The itinerant nurse is very quick with her hands and feet, in addition to cleaning up the instruments, cleaning up all kinds of debris on the ground, and then stacking them in the cleaning passage.

The cleaners had been waiting for a long time to quickly clean up the bloodstained sheets and other items.

Zhao Yuan took a short rest, then began to wash his hands and prepare for the next operation.

There are strict requirements for doctors to wash their hands, just as there are standard actions for shooting, which must be strictly regulated.

You have to wash your elbows and place your hands with your tips facing up, your arms flat, and hanging in the air, which at first glance looks like a robot.

This is done to keep the washed hands as clean as possible from touching other places and to maintain a sterile state.

The surgeon takes care of his hands more carefully than the pianist.

Accessories such as rings and watches are never expected to be in the operating room.

The main thing is that I am worried that I will hurt my hand.

Once the doctor's hand is damaged, surgery is absolutely not allowed.

The patient is already lying on the operating table,

Generally speaking, the patient's body is covered with a four-centimeter thick cloth sheet, covering the entire body, and only the location where the operation is performed is leaking out, and no other position can be seen.

However, the exposure of the patient's body in front of him is very large, which means that the other person has multiple injuries that need to be treated.

"The patient, a 26-year-old woman, suffered a blow to her head and was suspected to have an intracranial haemorrhage and a fracture of her femur. Just now, Director Xie discussed with the orthopedic department that the head injury should be treated first, and the fractured part would be rescued before the second operation."

Zhao Yuan studied the film and said softly, "Wait for me for ten minutes."

Everyone was surprised.

Zhao Yuan left the operating room and went to find Xie Changtian.

"Director Xie, what is the evaluation of my patient from the orthopedic department?"

Xie Changtian beckoned to a middle-aged doctor next to him, "Old Yao, come over and talk to Zhao Yuan about the patient with a femur fracture."

The middle-aged doctor is the chief physician of the Department of Orthopedics, named Yao Qiang, who is not tall, but has a large skeleton and walks with the wind.

He was exchanging patient treatment plans with another doctor, and when he saw Xie Changtian calling himself, he walked over.

Yao Qiang spoke very directly, "You are responsible for saving your life, and we will handle the rest."

Zhao Yuan said: "Can you understand the follow-up treatment plan of orthopedics?"

Yao Qiang has a certain understanding of Zhao Yuan, knowing that he is quite accomplished in the field of heart surgery, and has also studied the soup method of hand surgery, and has also done a ligament tear repair.

However, in the final analysis, these surgeries are different from major injuries such as femur fractures.

In addition to emergency surgery, the busiest part of the crash is orthopedics.

Yao Qiang's tone became a little impatient, and he said in a deep voice, "The situation is not optimistic! Angiography shows spasm of the femoral artery at the broken end of the fracture, and the passage is slow, and the femoral vessel is damaged. Preliminarily, the damage has reached the standard of amputation. Of course, it will have to wait until the first stage of surgical repair before further evaluation.

Again, what you urgently need to deal with is a head injury, so that people can survive first, and the bone injury part will be transferred to the orthopedic department."

You can't blame Yao Qiang for his bad attitude.

At this critical juncture, life preservation is the primary concern of emergency surgery.

Zhao Yuan didn't get angry because Yao Qiang's tone was not good.

From his standpoint, he is suspected of having nothing to do.

"Director Yao, wouldn't it be better to deal with the fracture now?"

Yao Qiang was slightly stunned, his face sank like water, "Well, I can't tell."

No one can guarantee 100% success until any surgery is done.

Zhao Yuan continued, "Now that the injury is less than five hours away, if it is dealt with in time, there is still a good chance to avoid amputation."

Yao Qiang frowned, "You mean, the patient will be operated on immediately, but my side is understaffed and there is no way to transfer personnel."

The patient is only in her twenties, and if her leg is amputated, it will seriously affect her future.

Although Xie Changtian and Deng Yunlun are now delegating all kinds of power to themselves, but

The process that Zhao should have gone must be followed.

If there is a controversial operation, it is still necessary to file with the director in advance.

Otherwise, even if a person is cured, he will be criticized.

It's too reckless to say that you are a young man who doesn't understand the importance of light.

Zhao Yuan and Xie Changtian applied, "Director Xie, can I handle the patient's bone injury?"

Xie Changtian looked at Zhao Yuan in surprise, "Is it possible to do multiple surgeries at the same time?"

Zhao Yuan nodded firmly.

Yao Qiang's face was colorless, neither happy nor sad, and he clasped his hands, "Can I listen to your plan?"

Yao Qiang and Zhang Zhiyuan are the same family, originally there was no separation in orthopedics, and both of them studied under the name of an orthopedic expert.

Later, Zhang Zhiyuan went to hand surgery, and Yao Qiang took over the first department of orthopedics.

The two have been in touch, and Zhang Zhiyuan has recently complained frequently to Yao Qiang that the emergency surgeon's hand is too long. Yao Qiang secretly complained to himself for his senior brother in his heart.

In his opinion, Xie Changtian is also a junior, and in order to pursue results, he "looks ugly".

Despite the grievances in my heart, at this critical juncture, we must abandon our prejudices.

He wanted to listen to Zhao Yuan's train of thought.

Orthopedic surgery is not something that everyone can do.

"Osteoplasty." Zhao Yuan said softly.

Yao Qiang was slightly stunned, and said lightly, "Then you can go on!"

After speaking, Yao emphasized his head and left.

"Osteoplasty" is a popular concept in orthopedics.

In Yao Qiang's view, Zhao Yuan was suspected of "catching up with fashion".

It may be a good thing for young people to fall once.

Xie Changtian patted Zhao Yuan on the shoulder twice and encouraged, "Let it go, I believe in you!"

Xie Changtian immediately communicated with the patient's family about the preoperative agreement.

The patient's family heard that the plan could save the patient's right leg as much as possible, and did not object to the plan.

Return to the operating room.

He briefly described the treatment plan.

Everyone was surprised.

"We'll do the orthopedic surgery too?" Sun Liang was surprised.

Zhao Yuan smiled: "You have done a lot of surgery in no man's land, and you are still afraid of femoral fixation?"

Sun Liang smiled bitterly, "I know the anatomy of the hand well, but I am really not familiar with the anatomy of the femur. Of course, you're the master, and you have the say."

Cranial debridement is the first level of surgery in neurosurgery.

A femur fracture is a tertiary orthopedic surgery.

According to Zhao Yuan's idea, skin grafting should also be carried out on the legs.

This is a complex surgery that is interdisciplinary.

Broken down into four procedures.

First, cranial debridement.

Second, debridement techniques for femoral injury wounds.

Second, minimally invasive fracture internal fixation techniques.

Third, skin flap transplantation technology.

Normally, it is done in batches.

Also, trauma orthopedic and orthopedic surgeons have to take care of different parts.

Now the merger is done all at the same time in one operating room.

Not all physicians have this experience.

Dr. Guipei felt that the blood in his body was burning.

However, she didn't know much about Zhao Yuan.

I couldn't help but mutter, can I do it?

Judging from Zhao Yuan's experience, this woman will be delayed for another hour, the ischemia time will be long, the body will be completely necrotic, and there is a 90% probability that she will have to be amputated.

In order to avoid amputation, Zhao Yuan spent ten more minutes communicating with Xie Changtian and Yao Qiang.

His experience was intuitive, and he simply could not convince Yao Qiang to immediately perform femoral surgery on the patient.

Zhao Yuan can't watch the patient lose a leg!

If the orthopedics department doesn't give support, then come by itself.

Zhao Yuan handed over the problem of intracranial hemorrhage to Sun Liang to deal with.

Sun Liang was not ambiguous at all.

First-level surgery, it can't be difficult for him!

Dr. Sun rinsed the wound with normal saline, removed the damaged tissues of the scalp, skull, and dura mater, and then carried out a series of sutures, sealing, and repairs.

Zhao Yuan took a deep breath, adjusted his emotions, concentrated his attention, and began to race against time again!

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