During their time in the Paradise Forest, the two had already developed a tacit understanding.
Zhou Sheng was seen by Old Tang with his own eyes, and he took off step by step. He was already accustomed to the level of monsters, so he naturally didn't talk about the issue of trust. He had to deal with the severe bleeding of the amputated patient as soon as possible. Although the other situation was not good, the blood pressure measurement just now
The values tend to be normal. As far as first aid principles are concerned, choose the difference.
While Zhou was responding, he did not forget to use the A-level scanning detection function.
[Comminuted fracture of left femur, possibility of repair is 10%]
【,Emergency amputation recommended】
The probability of repair is low, the amount of bleeding is too large, and the patient is already in a state of shock. The only thing that can be done now is high-thigh amputation and then embedding of the stump.
The risks of such surgery are undoubtedly very high.
But after getting used to the surgery in Paradise Forest, compared with the current operating room with good equipment and environment, neither Zhou Sheng nor Tang Aiyun showed any nervousness.
After coming out of a harsh environment, since the environmental factors are up to standard, what kind of surgery can't be done?
"Do you have enough blood?" Zhou Sheng couldn't help but ask.
"That's enough. Workers will undergo a basic physical examination to determine their blood type when they join the company. Just to deal with the current emergency, I have arranged for someone to find someone... Oh, please leave me alone and look at your patients."
There is no need to worry about blood volume, and the surgical environment is so good.
It's so comfortable.
After coming back to his senses, Zhou Shengsheng used an A-level scan on the patient in front of him.
There is no time for angiography in first aid. For example, in Tang Aiyun's case, the ulcer on the left leg of the injured person was severe enough to see the treatment results with the naked eye. If the patient here comes from a tertiary hospital, there will naturally be complete emergency examination procedures.
Satisfy the judgment of his injury.
However, small emergency rooms certainly do not have such complete first aid procedures, and it also requires the doctor’s experience and judgment.
To be precise, it is an abdominal examination.
And Zhou Yisheng has a system that can directly perform surgical treatment.
"Kelly, are you ready?"
Kelly had already gone to look for surgical clothes and instruments, which were located next to the instrument cabinet in the corner of the room. Fortunately, the placement of the instruments was logical. Kelly turned around and shouted: "It's OK, you can start at any time."
"I'll go disinfect it and you can do it quickly."
Of course, the current situation did not follow the disinfection rules for surgical operations in the hospital. After the two came in, they had not had time to perform disinfection. Kelly temporarily put on sterile gloves with the help of a black nurse, but this was also to avoid direct contact with the instruments, etc.
After preparation, you still need to disinfect again.
Zhou Sheng went to the disinfection room next to him and took off all his dirty clothes, leaving only a pair of underpants without any hesitation.
Kelly then came in and was stunned for a moment when she looked at the young man in front of her. She didn't expect that a seemingly frail Chinese young man had a good figure hidden under his clothes and looked very well-proportioned.
Of course, it only took half a second for him to start putting on surgical clothes and sterile gloves for Mr. Zhou.
"I'll go for the anesthesia first, you should be faster." After Zhou Sheng finished it, he went out first.
At this time, don’t expect anyone to help anesthetize the patient, you have to do it yourself.
However, what Zhou Yisheng didn't expect was that when he came out with his front legs, Kelly came to his side just after the injection of drug anesthesia.
"So fast?" He was slightly surprised.
Kelly said calmly: "If the split surgical gown is the military's standard uniform, the speed will be twice as fast."
Just from this little thing, Kelly's confidence can be seen.
What Zhou Sheng didn't know was that Kelly really meant to put on a show. She really regarded this time as an entrance examination, but she was a little confused as to where the two patients were found...
"Check the anesthesia."
"no problem."
"The operation begins... with the scalpel."
Kelly handed it over quickly, even though he was thinking...so hasty?
But she knew what a nurse's responsibility was? Follow instructions and don't question the doctor's decision and judgment.
As expected.
She soon discovered that her worries were unnecessary. The skillful incision and extremely iconic movements made her feel physically and mentally happy. The last time she saw such an incision was when she was specially hired from Hopkins before she retired.
On the consultant's operating table, Kelly, then a third-aid nurse, helped a patient undergo a heart transplant.
Well, Kelly has seen so many top doctors.
Of course, the United States does not have military hospitals, just like New York City does not have a municipal committee, and the national conditions are different; but each military region has specially appointed consultants and experts, who are undoubtedly the academic leaders of the top ten medical centers.
Do you really want to say that Zhou Yisheng’s incision is better than those people?
In fact, it is an exaggeration.
But the extreme standard incision can be said to be a textbook-level demonstration.
Wall hanging is always different.
intraoperatively.
Although it involves partial kidney removal, the incision location chosen by Dr. Zhou is not on the side of the waist, because the left colon tissue also has varying degrees of perforation and ulceration. The system's decision is to complete both surgeries in one wound, so the location of a single opening is very difficult.
It is large, but it is better than two incisions before and after, avoiding the trouble of patients with prognosis when resting.
The largest bleeding point was in the kidney, but Zhou Sheng was not in a hurry to perform surgery to remove it.
After undergoing [kidney removal], relevant experience told him that the patient's current condition can still wait. In addition, the problem of abdominal hydrops caused by bleeding will also greatly increase the probability of infection during the resection.
The colon is sutured first, and then the kidney is removed in an orderly manner.
"Clean."
"Finish."
"Pinch to fix, suture."
"Finish."
"Sewing number one, mark."
"Finish."
It was the first time for the two to undergo surgery, but their tacit understanding was extremely high. This is the importance of a good assistant, who never drags his feet and maximizes the utilization of fragmented time.
I didn't have time to express all this on Monday, I was just immersed in the state of the operation.
The degree of colon ulceration is exaggerated. Because it was hit by a heavy instrument, it was really lucky that he was not broken in half. The current condition is considered mild.
When it comes to intestinal tissue removal, Zhou Sheng has already acquired relevant skills and made his own judgment.
If the damage is too great, it can be removed directly.
After witnessing a series of actions, Kelly no longer had any worries. Even after Zhou Sheng over-severed a section of the ulcerated colon, she did not ask: Can a colon of such length be continued?
But reality told her, yes!
The system has already given precise calculations to maximize the use of the toughness of the colon tissue within a reasonable range. The colons at both ends are anastomotic with short lengths, and the height of the anastomosis is intact.
Even Zhou Sheng himself let out a sigh of joy after finishing the suturing.
The benefits brought by the previous two [Suture Method Experience Collection] are simply beyond description in words.
All in all, very strong.
"Aspiration, replacement of surgical instruments, preparation for kidney removal."
At the same time, the blood source has been sent and everything is in place.