MTL - Doctor’s Life Simulator-Chapter 5 Qin Lang rescued the scene, perfect debridement!
In the operating room, Cheng Yunfeng and Qin Lang were waiting for Qian Liang to be seated.
It's just that time has passed by, and there is still no waiting.
The instrument nurse and the anesthesiologist frowned slightly, why the debridement hasn't started yet.
Cheng Yunfeng also broke out in cold sweat on his forehead. This Doctor Qian was called away. If he couldn't come back, what would he do?
Although he had secretly reviewed many debridement videos yesterday, he really dared not let him do it alone.
In particular, the wound on Xue Mingming's leg was a very serious wound, and even infected the subcutaneous fascia, which involved the debridement of muscles and tendons.
Without Qian Liang's check, Cheng Yunfeng was worried that he would not be able to reveal himself, especially for the treatment of neurovascular segments.
"How to do?"
Continue to wait or bite the bullet.
Cheng Yunfeng hesitated when he heard a calm voice: "Nurse, sterile soapy water, sterile dressing ready!"
Cheng Yunfeng saw Qin Lang walk in front of Xue Mingming calmly, and then gave instructions to the equipment nurse in a firm tone.
"The patient has completed the anesthesia, and now is the best time for surgery, and it can't be delayed any longer."
Qin Lang briefly explained to Cheng Yunfeng that he took up the surgical position. After the equipment nurse provided the surgical supplies, he immediately started to scrub the skin around the wound on Xue Mingming's right leg with sterile soapy water.
"it is good!"
Cheng Yunfeng instinctively obeyed Qin Lang's suggestion and stood aside, like a ward round, and began to watch Qin Lang's performance.
Moreover, under such a predicament, because Qin Lang stepped forward, he felt a sense of peace of mind.
The most important thing is that Qin Lang's movements are too smooth and standard.
Last night he watched the video, but now he can feel the essence of debridement up close.
Under the advanced debridement, Qin Lang's level is no less than that of an ordinary resident physician.
"Sterile excipients."
Qin Lang's unmistakable voice echoed in the operating room, and the equipment nurse cooperated to present the items.
Qin Lang covered the wound with a sterile dressing to prevent recontamination, and then began to brush outward from the wound.
"Sterile Saline Preparation..."
While operating, Qin Lang gave instructions, and the equipment nurse showed a hint of surprise in her eyes, what a powerful little doctor.
"Here, Doctor Qin..."
Generally speaking, the first time of the little doctor is very jerky, either the action is wrong, or the position is wrong.
There is no one as skilled as Qin Lang, and his movements are coherent, fast and good.
While the equipment nurse was distracted, Qin Lang had already finished flushing with sterile saline.
"1% Povidone Iodine Solution Prepared..."
Qin Lang gave another order in a fast-paced manner, and the equipment nurse was stunned for a moment, her face flushed, and she went to prepare immediately.
The speed of Qin Lang changing movements is too fast, and he is still immersed in the first movement!
However, after all, this nurse was also experienced in many battles, and quickly responded to Qin Lang.
"Doctor Qin, give..."
"Saline..."
"Sterile gauze..."
Qin Lang's instructions were followed one by one, and the equipment nurse skillfully followed them. Because of Qin Lang's young and powerful, and her movements were fast and violent, she was actually dripping with sweat.
Cheng Yunfeng, who was watching, was shocked and envious.
...
...
While the operating room was in full swing, Qian Liang finally changed into his surgical gown and prepared to enter the operating room.
Just went to have a brief meeting with Dr. Wu, and after treating a patient, he rushed over in a hurry.
However, before entering the operating room, he slowed down. He was going to observe and observe how the two little guys responded when the superior doctor was not there.
After all, in the group of doctors who led the team yesterday, the other resident physicians were all in front of the advanced doctor and Gu Peisheng, and they were obedient and obedient to the little doctors under them.
Those little doctors, one after the other, all kinds of flattering and admiring eyes.
Qian Liang was the only one alone, so he didn't know what to say.
It cannot be said that thanks to Qin Lang's keen observation, he changed his treatment plan and avoided the danger of misdiagnosing patients.
Although he said that he hoped that the little doctor under him would be more competitive, he still had to establish the authority he should have.
Therefore, he chose Xue Mingming as a patient today, and he did so on purpose. He just wanted to beat two little doctors. He had to be humble and not be complacent just because of his excellent performance in ward rounds.
In addition, of course, I also wanted to take this opportunity to show my debridement skills in front of the two little doctors.
The thought of Cheng Yunfeng and Qin Lang's admiration for a while, made Qian Liang feel comfortable.
However, when he walked into the operating room, his expression suddenly changed, and a burst of anger shot straight to the top of his head.
These two little guys started debridement without waiting for them to come in.
Do they know that Xue Mingming's situation is very serious.
Qian Liang walked up with a gloomy face.
However, before he could have an attack, he saw an astonishing picture.
"This..."
"Disinfectant bandages ready..."
"Okay, Doctor Qin."
The equipment nurse gasped and cooperated obediently.
On the other hand, Qin Lang had already wounded Xue Mingming's thigh. Starting from one point, he continuously excised the skin around the wound, and then retracted the skin to completely remove the contaminated fascia tissue under the skin.
Next, the debridement of the muscles and tendons.
"Qin Lang, what are you doing? Why do you need to disinfect the bandages at this time?"
Cheng Yunfeng, who was on the side, was completely convinced by Qin Lang's operation, and now there is only observation and study left.
Seeing Qin Lang's request for a sterile bandage, Qian Liang knew it perfectly, and because of that, he was shocked.
"This is a skill that I have done dozens of times of debridement, and only mastered it under the instruction of a superior doctor. How could Qin Lang use it so skillfully?"
In Qian Liang's wonder, Qin Lang began to wrap his limbs with sterile bandages from farther from the wound to the edge of the wound, while explaining:
"Xue Mingming's wound has a normal blood supply, so after the necrotic muscle was removed, part of the tendon retracted and could not be found in the wound by direct search, so it was necessary to squeeze through a sterile bandage to break the tendon. Exposed!"
Sure enough, as soon as the words fell, Qin Lang completely exposed the retracted tendons.
"Scalpel ready..."
Qin Lang kept moving. With the cooperation of the equipment nurse, he began to remove 1cm of the contaminated tendon stump, and at the same time, removed a layer of contaminated fascia tissue on its surface.
Once muscle and tendon debridement is complete, neurovascular exposure begins...
Within five minutes, the debridement steps were completely completed, and at the same time, with Qin Lang's neat operation, complete hemostasis was also completed.
"Sterile saline..."
"1% povidone-iodine solution..."
Qin Lang started the final finishing touch, and the equipment nurse on the side also faded from the blush on his face, and began to regain his calm, and it was finally over.
This little doctor Qin is really good, making her very tired.
"3% hydrogen peroxide solution..."
After the equipment nurse let out a long sigh of relief, Qin Lang completed his debridement work.
"Amazing!"
Cheng Yunfeng was in awe, his mind was full of Qin Lang's movement rhythm.
Qian Liang behind him was also shocked, unable to speak for a long time.
"Do the debridement yourself, at most that's it, right?"
Qian Liang felt that today he could only dive in the group again to see how the other resident physicians were majestic, and the little doctor kowtowed and worshipped.
At the same time, Qian Liang had an idea in his heart:
"How about handing over the open fracture patient with Gustilo type I soft tissue injury that was soaked in toxic liquid and contaminated with poisonous liquid, and handed over to Qin Lang to manage the bed."