It wasn't until the disinfection towel was completed, all the instruments were opened, and they stood in their respective positions, that Fang Xian knew.

Among the five people who just came in, there were two doctors, three nurses, and one anesthesiologist, and I couldn't tell the exact age. A clinician, I don't know which department he came from, is on stage as an assistant anyway.

Three nurses, one instrument, one tour standard, and the other one didn't know if it was the instrument nurse or the tour nurse who helped to open the stage and left.

At the beginning of the operation, Wang Chuntao arrived at the main surgical position, Fang Xian was in the first assistant, and the newcomer was a sister who stood in the second assistant position.

A disposable surgical cap covered her hair and bangs, a mask covered her entire face, and a sterile surgical gown and hand gown covered her figure, leaving only a slit to reveal her eyes and eyebrows.

Her eyebrows are dense, curved, and not thick. Peach Blossom Eyes, at the moment, is extremely serious, meticulously staring at the surgical field.

Fang Xian only had time to look at her like this, and followed her eyes to see this undominated patient after washing.

The right sole of the foot is off the condom injury, and looking at the surface situation, it should be "kissed" by the wheel.

"Shein, what's going on with this patient?" Wang Chuntao asked after starting the operation.

Fang Xian refocused his gaze on the girl, this is the doctor in charge of the bed?

"The car accident caused a soft tissue dislodgement injury on the plantar of the right foot and a fracture of the cuneiform. There were no obvious contraindications to surgery in the preoperative examination, and emergency surgical limb salvage treatment was planned 1 hour after admission. ”

"The boss of our department took it in." Zhou Xiyin's voice is very glutinous, especially formal, there is still a feeling of a little girl's endorsement, but it is certain that she did not mean it.

She speaks very quickly, and if she is deliberately slurking, then she will definitely not be able to speak so smoothly, this is her original timbre.

"This is Fang Xian, the doctor who has newly obtained the surgical authorization in our trauma surgery department is one year higher than you." Wang Chuntao explained to Zhou Xiyin.

Zhou Xiyin's eyes flashed slightly, a little incredible: "There is a senior named Fang Xian in the sixth year? ”

Wang Chuntao explained: "Dr. Fang Xian is not an eight-year system. ”

"Oh." Zhou Xiyin suddenly realized, and his eyes returned to normal.

Fang Xian also sighed in his heart, this is a college bully.

Although the medical system has been reformed and medicine no longer focuses on academic qualifications, there is an essential difference between the eight-year college entrance examination and the five-year system in each university.

Many people in the eight-year clinical medicine major of Shonan University have college entrance examination scores that can be admitted to some majors in Qingbei.

Wang Chuntao did not explain more and devoted himself to the operation. And Zhou Xiyin also tried his best to cooperate.

Fang Xian can take on more operations in the first assistant position, but he can also observe the operation of this junior girl named Xiyin, and then he found that this person's operation level is also extremely good.

At least she can clearly know which position Wang Chuntao will clean up in the next debridement, which is a relatively familiar understanding of the overall design process of debridement, and can also infer Wang Chuntao's debridement habits according to the debridement habits of senior physicians.

This is not something that can be achieved with a proficient level of debridement!

A doctorate degree does not have an advantage in academic qualifications when looking for a job, but those who can read a doctorate will not cheat what they have learned, and similarly, none of the students who can stand out in the college entrance examination and study in the eight-year clinical medicine program of Shonan University are nerds who read dead books!

The focus and principle of treatment for patients with condom injury is to debride, polish, and retain healthy and vascularized tissue, and then complete sutures and preserve the detached limb.

The principles and focus sound simple, but it's quite difficult to operate.

After all, the detached wound is different from the ordinary trauma wound, it is a kind of ruined injury, such a wound is second only to the super crushing injury, to deal with such a wound with confidence, without specialized debridement and specialized level of trauma surgery basic theory, dare not touch it at all.

Otherwise, amputation is recommended in most cases.

However, it is obvious that Wang Chuntao, as a first-level physician certified by the Medical Association before the age of 30, is not weak at all in the face of such an injury.

And while doing it, I still have free time to sit and explain-

"The point of debridement is ......"

"The main point of this operation is...... The difficulty of this patient's operation is ......"

This kind of targeted guidance was the first time Fang Xian enjoyed such treatment, and he felt that he had benefited a lot, but the 'Xiyin' standing on the opposite side was not strange.

Wang Chuntao's operation speed was not slow, and after just over 40 minutes, he had already cleaned up all the necrotic tissues on the surface. The wound that appeared in front of Fang Xian again seemed to be no longer a wound of a detached wound, but only a wound of a wound.

The principle of wound management becomes hemostasis and suturing!

If it is divided according to the classification of diseases, the initial disease classification of condom injury is three types of diseases, and the wound of ordinary trauma is the largest three types of diseases.

Now the patient's trauma is at most a second-class disease.

Through his own operation, Wang Chuntao carried out a 'dimensionality reduction strike' on the current disease classification of patients!

This was something that Fang Xian had only heard of in textbooks before.

Perhaps in the large operating room of trauma surgery, Professor Lin Jiemo has also completed such a 'dimensionality reduction attack' more than once!

But Fang Xian couldn't tell the difference, and he didn't have a deep understanding of those difficult procedures, so he was not as comfortable as this ordinary trauma.

When Wang Chuntao was about to continue walking, his total hospitalization phone rang.

The itinerant nurse was very sensible, and took the phone to Wang Chuntao's ear after connecting the phone.

The other party only came: "This is the emergency department, a patient with multiple traumas, currently in shock, requesting emergency consultation from trauma surgery." ”

"Good! Arrive in 10 minutes! Wang Chuntao didn't have a word of nonsense.

Immediately back away!

At the same time, he ordered: "Xiyin, you assist Fang Xian to complete the next operation, the subsequent operation is not difficult, follow the principles of hemostasis, suturing, and pressure bandaging, and there will be no problem." ”

"Escalate antibiotics after surgery!"

Fang Xian was a little confused in his head at the moment, and looked at Wang Chuntao seriously, wondering if what he said was true or false, so he handed over this operation to himself so easily?

But Wang Chuntao is really gone!

"Yes, Dr. Wang." Zhou Xiyin replied quietly, but his eyes were solemn, and there was a slight panic in his solemnity.

Wang Chuntao left decisively, but the itinerant nurses and instrument nurses in the operating room did not panic at all, and the anesthesiologist was still playing with his mobile phone, just glanced at the machine of the anesthesia instrument, and looked extremely calm.

Zhou Xiyin asked after Wang Chuntao left: "Senior Fang, are you used to operating in this direction or in the main knife position?" ”

Zhou Xiyin is standing in Wang Chuntao's lower position, which belongs to the second assistant position, and Fang Xian is standing in the other party before Wang Chuntao, which belongs to the first assistant position.

The matter has been decided, and Fang Xian can only stand up: "I can do it, look at you!" ”

If his skills such as debridement and suturing are still level 2, then Fang Xian is still a little panicked, but Fang Xian knows his strength, so he is not panicked, but he regrets a little why he didn't add all the skill points to the debridement technique, so that he is even less panicked.

Being a doctor is a profession that requires extreme accumulation.

Zhou Xiyin stood opposite Fang Xian, and at the same time, Zhou Xiyin handed the hemostatic electrocoagulation knife that Wang Chuntao was holding to Fang Xian, and then carefully searched for the blood vessels of the wound with tweezers and suction devices, so as to facilitate Fang Xian's operation.

Debridement is like this, first to find the bleeding and then slowly stop the bleeding.

Hemorrhage is found to ensure that there is blood supply at the soft tissue level, and hemostasis is to avoid the presence of subcutaneous hematoma after suturing, which will affect the local blood supply to the wound.

Soon, Zhou Xiyin found the first bleeding point through tweezers and suction device, she used the two ends of the tweezers to stretch the bleeding point, and the suction device sucked away the bleeding blood on the surface.

Fang Xian stretched out and nodded, but it seemed that the time was too short, so the blood was still oozing.

Fang Xian then clicked again, and it was a little scorched, and the electrocoagulation stopped bleeding for too long.

Zhou Xiyin slowly raised his head and suggested: "Senior Fang rarely does hemostasis operations?" Why don't we change it? ”

Fang Xian's operation on hemostasis is obviously pure newness. It's not that it can't be done, but this level of hemostasis does lower the level of operation of the Shonan University Affiliated Hospital a bit.

"Good!" Fang Xian decisively handed over the electrocoagulation knife, and then took the tweezers and suction device in her hand.

And Fang Xian, who took over these two things, seems to have found the home field-

Specialization-level debridement allows him to easily find the bleeding point, and find some hidden foreign bodies in the messy wound that Wang Chuntao has not even found before.

Debridement is the removal of foreign bodies and necrotic tissue.

Zhou Xiyin hurriedly helped electrocoagulation to stop bleeding, and whispered: "My debridement level is not as good as yours, but electrocoagulation hemostasis is slightly different from traditional silk thread ligation to stop bleeding." ”

"Electrocoagulation hemostasis is the use of heat from high-frequency electric currents to coagulate blood vessels!"

"Hmm." Fang Xian nodded, he really didn't have much opportunity to practice this, he usually just watched the senior physician operate smoothly in the process of electrocoagulation and hemostasis.

When I do the incision, the wound is relatively flat, and the main purpose of my own electrocoagulation knife is to incision, a small amount of bleeding electrocoagulation to stop bleeding, and the wound is aligned, which is much easier to operate than the wound of the detaching wound.

Every operation has its details and inner meaning!

Therefore, Fang Xian didn't feel embarrassed!

And after Zhou Xiyin completed the operation to stop the bleeding, Fang Xian found three foreign bodies again, a stone, and two rubber sheets, Zhou Xiyin finally couldn't help but ask: "Senior?" How to find these foreign bodies in the wound? ”

When Fang Xian heard this, he had an inexplicable sense of absence.

Seniors, sisters, etc., are words that I only heard during college, and since entering the clinic, in the past year, Fang Xian has heard and called more senior brothers, sisters, sisters, and other titles.

Fang Xian was very honest and pursed his lips: "I don't know, I just found it based on feeling and experience, and I can't tell how to analyze it." ”

It's not that Fang Xian doesn't know how to teach, it's that he himself is really not at the level where he can teach. And the principles he knows, the medical association has already announced, and a scholar like Zhou Xiyin doesn't need Fang Xian to recite the assessment criteria for level 3 debridement for her.

"It's the same with my hemostasis." Zhou Xiyin explained.

The two half-little rookies pecked each other, and Fang Xian smiled: "Let's sew it up after rinsing it again......"