"Collect a blood sample and send it for testing now! At the same time, the patient is given intramuscular vitamin K1 to control bleeding! ”

Dr. Fu still has two brushes.

He made a decision immediately and made a sound treatment arrangement.

The patient's legs cannot be tied all the time, and the unfinished limbs do not bleed for a long time, and they will soon die.

And this avascular necrosis is irreversible.

Every 15 minutes or so, it needs to be untied and let it bleed.

"Doctor Fu, the patient's bleeding is more serious, is it safer to use intravenous infusion?" Zhou Can reminded beside him.

His hemostatic technique has now been raised to the level of the main treatment.

The ability to stop bleeding is no worse than that of Dr. Fu.

Dr. Fu may be a little out of order because of his anxiety.

Some of the minutiae are not so much noticed.

In the case of severe bleeding in patients, intramuscular injection can easily cause muscle bleeding.

Intravenous infusions are slower but safer.

"I owe you a reminder. Don't inject intramuscularly, give intravenous infusion to the patient, safety is the most important. ”

Doctor Fu glanced at Zhou Can gratefully.

This young man is indeed not ordinary.

If only he had listened to his advice and postponed the operation.

I don't know if I can cross this hurdle at the moment?

Nurse Liu Xia seemed a little nervous when she gave the patient an intravenous indwelling needle.

She's an old nurse, and the technology is definitely fine.

It's just that this patient has a blood clotting disorder, and there is a sense of panic in the operating room, so she can't help but feel nervous.

"I'll do it!"

Zhou Can took the indwelling needle.

"It's very demanding for injections, you ...... May I? Liu Xia also understood that Zhou Can was kind.

But Zhou Can's work experience is really missing.

With the addition of one year of internship, I have only been working for about a year.

Doctors rarely practice injections, and many residents don't have as good injections as nurses. A regular doctor can't be much better.

This patient has already had an accident during the operation, and if something happens if the venous access is built, Dr. Fu is afraid that no matter how good his temper is, he will be furious.

"Wouldn't that be good?"

Zhou Can's injection technique is skillful and precise.

The indwelling needle is done in about two seconds.

"Oh my God...... Dr. Zhou's injection technique is amazing! Liu Xia's mouth opened wide, and the cake face was even bigger because she was too shocked.

Dr. Lu stood under the operating table, looking depressed.

Things were moving in the direction he least wanted to see.

Zhou Can has not only won the attention of Dr. Fu, but even nurse Liu Xia has begun to admire Zhou Can's ability.

On the other hand, he, a senior resident doctor, failed completely.

This time he got into trouble, and Dr. Fu will definitely guard against him in the future.

Winnings may also have to be deducted.

After successful intravenous access, the patient has started intravenous vitamin K1 infusion.

Dr. Fu hurriedly called to report to Director Lou.

If something happened during the operation, not only was the attending person in trouble, but even Director Lou had to be unlucky.

Everyone is a grasshopper in the same boat.

After hanging up the phone, Dr. Fu's face was very unpleasant.

"Director Lou needs half an hour to arrive at the hospital, let's stop the bleeding first and see the situation, if not, we can only ask a specialist to come for a consultation."

After 10 minutes, try to untie the gauze from the patient's leg.

As soon as it was untied, blood spurted out again.

Everyone's hearts sank, and the worst happened.

Vitamin K1 injections turned out to have little effect.

Dr. Fu even had the idea of crying.

Who would have thought that a first-level operation could poke out such a large basket.

His ability to stop bleeding is so high, it seems that he can only ask for help from specialists.

Specialists are afraid that they will have to be cynical again.

Zhou Can had been frowning and observing the patient's bleeding.

At this moment, Dr. Fu was helpless, and he decided to come up with his own hemostatic plan to try.

"Doctor Fu, the patient is bleeding non-stop, and conventional hemostatic drugs have little effect. Can you try a combination of treatments? Zhou Can proposed.

"Doctor Zhou, please speak!"

Now if someone can stop the bleeding for this patient, let him pass this hurdle. He can call his father.

Zhou Can's performance just now was very good one after another, which made Dr. Fu no longer dare to treat him as an ordinary trainee.

"Intravenous oxygen, ice, and preferably lower the temperature in the operating room to below 15 degrees."

Zhou Can gave a combined hemostasis plan.

This advanced treatment option can be used flexibly during surgery, and Dr. Lu does not even think about it.

I can only listen to it for a while.

"For the patient, there will be no danger and no sequelae."

Zhou Can added.

These two ways to stop bleeding are safer than drugs to stop bleeding.

Needless to say, icing is a common emergency means of stopping bleeding.

Intravenous oxygen is used in the treatment of various acute and chronic hypoxia and ischemic diseases, various shocks, acute and chronic cardiopulmonary failure, drug poisoning, carbon monoxide poisoning, etc.

It is not a conventional means of hemostasis.

But for now, the patient's emergency hemostasis is very applicable.

It can not only help lower blood pressure, but also help the patient's clotting factors to be more active.

The person who can give this kind of alternative hemostasis plan shows that the understanding and technique of hemostasis are at least at the level of the attending physician.

Doctor Fu couldn't help but look at Zhou Can in shock again.

There is no vanity under the fame.

This Dr. Zhou really lives up to his reputation.

"Immediately lower the temperature in the operating room and bring ice packs to chill the patient's wound. The intravenous infusion of hyperoxia was performed by me. ”

Dr. Fu is like a drowning man who grasps the last straw.

It was implemented in full accordance with the treatment plan given by Zhou Can.

"Doctor Lu, hurry up and get ice packs."

Doctor Fu instructed Dr. Lu.

"Ah......h

Dr. Luk is a senior resident doctor with a very distinguished status. This kind of errand thing, shouldn't Zhou Can, a small rule pearson, go?

"Ahhhh If you are not asked to go, will you still be asked to go to Dr. Zhou? You don't have half of Dr. Zhou's ability to ......" When the scolding came to his mouth, Dr. Fu stopped.

The patient listened to him, and although Dr. Lu was very hateful, the image that should be maintained still had to be maintained.

Soon, after the implementation of a series of hemostatic plans according to Zhou Can, the patient's bleeding speed was noticeably reduced.

Eventually, some capillaries even stop bleeding automatically.

Everyone breathed a sigh of relief.

Dr. Fu's frowning brow stretched even more.

There was a happy expression on his face for the rest of his life.

"Doctor Fu, now the hemostasis has been controlled. According to the extent of the blood sprayed after Dr. Lu removed the metal fragments, there must have been a ruptured artery. But it shouldn't be the femoral artery. Most likely, it is just a branch. ”

Zhou Can finally waited for the opportunity to perform.

"Well, you have a good point."

Dr. Fu nodded in agreement.

Unconsciously, when he, the attending physician, discussed his condition with Zhou Can, it was completely the tone and mentality of his peers.

And he seems to be on the weaker side.

This is the direct impact of strength.

This drastic change in status is a bit ridiculous even for Dr. Fu.

If it weren't for Zhou Can's age, he would only be 24 years old.

He had to wonder if Zhou Can was a doctor who deliberately pretended to be a pig and a tiger here?

"Do you think you can leave the debridement work to me? It's also convenient to quickly find out the bleeding situation! ”

Zhou Can made a request this time, which was really justified and confident.

"Okay! Be careful, though! ”

Dr. Fu hesitated for about two seconds, and finally agreed.

Doctors are also human beings, flesh and blood, and feelings.

Zhou Cangang rescued him once and asked for a debridement exercise opportunity, was he embarrassed to refuse?

Dr. Lu's eyes flashed, and he didn't dare to say anything.

He wanted to stop Zhou Can from showing his surgical ability again, but he was already powerless.

Doctor Fu looked at him with a cold look in his eyes, like a man's back, and he probably had the heart to strangle him.

This is when it makes the most sense to reduce your presence.