"Dr. Xu, your arrangement is unreasonable! Xiao Zhou is just a regular trainee, and he is not qualified to operate alone. It's better to let him be your assistant, and I, like Xiao Jin, deal with the first-level surgical wounded alone. ”

Zhou Can does not have a doctor's qualification certificate, but Jin Mingxi does.

This is a weakness of Zhou Can.

When Dr. Lu heard that he was going to be Dr. Xu's assistant, he immediately turned into a bitter melon face.

even found a justifiable reason to swap with Zhou Can.

Zhou Can was scolding his mother in his heart.

This Dr. Lu is really not a thing. Looking at so many injured people waiting for surgery outside, I have no sympathy at all, and I am not in a hurry to treat the injured, but only think about how to be lazy and how to relax.

It is really a misfortune for a person with poor moral character to become a doctor.

"Who says he's practicing medicine alone? Wasn't I here to instruct him on the operation? Stop talking nonsense, hurry up and get ready to work. Tang Ling, let the outside push one of the most seriously injured people in. ”

Dr. Xu's words blocked Dr. Lu to death.

So, don't fight your boss, you can't fight him.

Soon, two temporary nurses came in. served as assistants to Zhou Can and Jin Mingxi respectively.

Then the tiny operating room becomes bustling.

Three injured people can be brought in at a time, and several doctors will perform the operation at the same time.

Zhou Can is also at full power, assessing the injury, debridement, hemostasis, and suturing the injured.

Most of these injuries were abrasions.

The worse ones are the bleeding from the head or arms.

The injured who can be sent to the operating room have already been examined by the doctor in charge.

However, given the large number of injured, medical resources are highly strained.

Some superficial injuries may be just a physical examination and then sent to the operating room for further treatment.

This requires the surgeon to take care of it to avoid mistakes.

"Next!"

After Zhou Can dealt with the first injured person, he directly asked the nurse to send him out, and then brought the next injured person in.

The injured person just now was sutured on the palm side.

According to the injured man's own account, the stage collapsed at that time, but he was fortunately far away.

However, it was still smashed by a long billboard.

At that time, he instinctively raised his hand to cover his head and face.

A 2.5-centimeter-long wound was struck on the palmar side, with bone visible.

Zhou Can injected him with anesthetic, debridement, hemostasis, and suturing, and earned a total of 4 injection experience points, 1 debridement experience, 5 hemostasis experience, 4 suture experience, and 4 ligation experience.

Overall, the harvest was pretty good.

In particular, the gain of debridement experience points surprised him.

Click on the attribute list and take a look, and find that I don't know when there is an extra debridement technique.

[Debridement, advanced medical skills, current experience value: level 1 8/10.] Excellent level of internship. 】

This technique can be applied to the removal of soft tissue injuries, uneven wounds, erosion or contaminated wounds, etc.

What he didn't expect was that debridement was actually a high-level medical technique.

The current level is still relatively backward, and it has only reached the excellent level of internship.

Judging from its current 8/10 experience points, it should be a medical skill that already existed before.

It's just that Zhou Can didn't notice it.

Soon, a new wounded person was brought to Zhou Can.

I came in in a wheelchair.

Seeing this battle, Zhou Can was startled.

At present, he is only half-level, and he can't handle the injury that is too complicated.

This is especially true for patients who are at risk of fractures.

He first crouched down and carefully examined the patient's knee, the blood had stained the pants red.

The wounded had a pained expression on his face.

"Have you had an X-ray?"

"After checking, the doctor at the clinic said that there was no fracture, and he only needed to go to the operating room for treatment and leave."

Zhou Can took the X-ray handed by the patient and looked at it carefully.

The bones are intact and indeed there are no fractures.

That is, the trauma looks scary.

With his ability, he had no problem dealing with skin injuries.

"I'm afraid you'll have to cut off these pants."

Zhou Can said to the injured.

"Cut it, cut it, just give me surgery quickly."

The wounded were in pain to the point that their faces were distorted.

After Zhou Can obtained the consent of the injured person, he no longer hesitated and cut off his trouser legs.

The wound was clearly displayed in front of him.

It is an irregular, round-like wound.

"You fell, didn't you?"

"Don't mention it, the stage suddenly collapsed, and I was so scared that I ran away. As a result, he tripped over something and fell to the ground. My right knee hit the ground first, and I was hit on the gravel, and I was bleeding on the spot. ”

When the injured person mentioned the scene at that time, he still had a gloomy face.

"Doctor, I'm not going to be disabled in this leg, am I?"

"Judging from the current situation, it should not be disabled."

Skin trauma alone is less likely to cause disability.

However, Zhou Can didn't dare to say it too absolutely.

This kind of speaking skill was learned from the residents during my internship.

He took the anesthetic prepared by the nurse and gave a loose injection around the wound of the wounded.

[Injection XP +1.] 】

[Injection XP +1.] 】

[Congratulations on your Injection Technique Upgrade to Level 2, and your current experience value is 0/100.] Doctors are of inferior level. 】

Finally promoted to level two.

His understanding of injections is much deeper. Before the upgrade, I took it for granted that I wouldn't just get an injection? It's a personal will.

After being promoted to the second level, he realized that the seemingly simple injection has a lot of knowledge.

For example, if a drug requires intramuscular injection, it is necessary to avoid areas rich in blood vessels and nerves. In particular, large blood vessels and vital nerves.

To be precise, any injection should try to avoid the large blood vessels and nerves.

If a needle punctures a blood vessel in a large artery, it is not a rescue, but a murder.

There is also the choice of parts, and there is also learning.

Intramuscular injections are preferred to areas of muscle hypertrophy. Such as arms, buttocks, and so on.

Depending on the characteristics of the drug, the location of intramuscular injection is also particular.

The arms are closer to the heart and brain, and the drug is absorbed faster.

The blood circulation in the buttocks is relatively poor, and the absorption of the drug is much slower. In addition, the muscle groups of the buttocks are stronger, the fat layer is thicker, and it is more tolerant.

In addition to theoretical comprehension, he has also taken a big step forward in operation.

At his current level, he can operate more standardized intravenous injections with higher difficulty. When intramuscular injection, the mistake of hitting the epidermis or piercing the bone and puncturing the large blood vessels will not occur.

I only gave this patient two injections.

According to Zhou Can's habit of working hard to earn medical experience points, he has to take at least four injections.

After choosing the needle position, it is another needle prick.

The hand is very steady, and the depth of the piercing is also appropriate.

Inject slowly.

The anesthetic inside the needle tube spreads steadily to the muscle layer.

"Hey, doctor, you've given me three injections, and this one is the best!" The wounded praised him.

I just want him to continue to maintain this high level.

Because compared to the first two injections, this injection is much more comfortable.

"You don't understand that, do you? For the first two injections, I had to make sure that the anesthetic worked as soon as possible, so I prick it a little harder. "Zhou Can naturally won't admit the injection technique.

The injured person does not understand these things, and fooling him can maintain a harmonious doctor-patient relationship.

Doctor-patient communication is a deep science.

It is a compulsory course for every medical staff.

Getting the patient to cooperate with the doctor is also an important part of the surgery.

He then gave the injured a fourth injection, which was still at the level of a newly upgraded regular doctor.

The technology is in place.

This time, the injured man not only believed his statement, but also praised him again and again.

"Doctor, I look at you very young, I didn't expect your level to be so high! Give me an anesthetic injection, light and heavy, retract and release freely, tsk, this level is really good! It's much better than those nurses. ”

Hearing this, Zhou Can was embarrassed.

The nurse next to her had a black line on her face.

Next, Zhou Can debrided, stopped bleeding, and sutured the injured step by step.

Because the wound was special, he boldly resorted to flap sutures.

It can also be regarded as a challenge to one's own ability.

This flap is more difficult to suture than a straight suture. It is often used in cosmetic surgery to minimize the appearance of scarring.

"Alright, let's push it out! The wound should not touch the water, the wound is located right on the knee, and it is best not to move too violently when bending. Too much tension can cause the wound to re-dehisce. Remember to come over on time to change your dressing. ”

After he gave him some advice, the wounded man was pushed out.

After sending the injured away, the nurse winked at Zhou Can, "Doctor Zhou, why don't I remember that two injections of anesthesia are required to be heavy, and two injections are light?" ”