The emergency department of Tuya Hospital is always so busy, and before eight o'clock, the corridor is already crowded with patients.

Many patients who should have registered their specialist outpatient number have made an appointment for the same day in order to see a doctor earlier, or the specialist number of the day has been booked. They crowded into the emergency department.

This has exacerbated the staffing strain in the emergency department.

"Dr. Zhou, hurry up and go to the operating room to help, there is a car accident patient who needs emergency surgery."

Ye Tingting saw Zhou Can and immediately beckoned him to support the operating room.

By feeling, her job title should not be too low.

Certainly not at the level of a junior nurse, at least also a junior nurse.

She seems to have a special impression of Zhou Can, and she took care of Zhou Can in the operating room yesterday.

Jin Mingxi, who entered the emergency department with Zhou Can, did not have this treatment.

"Okay, I'll go over right away!"

As soon as Zhou Can heard that there was surgery to do, he immediately became energetic.

Change into a surgical gown and take a look in the operating room.

I saw Dr. Xu, an unfamiliar resident doctor, an anesthesiologist, and Tang Ling, an instrument nurse, a total of four people preparing the patient for surgery.

"Dr. Xu: Morning! You're all early! ”

Zhou Can took the initiative to greet the four of them.

The patient's legs and thighs were blurred with blood. The bloody pants have been cut off.

Perhaps due to the lack of manpower, the instrument nurse wears many hats and is disinfecting the part of the patient who is about to operate.

Although in the eyes of doctors, there is no distinction between men and women.

But when she disinfected the patient's perineum, she was obviously a little embarrassed.

"I'll do it!"

Zhou Can took the initiative to snatch the pliers in her hand and sandwiched the disinfectant cotton to disinfect the patient.

"Thank you!"

Tang Ling gave him a grateful smile.

"You're welcome!"

When Zhou Can was an intern, he did a lot of this kind of thing. Now it's very proficient.

It was done in no time.

"Give the patient a catheter."

Dr. Xu commanded.

This is also the job of a nurse. Tang Ling took the urine catheter and looked at Zhou Can for help.

"In the future, when I am present, this kind of work will be left to me."

Zhou Can didn't need her request at all, took the initiative to take the urinary catheter, and skillfully placed the urinary catheter into the patient.

In a patient with a serious injury like this, the catheter has multiple purposes.

For example, obtaining urine samples for laboratory tests, and monitoring whether the patient is urinating normally in real time after surgery, etc.

[Congratulations on obtaining the Implantation Technique, current experience points, level 3 1/1000.] Special equipment or drugs such as vascular stents, bone nails, springs, etc., can be inserted into the corresponding tissue parts of the patient. 】

Zhou Can was stunned, and then ecstatic.

Implantation is a high-level medical technique.

Its practice is extremely difficult.

However, it is widely used in a variety of difficult precision surgeries. For example, cardiac stent placement, vascular balloon implantation, etc.

It is directly the third level, which is equivalent to the inferior level of a resident doctor, which makes Zhou Can feel very satisfied.

If this medical skill is practiced well, it will definitely be shocked when it returns to surgery one day.

He was really surprised to get a urinary catheter inserted and actually got the implantation operation.

It seems that these inconspicuous chores can also be done in a hurry in the future.

Inserting a urinary catheter can get 1 point of experience for insertion, which is not too cool.

It's as enjoyable as picking up a hundred-dollar bill on the street.

At present, he already has three advanced medical skills, if he can raise them all to the main level. At that time, I will also be able to take on some difficult surgical work.

"This patient has serious internal fractures in both legs, and our emergency department can only initially treat the injuries, ensure the patient's life, do our best to save his two legs, and then transfer him to surgery."

Dr. Xu set the tone for the operation.

The emergency department is simply not in a position to perform all the surgeries on such patients.

Its job is to save patients in critical need and do their best to save lives.

"Dr. Lin's level of suturing and ligation is much higher than that of Xiao Zhou, so Dr. Lin will be an assistant to me, and Xiao Zhou will be responsible for assisting and part-time patrol nurses."

After Dr. Xu arranged the division of labor, several people took their places.

"Ouyang, are the patient's vital signs okay?"

"Yes, it can be operated."

It is important to listen to the anesthesiologist before the surgery.

The patient's blood pressure was significantly low and his heart rate was too fast. Indicates excessive blood loss.

The thigh has a femoral artery that is large enough to cause rapid blood loss and death.

Judging by the current situation, it is likely that the femoral artery has been ruptured.

Many people may not know how high the risk of femoral artery rupture is. I believe everyone knows that if the neck is cut, it is easy for a person to hang up.

In fact, if the trachea in the neck is severed, the person will not die immediately.

But the carotid artery is cut, and blood spurts out immediately.

The femoral artery, like the carotid artery, leads directly to the coronary artery.

This massive bleeding is very scary.

Second only to the heart being pierced by a sharp weapon.

On the contrary, it is a common suicide by cutting your wrists in TV dramas, and the bleeding is actually not so terrible. Some environments with strong blood clotting function or low temperatures are likely to stop bleeding automatically.

Dr. Xu carefully debrided the crushed part of the patient's leg.

I saw a stream of blood coming out like a spring.

"Hemostat!"

Before Dr. Xu's words fell, Zhou Can had already clamped the proximal end of the bleeding blood vessel with a hemostat.

Hemostasis at the intermediate level of the resident is not given in vain.

Dr. Yizhu Lin glanced at Zhou Can with a little surprise.

"I heard that the emergency department has recruited two cadres, but I don't believe it yet. After seeing Dr. Zhou's level of hemostasis, I believe it now. ”

As soon as the master makes a move, he will know if there is one.

Zhou Can's hand to stop the bleeding immediately won Dr. Lin's respect.

Surgery is not like writing a thesis, and many attending doctors will spend money to buy papers or even topics in order to impact the deputy senior title. Or through various means, reduce the difficulty of evaluating deputy senior titles.

In the end, even if it is evaluated, the level can be imagined.

It's just a false name, but it's actually very watery.

The surgery is not fake.

If it doesn't work, it will be exposed immediately.

"I don't dare to be a cadre. Dr. Lin will continue to take care of you in the future. ”

Zhou Can lowered his posture as much as possible.

Newcomers, the more low-key the better.

As long as you earn experience points in a muffled voice, it won't be long before you can leave opponents like Dr. Lin and Jin Mingxi far behind.

"Now that the bleeding spot has been found, Dr. Lin, you clean up the wound over there. Xiao Zhou maintained the hemostatic posture, and I came to do the vascular anastomosis. ”

This is a femoral artery anastomosis, although the difficulty is not too high, but it is a test of the doctor's anastomosis level.

Dr. Xu was not at ease to leave it to Dr. Lin.

Choose to match in person.

Zhou Can saw it for a while, but it was a pity that his current anastomosis level was only inferior to that of a resident doctor. If you can be promoted to the excellent level of a resident, you should be able to anastomosis the femoral artery.

The patient's other leg has muscles and bones destroyed, but the epidermis is still attached.

Dr. Lim carefully cut open the epidermis.

I saw that the muscles under the skin had rotted.

There were hematomas and bruises everywhere.

There were even bone scraps.

It's miserable.

The injured man was supposed to have been run over his legs by the rear wheels of a large truck.

On the other side, a hole was broken in the femoral artery.

Blood is spurting out.

Zhou Can had to concentrate on two things, freeing up his left hand to hold the hemostat and control the bleeding point.

"Thank you!"

Without Zhou Can's help, Dr. Lin would not have been able to operate alone.

The ruptured femoral artery needed to be repaired.

"Dr. Xu, the femoral artery here is also broken. The situation is not bad. Can you leave it to me to fix it? ”

Dr. Lin asked, and Zhou Can roughly deduced his level of sutures.

It will not exceed the excellent level of the resident doctor.

It seems that the gap with Dr. Lin is not big.

Zhou Can's current level of sutures is inferior to that of a resident doctor, and he only needs to mix in the operating room for a month, and he may surpass Dr. Lin.

Others can only improve their medical skills step by step, and the speed is slow.

For the vast majority of surgical residents, it takes at least five years to move the level of sutures from inferior to excellent.

It has to be a case of sufficient surgery.

If you only get a chance to stitch in three or four days, and then practice in private and are not diligent, you may not even reach the excellent level for seven or eight years.

So in comparison, Zhou Can's advantage is still quite big.

"You can try. The gap between the sutures should be tight, and arterial pressure needs to be fully considered. ”

Dr. Koh agreed.

On the one hand, he was too busy.

On the other hand, as long as the risk is not particularly high, he tries to delegate power to his doctors to help them grow quickly.

"Understood."

Dr. Lim nodded and quickly began repairing the ruptured femoral artery.

Fortunately, with the protection of flesh and skin, the damage to the femoral artery is not particularly serious.

Otherwise, vascular repair alone will be very troublesome.

"Dr. Lin's level of sutures should be at the average level of a resident."

After Zhou Can saw Dr. Lin's vascular repair, he had a bottom in his heart.

It seems that it will not take too long to surpass Dr. Lim at the level of sutures.

Be proactive, maybe you can surpass him in ten days and half a month.

"In addition to ensuring that the suture space is fine, it is also necessary to distinguish whether the blood vessels are damaged. Like this, you have to cut it out. If the two blood vessels are far apart after being cut off, the tension is too great, and the anastomosis must not be forced. A saphenous vein can be removed or an artificial vessel can be substituted. ”

"Generally excellent consideration with the patient's own blood vessels. Although the technology of artificial blood vessels is very mature, it is a thunder after all. Especially when operating on young patients, consider that they have decades to live. When using any artificial organs or tissues instead, you must be cautious. ”

Dr. Hui carefully passed on his valuable surgical experience to him while performing the operation.

"Remembered."

Zhou Can nodded, his attitude extremely sincere.

His open-mindedness and eagerness to learn are one of his great strengths.

In the operating room, Jin Mingxi and Dr. Lu came in one after another.

It's time for the shift.

Dr. Lin was on the night shift, while Dr. Xu and Tang Ling received a call from the hospital and rushed to help.

More than 20 minutes later, Dr. Xu had successfully anastomosed the severed femoral artery.

Dr. Lim is still busy.

Depending on the level, the speed of the procedure will also vary greatly.

Excellent surgeons, not only the operation time is short, but also the quality of the surgery is very high.

"Xiao Zhou, let go of the hemostat here and try blood luck."

Zhou Can slowly let the hemostat loosen.

Rather than frizzy direct loosening.

From this, it can also be seen that his level of hemostasis is quite good. The true high level is not only reflected in the technical excellence, but also in many details.

A large arterial vessel like this, as soon as the anastomosis was successful, suddenly released the hemostat.

It is equivalent to suddenly opening all the gates when opening the flood gates.

It's easy to have undesirable consequences.