The Surgeon’s Studio

Chapter 8: Minor surgery in the emergency department

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"Go and report to the head nurse, change clothes and prepare for surgery." Zheng Ren finally arrived at the emergency room for trauma. Stimulated by the smell of blood, Zheng Ren felt that the ATP high-energy phosphate bonds in his body were crackling, releasing power.

After glancing at the patient, the patient's condition was already displayed in the upper right corner of the field of view.

This is a patient who suffered a stab wound. His vital signs are stable. The wound was on his back and his internal organs were not damaged.

The condition is relatively simple, that is, it is a minor injury that can be treated with a few days of anti-inflammatory medicine and sutures for observation.

Although the injured looked bloody, it did not scare experienced clinicians.

What's more, Zheng Ren is now blessed by the power of the system.

Zheng Ren strode back to the duty room and changed into white clothes.

You are not allowed to wear white clothes when you go to the cafeteria to eat. God knows which department has an outbreak of bacteria, such as Acinetobacter baumannii that is resistant to all antibiotics. If it really spreads in the cafeteria, the entire hospital will collapse.

After changing clothes as quickly as possible, the injured and their families had arrived at the door of the emergency surgery.

"Doctor, my eldest brother has been chopped down, please help him." The person supporting the injured person was a young man with a frightened look on his face. It looked like he was very frightened.

"Brother Yuan, you provide the treatment and anesthesia, and I will take the patient to get sutures." Zheng Ren arranged.

Yuan Li was not happy about it. There were dozens or dozens of suturing procedures in the emergency department every day, and he was already tired of them. It would be best to have someone suture them.

The most annoying thing is that when there is only one person on duty, two or three patients with trauma sutures come in at once. Which one should be sutured first and which one should be sutured later? The difficulty of this multiple-choice question is almost S-level, which is simply terrible.

He took the patient to the operating room next door and asked his family members to pay the fee. Zheng Ren and a nurse helped the patient to the operating table.

The operating table in the emergency department is relatively simple, covered with a brown and slightly soft crystal plate.

Every day is a trauma, and the injuries in the emergency department are all minor trauma, contaminating the wound, and there is no fear of secondary contamination. The crystal plate has the advantage of being easy to scrub and will not be stained with blood.

Cutting open the patient's clothes, a wound of about 20cm appeared in front of Zheng Ren.

The knife edge was turned outwards, and blood gurgled out from several small blood vessels. It soon flowed along the patient's clothes and onto the operating table.

Zheng Ren took out a sterile cotton pad to cover the incision, and then began to prepare for the surgery.

Xie Yiren quickly ran in, wearing a blue disposable sterile cap and a blue and white sterile mask. Without saying a word, he started to help Zheng Ren prepare things.

Incision bag, scissor bag, sutures, lidocaine, saline...

… …

At the same time, deep in Zheng Ren's mind, a mist suddenly rose from the crystal clear pond. The fog quickly became thicker, and the seven-colored light and shadow flickered, as if there was a rainbow hidden in it, and countless blurry shadows were looming, like a mirage.

The brilliance circulated, and the blurry images in the mirage began to become clear.

Zheng Ren would be shocked if he saw this scene. What appeared in the mirage was what he saw at the moment.

… …

"The 0.5% Lika is ready." Xie Yi moved quickly.

The nurses who come out of the operating room are different. When they start preparing for surgery, they are professional.

Zheng Ren took off the cotton pad from the patient's wound and said to the patient: "Be patient, it hurts a little."

The injured person nodded, but because he was lying on the operating bed, his movements were not obvious.

After rinsing with normal saline, Zheng Ren used tweezers to pick up a large ball of iodophor cotton balls and wiped them from the outside to the inside.

The moment the iodophor disinfection scope entered the knife wound, the muscles in the injured person's back suddenly stood up.

The muscles in the back were shaking continuously, and they were shaking evenly.

"Be patient, we're disinfecting." Zheng Ren said without emotion.

"Doctor, can you give me anesthesia?" the injured person asked.

"Of course we need anesthesia, but it's not local anesthesia." After Zheng Ren's first disinfection, he threw the contaminated iodine into the trash can, picked up a ball of iodine, and pressed it on the wound of the injured without hesitation.

"Ouch..." The injured let out a wolf howl.

"Even if it is local anesthesia, it must be disinfected first." Zheng Ren comforted: "It will be quick, don't worry."

This is iodophor. If iodine and alcohol had been used for disinfection twenty years ago, the pain would have doubled.

"Wear gloves." Zheng Ren said to Xie Yiren after seeing that the patient could still bear it.

Zheng Ren also put on sterile gloves and first gave the patient local infiltration anesthesia.

"Clamp with wire, No. 4." Zheng Ren skillfully found the bleeding small blood vessel, looked at the wound, and stretched out his hand.

A pair of curved pliers was gently patted on Zheng Ren's hand. The No. 4 suture left Zheng Ren's hand and landed on his little finger just right.

Xie Yi's level of cooperation with the surgery is a master's degree.

"Scissors… "

"Clamp strap line..."

"Small needle No. 1 thread..."

In the operating room, the only sounds were Zheng Ren's monotonous instructions and the patient's heavy breathing.

The wound is very long and deep, and every layer of tissue must be sutured, otherwise if there is a cavity left after the operation, complications such as suppuration and infection may occur.

For Zheng Ren, who has 330 surgical skill points, this kind of suturing is just a piece of cake. While he was sewing, he was wondering if the system should give him any tasks? For example, stitch it once and give it a treasure chest.

But what Zheng Ren hoped for did not happen. The mechanical female voice representing the system was quiet and seemed to disappear.

Zheng Ren felt a little regretful, but he still meticulously sutured the wounds layer by layer.

"Horn needle line seven." Zheng Ren stretched out his hand, and the needle holder patted his hand.

At this moment, there was a noise outside.

The door to the operating room was kicked open, and several young men smelling of alcohol rushed in.

Zheng Ren cursed in his heart.

Why are there so few emergency physicians? Because no one wants to have surgery or see a doctor under such conditions.

"Where's my eldest brother?"

"You bitch, take good care of my brother. If there is any problem, I will kill you!"

"Brother, how are you doing?"

Several doglegs threatened Zheng Ren while showing their loyalty.

Zheng Ren couldn't laugh or cry. What they should do, shouldn't they greet the surgeon so that he could concentrate on the operation

But for drunkards, especially drunkards who drink in the middle of the day, there is no reason.

"Get out of here!" the injured man roared. He still had some sense and knew what to do and what not to do at this time. Then he said with one part apology, three parts flattery and six parts uneasiness: "Doctor , My brother is not sensible, don’t worry about it. If there is any damage, I will pay for it later, you can sew it for me... "

The little ruffian who drank wine immediately became much more well-behaved after listening to his elder brother's scolding. After scolding Zheng Ren a few more times, he left the operating room at the urging of the injured person and closed the door.

Zheng Ren sighed inwardly, lowered the corner needle, passed it out from another time, and skillfully tied an instrument knot.

The scissors, which had been hanging on his little finger and held in his hand, appeared on his finger like magic and cut the No. 7 wire.

"Doctor Zheng, your hands are really slippery." Xie Yiren had nothing to do and started calling 666.

"I am used to closing my abdomen and don't have an assistant. It's easier this way."

Zheng Ren explained.

"Are you scared? This is what happens in the emergency department."

Zheng Ren tried to comfort Xie Yiren, but before he finished speaking, he heard a burst of yelling and cursing from the corridor outside, followed by the banging sound of a heavy blunt instrument falling on the body.

The emergency department is really not a place for people, Zheng Ren thought to himself.

A few seconds later, the door to the operating room was kicked open again, and several strong men holding baseball bats appeared at the door of the operating room.