MTL - My Medical Skills Give Me Experiences-Chapter 67 Guipei saved the attending
"Collect a blood sample and send it for testing immediately! At the same time, give the patient intramuscular injection of vitamin K1 to control the bleeding!"
Doctor Fu still has two brushes.
He made a decisive decision and made a safe treatment arrangement.
The patient's legs cannot be tied all the time, and the terminal limbs will not be bleeding for a long time, and will soon be necrotic.
And this ischemic necrosis is irreversible.
It needs to be untied every 15 minutes or so to let it bleed once.
"Doctor Fu, the patient's bleeding is serious, is it safer to use intravenous drip?" Zhou Can reminded.
His hemostasis has now risen to the level of attending.
The ability to stop bleeding is no worse than that of Dr. Fu.
Dr. Fu may be somewhat out of order because of his inner anxiety.
Not so much attention is paid to some trivial things.
In the case of severe bleeding in patients, intramuscular injection can easily cause muscle bleeding.
An IV drip is slower to work, but safer.
"Thanks for your reminder. Don't give the intramuscular injection, and give the patient an intravenous drip. Safety is the most important thing."
Doctor Fu gave Zhou Can a grateful look.
This young man is indeed extraordinary.
If I had listened to his suggestion, I would have postponed the operation.
Right now, I don't know if I can cross this hurdle?
Nurse Liu Xia seemed a little nervous when she was making an intravenous indwelling needle for a patient.
She is an old nurse, and her skills must be fine.
It's just that this patient has a blood coagulation disorder, and there is a panic atmosphere in the operating room, so she inevitably feels nervous.
"Let me do it!"
Zhou Can took the indwelling needle.
"This requires a lot of injections, can you..." Liu Xia also understood Zhou Can's kindness.
But Zhou Can's work experience is really less.
Including the one-year internship, I only worked for about a year with all my budget.
Doctors rarely practice injections, and many residents are not as good at injections as nurses. It is impossible for a regular training doctor to be any better.
This patient had already had an accident during the operation. If something happened after the intravenous access was built, Dr. Fu might be furious no matter how good-tempered he was.
"Isn't that all right?"
Zhou Can's injection technique is skillful and precise.
It takes about two seconds to complete the indwelling needle.
"My God... Dr. Zhou's injection technique is too powerful!" Liu Xia's mouth was opened wide, and her pancake face looked even bigger because of her shock.
Dr. Lu stood under the operating table, looking depressed for a while.
Things were going in the direction he least wanted to see.
Not only has Zhou Can won the attention of Doctor Fu, but even the nurse Liu Xia has begun to admire Zhou Can's ability.
On the other hand, he, a senior resident doctor, suffered a crushing defeat.
If he got into trouble this time, Doctor Fu will definitely guard against him in the future.
Possibly a bonus.
After the successful establishment of IV access, the patient has started an IV infusion of vitamin K1.
Doctor Fu hurriedly called to report to Director Lou.
An accident occurred in the operation, not only he was in trouble as the attending doctor, but even Director Lou was in trouble.
We are all grasshoppers in the same boat.
After hanging up the phone, Doctor Fu's face was very ugly.
"It will take half an hour for Director Lou to arrive at the hospital. Let's stop the bleeding first and check the situation. If it doesn't work, we can only call a specialist doctor for consultation."
After ten minutes, try to untie the gauze tied on the patient's leg.
As soon as it was untied, blood spurted out again.
Everyone's heart sank, and the worst result appeared.
Vitamin K1 injections turned out to be ineffective.
Doctor Fu even thought of crying.
Who would have thought that a first-level surgery could make such a big mess.
His ability to stop bleeding is only so high, it seems that he can only seek help from a specialist.
The specialist doctors are afraid that cynicism will be necessary again.
Zhou Can kept frowning to observe the patient's bleeding.
At this moment, Dr. Fu was helpless, so he decided to try his own hemostasis solution.
"Doctor Fu, the patient is bleeding profusely, and conventional hemostatic drugs have little effect. Can you try a combined treatment plan?" Zhou Can suggested.
"Doctor Zhou, please speak!"
Now as long as someone can stop the patient's bleeding, let him pass this test. He can call his father.
Zhou Can performed very well one after another just now, which made Doctor Fu dare not treat him as an ordinary Gui Peisheng anymore.
"Intravenous oxygen, ice cold, it is best to lower the temperature of the operating room to below 15 degrees."
Zhou Can gave a combined hemostasis solution.
This advanced treatment plan can be used flexibly during the operation, and Dr. Lu can't even think about it.
I could only be stunned for a moment.
"For the patient, there will be no danger and no sequelae."
Zhou Can added.
These two methods of hemostasis are safer than drugs to stop bleeding.
Needless to say, ice cold is a common emergency hemostasis method.
Intravenous oxygen supply is used in the treatment of various acute and chronic hypoxia and ischemic diseases, various shocks, acute and chronic cardiopulmonary failure, drug poisoning, carbon monoxide poisoning, etc.
It is not a routine hemostatic means.
But the emergency hemostasis for this patient is very applicable.
It can not only help lower blood pressure, but also help patients' blood coagulation factors to be more active.
Those who can give such a different approach to hemostasis show that their understanding and technique of hemostasis have at least reached the level of the attending physician.
Doctor Fu couldn't help but looked at Zhou Can in shock again.
There are no worthless people under the famous name.
This Dr. Zhou really deserves his reputation.
"Immediately lower the temperature in the operating room, and take an ice pack to cool the patient's wound. I will personally perform the intravenous infusion of hyperoxic fluid."
Doctor Fu is like a drowning man grasping at the last straw.
Completely follow the treatment plan given by Zhou Can.
"Doctor Lu, hurry up and get an ice pack."
Dr. Fu gave orders to Dr. Lu.
"ah…"
Dr. Lu is a senior resident doctor with a very distinguished status. Shouldn't Zhou Can, a small regular trainee, be asked to do this kind of errands?
"Ah, what? I didn't ask you to go, why did I ask Dr. Zhou to go? You have half of Dr. Zhou's ability and don't put it in..." Dr. Fu stopped when he cursed.
The patient listened to him. Although Dr. Lu was hateful, he still had to maintain his image.
Soon, after following Zhou Can's series of hemostasis plans, the patient's bleeding speed dropped down noticeably.
In the end, some capillaries even stop bleeding automatically.
Everyone breathed a sigh of relief. UU Reading www.uukanshu.com
Doctor Fu's frowned brows relaxed a lot.
There was a happy expression on his face for the rest of his life after the catastrophe.
"Doctor Fu, the hemostasis is under control now. According to the degree of blood spurting after Dr. Lu took out the metal fragments, an artery must have been ruptured. But this should not be the femoral artery. It is probably just a branch."
Zhou Can finally got the chance to perform.
"Well, your analysis makes sense."
Doctor Fu nodded in agreement.
Unknowingly, when he, the majestic attending physician, discussed his illness with Zhou Can, his tone and mentality were completely normal.
And he seems to be the weaker side.
This is the direct impact of strength.
Even Dr. Fu found this kind of drastic change in status a bit ridiculous.
If it weren't for Zhou Can's age, he would only be 24 years old.
He even wondered if Zhou Can was deliberately pretending to be a pig and eating a tiger here by a certain doctor in charge?
"Do you think you can entrust me with the debridement work? It's also convenient to find out the bleeding situation quickly!"
Zhou Can's request this time was really upright and confident.
"Okay! But be careful!"
Doctor Fu hesitated for about two seconds, and finally agreed.
Doctors are human too, with flesh and blood and feelings.
Zhou Can had just saved him once, and asked for a chance to practice debridement, would he have the nerve to refuse?
Doctor Lu's eyes flickered, but he didn't dare to say anything.
He wanted to stop Zhou Can from showing his surgical ability, but he was powerless.
Doctor Fu looked at him with cold eyes, like a glow on his back, he probably wanted to strangle him to death.
At this time, it is most sensible to reduce the sense of presence.
