Although the emergency room is the front line of life and death, not every patient sent to it is seriously ill and is near death, and there are also a lot of patients with difficult and complicated diseases. Sun Lien's luck is indeed a bit bad, no wonder before
Brother Luo will ask "Did you offend the director?"
The wound on Yuan Meng's forehead was carefully taped with sew-free tape. Nurse Zhong took over the next work and buried a wound about three centimeters long in Yuan Meng's hair. In order to facilitate the sew-free tape to glue the open flesh.
, Nurse Zhong is going to shave off some hair around the wound.
"Actually..." Sun Lien looked at the razor in Nurse Zhong's hand and suddenly asked, "Is it okay to sew the wound inside the hair directly? Anyway, there is hair covering the outside, so direct suturing should be more effective than shaving the hair and using seam-free tape.
All right?"
"It's not impossible to suture." Nurse Zhong looked at the wound carefully. "There should only be some vertical lacerations on the scalp. There is no tissue avulsion. It should not affect the regeneration of the hair follicles next to it."
Xu Yourong also observed the wound, "The wound is relatively shallow, and the stress will not be too great after suturing it. Use quick feather suture to sew it, No. 3 is enough."
Kuailing thread is the nickname of the "quill" thread of the Fourth Central Hospital. Some hospitals also call it "hedgehog thread" or "barb thread" or even "fish bone thread". Different from traditional medical silk thread, quick bait thread
The biggest feature is that there is no need to tie knots after suturing. Only the tiny barbs on the thread itself can complete its own anchoring. And because it uses absorbable materials, the Quick Ling thread does not need to be removed. It is completely hydrolyzed and absorbed by the human body.
It takes 45 days, but the silk thread can maintain its strength for about 18 days, which is very helpful for wound recovery.
A box of No. 3 single-strand quick feather thread was delivered to Sun Lien, "Shall I sew it?" Sun Lien was a little nervous while holding the unopened box. Although he had sewn skin several times during his internship, he still couldn't use quick bait thread.
This is really my first time using it. “What suture method should I use?”
"Quick Ling suture is more convenient, let's use intradermal continuous suture." Xu Yourong gave the best suture solution without hesitation. "With intradermal continuous suture, there is no need to consider the needle position and pulling force, as long as both sides of the skin are
Just close them together."
"Continuous intradermal suturing..." Sun Lien swallowed, "I'm just an emergency doctor. I've learned this technique but never sutured it before."
Xu Yourong spread his hands disapprovingly, "It doesn't involve the risk of tying knots, so what's there to be afraid of? Just sew it up. What a great opportunity for a fainted patient to try his hand."
It seems that it has become a common view among doctors that comatose patients are equal to excellent experimental materials. Sun Lien rolled his eyes, picked up the needle holder, and clamped the curved leather needle in the box and the ordinary suture with needle.
What is different is that there is a leather needle in each of the two sections of the Kuailing suture. Generally, the needle is inserted from the center of the wound, and one suture is upward and the other is suture downward. The central section of wire is not barbed.
The skin needle, which was curved like a fishhook, was inserted through the opening in the skin. Fortunately, Nurse Zhong had disinfected and debrided the wound in advance, and part of the skin that had no repair value had long been trimmed off. Although it was the first time
Although continuous intradermal suturing was performed on a living person, Sun Lien still performed quite well.
The skin needle penetrates the tissue layer below the epidermis, and then penetrates into the tissue layer on the opposite side. In order to ensure better suture strength, Sun Lien inserts the needles at slightly dense intervals. Insert the needle from the center of the wound about three centimeters, upwards
After six stitches, the upper half was sutured. The lower half had been partially taped with seam-free tape, so the thread tension requirements were weaker, because Sun Lien sewed four stitches down and then went directly to the end.
"It's pretty good for a newcomer." Xu Yourong critically commented on the effect of Sun Lien's work, "As long as she doesn't have scars, she should only have a faint red mark left after the wound heals."
Sun Lien held the pliers in one hand and nodded with satisfaction, "It's good. At least she won't have to wear a hat in the summer."
With the help of a veteran like Nurse Zhong, Sun Lien didn't even need to take care of the follow-up work. He gave the doctor's instructions again and added glucose to the rehydration liquid, and the work came to an end temporarily.
The two patients with mild concussion who were sent here have already woken up and can communicate normally. After calling their family members and completing the examination, the two patients walked out of the emergency room on their own, even though they had dirty faces.
, but being able to walk out of the emergency room on your own is already a very rare thing. The family members of these two patients also understood this truth, happily completed the discharge procedures, and took their families out of the hospital.
"It would be great if every patient could do this." Xiao Guo put his hands in his pockets, looked at the backs of the patients walking out of the emergency room, and whispered, "It doesn't matter if you came in lying down, the important thing is to be able to go out standing."
Sun Lien raised his head and glanced at Xiao Guo beside him, shook his head with a smile and said, "I didn't expect that you still have the character of a saint."
Xiao Guo knew what Sun Lien was talking about. He scratched his head in embarrassment, "I was a little impulsive yesterday..."
"Teacher Zhou is strict with you, which is a good thing." Xiao Guo was scolded by Zhou Jun yesterday, but Sun Lien also understood that Xiao Guo was complaining about himself. He comforted, "Teacher Zhou is in charge of the emergency room work, and he is strict with you.
, basically means that I am optimistic about your work here. Work hard, maybe you will stay here directly after your internship."
Nurse Zhong finished her work and came over to join in the fun, "Xiao Guo, you must come to our place after graduation. With a young man like you taking care of things, we feel at ease."
Xiao Guo scratched his hair and smiled, "Then I should apply for a security guard job."
The security guard Brother Liang who was watching the excitement at the door said with a serious face, "That's not okay. Our security office has regulations. Anyone who is more handsome than me will not be accepted!"
Taking advantage of work breaks to make jokes is also a great tool to relieve stress. Many doctors in the emergency room laughed together, even Zhou Jun, who always had a straight face, laughed.
"Ding ding ding!" the alarm phone rang again. This time the alarm was somewhat unusual. Five phones in the duty room rang at the same time.
"Forecast, serious serial car accident on Huyuan Expressway!" "Forecast, serial car accident!" "Forecast, serial car accident, chemical poisoning!" The nurses who answered the phone shouted out together.
A serious car accident occurred on the Huyuan Expressway. Twelve cars collided, and one of them, a truck carrying one and a half tons of organophosphorus, overturned directly on the highway.
When fire officers and soldiers arrived at the scene, nearly 400 kilograms of organophosphorus had leaked out.
There were 17 injured people at the scene, and four firefighters were poisoned while rescuing the injured. The helicopter has arrived at the scene and the four firefighters are being evacuated urgently.
The air in the emergency room suddenly became extremely tense.