The basic principle of the basic operation is very simple, incision is incision, and suture is suture.

It is relatively different from the basic theory of the specialty, and it is not absolutely useful if you understand it.

The results can vary greatly from one master to another.

Fang Xian entered the operating room of the trauma center for the first time, and after the stitches were completed, he was also a little at a loss, and muttered in a low voice: "I don't know if the stitching can meet the requirements of 'Mr. Wang'." ”

"It would be nice if he came to see it and then stepped down."

In the operating room of the surgical building to which the ward belongs, the junior physician has the opportunity to suture as an assistant, and most of the associate professors, attending doctors, chief inpatients, and doctoral brothers are at the helm, who will evaluate the quality of your sutures and decide whether you need to revise the sutures.

Zhou Xiyin stared at Fang Xian and blinked, thought for two seconds and said, "Doctor Wang has transformed the detached wound into an ordinary wound through debridement, and a thorough debridement will reduce the chance of infection." ”

"At present, most doctors in China are at level 3 for suturing, and only a very few, such as hand surgery and plastic surgery doctors, will regard suture as a basic skill of the specialty and have higher requirements."

"Senior, your current suturing technique has reached the level of level 3, and it is definitely feasible."

Fang Xian actually thought about it too, but after all, it was the first time he entered the operating room of the trauma center, and Fang Xian didn't dare to be too careless.

At this time, the instrument nurse and the itinerant nurse all said: "Dr. Wang is not here, you have a certificate, and you have the final say whether the patient can get off the stage or not." ”

"I just called Dr. Wang and he hung up."

Then four or five people, including the anesthesiologist, stared at Fang Xian, making Fang Xian feel that the responsibility on his shoulders was not light.

However, evaluating the quality of surgery is also a basic skill of surgeons.

The detaching injury is indeed very complicated, but after Wang Chuntao's hospitalized hand, the debridement has been maximized. The level of suture of level 3 suture is guaranteed, and Fang Xian knows it.

Drainage strips have been placed to minimize the occurrence of subcutaneous hematomas, and Wang Chuntao has proposed postoperative antibiotic upgrades.

Nothing is missing.

"Get off the stage and vacate the operating room as soon as possible."

"Such emergency debridement patients are usually sent to emergency surgery or trauma centers, right?" Fang Xian asked Zhou Xiyin, hoping that the other party would know.

It is necessary to make a decision as soon as possible, because just now the trauma center called, there will be a patient with a ruptured liver into the operating room, and the operating room must be reserved!

"The patient is transferred from the emergency surgery ward to the operating room, and when he is transferred out, he is transferred to the emergency surgery ward."

"Senior, I'll send the patient down, you go to Dr. Wang to see if he needs help." Zhou Xiyin didn't do the suturing operation, so he said so.

"Good! ~" Fang Xian nodded and left reassuringly, not worried that Zhou Xiyin would not be able to handle the rest of the matter.

This is due to the strict authorization system at Shonan University Hospital.

To be able to enter the operating room to become an assistant, you must have at least 4 level 2 skills, and have the basic theory of the specialty, and you are definitely not a layman or an unreliable 'special' intern.

Anyway, this week Shein has a level 3 hemostasis! A glimpse of the whole leopard, she shouldn't be simple.

Fang Xian left, and the patient was pushed away by the anesthesiologist and Zhou Xiyin.

It's just that when Fang Xian went downstairs to look for Wang Chuntao in the emergency department, he found that he was completely lost.

The area of the emergency department of Shonan University Hospital is not particularly large, but the division of labor is very detailed.

The major categories include emergency surgery and emergency medicine, and emergency surgery is divided into trauma center, emergency surgery clinic, emergency neurosurgery clinic, and emergency cardiac surgery clinic......

Like a small outpatient department, emergency patients, family members, and medical staff are in full swing.

Fang Xian could only come to the guidance desk, but he didn't dial again when Wang Chuntao's phone was not connected, and asked, "Teacher, where did Mr. Wang Chuntao from the Department of Trauma Surgery go?" ”

"Who is Wang Chuntao?" There were three nurses at the guide desk, and the leftmost nurse asked by Fang Xian answered very truthfully.

Fang Xian's eyebrows moved: "The general hospitalization of trauma surgery, come down to run for consultation, do you know where you need to consult with trauma surgery?" ”

"Many, I don't know which patient you're talking about."

"If you don't ask for directions, let the family members behind ......"

Fang Xian was disgusted and dismissed!

Fang Xian took a few steps back, and decided to look for such a clinic room by clinic, which was completely unscientific, it was better to go to the locker room of the emergency operating room first and wait for Wang Chuntao's call.

Walking into the locker room in his hand clothes, no one stopped him, Fang Xian threw the disposable slipper bag into the trash, and sat on the rest sofa in the locker room.

Looking at a row of unknown people who were lying or sitting or playing with mobile phones or squinting, Fang Xian also straightened up and lay down with his back.

At this time, another green hand-washing coat came and looked around, and left silently.

Someone seemed to know him, and said with a smile: "Brother Lu, next time you have to come early ......"

"I'll go up and squint for a while......"

Fang Xian did not actively give up his seat, but took advantage of this free time to look at the harvest of the patient just now.

[You assisted in debridement through debridement, found the neglected foreign body, assisted in the treatment of disintegration injury, foreign body residue and possible concurrent foreign body syndrome, you caused 33 damage (10%) to the detaching injury, and obtained 10 skill points!] 】

[You complete the suture with the assistance of suturing, and you have caused 21 damage (8%) to the detachment injury comprehensively, and you have 8 skill points!] 】

[Current Skill Points Remaining: 67 Points]

After the addition of points was completed yesterday, Fang Xian's skill points remained 34 points, and he was busy in the department this morning, and he obtained 2 skill points, and just now this operation allowed him to get 31 skill points.

Add another skill to level 3, and you can look forward to it.

However, Fang Xian's current level 3 skills already have 7!

3 theories - Surgical Routine Theory Level 3, Orthopedic Routine Theory Level 3, Trauma Surgery Medical Routine Theory Level 3.

4 operations - debridement, suture, x-ray reading, and incision.

It's just that Fang Xian has only two skills that have been certified by the Medical Association, and there are only 3 skills that have been shown to the superiors in the department.

Fang Xian saw his condition at the same time as Wang Chuntao, but when Fang Xian designed the debridement procedure in his heart, he found that his level 3 debridement surgery was still difficult in the face of such a detaching injury.

It's not that there is no way to solve it, but it can't be solved so smoothly and not so quickly, it may consume at least two hours, and the final debridement effect is not as good as Wang Chuntao.

There is a gap in texture, which proves that Wang Chuntao's debridement may be at the level of a level 4 expert!

Be taller than yourself!

Looking at the proportion of damage, I found some foreign bodies and completed the sutures, and the overall damage value only accounted for 18%, which means that the debridement technique performed by Wang Chuntao and the 'dimensionality reduction strike' on the detachment injury is the most 'lethal'.

In other words, Wang Chuntao's operation has made a greater overall contribution to the treatment of this patient!

'Dimensionality Reduction Strike'!

How exciting is that?

Fang Xian slowly shifted his gaze to the debridement technique.

Level 3 0/500!

Level 2 to Level 3 is a watershed, and Level 3 to Level 4 is another huge watershed.

Ever since the medical society divided medical skills into different levels, there has been a saying in the industry.

The specialization level can be settled, and with level 3 skills, it's basically no problem to eat with a mouthful.

After having such a level of skills, you will obviously feel that medical skills are not only the scope of occupation and work!

There will also be reflections on various aspects such as inheritance, academic schools, and life-saving.

Specialization-level medical skills allow you to complete all kinds of basic operations and operate them well. But level 4 skills will make you have an essential gap between the level of operation and the level of others.

For some diseases, doctors with level 3 skills will have a hard time handling them, or even handle them well, but with level 4 skills, they will be able to handle them with ease!

It's just that level 4 skills are generally something that senior attending and associate professor-level physicians will ponder.

Ordinary medical students, unless there is a problem, will build a unilateral ultra-high wooden barrel for themselves, which is a flower shelf that is not useful......