MTL - Doctor’s Life Simulator-Chapter 289 The patient can't wait
As the director of the emergency department of Zijingang First Hospital, Mo Fei has long heard of Shenxi's name and knew that she is a top expert in the field of tumor prevention and treatment. Such profound knowledge and attainments.
In particular, Shen Xi's systematic thought of connecting pre-hospital first aid and in-hospital treatment made her heart beat wildly. In fact, she also had this awareness before, but she didn't have the courage to start it, so she still followed the old rules. There are ways.
It's just that, according to Professor Shen's arrangement, with all the equipment and equipment prepared, does she want to perform the surgery directly on the ambulance?
This is only taken in the most critical situations, and without the cooperation of various auxiliary equipment in the hospital, the risk and difficulty of the operation have increased by several dimensions.
In addition, just relying on simple physical examination and abdominal puncture diagnosis, without in-hospital examination, is she not afraid of misdiagnosis?
Could it be that Professor Shen is such a bold artist.
Mo Fei frowned, but when he thought that the other party was Shen Xi, he still obeyed the arrangement.
At the same time that Shenxi started first aid, she and Director Hu also had their own tasks, and began to prepare for the connection of in-hospital treatment. I hope everything goes well.
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After Shen Xi finished the phone call, he looked at Qin Lang again and asked worriedly:
"Qin Lang, it is very risky to carry out treatment in an ambulance. Moreover, it is incomplete in all aspects, and the possibility of surgical accidents is very high. If, after further abdominal puncture diagnosis, if you are not fully sure, I will It is recommended that you still send the patient directly to the emergency department and hand it over to Director Mo and Director Hu for surgery."
"As for you, you should either continue to participate in this China Medical Association Young Surgeon Symposium, which is a once-in-a-lifetime opportunity for you."
Shen Xi certainly hopes that Qin Lang can rescue the patient with her, but she also understands the pros and cons.
One choice is to take a huge risk, which is not Qin Lang's responsibility at all, and there is not necessarily much gain if it is done, but the operation fails, and the consequences are unimaginable.
Another option is to go to the seminar to shine. With Qin Lang's level, he will definitely be praised by everyone and become famous in the medical circle of Zhejiang Province.
For the vast majority of people, you don't have to think about it, and you will definitely choose a more helpful choice for your future.
It is good enough to be able to help contact the emergency center and make a preliminary diagnosis.
However, to Shen Xi's surprise, Qin Lang shook his head with a firm tone:
"Teacher, for me, going to the seminar to demonstrate surgery is just a false name. To save the disease and treat people is the meaning of our medical studies. Moreover, you and I are also good at this radical nephrectomy. The treatment of massive tumor hemorrhage is even better. Don’t worry.”
Looking at Qin Lang, who was confident and publicized in front of him, Shen Xi was really infected. This was not only the confidence brought by superb medical skills, but also the firm will brought by medical ethics.
Shen Xi's heart towards Qin Lang was full of admiration, and he respected and admired this little man.
"If that's the case, then I will assist you by the side, and carry out the first rescue and surgery on the patient."
Soon, the car of the emergency center arrived, and according to Shen Xi's request, Murphy had arranged targeted medical staff, equipment, and equipment.
The two doctors who followed the car in the emergency department, under the explanation of Director Mo, immediately looked at Shen Xi, the famous scientific research leader.
However, the one who responded to them was a young doctor on the side, young and handsome.
The two doctors who were following the car frowned slightly, but seeing that Shen Xi, who was beside him, did not stop him, they did as the little doctor said.
"Next, you and Professor Shen, cooperate with me in pre-hospital first aid."
Hearing Qin Lang's order, Shen Xi complied. The two doctors who followed the car were obviously a little unbelievable, but they still showed their professional qualities.
Qin Lang immediately started directing the medical staff and carried the patient into the ambulance.
"Cooperate with me to provide emergency care to the patient, remove foreign bodies in the patient's mouth and nose, establish two venous accesses, and give drug injections."
Qin Lang's instructions were issued one after another, precise and clear.
"At the same time, pay attention to the patient's blood pressure to ensure that the patient's blood pressure is balanced, and rapid intravenous drip infusion to supplement blood volume."
After Qin Lang arranged the work content for the two doctors who followed the car, he looked at Shen Xi:
"Teacher, cooperate with me to perform abdominal puncture diagnosis on the patient."
Shen Xi nodded, and cooperated with Qin Lang to start the next step. Since he explained everything to Mo Fei, the puncture bag was ready.
Seeing this young doctor, about to perform abdominal puncture, the two doctors who followed the car also watched from the corner of their eyes.
In fact, they were a little curious that this little doctor He Dehe could lead the entire rescue operation.
In their opinion, he shouldn't be following behind Professor Shen, doing auxiliary work, how could the situation be reversed.
Seeing this Professor Shen cooperating with this young doctor tenderly made them feel a little envious. When will their Director Mo be able to cooperate with them so well.
Shen Xi immediately disinfected the skin at the puncture site identified in Qin Lang, from the inside out, and repeated the disinfection after the iodophor was dried.
Simultaneously, Qin Lang untied the abdominal dressing bandage and put on sterile gloves.
Shen Xi tacitly opened the abdominal piercing bag, laid a sterile perforated towel, and covered the perforated part of the perforated towel with a sterile dressing.
Qin Lang skillfully checked the items in the abdominal puncture bag one by one, and after confirming that it was correct, he began to issue instructions.
Looking at Qin Lang's strict surgical habits, the two doctors who followed the car nodded slightly. Even in such a thrilling situation and under such simple conditions, this doctor Qin still did not slack off, and the entire operation was textbook level. .
This mentality, this basic skill, makes them who were born in the emergency department a little admired.
Qin Lang moved quickly, but every step was accurate.
After checking the name of the anesthetic and the drug concentration, the patient was started to perform local anesthesia with 2% lidocaine from the skin to the peritoneal parietal layer.
After that, it was the most crucial puncture. Qin Lang held the needle in his right hand and pierced the abdominal wall vertically through the anesthesia area. When the resistance to the needle disappeared suddenly, the needle tip had penetrated the peritoneal wall.
Shen Xi put on gloves and used sterile vascular forceps to help fix the needle. Qin Lang began to extract ascites and kept samples for inspection.
Looking at the non-coagulable fluid that was drawn out, Shen Xi's color changed slightly. As an expert in the field of oncology, she certainly knew what this abdominal fluid represented.
"Qin Lang, it seems that it is really as you judged~www.novelbuddy.com~ The patient should have a ruptured renal tumor with massive hemorrhage and multi-system organ insufficiency. If it is in the hospital, a CT scan can confirm the diagnosis rate of more than 90%. , to determine the patient's renal tumor hemorrhage. However, now, if we want to make a diagnosis in the first time, we have to choose to open the abdomen. "
Shen Xi was worried again. After all, this is a major operation. If there is Director Hu in the operating room, Director Mo is on the side. With her understanding of Qin Lang, the operation will be an operation.
But in this case, the risk is simply too great.
"Qin Lang, don't think about it anymore. In fact, it only takes ten minutes to arrive at the First Hospital of Zijingang. Director Hu and Director Mo have made all preparations according to our previous plan."
When Shen Xi spoke, the other two doctors who followed the car also reacted and were shocked. They always thought that this was the pre-hospital emergency that Professor Shen was going to take charge of, but they didn't expect it to be this young doctor.
How dare he?
The two doctors who followed the car also looked at Qin Lang. In front of Shen Xi, they were too embarrassed to directly question and dissuade them.
But there is a meaning on the face, don't be brave, this patient should be honestly sent to the hospital for treatment.
Qin Lang shook his head with a heavy tone:
"I can wait for Director Hu and Director Mo to perform the operation, but the patient can't wait."
The patient can't wait.
Qin Lang's words silenced Shen Xi and the two doctors who followed the car.
PS: Thanks to Kunlin Yuanshan for the 100-coin reward, and thanks to the 100+100-coin reward for the little fairy who loves to learn, hahaha~
