"Hey, Director, don't get me wrong." An Jun hurriedly explained: "There is a simulated teaching in this, and the effect is particularly good."

"Alright." Wei Changgeng said angrily: "I'm an old man anyway, this kind of high-tech product, I'm afraid I can't understand it." Let's let you young people do the research first. ”

Seeing this, An Jun knew that he couldn't persuade him, so he immediately mentioned another thing:

"That's right, Director Wei. Just about an hour ago, a seriously injured person with multiple broken ribs was about to be transferred from the pastoral area to our hospital. ”

As soon as he heard that there were seriously injured people, Wei Changgeng immediately cheered up: "Where are the people now?" How's it going? ”

"I haven't come back yet." An Jun said: "Director Wang is afraid that the wounded will not be able to survive and be sent to the hospital, so he specially wants to ask you to pick up the wounded by car. But weren't you there, and he asked me if I could do it. ”

"Then why are you still here?" Wei Changgeng's brows furrowed, and he looked An Jun up and down.

"Well, I'm not sure, am I?" An Jun said helplessly: "The township hospital said that it was very serious, the patient broke five ribs, the chest wall collapsed, hemopneumothorax, and I went to the atelectasis, and I may not be able to pick up the person well." ”

"You!" Wei Changgeng glared at him fiercely: "When you are needed, there is no responsibility!" ”

"What did I tell you about? Regardless of success or failure, regardless of gains and losses, do your best until the last moment. ”

"It's good for you, when you hear that the injury is serious, you don't even dare to go up! Okay, Xiao An, you are so young, you have begun to cherish your feathers? In that case, what are you still doing in Tibetan Province, go home and become a Taiping doctor! ”

"Hey, Director, you're right." An Jun knew his temper well, no matter how he admitted his mistake first, and then explained:

"But there's a little bit of a difference. It's not that I don't want to rush, it's that there are more suitable candidates. ”

"That's right." Wei Changgeng's anger immediately disappeared by half: "Tell me, who went with the car in the end?" ”

"It's Teacher Tao from the emergency center." An Jun said.

"Teacher Tao?" Wei Changgeng pondered for a long time and didn't get the point, so he simply waved his hand and said, "Don't sell Guanzi." There are too many people rushing to the emergency center this time, and I can't think about it all for a while, tell me, who is from the thoracic surgery department of which hospital in Beijing? ”

"Well, not the one outside the chest." An Jun hurriedly said: "Teacher Tao Letao of the First Hospital of Yunshi City is the disciple of Zhou Guoshou and a new honorary member of the Medical Association."

"You don't have to say it. I know her. Wei Changgeng stood up with a straight face: "Nonsense! Who took the board and asked a Chinese medicine doctor to pick up people in the car? ”

He turned his head and walked outside: "This Wang Zhang, I'll go to him now and talk to him about what he's doing!" ”

An Jun didn't expect him to react so much, and hurriedly chased after him: "Director, listen to me, Teacher Tao was actually recommended by me, and Director Wang also approved it."

"You, you, clean blind finger stroke!" Wei Changgeng paused slightly, and then sped up: "But you are still young, how old is Wang Zhang, why do you still have no points in your heart!" ”

"Not to mention anything else, the patient's situation, that is, immediate chest drainage, has a glimmer of life. You are afraid that you will not be able to do well, so you don't think about it, does Xiao Tao, who studied Chinese medicine, not even know this term? ”

The ambulance was moving smoothly. Tao Le quickly cut the clothes on the chest of the wounded, and after a little sterilization, he raised his hand and inserted seven millineedles.

Three are used to stop bleeding and four are used for anesthesia.

The capillaries in the chest cavity of the injured person are still oozing blood, and if they are not stopped immediately, the effect of fluid replacement and anti-shock will be affected.

In addition, although the injured person is in shock and unconscious, it is not good to puncture without anesthesia.

Tao Le selected the incision site, disinfected it, and took the scalpel.

Xiao Chen sorted out the thoracentesis drainage kit and opened his mouth a little hesitantly:

"Doctor Tao, how can you be sure that this is the location?"

That's a good question. Tao Le naturally looked at the hint on the golden finger interface, but she definitely couldn't tell Xiao Chen truthfully about this.

"By percussion." Her mind spun extremely fast, and she quickly remembered the answers from the textbook.

"When imaging examinations are not possible, they mainly rely on percussion to locate them, and where there is a lot of effusion, the feel is different."

So that's it! Although Dr. Tao has never worked in the emergency department, his clinical experience and knowledge reserve are too rich!

Thinking like this, Xiao Chen saw Tao Le make an incision of about 1CM in the second intercostal space on the midline of the right clavicle of the injured person.

This incision is too small, isn't it?

For general thoracentesis drainage incisions, the size should be at least doubled.

Although Xiao Chen has never done it before, he has seen it many times, and he has an impression of the size of this incision.

It's so small, can it be operated?

But the truth is, here in Taole, there is no can't.

Tao Le was engrossed in the operation. With such a small incision, she used two hemostats to staggered blunt separation of the chest wall muscles and intercostal muscles, and then without hesitation, she punctured the pleura with the tip of the forceps of her left hand, and by the way, separated the tear on the pleura.

At the same time, the hemostat in the right hand, holding a rubber drainage tube with side holes, was inserted through the wound into the chest cavity.

This series of movements, clean, neat, and fast, is as if she has done it a thousand times.

Xiao Chen could see clearly on the opposite side, and the depth of insertion of the side hole of the drainage tube into the pleura was between 0.5-1CM, no more, no less, just right.

Tao Le withdrew the hemostat, the drainage tube was connected to the water seal bottle, and the dark red fluid slowly entered the bottle, and occasionally bubbles floated to the surface.

The position of the intubation proved to be very accurate, and the drainage was successful the first time.

With Tao Le's current hand-eye coordination ability, combined with the imaging guidance of the golden finger, this operation is not difficult.

Coupled with the intensive training in the golden finger space before, she was completely unimpressed when she made it, so she didn't notice Xiao Chen's admiring gaze.

This is the smoothest and most outstanding thoracostomy she has ever seen since she practiced!

The incision is sutured and the drain is secured.

The cheat interface pops up at the right time:

[Completed a case of thoraclic drainage in 1 minute 05 seconds, improved the health value by 11 points, evaluation: excellent.]

Reward one opportunity to practice the puncture drainage simulation guidance. Do you want to use it now? Yes/No. 】

Puncture drainage is a very practical technique in clinical practice, including but not limited to thoracentesis drainage, abdominal puncture drainage, pericardiocentesis, etc.

It's naturally good to get systematic learning opportunities, but at the moment, Tao Le doesn't care about it.

Speaking of which, it seems that she still has a rewarded learning opportunity, and she has always forgotten to study.

No wonder I saw the man with a poisonous tongue in the mask just now, his eyes were a little gloomy, and his tone was also yin and yang, probably because of this.

Decisively refusing to study now, the pop-up window seems to reluctantly go backwards. At the same time, Tao Le seemed to hear a sigh.

The injured person hadn't woken up yet, Xiao Chen was looking at him with sparkling eyes, and his family member Dama was sitting honestly on the side, looking up at his eyes, full of trust - where did he come from? I must have misheard.

As the previous screen fades, a new prompt appears.

(End of chapter)