Fang Xian came out of Professor Wang's office and walked to the suture group lounge when he was about to ease down for a while before starting to work.

Zou Junzi, who was resting in the rest room of the cutting group, looked at Fang Xian with a wrinkled look and asked, "Brother Xian, do you have anything to worry about?" ”

"I'm going to be a dragon." Fang Xian looked at Zou Junzi and replied.

"What, what do you mean?" Fang Xian's words were too worth pondering, Zou Junzi didn't particularly understand, so he turned to the rest room of the suture group, sat opposite Fang Xian, and asked.

"Actually, it doesn't mean anything special, you'll find out after a while."

"Brother Junzi, when will Senior Brother Han leave? Shall we have a meal with him or something? Fang Xian saw Zou Junzi and asked.

In any case, Han Liangsheng was also one of the senior brothers that Fang Xian met after entering the operating room of the trauma center, not to mention that it was particularly helpful to him, but he also gave a little guidance.

"There's no need."

"The operating room of the trauma center is not a place to meet and welcome, it comes and goes."

"Even if you leave, you have to get together in private, not when you leave. This is the rule set by the senior brothers in the past. ”

"Those who leave are losers as a whole, but they don't need the pity and empathy of others. Personally, it's still a success. Zou Junzi said quite objectively.

And his big ears moved slightly.

Fang Xian deliberately paid attention to Zou Junzi's big ears again, thinking about whether this person had any inextricable relationship with Old Professor Yang......

Fang Xian also agreed with Zou Junzi's statement.

Although the intensive training in the operating room of the trauma center did not meet the standard, the growth of the individual is incomparable to the outside, and the world that can be seen is also different.

Of course, there is no distinction between high and low in the world itself.

After thinking about it for a while, Zou Junzi suddenly remembered something and understood the meaning of Fang Gossip's words.

"Brother Xian, so the organizer of the Central China Division, the Hubei Provincial Medical Association, sent you an invitation letter?" Zou Junzi asked.

Zou Junzi still remembers that when he first entered the university, it was five years ago, and one of the things that all the senior brothers in Shonan University discussed was a senior brother, who said that it was extraordinarily bullish.

One year, Zou Junzi also specially watched the provincial competition and saw that senior brother, who was particularly chic and laughing on the venue of the competition.

Whether outsiders understand it or not, Zou Junzi doesn't know, but in the first introductory class they enrolled, this senior brother appeared in the PPT, and the predecessors of the history of Shonan University were listed and passed down in order.

The limelight is unparalleled for a while.

Now, there has been no similar character for several years, but it doesn't mean that Zou Junzi doesn't remember this incident.

It seems that this senior brother is so awesome because his basic skills have reached level 5.

And by his side, there is such a senior brother again!

Therefore, Zou Junzi guessed that it was estimated that the organizer of the Central China Graduate Skills Competition, the Hubei Provincial Medical Association, had sent an invitation to Fang Xian to replace that senior brother to do that kind of thing.

Since Zou Junzi guessed it, Fang Xian nodded.

Zou Junzi immediately gave Fang Xian a thumbs up.

"Senior Brother Fang, this is not called an evil dragon. This is the dragon among men, and it should be respected. ”

"There was also a senior brother in our hospital before, when he was about twenty-five or sixteen years old, he had level 5 skills, and now he is only thirty-two years old, and he has become a level 4 physician and obtained the title of professor!" Zou Junzi explained.

Fang Xian blinked.

The two chatted for a while, and Fang Xian went to work.

It's just that when he walked to the operating room again this time, Fang Xian's mood was a little lost.

It feels like stepping on the clouds in an instant, not solid enough.

This kind of thing, whether it is my current self or my senior brother back then, has done it, which is an unspoken rule in the industry.

It is also something to do in order to stimulate more people to grow into more potential doctors.

Pretending?

Fang Xian found that he was not good at this at all.

"I don't know why Professor Yang has to say this, isn't it good to let yourself be a little doctor in a down-to-earth manner?" Fang Xian muttered so inappropriately.

But in the end, all this floating was suppressed by Fang Xian the moment he entered the operating room.

Surgery is the most important.

Fang Xian's current status is very special.

He had already released a level 5 suture technique and a level 5 debridement technique, which probably meant that Fang Xian could now cross several groups at will!

As long as Fang Xian wants, he can casually move between the suture, incision, and debridement groups.

Moreover, Fang Xian regarded himself as a member of the suturing group, so most of the professors who were in charge of the surgery still let Fang Xian be mainly responsible for suturing-related matters.

But for example, if it is more difficult to entangle, and it is difficult for specialized sutures to solve, Fang Xian will be called.

This time it was still the same.

When Fang Xian was wearing a sterile surgical gown and sterile gloves, someone was 'reporting' the case to him.

"This is a patient who was accidentally touched by an excavator on the construction site, and the left side of the abdomen penetrated back and forth, and the soft tissue was completely defected into a pulp."

"Fortunately, it is the left lower abdomen, only the fragments of the pelvis, and there is no damage to large organs, nor does it hurt the spine, only the intestines and anterior and posterior abdominal walls are a mess......"

When Fang Xian arrived at the stage, he did not see Professor Xu Fengnian, only a professor of trauma surgery and the chief surgeon of general surgery, who were frowning.

It's as if I'm having surgery, but I don't know where to focus on for a while.

Just do it first.

This is normal.

The patient's disease has nothing to do with the textbook, and no textbook has mentioned such a messy disease.

Half of the abdomen is like a piece of meat, and there is no clue at all.

"This is ......" Fang Xian walked in, and the orthopedic professor was about to explain something to him.

Suddenly, the patient jerked violently.

Then, several people on the stage saw that a bright red column of blood spurted up from the wound.

Splash and splash!

Even if one of the professors quickly covered the spray of blood with his palm, a large pool of blood could still be seen surging in the abdomen.

At the same time, the dripping sound of the anesthesia machine was loud, and the anesthesiologist began to panic-

"Hemorrhage!"

"Apply for bleeding with a blood bank." The professor in charge of the knife ordered the tour.

"An adrenaline boost! ~”

"Open multiple veins." The anesthesiologist with his student began to start in an instant.

It was as if a huge machine was in action in an instant.

And Fang Xian, who saw this scene, almost did not hesitate to move in his divine sense!

Raised his hemostasis to level 5 like crazy, and quickly improved all the surgical skills related to hemostasis to the extreme.

Skill points, which were close to more than 8,000 points, were emptied in an instant.

The reason why Fang Xian had such skill points was mainly due to Lin Hui before, who told him a theory.

It is called the reserve and transformation of medical resources in Shashi.

That is to say, if you need something, you will go to it, and this is called abundant reserves.

Therefore, this time, Fang Xian did not get enough level five skill points, so he chose to add points, but to see if he could be in an emergency, if he encountered an emergency, he might be able to use it.

This was Fang Xian's preparation for knowing that he might encounter an unexpected situation one day, and the stored skill points were not immediately exhausted.

Although everyone said that in the operating room of the trauma center, he was just a younger brother, and he didn't need to do any surgery by himself, he was just an employee who did things!

But Fang Xian was still prepared to use himself in case he wanted to.

Fang Xian walked quickly close to the operating table.

The concept of level 5's basic skill hemostasis instantly penetrated into my mind.

After the fusion and collision of various hemostatic concepts such as level 4 freehand hemostasis, level 4 strapping hemostasis, and level 4 tamponade hemostasis with the basic theories of major surgery, Fang Xian's hands were like tigers, penetrating deep into the abdominal cavity, and finding the proximal and distal ends of the abdominal aorta in a pool of blood like a snake!

At the same time, and pinch them slightly and twist them up!

At the same time, the voice said calmly: "Suck blood!" Autologous blood salvage mechanism is enabled for retransfusion. Get ready to set up cardiopulmonary bypass now! ”

"Can blood vessels?" A professor immediately replied to Fang Xian.

The voice is not finished.

"The hemostasis is over." Fang Xian replied decisively.

"Really?" When the professor wanted to ask one more question, Fang Xian's gaze was already burning.

In a flash of lightning, the other party immediately ordered the use of an autologous blood recovery machine.

Because the patient's condition is urgent, allogeneic blood cannot be transfused in time in a short period of time, and the autologous blood recovery machine is urgently activated for autologous blood retransfusion.

So everyone got busy.

The bleeding was briefly controlled, giving everyone time to breathe.

Fang Xian didn't need to continue the operation any further, just maintained the bleeding and waited for the other two main surgeons to complete the suturing of the abdominal aorta.

"After intraoperative intraperitoneal bleeding of 2600ml, blood salvage of 1500ml, and rapid reinfusion of 1500ml of autologous blood, the patient's blood pressure stabilized at 95-105/55-65mmHg, heart rate 80-95 beats/min, hemoglobin concentration 83g/l, and hematocrit 0.31......" The anesthesiologist and his students breathed a sigh of relief.

"The blood oxygen level is okay, right?" A professor of trauma surgery asked.

"No problem. Surgery can be continued. "The anesthesiologist gave everyone a tranquilizer.

At this time, Fang Xian let go of his hands, and at the same time used the method of [precipitation] to suck the blood residue on the surface of the abdominal cavity.

【Precipitation】Hematoma removal is also a concept of hemostasis, which fills a part of the possible bleeding points with gauze to reduce the amount of bleeding that is hidden in a large area.

The previous temporary hemostasis cut off the blood flow of the main trunk of the abdominal aorta, causing the collateral circulation to operate frantically, which increased the amount of bleeding in the collateral circulation.

Therefore, it is now necessary to deal with such sequelae in a timely manner.

The end of hemostasis that Fang Xian said was only the beginning of the heavy bleeding, the end of the fatal bleeding.

At this time, Professor Zeng of General Surgery glanced at Fang Xian and asked in a low voice, "Xiao Fang's major is still in vascular surgery?" ”

Fang Xian raised his eyelids and glanced at the other party, knowing that Professor Zeng said this because Professor Zhu had often asked him to do vascular sutures before.

And Professor Zhu is a super bull in the arterial group of vascular surgery.

"Yes, some." Fang Xian returned.

"The patient's current blood pressure is still low, the blood loss rate is still at a high level, and the small bleeding points must be treated one by one." Fang Xian changed the topic, hoping that everyone could reduce the gossip.

Surgeries have occult bleeding, so they must be taken seriously.

After Fang Xian said this, the other two professors who were in charge of the surgery discussed in a low voice: "Do you want to call the rest of the vascular surgery team over?" ”

"I don't think it's necessary, Xiao Fang is here, and Xiao Fang's level of hemostasis is not low."

"You can take another look."

"Good!" The two of them just finalized it, and they probably noticed something.

Fang Xian felt for the first time that the original basic skills could be so awesome.

Although there are no bells and whistles, once the basic skills reach the point of profundity, when combined with the skills of the specialty, it is like a divine help.

At this moment, Fang Xian had at least figured out at least five or six ways to stop the bleeding, and he chose the fastest, simplest, and most effective one.

Moreover, Fang Xian also knew that the freehand hemostasis method of his own hands just now was actually applied to the concept of [hand tongs].

Ordinary people can't grasp the blood vessels to an absolutely closed state with their hands, but Fang Xian can.

At the same time, if the hand control is not enough, after the average person grasps the proximal and distal end of the abdominal aorta, the strong blood flow impact will also easily cause a pool of blood to spill, and the effect of hemostasis cannot be achieved.

There is a circulating rule in trauma centers.

The skills of the specialty affect the upper limit of the quality of surgery, and the basic skills are what determine the lower limit of the quality of surgery.

If the lower limit is too low, the upper limit is destined to be less than high.

"Teacher Zeng, you come to ask Chuang, and I will cooperate to stop the bleeding." Fang Xian's suggestion was naturally enough to give the two of them face.

The middle-aged man named Professor Zeng nodded when he heard this: "Okay." ”

Although the current situation is indeed very complicated, in fact, such a messy wound is the safest to deal with with the most simple debridement surgery, but there are other important things to do.

Naturally, the creation of the matter was attributed to him and another master.

As the three of them began to work together slowly, one of the assistants found that his hands seemed to have nowhere to go. I can only look up at the ceiling once in a while to find a little presence.

There's no way, such a high-end operation, and such an accident, he, the attending physician, is extraordinarily redundant.

At this time, the anesthesiologist said: "I will try to control my blood pressure near shock blood pressure, and there will be some blood later, but not much." ”

"Please be able to finish the operation as soon as possible. So as not to have any more accidents. ”

"Traveling teacher, ask who sent this patient from the trauma center, and then ask him why he didn't diagnose the damage to the abdominal aorta."

When the anesthesiologist spoke like this, Fang Xian couldn't help but glance up at him, his eyes slightly stunned.

Seeing this, Professor Tsang explained: "The injury of the abdominal aorta is not marked in the diagnosis, which is a serious misdiagnosis in the trauma center, and the responsibility will be held all the way to the individual. ”

Fang Xian's mouth opened and closed twice, and then asked, "What about after the responsibility is held accountable to the individual?" What will be done? ”

"There will be no special treatment, but there is a good chance that you will be removed from the trauma center."

"MRI is the basic skill of the trauma center, and if you can't see it, there is no need to make trouble here......," Professor Zeng's voice was merciless.

(End of chapter)