Chapter 5 shocked the audience
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Suddenly, the whole emergency room was busy!
"Ruan Bin, can you help with phlebotomy on the patient, okay?" Zhang Haoyu asked Ruan Bin and the others.
"No problem!" Ruan Bin nodded.
"Hehe, no problem, it's just a little slower. Zhou Tianlei smiled.
"These patients have just been anesthetized and are ready for surgery. Xiaoli said to everyone.
"Okay!"
Ruan Bin chose a patient with moderate burns and immediately prepared to perform phlebotomy on the other party.
He looked at the patient, the burns were quite serious, but he had an expert-level saphenous vein incision at the moment, so he could accurately determine where the veins were at a glance.
After judging for three seconds, he had determined the exact location of the vein, externally rotated the lower limb on the operative side, routinely disinfected the skin at the phlebotomy site, and laid a sterile towel. The action is done in one go!
At 3cm above the anterior side of the medial malleolus, the skin is cut horizontally, about 1cm long, the subcutaneous tissue is separated with a small curved hemostat, the vein is picked out and 2 fine silk threads are passed under the vein!
GENERALLY SPEAKING, THE INCISION IS 2CM~2.5CM. After all, the larger the incision, the more convenient it is to operate, and the less difficult it is. However, in order to save time, he can do it directly with 1CM, and he is very confident in his operation, and the operation can be operated with a 1CM incision.
Traction of the distal silk suture lifts the vein!
Cut a "V" incision in the vein wall!
Quickly insert a phlebotomy catheter into the lumen of the vein!
Connect the prepared infusion set connector to the catheter!
Cut off the excess silk threads and suture the skin incisions!
Ruan Bin's hands flew as if he was doing magic, so fast that it dazzled you.
It was an instinctive skill, just like the assembly line of a factory, without the slightest mistake, without the slightest dragging mud and water.
3 minutes, 3 minutes to complete this first-level operation!
"Nurse Xiaoli, the phlebotomy is done, and you can give him intravenous fluids and further wound debridement. After Ruan Bin finished speaking, he went to perform phlebotomy on the second patient.
"Okay, okay, so fast!" Nurse Xiaoli said in astonishment when she turned her head and saw that Ruan Bin had really completed a phlebotomy. It's only been three minutes! That's ......
"Damn, so fast, you have been single for twenty-five years!" Huang Hongwen next to him turned his head when he heard the voice, and sure enough, he saw that Ruan Bin had completed the operation. And he had just made an incision to find a vein.
"Awesome!" Zhou Tianlei gave Ruan Bin a thumbs up, with only envy in his eyes. Everyone is a resident doctor from a small county town in various places, and the foundation of the Mao family is so strong?
Ruan Bin smiled lightly, did not speak, and began the second operation.
Three minutes later.
"Nurse, this one has also completed phlebotomy and can be used for intravenous infusion. ”
"Shhh...... Your sister, your hand speed is invincible. ”
"It seems that I remember that our Deputy Director Liu did a phlebentomy, and it took five minutes at the earliest, but you did it in three minutes, genius!" Zhang Haoyu, who hurriedly cleared the wound for the patient, was also shocked. Not to mention Deputy Director Liu, as the attending physician, it takes 7 minutes to do a phlebotomy!
"Hehe, if I am faster, I can save a lot of time and reduce the pain for patients, right?" Ruan Bin smiled.
"That's right!"
Anyway, at this moment, many doctors and nurses in the emergency room were shocked by Ruan Bin's three-minute phlebitomy.
Although phlebotomy is only a minor first-level operation, strictly speaking, it is not considered a surgery. But often it's a point that can tell if your basic surgical skills are not solid.
Ten minutes later, Ruan Bin had three more phlebotomys!
Since he is extremely fast, one person does almost half the amount.
It also greatly relieved the rescue pressure of other doctors.
After all, there will be a lot of patients coming in later.
Sure enough, Cao Cao Cao arrived.
At this moment, more than 20 more patients were sent in from outside.
In an instant, the entire emergency room became even more scrambling.
Because among the burn injuries who were sent in, there were five extremely severe burn victims, who were quickly sent to the intensive emergency operating room.
Even another attending physician for further training was pulled in to help. The entire hall of the emergency room was filled with emergency beds, and the beds were full of wounded people. At this time, only Zhang Haoyu, an attending physician for further study, presided over the overall situation.
Because the attending physicians of our hospital and the attending doctors were busy in the operating room to rescue the seven or eight dying wounded.
"Ahhh
"I felt a little hard to breathe. ”
"Woo...... I miss Mom. ”
The whole emergency room was filled with the wails of these injured people, after all, being burned, the burning pain was very unbearable.
"If the pain is unbearable, they should be given painkiller injections immediately, and at the same time local anesthesia will be given so that they can practice phlebotomy. Zhang Haoyu also felt that his head was big, because more than 20 patients poured in at once, and he was really busy.
In addition to the initial analgesic and phlebotomy drugs to be given to these patients, superficial wound debridement and suturing are also performed on these patients, that is, the cauterized wound is removed from the foreign body in the open wound, the necrotic, inactive or severely contaminated tissue is removed, and the wound is sutured to minimize contamination or even become a clean wound.
In simple words, it is to clean the wound!
Both of these are enough for them to keep them busy.
At this moment, Ruan Bin took his expert-level phlebitomy to the extreme.
Because many patients with moderate burns are not able to use medication at all without phlebotomy. For example, intravenous infusion anti-inflammatory drugs, anti-infection drugs, and in severe cases, antibiotics are used. These require intravenous fluids. Intravenous fluids are several times faster than oral medications.
Half an hour later.
Ruan Bin performed 10 phlebentomys in one go, and more than 20 patients were sent in, except for the few who were sent to the intensive operating room, more than half of them were done by him, and they were extremely fast.
Greatly relieves the pressure of the entire emergency room. Because as nurses at the First Affiliated Hospital of Modu, they can also do phlebotomy. So although the half hour has been very busy and chaotic, it has been the fastest way to solve these problems.
............
Emergency room.
In the intensive operating room.
After Liu Junchi had his first operation, he asked a nurse who had just come in next to him, "How is it outside, are you busy?"
Although he was inside to rescue patients with extremely severe burns and severe burns, he did not forget to care about the situation outside. After all, now he is the one who is in charge of the overall situation.
"It's basically busy. The nurse said.
"Basically, didn't more than 30 patients come in? There will be more than a dozen in the back, and the first batch of more than 30 people have all completed phlebotomy, and all of them have let the patients take medicine in time?" Liu Junchi frowned. It stands to reason that the few people in the emergency room can't be busy!
"Oh, that's right, that new resident doctor, Ruan Bin, has a phlebitomy every three minutes! The nurse replied truthfully.
"What?" Liu Junchi was stunned.