Chapter 8： Minor surgery in the emergency department
"You go to the head nurse to report, change clothes and prepare for surgery." Zheng Ren finally waited for an emergency trauma, **** taste stimulated, Zheng Ren feels that his body ATP high-energy phosphate bond is breaking in the smashing, releasing power.
Looking at the patient, the upper right corner of the field of vision has shown the patient's condition.
This is a patient with a knife cut, the vital signs are stable, the wound is on the back, and there is no injury to the internal organs.
The condition is relatively simple, that is, after the suture is observed, a few days of anti-inflammatory drugs can get a small injury.
Although the injured person looks bloody, it does not scare experienced clinicians.
What's more, Zheng Ren now has a systemic blessing.
Zheng Ren strode back to the duty room and put on a white suit.
Going to the cafeteria for dinner is not allowed to wear white clothes. God knows which department has any bacterial outbreaks, such as Acinetobacter baumannii that is resistant to all antibiotics. If the spread is in the cafeteria, the entire hospital will collapse.
Change the clothes as fast as possible, and the injured and their families have come to the emergency surgery door.
"Doctor, my eldest brother was cut down and saved him." The young man who was holding the injured person was horrified and looked scared.
"Yuan Ge, you open the disposal fee and anesthesia, I take the patient to suture." Zheng Ren arranged.
Yuan Li is very happy, the emergency department has more than a dozen, dozens of sutures every day, and it has been stuttered early. It is best if someone sutures it.
The most annoying thing is that when only one person is on duty, the patient who has two or three traumatic sutures at a time, which one to sew and which one to sew, the difficulty of this multiple-choice question is almost S-level, it is terrible.
Take the patient to the operating room next door and let the family pay the fee. Zheng Ren and a nurse put the patient on the operating table.
The operating table of the emergency department is relatively simple, and it is covered with a slightly brownish crystal plate.
Every day, it is traumatic, and the trauma of the emergency department is small trauma, pollution wounds, not afraid of secondary pollution. The crystal plate has the advantage of being easy to scrub and not contaminated with blood.
Cut the patient's clothes and present a wound of about 20cm in front of Zheng Ren.
The knife edge turned outwards, and some blood vessels flowed out of the small blood vessels, and quickly flowed along the patient's clothes to the operating table.
Zheng Ren took out a piece of sterile cotton pad to cover the knife edge, and then began preparation for surgery.
The Shay people quickly ran in, with a blue disposable sterile cap, blue and white sterile masks did not speak, came in and began to help Zheng Ren to prepare things.
Cut the bag, knife and scissors, suture, lidocaine, salt water...
............
At the same time, Zheng Ren’s mind was deep, and the pond that was so clear that the bottom of the river suddenly rose. The fog quickly became thick, and the seven colors of light and shadow flickered, as if a rainbow was hidden in it, and countless vague shadows were looming, and the mirage was generally.
The brilliance of the brilliance, the blurred image in the shadow began to become clear.
If Zheng Ren sees this scene, he will be shocked. What appeared in the shadow was what he saw at the moment.
............
"0.5% of the Lika is well equipped." The Sheikh movement is very good.
The nurses coming out of the operating room are different. They are prepared for surgery and they are professional.
Zheng Ren took the cotton pad of the patient's wound and said to the patient: "Resist the point, it hurts a bit."
The injured nodded, because it was lying on the operating bed, so the movement was not obvious.
The saline was rinsed, and then Zheng Ren used a pair of tweezers to hold a large group of iodophor cotton balls, which were first wiped from the outside to the inside.
When the iodophor disinfection range entered the wound of the knife wound, the muscles of the injured back suddenly shrugged.
The back muscles are constantly shaking, and the shaking is very well-proportioned.
"Resist the point, disinfection." Zheng Ren said without emotion.
"Doctor, can you give me anesthesia?" the wounded asked.
"Of course, you need anesthesia, but it is not local anesthesia." After Zheng Ren's first disinfection, he threw the contaminated iodophor into the trash can, and picked up a group of iodophors, and did not hesitate to press on the injured person's wound.
"Oh..." The wounded made a wolverine.
"Even if it is local anesthesia, it must be disinfected first." Zheng Ren comforted: "Soon, rest assured."
This is iodophor. If iodine and alcohol are disinfected 20 years ago, the pain will increase exponentially.
"wearing gloves." Zheng Ren said that the patient could bear it, and he said to the Xie Yi people.
Zheng Ren also put on sterile gloves and first gave local infiltration anesthesia to the patient.
"Pliers line, number four." Zheng Ren skillfully found the small blood vessels bleeding, eyes looking at the wound, reaching out.
A curved pliers was gently photographed to Zheng Ren's hand, and the No. 4 suture line left with Zheng Ren's hand, just right on his little finger.
The level of the Shea people with the surgery is a master class.
"Scissors..."
"Pliers line..."
"Small needle line 1..."
In the operating room, only Zheng Ren's monotonous instructions and the patient's heavy breathing sound.
The wound is very long and deep, and each layer of tissue should be sutured. Otherwise, if there is a cavity left after surgery, there will be complications such as suppuration and infection.
For Zheng Ren, who has 330 surgical skills, this stitching is just a piece of cake. While he is sewing, he wonders if the system should give himself any tasks? For example, sewing once, give a treasure chest and the like.
However, Zheng Ren’s hopes did not happen, and the mechanical female voice representing the system was very quiet, as if it had disappeared.
Zheng Ren has some regrets, but he is still meticulously stitching the wounds layer by layer.
"Corner needle line No. 7." Zheng Ren reached out and held the needle in his hand.
Just then, there was a buzzing sound outside.
The door of the operating room was opened with one foot, and a few drunken men slid straight in.
Zheng Ren’s heart swears a swear word.
Why are there fewer emergency doctors? Because no one wants to have surgery or see a doctor under these conditions.
"My big brother?"
"Dog day, give me a big brother to see a doctor, if there is any problem Laozi is killing you!"
"Big brother, what about your brother?"
A few dog legs threatened Zheng Ren and showed loyalty.
Zheng Ren can't smile. They shouldn't do it. Shouldn't the doctors ask for help, so that doctors can concentrate on surgery?
But for the drunkard, especially the drunken drunkard who drinks at noon, there is nothing to say.
"You are going out to Laozi!" The wounded roared, he still had a sense of reason, knowing what to do at this time, what not to do, and then with a apology, three-pointed, six-pointed and uneasy said: "Doctor My brother is not sensible, don't care. If there is any damage, I will lose it for a while, you will give me a seam..."
The little scorpion who drank the wine listened to the roar of the older brother and immediately became a lot of tricks. He also slammed Zheng Ren a few words. Under the urging of the injured, he left the operating room and closed the door.
Zheng Ren sighed in his heart, the needle fell, and from another time, he skillfully hit a device knot.
I kept hanging on his little finger, and the scissors in the palm of my hand appeared on the finger like magic, and cut the line 7.
"Dr. Zheng, you can really slip this hand." The Xie Yi people had nothing to do, began to shout 666.
"There is no assistant in your own belly habits, so it's more convenient."
Zheng Ren explained.
"Are you afraid? The emergency department is like this."
Zheng Ren tried to comfort the Xie Yi people, but the voice was still down. He heard a scream of screams from the outside corridor, followed by a squeaky sound of a heavy blunt instrument falling on the body.
The emergency department is really not a place to be treated, Zheng Ren thought.
After a few seconds, the door of the operating room was opened again, and several strong men with baseball bats appeared in the operating room door.
Looking at the patient, the upper right corner of the field of vision has shown the patient's condition.
This is a patient with a knife cut, the vital signs are stable, the wound is on the back, and there is no injury to the internal organs.
The condition is relatively simple, that is, after the suture is observed, a few days of anti-inflammatory drugs can get a small injury.
Although the injured person looks bloody, it does not scare experienced clinicians.
What's more, Zheng Ren now has a systemic blessing.
Zheng Ren strode back to the duty room and put on a white suit.
Going to the cafeteria for dinner is not allowed to wear white clothes. God knows which department has any bacterial outbreaks, such as Acinetobacter baumannii that is resistant to all antibiotics. If the spread is in the cafeteria, the entire hospital will collapse.
Change the clothes as fast as possible, and the injured and their families have come to the emergency surgery door.
"Doctor, my eldest brother was cut down and saved him." The young man who was holding the injured person was horrified and looked scared.
"Yuan Ge, you open the disposal fee and anesthesia, I take the patient to suture." Zheng Ren arranged.
Yuan Li is very happy, the emergency department has more than a dozen, dozens of sutures every day, and it has been stuttered early. It is best if someone sutures it.
The most annoying thing is that when only one person is on duty, the patient who has two or three traumatic sutures at a time, which one to sew and which one to sew, the difficulty of this multiple-choice question is almost S-level, it is terrible.
Take the patient to the operating room next door and let the family pay the fee. Zheng Ren and a nurse put the patient on the operating table.
The operating table of the emergency department is relatively simple, and it is covered with a slightly brownish crystal plate.
Every day, it is traumatic, and the trauma of the emergency department is small trauma, pollution wounds, not afraid of secondary pollution. The crystal plate has the advantage of being easy to scrub and not contaminated with blood.
Cut the patient's clothes and present a wound of about 20cm in front of Zheng Ren.
The knife edge turned outwards, and some blood vessels flowed out of the small blood vessels, and quickly flowed along the patient's clothes to the operating table.
Zheng Ren took out a piece of sterile cotton pad to cover the knife edge, and then began preparation for surgery.
The Shay people quickly ran in, with a blue disposable sterile cap, blue and white sterile masks did not speak, came in and began to help Zheng Ren to prepare things.
Cut the bag, knife and scissors, suture, lidocaine, salt water...
............
At the same time, Zheng Ren’s mind was deep, and the pond that was so clear that the bottom of the river suddenly rose. The fog quickly became thick, and the seven colors of light and shadow flickered, as if a rainbow was hidden in it, and countless vague shadows were looming, and the mirage was generally.
The brilliance of the brilliance, the blurred image in the shadow began to become clear.
If Zheng Ren sees this scene, he will be shocked. What appeared in the shadow was what he saw at the moment.
............
"0.5% of the Lika is well equipped." The Sheikh movement is very good.
The nurses coming out of the operating room are different. They are prepared for surgery and they are professional.
Zheng Ren took the cotton pad of the patient's wound and said to the patient: "Resist the point, it hurts a bit."
The injured nodded, because it was lying on the operating bed, so the movement was not obvious.
The saline was rinsed, and then Zheng Ren used a pair of tweezers to hold a large group of iodophor cotton balls, which were first wiped from the outside to the inside.
When the iodophor disinfection range entered the wound of the knife wound, the muscles of the injured back suddenly shrugged.
The back muscles are constantly shaking, and the shaking is very well-proportioned.
"Resist the point, disinfection." Zheng Ren said without emotion.
"Doctor, can you give me anesthesia?" the wounded asked.
"Of course, you need anesthesia, but it is not local anesthesia." After Zheng Ren's first disinfection, he threw the contaminated iodophor into the trash can, and picked up a group of iodophors, and did not hesitate to press on the injured person's wound.
"Oh..." The wounded made a wolverine.
"Even if it is local anesthesia, it must be disinfected first." Zheng Ren comforted: "Soon, rest assured."
This is iodophor. If iodine and alcohol are disinfected 20 years ago, the pain will increase exponentially.
"wearing gloves." Zheng Ren said that the patient could bear it, and he said to the Xie Yi people.
Zheng Ren also put on sterile gloves and first gave local infiltration anesthesia to the patient.
"Pliers line, number four." Zheng Ren skillfully found the small blood vessels bleeding, eyes looking at the wound, reaching out.
A curved pliers was gently photographed to Zheng Ren's hand, and the No. 4 suture line left with Zheng Ren's hand, just right on his little finger.
The level of the Shea people with the surgery is a master class.
"Scissors..."
"Pliers line..."
"Small needle line 1..."
In the operating room, only Zheng Ren's monotonous instructions and the patient's heavy breathing sound.
The wound is very long and deep, and each layer of tissue should be sutured. Otherwise, if there is a cavity left after surgery, there will be complications such as suppuration and infection.
For Zheng Ren, who has 330 surgical skills, this stitching is just a piece of cake. While he is sewing, he wonders if the system should give himself any tasks? For example, sewing once, give a treasure chest and the like.
However, Zheng Ren’s hopes did not happen, and the mechanical female voice representing the system was very quiet, as if it had disappeared.
Zheng Ren has some regrets, but he is still meticulously stitching the wounds layer by layer.
"Corner needle line No. 7." Zheng Ren reached out and held the needle in his hand.
Just then, there was a buzzing sound outside.
The door of the operating room was opened with one foot, and a few drunken men slid straight in.
Zheng Ren’s heart swears a swear word.
Why are there fewer emergency doctors? Because no one wants to have surgery or see a doctor under these conditions.
"My big brother?"
"Dog day, give me a big brother to see a doctor, if there is any problem Laozi is killing you!"
"Big brother, what about your brother?"
A few dog legs threatened Zheng Ren and showed loyalty.
Zheng Ren can't smile. They shouldn't do it. Shouldn't the doctors ask for help, so that doctors can concentrate on surgery?
But for the drunkard, especially the drunken drunkard who drinks at noon, there is nothing to say.
"You are going out to Laozi!" The wounded roared, he still had a sense of reason, knowing what to do at this time, what not to do, and then with a apology, three-pointed, six-pointed and uneasy said: "Doctor My brother is not sensible, don't care. If there is any damage, I will lose it for a while, you will give me a seam..."
The little scorpion who drank the wine listened to the roar of the older brother and immediately became a lot of tricks. He also slammed Zheng Ren a few words. Under the urging of the injured, he left the operating room and closed the door.
Zheng Ren sighed in his heart, the needle fell, and from another time, he skillfully hit a device knot.
I kept hanging on his little finger, and the scissors in the palm of my hand appeared on the finger like magic, and cut the line 7.
"Dr. Zheng, you can really slip this hand." The Xie Yi people had nothing to do, began to shout 666.
"There is no assistant in your own belly habits, so it's more convenient."
Zheng Ren explained.
"Are you afraid? The emergency department is like this."
Zheng Ren tried to comfort the Xie Yi people, but the voice was still down. He heard a scream of screams from the outside corridor, followed by a squeaky sound of a heavy blunt instrument falling on the body.
The emergency department is really not a place to be treated, Zheng Ren thought.
After a few seconds, the door of the operating room was opened again, and several strong men with baseball bats appeared in the operating room door.
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