My Medical Skills Give Me Experience Points-Chapter 73 - 67: The Resident Training Saved the Attending Doctor

"Immediately collect a blood sample for testing! Also, administer intramuscular Vitamin K1 to control the bleeding!"

Doctor Fu is still quite skillful.

Decisively, he made a solid emergency treatment plan.

The patient's leg cannot be tied up indefinitely, if the distal limbs aren't passed through by blood for a long time, they will quickly undergo necrosis.

Moreover, this ischemic necrosis is irreversible.

Approximately every 15 minutes, it needs to be untied to allow blood flow.

"Doctor Fu, the patient's bleeding is quite severe, would IV drip be safer?" Zhou Can reminded from the side.

His Hemostasis Skill has now reached the level of an attending physician.

His hemostatic ability is not inferior to Doctor Fu's.

Doctor Fu, possibly due to his inner anxiety, was slightly flustered.

Thus, he paid less attention to some minor details.

In severe bleeding situations, intramuscular injection can easily cause muscle bleeding.

IV drip is slower in taking effect but is safer.

"Good thing you reminded me. Let's not do intramuscular injection; administer it intravenously to the patient, safety is the most important."

Doctor Fu looked at Zhou Can gratefully.

This young man is indeed exceptional.

If only he had listened to his earlier advice and delayed the surgery.

Now, it's uncertain whether we can get over this hurdle.

Nurse Liu Xia seemed somewhat nervous while setting up the IV catheter for the patient.

She's an experienced nurse; her skills are definitely up to the mark.

But given that this patient has a coagulation disorder and there's a slight panic in the operating room atmosphere, it's natural for her to feel nervous.

"I'll do it!"

Zhou Can took over the IV catheter.

"This injection requires high precision, can you… handle it?" Liu Xia understood Zhou Can meant well.

But Zhou Can's work experience was indeed scant.

Including his internship, he has been working for approximately a year.

Doctors rarely practice injections, and many resident doctors' skills aren't as good as a nurse's. A regular training doctor couldn't be much better.

This patient had already experienced complications during surgery; if establishing an IV line brought more issues, Doctor Fu's good temper might explode.

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"Isn't this better?"

Zhou Can's injection technique was skilled and precise.

Setting up the IV catheter took him about two seconds.

"My goodness… Dr. Zhou's injection technique is amazing!" Liu Xia's mouth hung wide open, her pancake face even larger from astonishment.

Dr. Lu stood below the surgical table, looking frustrated.

Things were progressing in the direction he least wanted.

Zhou Can had not only gained Doctor Fu's attention, but even Nurse Liu Xia had started admiring Zhou Can's skills.

Looking back at himself, a more senior resident doctor, he feels utterly defeated.

This mishap will surely make Doctor Fu cautious about him in the future.

There might even be a deduction in his bonus.

After successfully establishing the IV line, the patient began to receive a drip of Vitamin K1.

Doctor Fu quickly made a phone call to report to Director Lou.

The complications in surgery didn't just trouble him as the attending; even Director Lou was impacted.

Everyone was in the same boat.

After hanging up the phone, Doctor Fu's expression was very grim.

"Director Lou will only be able to reach the hospital in half an hour, let's try hemostasis and see how it goes, otherwise, we might have to call in a specialist for consultation."

A few minutes later, they tried to loosen the bandage on the patient's leg.

As soon as it was untied, blood burst out again.

Everyone's heart sank, the worst outcome occurred.

The injection of Vitamin K1 seemed to have no effect.

Doctor Fu even felt like crying.

Who would have thought that a primary-level surgery could turn into such a big mess.

His ability in hemostasis was just this, it seems he could only seek help from a specialist now.

The specialist doctors would probably mock and scoff.

Zhou Can kept frowning and observing the patient's bleeding condition.

At this moment, Doctor Fu was out of options; he decided to suggest his own hemostasis plan to try.

"Doctor Fu, the patient is experiencing uncontrollable bleeding, and conventional hemostatic drugs have been minimally effective. Could we try a combined treatment plan?" Zhou Can suggested.

"Dr. Zhou, please explain!"

At this moment, if anyone can stop the bleeding for this patient and get him through this crisis, he would call that person a lifesaver.

Zhou Can's consecutive outstanding performances made Doctor Fu no longer dare to treat him as just an ordinary trainee.

"Administer oxygen intravenously, apply ice, and it would be best to lower the temperature of the operating room below 15 degrees Celsius."

Zhou Can proposed a combined hemostasis plan.

This advanced treatment plan, when flexibly applied in surgery, is something Dr. Lu wouldn't even dream of.

He was left utterly perplexed.

"There is no danger to the patient, nor will there be any sequelae."

Zhou Can added.

These two methods of stopping blood loss are safer than using drugs.

Icing needs no explanation; it is a common emergency hemostasis technique.

Intravenous oxygen is used in the treatment of various acute and chronic hypoxic, ischemic diseases, various shocks, acute and chronic cardiac and pulmonary failures, drug poisoning, carbon monoxide poisoning, etc.

It is not a conventional hemostasis technique.

But it is very applicable for the emergency hemostasis of this patient.

It can help lower blood pressure and help the patient's clotting factors become more active.

Anyone who can propose such an innovative hemostasis plan clearly understands hemostasis at least at the attending physician level.

Doctor Fu once again looked at Zhou Can with amazement.

A great reputation is well-deserved.

This Dr. Zhou truly lives up to his reputation.

"Immediately lower the operating room temperature, bring ice packs to apply on the patient's wound, and I will personally handle the high-oxygen intravenous infusion."

Doctor Fu, like a drowning person grasping at the last straw, strictly followed Zhou Can's treatment plan.

"Dr. Lu, hurry and fetch the ice packs."

Doctor Fu ordered Dr. Lu.

"Ah..."

Dr. Lu, being a senior resident doctor with a prestigious status, thought that such menial tasks should be delegated to Zhou Can, the junior trainee.

"Ah what? If I don't ask you, should I ask Dr. Zhou? You don't even have half the ability of Dr. Zhou..." Doctor Fu stopped mid-sentence.

The patient was listening; though Dr. Lu was detestable, appearances still needed to be maintained.

Shortly after implementing Zhou Can's series of hemostasis plans, the patient's bleeding visibly slowed down.

Eventually, even some of the capillary bleedings stopped automatically.

Everyone sighed in relief.

Doctor Fu's furrowed brow also relaxed significantly.

His face showed an expression of relief as if he had survived a great disaster.

"Doctor Fu, the bleeding is now under control. Judging by the level of bleeding after Dr. Lu removed the metal fragments, an artery must be torn, but it's unlikely to be the femoral artery. It's probably just a branch."

Zhou Can finally got his chance to shine.

"Ah, your analysis makes a lot of sense."

Doctor Fu nodded in agreement.

Unconsciously, he, a distinguished attending physician, discussing the patient's condition with Zhou Can, sounded completely like equals.

And it seemed he was even somewhat at a disadvantage.

This is the direct impact of capabilities.

This sudden shift in status, even Doctor Fu found somewhat absurd.

If not for Zhou Can's age being clearly 24 years old.

He would almost suspect Zhou Can was an attending physician in disguise.

"Can I handle the debridement? It would also help quickly assess the bleeding!"

Zhou Can, now making a request, was confident and assertive.

"Alright! But be very careful."

Doctor Fu hesitated for about two seconds before agreeing.

Doctors are humans too, with emotions and feelings.

Zhou Can had just saved them once; how could he refuse him a chance to practice debridement?

Dr. Lu's glance flickered, but he dared not say anything.

He wanted to prevent Zhou Can from demonstrating his surgical skills again, but it was beyond his power.

Doctor Fu's gaze towards him was cold as ice, probably even holding murderous thoughts.

At this moment, it was wisest to lower his presence.