and children. I can see my wife a few times a year. So he hooked up with a female doctor who also came to this hospital for training. The other party also came to the regular training, and he also had a family, and he also trained for three years. So the two became a dew water couple~" Zhou Tianlei said with a smile.

"Damn, is this okay?" Huang Hongwen was stunned.

"Tut-tut...... What is this, is it normal, okay? When the training is completed, everyone will go back to their respective homes to find their husbands or wives, who knows?" Zhou Tianlei said disdainfully.

Nima...... You mean......" Huang Hongwen suddenly had a bold idea! How many female doctors and nurses are there in the First Affiliated Hospital of the Demon Capital to train and study......

Gee!

This is sure to be safe!

Ruan Bin, who was next to him, heard the words of the two, and was immediately speechless: "This Nima and the two goods are determined not to change!"

Served!

"Is it really okay for you two to be like this?"

"Ruan Bin, are you not together?"

"Roll ......"

Is my brother a superficial person like you?

............

Too lazy to pay attention to these two beasts, Ruan Bin went to do something else.

After entering all yesterday's medical records into the computer, I looked at the time, and it was already more than nine o'clock in the morning.

The number of patients in the emergency department is increasing.

"Ruan Bin, you come to deal with this patient, I have an operation to perform. Jiang Yurong shouted at Ruan Bin and walked to the operating room.

"Good. ”

Ruan Bin looked at the male patient in front of him, who was about 50 years old, and his son accompanied him to see the doctor.

"What is the cause?" asked Ruan Bin.

"Ahem, cough, cough ......" The male patient was about to speak, and suddenly coughed violently, and the son next to him hurriedly helped to smooth his back, while saying to Ruan Bin: "Doctor, my dad often coughs, sweats, and fatigue, and he almost coughed up early this morning, and coughed up a mouthful of bloody sputum!"

Coughing up blood, this problem is very serious, at least in the eyes of the patient's family, it feels very troublesome!

After all, coughing up blood, the problem is very troublesome without looking at it.

"Coughing up blood?" Ruan Bin frowned, and he directly used general diagnosis to start diagnosing this patient.

"Diagnosis!"

Patient: Zhao Erquan

Age: 57 years old

Medical records: hypertension, hyperlipidemia, tuberculosis.

"Tuberculosis?" Ruan Bin was immediately relieved after reading this information.

Tuberculosis has a lot of phlegm, and it will cough up blood!

Although he knew about the condition, he couldn't tell the patient that it was tuberculosis at a glance, and he definitely had to go through the examination procedure.

After all, other doctors don't all like him!

"Well, register first, and then do a routine blood test and bronchoscopy. Ruan Bin said lightly.

These can be detected for tuberculosis, and once the time comes, it will be directly handed over to the infection department.

"Doctor, what is my father's illness?" asked the young man in a little panic, after all, he was still a little panicked in the face of the unknown.

"You'll have to wait for the results of the test to come in, so don't worry too much. Ruan Bin comforted.

"By the way, did your dad have breakfast in the morning? It takes 8 hours of fasting to do bronchoscopy. ”

"I hurried over this morning and didn't eat. ”

"That's good. ”

Just then, he saw Dr. Chan walking by.

"Dr. Chen, wait a minute. ”

"Dr. Ruan, what's wrong?" Dr. Chen asked.

"This patient needs to have a bronchoscopy later, can you help me do it?" Ruan Bin said, generally speaking, bronchoscopy needs to go to the respiratory medicine department or go to the thoracic surgery department for registration.

But the emergency department can do it too!

However, he will not do this......

"Okay, I'm free. Dr. Chan immediately agreed.

Soon called an anesthesiologist named Zhou Jialin to come over and help.

Because this bronchoscope requires anesthesia!

Ruan Bin watched the two of them busy in front of the patient, and he watched.

But after being busy for a while, suddenly Dr. Chen and Zhou Jialin stopped.

"What's wrong?" asked Ruan Bin puzzled.

"Alas~ tracheoscope leaks!" Dr. Chen was helpless.

On the other side, Zhou Jialin's anesthesia machine could only stop.

"When tracheoscopic anesthesia, there is no way to solve the problem of tracheoscopes competing for airway, one or two out of ten patients will have this kind of problem, and those designers who study medical equipment don't know how to improve it, and they are really speechless. Dr. Chan complained.

"Air leak?" Ruan Bin frowned.

Suddenly, an instinct appeared in his mind, an instinct to transform the instrument of [out-of-hospital first aid general surgery].

What is "Out-of-Hospital First Aid General Surgery"? It means that it combines all the essence of field, pre-hospital, battlefield and ground first aid techniques. You can also modify some surgical tools according to the things available around you, or create some usable surgical tools to give first aid!

"Bronchoscopic air leakage?" Ruan Bin suddenly had a clinical experience in his mind, which had encountered this situation, and when this kind of problem occurred, a way could be used to deal with this air leakage problem!

Although his current [out-of-hospital emergency general practice] is only at the entry level, he is still competent for this kind of small transformation.

But no matter how difficult the operation is, or the transformation experience of out-of-hospital first aid, he will definitely need to upgrade the kryptonite!

"I can fix it!" Ruan Bin said suddenly.

"Huh, how to solve it?" Dr. Chen and Anesthesiologist Zhou were stunned.

Anesthesiologist Zhou has also seen a lot of this kind of bronchoscopic air leakage, but he thinks it is difficult to solve.

"We'll be able to retrofit some of these double-lumen tubes. Ruan Bin said.

"This ...... Okay?" Dr. Chan wondered.

"Won't you know if you try it?" Ruan Bin laughed, and then he took a pair of scissors, cut them a few times to the silicone sealing rubber ring at the joint, and then connected it between the laryngeal mask and the "Y" tube.

"Is that okay?" Dr. Chan frowned. He seems to think it is very simple, he usually uses a double-lumen tube, and he knows this joint.

But just a makeover?