At ten a.m., the patient was wheeled into the emergency operating room.

Yi Sheng and director Lin Guangqing put on their hand brushing clothes and waited for the nurses in the operating room to finish the preoperative preparations.

The anesthesiologist leaves the operating room after being prepared with anesthetics. As a well-known tertiary general hospital in the province, the daily surgical volume of the Affiliated Hospital of Nanyao Medical College is very large, so for minor surgeries such as hematoma, the anesthesiologists do not need to accompany them in the operating room all the time.

After a while, the patient was pushed into the operating room, Lin Guangqing and Yi Sheng were already ready, Yi Sheng gave Lin Guangqing the medicine bottle containing lidocaine to confirm, and gently raised the patient's left arm according to Lin Guangqing's instructions.

As an amide local anesthetic, allergies caused by lidocaine are extremely rare, but if they do, anaphylactic shock can occur in a short period of time, resulting in central nervous system excitatory suppression and respiratory movement arrest. Therefore, in order to prevent allergies, a dermal mound is often punched on the patient's arm before lidocaine is used, and if there is no allergic reaction, the local anesthetic is continued.

Yi Sheng glanced up at the medical record book hanging on the wall next to him, and asked, "Name?"

"Ji Yunfeng. Ji Yunfeng looked a little scared, licked his chapped lips, and asked with hope in his eyes: "Doctor, do you think I'll be fine, I heard that if this artery is broken, it will be dead?"

Yi Sheng couldn't understand why the patient didn't accept brachial plexus block anesthesia and chose the more unstable subcutaneous nerve block, so he had to be relieved: "It's okay, you may be in some pain for a while, bear with it and don't move, if it hurts, just say it, I'll make up the anesthetic for you." ”

One hand dragged the patient's arm up, and Yi Sheng was not idle with the other hand, and after placing the shadowless lamp on his head, he said to Lin Guangqing: "Teacher, it's okay." ”

After Lin Guangqing took out the prepared alcohol cotton with hemostats and carefully disinfected it, he laid a hole towel at the incision site, signaled Yi Sheng to adjust the position of the shadowless lamp, and began anesthesia.

In fact, the whole surgical process is very simple, the brachial artery is ligated at both ends of the hematoma, and after the hematoma is removed, the cone artificial blood vessel of the limb is used to bypass the brachial artery, and then the suture can be fixed. However, Yi Sheng is still a chick in the end, and it is inevitable that he is a little nervous when he participates in the operation for the first time, dragging the patient's arm with one hand, but he doesn't know where to put the other hand.

"Xiao Zhao, you push the instrument cart over, Yi Sheng, you come and hand over the equipment. After Lin Guangqing finished anesthesia, he saw Yi Sheng's nervousness, and said to the instrument nurse on the side.

Instead of complaining, the little nurse who was robbed of her job pushed the instrument cart over, ran to the side, picked up her mobile phone, and lifted Erlang's legs, looking like she was swimming.

Yi Sheng breathed a sigh of relief, fortunately he could hand over the instrument with his other hand, otherwise he really didn't know where to put it, and he couldn't put it in his pocket.... No, there is no pocket for the gown.

"Knives. Lin Guangqing said without raising his head.

There was no relaxed picture in the operating room that the teacher said during class, and there was only the slight sound of Lin Guangqing's short and powerful words and the collision of instruments in the entire operating room.

It lasted 2 hours, and the operation came to an end, during which the patient complained of pain twice, Yi Sheng made up the anesthetic in time, Lin Guangqing put the gauze and hemostats aside, and said with a sigh of relief: "Yi Sheng, I'll leave it to you." ”

Lin Guangqing has fixed the artificial blood vessel suture on the patient's brachial artery, and the only thing left is skin suture.

Yi Sheng nodded, put down the patient's arm and shook his sore arm by the way, and said to the instrument nurse who was watching the TV series with teary eyes: "Sister, a corner needle, a pair of No. 8/0 imported polypropylene synthetic thread." ”

Lin Guangqing was stunned for a moment, he didn't expect Yi Sheng to use 8/0 thread, generally the most basic principle of sutures in the operating room is to use thin and tensile sutures with minimal response to tissues as much as possible. The thickness of the various sutures is indicated by the number of numbers and zeros, the larger the number, the thicker the sutures, and the diameter of the sutures is measured in millimeters, often expressed in several zeros. The finer the sutures, the greater the number of zeros. And 8/0 is the thinnest suture.

Lin Guangqing didn't interrupt Yi Sheng, but asked softly: "The patient's brachial artery bypass ability will cause excessive skin tension during suturing, and you choose the 8/0 line with the smallest tissue response, are you so confident?"

"Yes. Yi Sheng replied very happily.

Lin Guangqing sighed in his heart, a little unable to catch the conversation, he was very curious about where the young man in his early twenties in front of him got his confidence, even if he could use ordinary 8/0 intestines to sew the banana peel perfectly, but how can the skin tension of the banana peel be compared with the human skin, but he is in his fifties, since he said that he wants Yi Sheng to sew, then let him sew it, Lin Guangqing only hopes that Yi Sheng's craftsmanship can really be proportional to his self-confidence.

In just a few minutes when Lin Guangqing was stunned, Yi Sheng had already completed the stitching of the patient's skin and took gauze to clean the blood stains on the patient's skin.

"Remember not to get wet after bandaging, and go to the nurse to change the dressing in two days...."Yi Sheng told the patient with a distorted face, when Yi Sheng sutured just now, the effect of the anesthetic basically disappeared, but the skin surface sutures can no longer be anesthetic, Yi Sheng had to complete the sutures as soon as possible to reduce the patient's pain.

Lin Guangqing was dumbfounded, it's really fast!

Lin Guangqing lifted the gauze uneasily, looking at the tight sutures on his arm and was amazed, Lin Guangqing knew very well in his heart that as a self who had been struggling in internal medicine for almost 30 years, the incision he had just made for the patient was not as good as a surgical director, coupled with his own hand trembling, the patient's incision was crooked, but Yi Sheng insisted that these uneven incisions fit perfectly, which was really amazing!

It is said that doctors need talent, but Yi Sheng's talent is also good!

However, Lin Guangqing, as the director, wanted him to admit that Yi Sheng had done better than him, then he would definitely not be able to say it, he could only pat Yi Sheng on the shoulder, and said in an encouraging tone: "Good job, continue to work hard." ”

Seeing that the patient was safely sent out of the operating room, Yi Sheng looked up at the time and was about to pack up for lunch, while Lin Guangqing explained the precautions to his family outside the operating room.

Just as Yi Sheng was about to change out of his hand gown, the door of the operating room was pushed open, and a doctor with white hair and a white coat rushed in, with a chapter of hospital beds behind him, and the patients on the beds were pale and bloodless.

Yi Sheng recognized the head doctor, Wu Aimin, director of the emergency department.

A doctor next to the bed held the bed and said: "The patient was injured in a car accident, with an open wound of 15 cm on the left abdomen, the omentum was exposed, and part of the intestine was exposed. ”

The family members who followed them were stopped outside the operating room, their eyes blank and at a loss.

For ordinary people or non-medical workers, this is a great disaster, and the current condition of the patient can refer to the woman who was hung on the beam of the house and had her abdomen cut open by a wood planer in "Chainsaw".

Of course, this situation is not a small situation for hospitals, and hospitals rarely encounter patients with such large open wounds.

Yi Sheng stood sideways beside the hand-brushing table and gave way, and was grabbed by the director who had just spoken and put his hand on the armrest of the bed and said, "Brother, help! I'll go to the blood station to get blood, you follow Director Wu in!"

After saying that, the young ruler ran outside.

Strictly speaking, Yi Sheng is not qualified to follow into the operating room, after all, he is just an intern without any qualification certificate, and his superior doctor is Lin Guangqing, in a place with a strict hierarchy like the hospital, without Lin Guangqing's permission, Yi Sheng cannot enter the operating room, after all, if Yi Sheng causes any problems, Lin Guangqing will also be responsible.

However, Yi Sheng still followed, because an urgent task appeared in his mind.

Urgent Tasks (Cannot be Denied):

As a doctor with medical ethics, saving lives is the main task!

The goal: to save the patient's life.

Rewards: One lucky draw, 2 points for credits, and elite-level freehand hemostasis.

PS: Due to the urgency of the situation, the Xiaoyixian system temporarily opens up part of the knowledge for the host, and the host is ready to receive it.

Yi Sheng didn't have time to ask more, an abnormal feeling like electricity came from Yi Sheng's mind, and Yi Sheng was stunned in place.

"Let's go. The nurse pushed Yi Sheng's hand and pushed the bed into the operating room, and immediately connected various instruments.

"Blood pressure 80/50, heart rate 122, patient conscious. The nurse said.

"The patient has a significant misalignment of 8-10 ribs and is ready for a blood transfusion. Wu Aimin said while doing the inspection.

Wu Aimin's tone is not urgent, far from the sense of urgency that is found in those TV series and movies.

Although the patient appears to be seriously injured, the initial treatment has actually been carried out in the ambulance, and the key now is to wait for the results of the CT scan and the blood from the blood bank.

Since there is no need to rush, you can think more comprehensively, and it doesn't matter if you are slow.

In the hospital, the speed of the doctor's action depends on the patient's degree of illness, such as the patient in front of him is not an endangered patient, so everyone is not too nervous.

"I'm going to prepare. Yi Sheng opened his mouth and said, the little medical immortal system has been transmitted, Yi Sheng looked at the patient, and a variety of relevant treatment measures for the patient appeared in his mind.

Wu Aimin raised his head and looked at the unfamiliar Yi Sheng and asked, "What about Xiao Li?"

"Dr. Li went to the blood station to get blood and asked me to follow up to see if there was anything I needed help with. Yi Sheng replied.

Wu Aimin let out an "oh" and continued to do the examination, ignoring Yi Sheng.

In fact, Wu Aimin didn't know that Yi Sheng was an intern at all, and even he didn't know Yi Sheng, the reason why he didn't react much was because the Affiliated Hospital of Nanyao Medical College was too big.

There are more than 3,000 staff members in the Affiliated Hospital of Nanyao Medical College, including nurses, and he can't be known to everyone.

The door of the operating room was opened, Lin Guangqing walked in, saw Yi Sheng on the side now, glared at him without speaking, turned his head to look at Wu Aimin who was doing the examination and said, "Old Wu, how is it?"