Hou Quanhai's first reaction was whether he had a hearing problem.

But when he saw a virtual screen suddenly pop up in front of him, his second reaction was that he had been masturbating too much recently, resulting in hallucinations?

【Krypton Dragon Medical System】

[Host: Hou Quanhai]

【Occupation: Doctor】

【Vocational Skills】:

1: Superficial trauma debridement and suture: proficient + (entry-level, proficient-level, director-level, expert-level, world-class, innovative level.) Friendly reminder: You can upgrade with points, and krypton will become stronger! ）

2: Saphenous venotomy: Beginner+

3: High saphenous vein ligation: Entry+

4: Appendectomy: Not Started+

5: Resection of benign tumors on the body surface: Beginner+

6: Incision and drainage of superficial abscess: Entry+

Points: 0 (Friendly reminder: You can get points by completing system tasks, and you can also get points by charging money.) ）

System Task: Maintain a week without deducting advanced training points, and if the task is completed, you will get 3000 points.

But when he saw his own information appear on the virtual screen, he finally realized that he shouldn't have masturbated too much, but that he really got a golden finger like an online novel?

"Krypton system? Charge money to become stronger? ”

"No system sprites?"

"Hou Quanhai, what are you doing in a daze? Hurry up and keep up! Fan Yu saw Hou Quanhai stunned in a daze, and couldn't help but remind.

"Oh oh......" Hou Quanhai heard the shout, and hurriedly followed, let's study this system later.

Everyone followed Dr. Cheng to the surgical emergency room and saw the familiar atmosphere again.

The surgical emergency room of every hospital is very busy, except for the kind of small township hospital.

Just when Dr. Cheng took them to familiarize themselves with the department, and before they could go around, a nurse suddenly came over: "Dr. Cheng, are you free now?" Five patients with extensive burns have just been brought in and are now in urgent need of surgery! Now there are not enough surgeons! ”

"Okay, I'll go over now, and the three of you will come with me to help." Cheng Kaidao.

"Yes!"

"By the way, Xiao Jing, how did those five patients get burned?" Cheng Kai asked Xiao Jing, the young nurse.

"I heard that the gas tank of a hot pot restaurant suddenly exploded, and these are all customers of the hot pot restaurant." Xiao Jing said.

When Hou Quanhai and the others came to the temporary operating room, they saw that the five burned patients were lying on the operating table at the moment, one of them had mild burns, three had moderate burns, and one had severe burns!

Severe burns are about 40% of the total area, which looks quite serious, and they will be in a coma at any time, so it is estimated that they will have to be sent to first aid immediately.

"Doctor Cheng, you came just in time, I will send this severely burned person to first aid, you can take someone to deal with these mild and moderate burns first, it shouldn't be a big problem." Another attending doctor at the scene said to Cheng Kai.

"Okay, there you go."

"Okay."

As soon as the attending doctor walked on the front foot, Liu Zhenyang arrived on the back foot.

As soon as he entered, he glanced at it and asked, "What about the patient with severe burns?" ”

"Dr. Meng sent me in for first aid!" Cheng Kai explained.

"Hmm." Liu Zhenyang was relieved after hearing this, because this Dr. Meng is the attending physician of their hospital, and his level is still very high. There is no problem in dealing with this patient with severe burns.

The reason why he asked this question was that he was afraid that this patient with severe burns would be handed over to an attending doctor who was in charge of further training. Because the level of attending physicians for these advanced training needs to be improved!

"These patients with moderate and mild burns should also be treated as soon as possible, and at the same time, they should be given intravenous drips, and you will all do phlebotomy, right?" Liu Zhenyang asked Hou Quanhai and a few others.

"Yes!" Hou Quanhai nodded, and the other two also nodded.

Phlebotomy is only a first-level operation in general surgery, and it is also the simplest batch of surgeries, with the lowest level 1 and the highest level 4. In other words, the fourth level of surgery is the most difficult!

For example, these patients who were burned had extensive burns on their hands, thighs, and even their heads, causing the nurse to give them intravenous fluids later, and they could not find the veins when they took the medicine.

Because their skin is scorched and burned, so that the veins are not visible, at this time, the only way to find the veins is to use phlebotomy to find them, and then they can administer intravenous fluids.

Phlebotomy technique is one of the basic skills that young and middle-aged physicians must master. In clinical work, patients who require phlebotomy are often very urgent and critical. In these patients, due to blood loss, fluid loss, or shock, the veins are poorly filled or collapsed, which is not easy to find from the surface of the skin, and the accompanying arteries can also be difficult to locate due to the condition that cannot be palpated. During rescue, it is necessary to establish venous access in a race against time, which requires skilled positioning and incision techniques. In grassroots hospitals, especially factories and mines, if they can master these techniques proficiently, they can improve the success rate of rescue of critically ill patients, and use incisional vein cannulation, intravenous nutrition, and central venous pressure measurement.

Hou Quanhai, as a resident doctor in a small county, that is, a formal doctor, of course this basic skill will be possible!

"Doctor Cheng, these three patients with moderate burns are estimated to need skin graft surgery, you and I will do debridement surgery for the three of them first, Xiao Jing, you notify the burn department, and ask the attending physician over there to come and see how this skin graft surgery is done." Liu Zhenyang said again.

"Yes, Director." Cheng Kai nodded. Skin grafting is not their general surgical job, they only need to be responsible for debridement of the wounds of these three patients, and then they can be handed over to the burn department for surgery.

Hou Quanhai was in charge of a patient with moderate burns, who had extensive burns on both hands and arms, as well as partial burns on his head and feet.

Although phlebotomy is a first-level operation and is a basic skill, it is still a bit difficult. Because you need to find exactly the approximate location of the vein, or even the exact location, and then make an incision. If you can't find the approximate location, you can't find the vein after opening the incision, and continue to open a few more times, which will delay time and cause a second injury to the patient!

Hou Quanhai planned to make an incision in the anterior saphenous vein of the medial malleolus.

Prepare a sterile drape, and use procaine for local anesthesia.

Start looking for vein locations.

Since the two patients had severe burns and blurred flesh, it took him 3 minutes to determine the approximate location of the veins and then start making an incision.

At 3 cm above the anterior side of the medial malleolus, the skin is cut horizontally and is about 2.5 cm long.

However, Hou Quanhai was a little embarrassed when he opened it, and there was a little deviation between the incision and the vein, and the incision was estimated to need to be opened a little bigger.