Regarding Dr. Ji's curious test, Xu Ze pursed his lips in disdain and muttered to himself: "Is it necessary?" You are a teaching teacher or a deputy director, do you have to always take advantage of me for fun? "
But the muttering was still just muttering after all, and he would not just say it out for fun, so he had to step forward and conduct a detailed physical examination of the patient from head to toe. wWw,QuanBeN-XiaoShuo,com
Xu Ze has now figured it out and feels that there is no taboo. If he is asked to pretend that he knows nothing, he will not pretend. Anyway, there is nothing taboo for him in this hospital now. Since he is going to be transported now If you are an intern on the ground, you will inevitably have to go to other departments. You never know when you will meet an acquaintance and be exposed.
So, it doesn't matter to him now. Anyway, most of these classmates know that he used to work in a clinic, and many people know that he has good medical skills. No one will find it strange if he shows off a little bit here.
As for Teacher Ji and Dr. Ji in front of him, Xu Ze is too lazy to take into account other people's feelings. If you ask me to do it, I will do it... so that you can also experience our methods, so as to save you from being unable to teach in front of us. .
Seeing Xu Ze's skillful techniques and neat movements, almost following the most standard techniques, the deputy chief physician Ji Xueping opened his eyes wider and wider, looking at the student in front of him with surprise. She just doesn't understand why there is such a big gap between people.
This group of students must be in the same class and never let go of their mistakes, but why is this kid in front of him so smart without even teaching anything, while the other students look like idiots, and then they look at the kid in front of them as if it's a matter of course.
"When I first came to work, I was afraid I couldn't compare to this guy in front of me... Why is there such a big gap between people... Unless this guy has done this before..." Dr. Ji's mind was full of mixed thoughts. But when I thought about it, I felt something was wrong. Although the kid in front of me looked more mature than his students, he was only twenty-one or twelve years old at most, and he was currently in his senior year. Is it possible that he could hang out in the hospital during his second and third year? ? This is impossible.
Therefore, although Dr. Ji was full of surprise, he could only be surprised. Seeing Xu Ze's skillful technique, he saved his own trouble and praised Xu Ze's technique while following Xu Ze's technique. , teaching other students how to perform physical examinations on patients.
Seeing Dr. Ji's behavior, Xu Ze couldn't help but show a hint of contempt in his eyes. "How can the deputy chief physician be so lazy? No wonder he always catches me doing things."
Xu Ze angrily completed the entire set of physical examinations. Doctor Ji also finished the explanation smoothly at this time. Xu Ze nodded and smiled and said: "Xu Ze, you are a very good team leader. You are much better than us back then." '"
Although he was unhappy in his heart, Xu Ze still pretended to be submissive when facing the teacher. He nodded humbly and said with a smile: "Teacher Ji, thank you."
Curious Doctor Ji was about to ask Xu Ze if he was so familiar with these things, when suddenly he heard a voice coming from the radio: "Doctor Ji... please come to the emergency room, please come to the emergency room..."
Hearing the voice on the radio, Dr. Ji's face turned pale, and he quickly said to Xu Ze: "Xu Ze... take them to the office to sit down first, and my men will come over."
Xu Ze naturally heard the voice on the radio and knew what Dr. Ji was going to do. He immediately nodded in agreement. After Dr. Ji ran out, he took everyone in his group to the office to sit and wait. Dr. Ji is back.
There were about a dozen members of Xu Ze's group, both male and female, and they were all classmates. Sitting in the office, they didn't feel bored at all. They were chatting happily and discussing the internships at the hospital these days. Something new.
Everyone has been living a fresh and comfortable life these past few days. They used to stay at school every day, but now they have changed places and experienced a new experience in the hospital. It is naturally very fresh.
I heard the students talking about Xingda Affiliated One, discussing the benefits of Xingda Affiliated One, and some people thought it would be great if they could work here in the future.
Xu Ze, on the other hand, was sitting in a chair and yawning very dullly. If it was him a year ago, maybe now he would be like these classmates, feeling excited and fresh about being able to go to the hospital for internship.
But now, his vision is completely different from that of these students. What is new in the eyes of these I students is already something that is familiar to him, but now he has to listen to people again. Explaining these things is so boring.
Seeing the lively discussion among his classmates, Xu Ze smiled. Feeling that the office was a little stuffy, he walked out of the office by himself and walked around outside.
The ward of the Department of Respiratory Medicine was already full at this time. Xu Ze walked around in the corridor and found it extremely boring. He slowly but inadvertently walked to the front of the emergency room.
Seeing Dr. Ji Xueping instructing the doctors and nurses to rescue several patients with a serious look on her face, Xu Ze became interested and leaned against the door to watch.
As the chief resident physician second only to the department director, she has great powers and responsibilities in the department. When rescuing patients, if the director is not available, then she will be the top doctor, and she will be responsible for the rescue work.
Looking at the several patients in the rescue room who were being rescued at the same time, Xu Ze couldn't help but frowned. There were several patients in need of rescue. It seemed that these patients were collectively sick due to a certain reason.
But now the situation inside is not good. There are four or five patients, but now only Dr. Ji Xueping and another doctor are there. As for the nurses, there are four or five, but they are also very busy.
At this time, Dr. Ji was frowning inside. While rescuing a patient, he asked angrily to the nurse beside him: "What's going on? Is there anyone from the anesthesiology department... These patients need to undergo tracheostomy." , how can we be so busy..."
The nurse was shocked when Dr. Ji yelled at her like this, and she quickly said: "Doctor Ji, I'll make another call and ask..."
The nurse quickly took out her mobile phone and dialed a number. After talking to the other party for a few words, she hung up the phone and looked at Dr. Ji with an expression of embarrassment and said, "Dr. Ji... the anesthesiology department is also very busy right now. Have to wait a moment"'"
"We'll have to wait a little longer." When Dr. Ji heard this, he almost stopped gritting his teeth and snorted angrily: "Just a little longer, they will come and collect the body..."
Xu Ze saw Ji Xueping's angry and fussy look from the outside, and then looked at the several patients. He couldn't help but sigh, and his love began to warm up again.
"Originally it was none of my business, but human life is at stake..." He took out the hat and mask from his pocket, put it on himself, then sighed softly and walked towards the emergency room with a calm face.
Walking into a patient's bed, Xu Ze glanced at the patient who was obviously having difficulty breathing and even started to look cyanotic. Then he said in a deep voice to the nurse who was busy giving oxygen to the patient: "Give me a tracheostomy bag... "
Hearing this voice, the nurse's face was filled with joy, and then she looked at Xu Ze dissatisfied and said, "Why did you come here without even bringing your bag?"
"We are too busy to win. I just finished one downstairs and rushed over here. I don't have time to go back and get my bag." Seeing that the nurse really thought she was from the anesthesiology department, Xu Ze quickly followed the trend and said with a smile.
The nurse did not hesitate at this time, and quickly took out a tracheotomy bag from the cabinet on the side and handed it to Xu Ze, and then hummed: "Fortunately, we are in the Department of Respiratory Medicine. Other departments may not have so many spare bags." ,'."
Xu Ze smiled, but did not say any more words. Now Dr. Ji Xueping was next to another patient. If she found out that it was him, there would be absolutely no chance of saving him. If this patient It would be a pity if something went wrong because of a delay.
Immediately, he took the tracheotomy bag, conveniently opened it on the treatment table nearby, and then began to perform tracheotomy on the patient.
Xu Ze reached out to grab the patient who was about to suffocate, pulled his shoulders up, then grabbed a pillow at the head of the bed and put it under the patient's shoulders, tilting the patient's head back to expose the trachea in his neck. Then he said to the nurse: "Lift me to fix his head!"
"Okay..." After hearing Xu Ze's words, the nurse did not dare to neglect, and quickly reached out to hold the patient's head so that he could not move at will, so that he could wait for Xu Ze to take action.
Seeing that the patient's head had been fixed, Xu Ze did not dare to neglect any more. After opening all the tracheotomy bags, he folded two more lidocaine bags, opened them and put them aside for later use.
After putting on sterile gloves neatly, Xu Ze picked up the forceps in the tracheotomy bag, clamped the complex iodine cotton ball inside, quickly sterilized the patient's neck trachea, and then carefully spread sterile towel, ready to start the operation.
At this time, Dr. Ji Xueping, who was at the bedside, was relieved to see that the tracheotomy was finally performed on the unattended patient. She secretly thought that the anesthesiology department was finally a little faster today. Otherwise, if something happens to this patient, he will have to cause trouble with their anesthesiology department tomorrow.
Although he breathed a sigh of relief, Dr. Ji still operated on the patient himself and explained to Xu Ze: "These patients all suffered tracheal burns, which is a bit more troublesome. When you make incisions, be careful. .”
Hearing what Doctor Ji said, Xu Ze didn't dare to answer. He just lowered his head and nodded in response, for fear that Doctor Ji would see the flaw.
After taking a syringe from the bag and carefully drawing a few milliliters of lidocaine from the lidocaine bottle next to him, Xu Ze began to administer preoperative anesthesia to the patient.
Xu Ze carefully performed infiltration anesthesia on the patient with lidocaine along the front and midline of the neck from the lower edge of the thyroid cartilage to the suprasternal fossa.
He is quite familiar with this. After all, these are done in the virtual space and have gone through many virtual internships. It is naturally not a problem to do it.
The so-called tracheal burns, of course, have no impact on him. Most of the tracheostomy patients he performed in the virtual space were war wounds. There are naturally many tracheal burns, so he can be said to be very familiar with it. Now hold the scalpel and gently use a straight incision to incise the skin and subcutaneous tissue along the front midline of the neck from the lower edge of the thyroid cartilage to close to the sternal fossa.
After the skin and cut tissue had been smoothly cut open under his scalpel, small streams of blood began to slide out along the wound. Xu Ze picked up a small piece of gauze in the bag and gently wiped away the blood, and then used vascular forceps to carefully separate the sternohyoid muscle and sternothyroid muscle along the midline to expose the thyroid isthmus.
Look at Xu Ze
In just a few easy strokes, the patient's neck skin was successfully peeled off! The milky-white trachea inside was exposed. The nurse fixing the patient's head next to him couldn't help but look at Xu Ze a few more times.
Just now, she could tell from the upper half of Xu Ze's face that was not covered by the mask that Xu Ze was very young. Originally, she was a little worried about Xu Ze and thought to herself: "Why do the anesthesiology department send such young doctors? This trachea... For patients with burn injuries, it is difficult to perform a tracheotomy. If it is not done well, it will be in trouble."
But now that I can see Xu Ze's neat technique, which seems to be no slower than Dr. Ji Xueping's, in exposing the patient's trachea, I feel relieved with admiration.
Xu Ze took out two retractors, gently hooked them on one side, and then said to the nurse: "Pull one for me..."
As a nurse in the Department of Respiratory Medicine, she is naturally very familiar with such assistance. She immediately freed up a hand, and then carefully took the retractor, not letting herself touch Xu Ze's sterile-gloved hand, and then gently Pull gently.
It's just that she can only free one hand now, and she can't pull both hooks at all. Now she raised her head and looked behind her, trying to find someone to help pull the other hook.
However, she looked around and was disappointed. Several other nurses behind her were working as assistants to Dr. Ji Xueping and other doctors on duty. There was no one who could take the lead. At the moment, she could only look at Xu Ze and said helplessly: " Why don't you wait a little longer"'"
"No need... just pull the other side!" Xu Ze raised his eyebrows and said. Originally, the two retractors did require the help of assistants to pull them, but now they are not available. Xu Ze cannot wait any longer. If the operation is not completed as soon as possible, the patient may die from suffocation at any time.
Seeing that the nurse had already held the other side, Xu Ze also held the other hook with his left hand and said to the nurse: "Pull it!"
"Ah...you really don't need anyone else?" The nurse looked at Xu Ze and stretched out his left hand to hold the other person.
On the other side, only one right hand was left for surgery, and he couldn't help but be stunned.
Xu Ze shook his head gently, and then said: "No, if we wait any longer, this patient will not need to be treated..."
Hearing Xu Ze's affirmative words, the nurse knew what Xu Ze meant. If he didn't continue to do it now, the patient wouldn't be able to wait that long. She could only nodded and looked at Xu Ze's movements, hoping that Xu Ze could rely on him. Only one hand can complete it successfully.
After all, although this operation is somewhat difficult, if it is a very good anesthesiologist, it can still be completed successfully.
After the two people cooperated to pull the hooks, and the force of the two retractors was even, so that the surgical field was always kept at the midline, Xu Ze stretched out his right hand and touched the cricoid cartilage and trachea. After making sure that the trachea was maintained in the central position, he officially started. Take action.
After determining the specific location of the trachea, Xu Ze used a retractor in his left hand and a scalpel in his right hand. From the 2nd to 4th tracheal rings, he used a sharp blade to carefully lift up and open two tracheal rings.
Seeing the two tracheas being cut open and the air flowing into the patient's trachea along the gap, Xu Ze still frowned. This small gap was really small. When the intubation was done, I'm afraid it would Somewhat difficult.
He picked up the scalpel and swung it neatly to remove part of the front wall of the trachea.
The cartilage ring makes the tracheal incision much larger and allows for much more air infusion.
Seeing Xu Ze just holding the knife with one hand, he easily and neatly opened and expanded the patient's trachea, and even removed part of the cartilage, without using his left hand to assist at all. The nurse assisting next to him had a pair of pretty eyes, but he couldn't help but He opened his eyes wide and looked at Xu Ze's movements with a look of surprise.
This was the first time she had seen someone be able to remove the cricoid cartilage so easily with just one hand, and they could cut it just right, without any more or less.
Xu Ze couldn't care about so much at this time. He immediately put down the scalpel and the retractor, then took out a curved forceps from the surgical bag to open the tracheal incision, and then took out a tracheal cuff of suitable size with a stamen. Tube, insert the tracheal cannula along the tracheal incision made by yourself.
After the tracheal cannula was inserted, he took out the core of the tube, put it into the inner tube, and pulled the sputum suction device on the bed tray. After testing that the suction force was normal, he sucked out the secretions in the tracheal cannula and found that there was no obvious bleeding in the trachea. , Yuncai breathed a sigh of relief.
Then he reached out, pulled up the strap on the tracheal tube, tied it to the patient's neck, and beat him to death.
Knot to secure securely. Finally, use a piece of open gauze to pad between the wound and the cannula.
After completing all this, Xu Ze breathed a sigh of relief when he saw that the patient had been intubated through the cervical trachea and successfully inhaled some air from the outside world. The hypoxic cyanosis on his face was significantly relieved.
The operation had been successfully completed. Xu Ze looked at Dr. Ji Xueping opposite and had successfully completed the operation on her patient. At the moment, he did not dare to stay any longer. He should get out of the way after he finished the operation, otherwise he would be attacked by someone else. Finding out that you are nothing but a fake would be another problem.
Immediately, he took off his gloves, told the nurse twice, and then planned to turn around and leave. But just as he said so, he suddenly heard someone running in from the door.
The man ran in panting, and then asked loudly: "Where is the patient? Which patient needs a tracheotomy... But it drove me to death. After answering the phone and finishing one, I ran over!"
One by one, I wish you all a happy Mid-Autumn Festival and a happy family. One by one, I wish you all a happy Mid-Autumn Festival.