Chapter 0008 Minor Surgery in the Emergency Department
"You go and report to the head nurse, change clothes and prepare for the operation." Zheng Ren finally waited for an emergency trauma. Under the stimulation of the bloody smell, Zheng Ren felt that the ATP high-energy phosphate bond in his body was crackling and releasing his strength.
After looking at the patient, the patient's condition was already shown in the upper right corner of the field of vision.
This is a patient who was slashed by a knife. His vital signs were stable, his wound was on the back and he did not hurt his internal organs.
The condition is relatively simple, that is, the minor injuries can be solved by suturing and taking anti-inflammatory drugs for a few days.
Although the injured person looked bloody, he could not scare the experienced clinician.
What's more, Zheng Ren is now blessed by systematic power.
Zheng Ren strode back to the duty room and changed into white clothes.
It is not allowed to wear white clothes when going to the cafeteria to eat. God knows which department has any bacterial outbreak, such as Acinetobacter baumannii, which is resistant to all antibiotics. If it really spreads in the cafeteria, the entire hospital will fall into a state of collapse.
Change your clothes as quickly as possible, and the injured and his family have already arrived at the door of the emergency surgery department.
"Doctor, my elder brother was chopped down, save him." The one who came with the injured was a young man, with a look of horror on his face, and seemed to be frightened.
"Brother Yuan, you prescribe the disposal fee and anesthetics, and I will take the patient to suture it." Zheng Ren arranged.
Yuan Li was so happy. There were more than a dozen stitches in the emergency department every day, and they were tired of sewing them. It was best if someone stitched them.
The most annoying thing is that when only one person is on duty, two or three patients with trauma sutures come at once, sewing which one first and then sewing which one. The difficulty of this multiple-choice question is close to S-level, which is simply deadly.
He took the patient to the operating room next door and asked the family to pay the fee. Zheng Ren and a nurse helped the patient to the operating table.
The operating table in the emergency department is relatively simple, with a slightly soft brown crystal panel covered on it.
Trauma is available every day, and the trauma in the emergency room is small, contaminating the wound, and not afraid of secondary pollution. The crystal panels are easy to scrub and will not be contaminated with blood.
Cut the patient's clothes and a wound about 20 cm was presented in front of Zheng Ren.
The blade turned outward, and blood flowed out of several small blood vessels, and soon flowed along the patient's clothes to the operating table.
Zheng Ren took out a sterile cotton pad to cover the blade and then began to prepare for pre-operative surgery.
Xie Yiren ran in quickly, wearing a blue disposable sterile cap and a blue and white sterile mask, and then started to prepare things for Zheng Ren when he came in.
Cutting bag, knife-cut bag, suture, lidocaine, saline...
…………
At the same time, deep in Zheng Ren's mind, a thin mist suddenly rose in the clear pond. The fog quickly became thicker, and the seven-color light and shadows flashed, as if a rainbow was hidden in it, and countless blurry shadows appeared and were like mirages.
The light flows, and the blurry images in the mirage begin to become clear.
If Zheng Ren saw this scene, he would be shocked. What appeared in the mirage was what he saw at this moment.
…………
"0.5% of Lika is ready." Xie Yiren moves very quickly.
The nurses who come out of the operating room are different. When preparing for surgery, they are professional.
Zheng Ren took off the cotton pad from the patient's wound and said to the patient: "Hold on, it hurts a little."
The injured person nodded because he was lying on the operating bed, so his movements were not obvious.
Rinse with normal saline, then Zheng Ren used tweezers to pick up a large ball of iodine cotton balls and wiped them from the outside to the inside.
When the range of iodine disinfection entered the wound of the knife, the muscles on the back of the injured suddenly rose.
The back muscles kept trembling and shaking very well.
"Hold on, disinfect it." Zheng Ren said without any emotion.
"Doctor, can I anesthetize?" the injured person asked.
"Of course you need anesthesia, but it's not local anesthesia." After Zheng Ren's first disinfection, he threw the contaminated iodine borer into the trash can, and then picked up a ball of iodine borer, pressing it on the wound of the injured without hesitation.
"Ao..." The injured man let out a wolf howl.
"Even if it's a local numbness, it's necessary to disinfect it first." Zheng Ren comforted: "Look soon, don't worry."
This is iodine. If I had been iodine twenty years ago, alcohol disinfection would increase the pain exponentially.
"Wear gloves." Zheng Ren could bear it when he saw that the patient was still able to bear it, so he told Xie Yiren.
Zheng Ren also put on sterile gloves and first performed local infiltration anesthesia on the patient.
"The clamp has a wire, No. 4." Zheng Ren skillfully found the bleeding small blood vessel, looked at the wound, and stretched out his hand.
A pair of bent pliers was gently patted on Zheng Ren's hand, and the No. 4 suture line left with Zheng Ren's hand and fell just right on his little finger.
Xie Yiren's level of cooperation with the surgery is master level.
"Scissors……"
"Pliers with wire..."
"Small Needle No. 1 Line..."
In the operating room, there were 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 must be sutured, otherwise if there is a cavity left after the operation, complications such as suppuration and infection will appear there.
For Zheng Ren, who has 330 surgical skills, this kind of suture is just a piece of cake. While he is suturing, he is wondering whether the system should give him any tasks? For example, suture once, give him a treasure chest, etc.
But what Zheng Ren hoped did not happen, which meant that the system's mechanical female voice was very quiet, as if it had disappeared.
Zheng Ren was a little regretful, but he still meticulously sewed the wound layer by layer.
"The No. 7 line of the corner needle." Zheng Ren reached out and held the needle and then slapped his hand.
At this moment, a noise came from outside.
The door of the operating room was kicked open, and several drunken young men rushed in directly.
Zheng Ren cursed in his heart.
Why are there few emergency department doctors? Because no one wants to undergo surgery and see a doctor under such conditions.
"Where is my elder brother?"
"Damn it, please treat my elder brother well. If there is any problem, I will kill you!"
"Brother, how are you doing, brother?"
Several of the dog legs threatened Zheng Ren and showed loyalty.
Zheng Ren was amused and crying. Shouldn’t they ask the surgeon about their well-being and let the doctor concentrate on the operation?
However, for alcoholics, especially those who are drunk at noon, there is no reason to say.
"Get out of here!" the injured man roared. He still had a little rationality, knowing what to do and what not to do at this time. Then he said with a little apology, a little flattering, and a little uneasy: "Doctor, my brother is ignorant, don't care. I will compensate you for any damage later. You should sew it for me..."
After drinking, the little punk heard the elder brother's angrily scolding, and immediately became much more obedient. He scolded Zheng Ren a few more words, and at the urging of the injured, he left the operating room and closed the door.
Zheng Ren sighed in his heart, and the corner needle fell down, and he penetrated it out again, skillfully tidied a knot of instruments.
The scissors that had been hanging on his little finger, and the ones holding in the palm of his hand appeared on his fingers like magic, cutting the No. 7 line.
"Doctor Zheng, your skills are so easy." Xie Yiren had nothing to do and started calling 666.
"I am used to keeping my stomach closed without an assistant, so it's easier to do it."
Zheng Ren explained.
"Are you afraid? That's it."
Zheng Ren tried to comfort Xie Yiren, but before he could finish his speech, he heard a clamor in the corridor outside, followed by a banging sound from the heavy blunt weapon falling on his body.
The emergency department is really not a place for people to stay, Zheng Ren thought to himself.
Chapter completed!