Chapter 28 Injection Medicine
"Cosaac! The sutures are neat, the spacing of the sutures is reasonable, the knots are firm, and the incision cortex is tight and tight, which is quite a good level! After Dr. Xu's examination, he nodded with satisfaction.
"Is the tetanus vaccine shot?"
"It's already fought!"
"Okay, remember to let the patient go to the epidemic prevention station in time to get the rabies vaccine. Come over once a day to change your medication. Push the patient out. ”
Dr. Xu prescribed a doctor's order.
The biggest risk of being bitten by a dog is rabies.
The mortality rate of this disease is 100%.
Vaccinations are the only effective form of protection.
"Dr. Zhou was able to sew so well as soon as he entered the operating room, which is excellent!"
Dr. Lu praised him with a smile.
"Prizes, prizes!"
Zhou Can dealt with it carefully.
From Dr. Lu's sloppy attitude when treating patients, it can be seen that this person's character is average.
The second debridement of the patient just now is likely to make Dr. Lu feel guilty.
I have to guard against it.
"Don't be modest! Being praised by Dr. Xu is enough to prove that you are extraordinary. is so good, what kind of surgery will we have in the emergency department in the future, you can share more! ”
Dr. Lu was still smiling and praising him.
It's just that no matter how Zhou Can listens, he thinks that this guy is not well-intentioned.
When he first arrived, Zhou Can naturally lowered his posture.
It's good to simply show people as a 'little white'.
"No problem, no problem. I'm a junior, so I should work more. ”
The answer was impeccable.
Dr. Lu didn't say anything more.
The atmosphere between the two sides is also quite harmonious.
The operating room in the emergency department is actually quite busy.
As soon as the patient who had been bitten by the dog was pushed out, a new patient was pushed into the operating room.
"The patient accidentally fell and had a 4cm long wound on his left forehead, and upon examination, there was no intracranial hemorrhage. Dr. Rayong saw it and said that he would just go to the operating room to stitch up the wound. ”
Dr. Xu took the film and watched it carefully, but found no problems.
"Okay, you go get busy!" Dr. Xu finished speaking to the nurse and turned to look at the patient. "Can you go?"
"Yes."
"Judging from the films filmed so far, I haven't found any major problems, just flesh wounds. We are ready to do debridement and suture for you. According to your description, you hit your head on the edge of the coffee table when you fell, right? ”
"That's right. The ground I just mopped was so slippery that I accidentally fell. ”
"You're lucky! We saw an old lady two days ago who broke her femur and needed major surgery. In the future, if you have just mopped the ground, you must be careful. ”
Dr. Hui is strict with his subordinate doctors, but he is kind and kind when talking to his patients.
This made Zhou Can see his cute side.
"Doctor Zhou, this patient will be handed over to you to deal with!"
Dr. Xu turned his head and threw the patient directly at him.
"Okay!"
Zhou Can couldn't help but be overjoyed, the opportunity to earn experience points came again.
It seems that he doesn't know Dr. Xu, and after the misunderstanding of lying is resolved, Dr. Xu's trust in him is swishing upward.
In addition, the surgical ability he showed was not bad, and the patient who broke his head was directly rewarded with exercise.
He knew that if he wanted to get more surgical opportunities from Dr. Xu, he had to do every surgery carefully.
"Come, please lie down first. After I give you a local anesthetic, I will clean the wound first, and if there is no problem, you can suture the wound directly. ”
Communicating with the patient before surgery is a basic quality that every doctor must have.
It allows patients to have a general understanding of the whole process of surgery, increases trust in doctors, and reduces doctor-patient disputes.
"Please Dr. Zhou take more care and try not to leave an unsightly scar when suturing."
"Yes."
Positions such as the head and face, neck, and arms should not only consider the healing of wounds, but also consider the aesthetics of the patient after recovery.
Whether an unsightly scar is formed is not only related to the scar constitution, but also closely related to the doctor's level of sutures.
Zhou Can's suture level was placed in a county-level hospital, which was almost equivalent to the level of the main treatment.
A small wound on the forehead is definitely enough.
After the patient is placed on his side, the anesthetic is given first.
I have tested local anesthetic injections on small animals many times before, and this is the first time in humans.
There are fewer muscles in the forehead and only a thin layer of skin, underneath which is a hard skull.
It is more difficult to inject anesthetics than other sites.
This is difficult for Zhou Can.
Diagonally inserting the needle and then injecting it solves the problem.
[Congratulations on obtaining the Injection Medical Skill, the current experience point, 1/10 of level 1.] Internship failing level. 】
Zhou Can was a little confused.
An injection is also considered a medical skill?
In general, the nurses who give the most injections are definitely the nurses.
Giving patients a variety of drugs is basically done by nurses. The more practiced, the technique is naturally refined.
"Fortunately, it is only to inject anesthetic into the patient, if it is injected into a child, with the failure of the injection of this three-legged cat, I am afraid that it will be beaten by the family members every minute."
The level of failure in the internship is a little stronger than that of ordinary people, and you have to rise up quickly.
Originally, it was enough to inject two positions.
Zhou Can is greedy for super high experience points when injected into the human body.
The anesthetic is injected into four parts.
In this way, a total of 4 injection experience points can be easily earned.
We have to find a way to improve this medical skill quickly.
Injection medicine is not only used for injections, but can also be used in multiple scenarios during surgery.
Don't you have a lot of skills.
No matter what kind of medical skill you have, it's not a good thing to be too rubbish.
It is easy to become a flaw for him.
"How's it going, can you still feel the pain now?"
He asks the patient.
"It's numb, it doesn't seem to hurt anymore."
Patients give feedback on their most authentic feelings.
It appears that the anesthetic has taken effect and debridement can begin.
After rinsing the bruises and possible potential debris in the wound with hydrogen peroxide, he took a closer look and the wound was in good condition.
Just stitch it up.
It took less than ten minutes for Zhou Can to complete the stitching.
A total of five stitches were taken.
Checked it and there was no problem.
This is the first operation presided over by Zhou Can, although it is only a minor operation, it is also of great significance.
Presiding over surgery and participating in surgery are two completely different concepts.
Presiding over the operation exercises the comprehensive ability of the independent side.
"Doctor Xu, please check it out." As soon as Zhou Can looked up, he found Dr. Xu standing next to him watching.
"Well, that's good."
After disinfecting the patient's wound twice, he applied gauze and sent it out.
The rest will be handled by our own nurse according to the doctor's instructions.
"Zhou Can's surgical ability, I basically have a bottom in my heart. Kim Mingxi, the next patient, you try. ”
"Done!"
Jin Mingxi watched Zhou Can's meritorious service again and again, and his heart was itching for a long time.
Immediately readily agreed.
Soon, another patient arrived.
The patient had a mild femoral hernia.
Jin Mingxi took the initiative to check on the patient.
"The patient's condition was not severe, no incarceration occurred. I think manual reduction is sufficient, no surgery is required. Dr. Koh, what do you think? ”
It can be seen that Jin Mingxi's diagnostic experience is extremely rich and strong.
"Are you sure you can complete the manual reset?"
Dr. Xu asked rhetorically.
"Yes."
He replied in no uncertain terms.
"Then what are you waiting for, hurry up and get it!"
Dr. Xu fully delegated authority.
After Jin Mingxi asked the patient to lie down, relaxed, and then skillfully reset the patient.
In fact, patients are sometimes able to stuff it back on their own.
The so-called hernia is most of the time when the intestine leaks out through the weak spot of the hernia sac.
A raised bag is formed in places such as the abdomen or the base of the thigh.
There are big and small.
Sometimes it may not even be visible to the naked eye.
The patient will feel extreme pain.
Symptoms are mild, manual reduction is sufficient. No surgery is required.
It's just that the disease tends to recur.
"Alright."
As soon as Jin Mingxi's words fell, the patient's painful snort stopped.
This also fully demonstrates his great strength.
"After going back, take a good rest, and do not cough, lift weights, or exercise vigorously for a short period of time, so as not to cause recurrence. If you feel unwell, go to the hospital immediately. ”
After he cured the patient, he told the patient some precautions very professionally.
The femoral hernia patient was cured so easily that he walked out of the operating room on his own.
"Yes, yes, this time we recruited two cadres from the emergency department to come back, which is definitely a blessing."
Dr. Xu gave a rare smile.
There are two cadres in the emergency department at once, which is enough to greatly alleviate the problem of serious shortage of manpower in the emergency department.
"Dr. Kim, I see that you are very experienced in both treatment techniques and medical advice. Which hospital used to be high? ”
Dr. Xu called him a different name.
It's a kind of recognition, but also a kind of respect.