During their time in the Heavenly Forest, the two had already cultivated a tacit understanding.

Zhou Yi is considered to be the old Tang watched it with his own eyes, taking off step by step, he has long been accustomed to the level of demons, so he naturally does not talk about the problem of trust, he must deal with the heavy bleeding of amputee patients as soon as possible, although the other condition is not good, but the blood pressure measurement value tends to be normal, as far as the principle of first aid is concerned, choose the poor.

At the same time, I didn't forget to throw out the A-level scan detection function.

[Comminuted fracture of the left thigh bone, 10% possibility of repair]

[If the bleeding volume is higher than 1500CC, emergency amputation is recommended]

The repair is low probability, the amount of bleeding is too large, the patient is already in a state of shock, and the only thing that can be done now is to amputate the high thigh and then perform stump embedding.

The risks of such surgery are undoubtedly significant.

But after getting used to the operation in the Heavenly Forest, compared to the current operating room with good equipment and environment, neither Zhou Zhou nor Tang Aiyun showed nervousness.

Coming out of the harsh environment, since the environmental factors are up to standard, what surgery can't be done?

"Is the amount of blood enough?" asked Zhou Yi.

"Yes, the workers will do a basic physical examination to determine the blood type, just to deal with the current emergency, I have arranged for someone to find someone...... Oh, you leave me alone and look at your patients. ”

There is no need to worry about the amount of blood, and the surgical environment is so good.

It's so comfortable.

Coming back to his senses, Monday used an A-level scan on the patient in front of him.

[Kidney rupture 33.8%]

[Intraperitoneal bleeding to 500cc of accumulated water]

【Multiple perforation injuries in the left colon】

[Recommended treatment: local nephrectomy, colon suture]

There is no time to do imaging in first aid, such as the cut-off patient on Tang Aiyun's side, the ulceration of the injured person's left leg is enough to see the results of the treatment with the naked eye, and if the patient here is from a tertiary hospital, he naturally has a complete emergency examination procedure to meet the judgment of his injury.

However, a small emergency room certainly does not have such a complete first aid procedure, and it also requires the doctor's experience to judge.

To be precise, it is an open examination.

On Monday, if you have a system, you can directly perform surgical treatment.

"Kelly, are you ready?"

Kelly had already gone to look for the surgical gown and instruments, located next to the instrument cabinet in the corner of the room, fortunately the instruments were placed logically, Kelly turned around and shouted, "Okay, you can start at any time." ”

"I'll disinfect it, and you can get it done quickly. ”

Of course, the current situation does not have the rules for sterilization of surgeries in hospitals, and the two have not had time to disinfect after they come in, but Kelly temporarily wears sterile gloves with the help of a black nurse, but this is also to avoid direct contact with the instruments, and when they are ready, they still have to be disinfected again.

Monday went to the disinfection room next to him, took off his dirty clothes, and only left a pair of pants without hesitation.

Kelly then came in and looked at the young man in front of her, but she didn't expect a seemingly weak and indecent Chinese young man, with a figure hidden under his clothes that was not bad at all, and he looked very well-proportioned.

Of course, it was only half a second before he began to put on a surgical gown and sterile gloves for Zhou Yisheng.

"I'll go to anesthesia first, you're faster. "I went out first after Monday was done.

At this time, don't expect someone to help anesthetize the patient, you have to do it yourself.

However, what Zhou Zhou didn't expect was that his front foot came out, and only after the injection of drug anesthesia, Kelly came to his side.

"So fast?" he was slightly surprised.

Kelly said calmly: "Split surgical gown, if it is the standard clothing of the army, the speed is twice as fast." ”

Just this little thing, you can see Kelly's confidence.

What Zhou Zhou didn't know was that Kelly did have a heavy performance, she really regarded this as an entry assessment, but she was a little puzzled by where the two patients were found......

"Check the anesthesia. ”

"No problem. ”

"The operation begins...... Scalpel. ”

Kelly handed it over with a quick movement, even though he thought about it...... Is it so sloppy?

But she knows where a nurse's responsibility lies, to follow instructions and not to question the doctor's decisions and judgments.

Sure enough.

She soon discovered that her worries were unnecessary, and that the skillful incisions, the most iconic movements, made her feel happy, and the last time she saw such an incision was on the operating table of a special consultant from Hopkins before she retired, when Kelly was a third-assistant nurse helping a patient with a heart transplant.

Well, Kelly has seen too many top doctors.

Of course, there are no military hospitals in the United States, just as there is no municipal party committee in New York City, and the national conditions are different; but each military region has specially appointed consultants and experts, who are undoubtedly the academic leaders of the 10 major medical centers.

Do you really want to say that Zhou Yi's incision is better than those people?

In fact, it is also an exaggeration.

But the standard incision, which tends to the extreme, can be said to be a textbook-level demonstration.

Hanging on the wall is always different.

Intraoperatively.

Although it involves local kidney removal, the incision location chosen by Dr. Zhou is not on the lateral waist, because the left colon tissue also has different degrees of perforation and ulceration, and the systematic judgment is to complete two types of surgery in one wound, so the single opening position is very large, but it is always better than the two wounds before and after, which avoids the trouble of prognostic patients when resting.

The largest bleeding point was in the kidney, but there was no rush to remove it on Monday.

After the exchange of [kidney extraction], the relevant experience told him that the patient's current state can wait, in addition to the problem of ascites caused by bleeding, the probability of infection in the resection work will be greatly increased.

The colon is sutured first, and then the kidney is removed, which is methodical.

"Cleaning. ”

"Done. ”

"Pinch forceps to fix, sutures. ”

"Done. ”

"No. 1 position suture, marking. ”

"Done. ”

The two experienced surgery for the first time, but the tacit understanding was extremely high, which is the importance of a good assistant, never dragging his feet, and maximizing the use of fragmented time.

Zhou Yi didn't have time to feel all this, just immersed in the state of surgery.

The degree of colon ulceration is very exaggerated, because it was smashed by heavy equipment, and it was really bad luck to break him without stopping his waist, and the current degree of the disease is already considered light.

In terms of intestinal tissue removal, Zhou Yi has already redeemed relevant skills and has his own judgment.

If the damage is too large, it should be excised and removed directly.

After seeing a series of actions, Kelly had no worries, even after Zhou Zhou excessively cut off a piece of ulcerated colon, she did not ask: Can the length of the colon be cut and continued?

And reality tells her that she can!

The system has already given accurate calculations to maximize the toughness of the colon tissue within a reasonable range, and the colon at both ends is anastomosed in a short way, and the fit is highly intact.

Even Zhou Zhou himself, after completing the stitching, let out a happy sigh.

The benefits brought by the previous two [Collection of Sewing Experience] are simply impossible to describe in words.

All in all, strong.

"Aspirate, change surgical instruments, prepare for kidney removal. ”

In the meantime, the blood has arrived, and everything is in place.