The two newly arrived patients were already in place, and the expressions on the faces of the two black men were extremely bad.
The most urgent and severe patients are the first to receive treatment, while the rest can only bear the pain. In fact, pain is not the most important thing, fear is the biggest psychological torture.
No one is not afraid of death.
While waiting for treatment, I am afraid they have thought several times about the gains and losses in the first half of their lives, and how they will continue to live with their parents and family after their death...
Dr. Jack has obviously finished checking the patient's status and is reading the film.
Seeing the arrival of Zhou Sheng and Silan, he immediately handed over the test sheets he had reviewed...
Then Silan was very sensible and took the lead in handing over the order to Zhou Sheng for review.
Zhou Sheng was helpless, but he was putting this helpless emotion behind him. He needed to concentrate on facing the next emergency. As for the worries about the aftermath... Just as he just thought, if you do it once, you don't care about it twice.
.
Breaking jars and smashing them is indeed a lunatic behavior.
But often people always like to do things knowingly, whether they are lucky or driven by some purpose.
At the very least, Zhou Yisheng is ready to face the consequences...
No excuses, no reasons.
The only reason to blame is that my 'young impulsiveness' is much more arrogant than ordinary people's.
"The two cases are almost the same..."
"Zhou, you choose a more confident patient for surgery, and I will leave Silan to you. If there is a situation that cannot be handled, we can change the position of the surgeon at any time."
After Jack finished watching the abdominal radiography, he gave the film to Zhou Sheng.
Zhou Sheng, who has a background in clinical imaging, is very familiar with films, but he cannot compare with experienced front-line doctors, and systematic scans are more reliable than images.
After performing A-level scan detection on two patients, he had already made a decision in his mind——
"Just him."
When they heard Zhou Sheng's choice, both Jack Scott and Dr. Slan were stunned. They did not expect that Zhou Sheng would choose a patient with dense bleeding points during angiography.
Silan didn't dare to say more. He thought he was not as good as Zhou Sheng, but Jack definitely had to think carefully: "Are you sure? This patient has dense bleeding points. There was no traumatic abdominal bleeding after the abdominal impact. The condition of the internal intestine should be
It’s going to be really bad!”
Zhou Sheng said simply: "But at least the injured area is far away from the main blood supply system. You know that I don't know how to suture blood vessels. I am more confident about this patient."
"Okay." Jack agreed, "If there is a small blood vessel rupture, notify me as soon as possible, and I can come over to help you complete the treatment. The conditions are difficult, so please do your best!"
As Zhou Shengsheng said, the patients he selected did not have a ruptured blood supply center.
As for the inability to suture blood vessels, is it possible to suture the intestines well?
No, you can learn now...
Zhou Sheng had already browsed the exchange column of the system for the first time. [Intestinal Mattress Suture Method] only requires 10 medical achievement points. In the current situation, it is not the time to save achievement points. The freshly released medical achievement points must be
To take advantage of it.
The two patients were currently pushed out of the operating room, and the cleaning and disinfection of the operating room was immediately carried out.
Zhou Sheng and others only rested for five minutes before the lights in the operating room came on again.
Nurse Mir continued to take the position, and in addition to Dr. Slan, there was also an anesthesia nurse who came timidly... The hospital's anesthetists were completely insufficient. The anesthesia nurses present were still very new, but they had at least assisted in hundreds of operations.
, she knows all the basic procedures.
Such a grassroots team is simply impossible to appear in China, and no matter how critical the situation is, it will not be so rash. But this is Africa with poor medical conditions, and it is the main position responsible for the treatment of patients in major car accidents.
"Are you ready?" Zhou Sheng asked.
Dr. Silan is actually the calmest: "I have no problem."
Mir and the anesthesia nurse looked at each other and nodded.
"anaesthetization!"
After injecting the anesthetic agent, monitoring the heart rate and blood pressure, the patient gradually entered a state of sleep from the painful struggle, and finally got a bit of relief. The anesthesia nurse asked the patient as usual, checked his consciousness, and declared the anesthesia complete after confirmation.
"Let's get started."
When it came to incision, Zhou Yisheng did not give in. Even though Dr. Silan's actual technical level was higher than his, the power of the system could not be ignored. Precise incision was like a dynamic fluoroscopy process, revealing the field of vision of the injured area and selecting it through system calculation.
The best incision direction and route.
Holding the knife in a bow position, after deducing the system's terrible imaging function, a dotted line will naturally form on the patient's abdominal skin.
Even when the knife is dropped, there is a intensity display on the interface distinguished by the brightness of a red grid, which prompts the selection position of the best intensity.
Falling knife.
After cutting in one go, the fat layer just appeared in the wound, and the second cut followed closely. The fat layer was like melted butter sliding down the blade, soft and collapsing toward both sides.
Silan was stunned. This kind of one-time incision was too rare. Both the strength and accuracy reached a terrifying level.
Not to mention, the opening length chosen by Zhou Shengsheng is very long...
The current situation is not a simple appendectomy. The bleeding points on the angiogram are for reference only. The real examination must be seen after laparotomy, so the opening selection must maximize the healing range.
If you let him do the incision, it will take at least four or five breaks to complete.
But how long has it been now?
Three seconds? Five seconds?
Definitely less than five seconds!
Even though he was stunned, Silan moved quickly and opened the skin and fatty tissue with a retractor. It was not until he completed the work that Zhou Yisheng made the third knife and successfully cut through the fascial tissue.
At the same time, several people in the operating room frowned at the same time, just because a stench hit their noses...
The stench comes from the smell of the patient's abdominal fluid, blood, mucus naturally secreted by the intestinal outer membrane, and the dirt after intestinal damage. The last one is basically the food residue in the semi-digested state and the substances in the incomplete fermentation state.
The smell is definitely worse than shit.
Under normal operating conditions, it is not unreasonable to fast the night before. Impurities in the intestine are the most important source of pollution.
"Clean up!"
Zhou Sheng commanded, Mir took over the retractor, and Slan injected a large amount of normal saline to start abdominal cleansing and continuous suction.
At the same time, on the system interface——
[Exploration of bleeding points in abdominal tissue]
【start up…】
A small window is suspended in the field of view. After the deduction is successful, it is enlarged. The blurred image completely covers the surgical field of view after laparotomy and overlaps with the patient's abdominal cavity. Several small bright spots determine the accurate location of bleeding.
The scanning results of the A-level scanning detection function are in the upper right corner.
[Seven places with minor intestinal ruptures and three places with necrosis and adhesion. It is recommended to remove the adhesion parts during the operation and perform end-to-end anastomosis. For minor ruptures, use basic intestinal anastomosis. Pay attention to the degree of abdominal fluid cleanup to avoid postoperative infection...]