Doctor's Life Simulator

Chapter 112 Doctor Qin, when did you learn the fracture reduction and fixation technique! (Add more updates to the cloud free boss)
Tracheotomy is divided into conventional tracheotomy and emergency tracheotomy, and this time Qin Lang used emergency tracheotomy.

A vertical median skin incision was made directly, starting at 2-3cm below the laryngeal notch and 4-5cm long.

Seeing Qin Lang's choice, Zhao Zhen nodded silently, then stepped aside: "No wonder Director Wei relies so much on this young doctor."

Keeping it carefully on the midline, the scalpel was cut directly into the trachea under the cricoid cartilage. Amidst the astonishment of everyone, Qin Lang cut off the 3 tracheal rings and the membrane between them cleanly.

The force of this knife is very precisely controlled, perfectly avoiding cutting the cricoid cartilage.Next, Zhao Zhen was shocked again.

Qin Lang inserted a reverse knife handle into the trachea incision that only an old surgeon would subconsciously use. He controlled the perfect force and rotated it skillfully to separate the soft tissue.

Just like opening a clam, the air can flow in and out of the trachea freely, and how many times of practice it is before you dare to use it and master it.

Zhao Zheng recalled that he learned this trick to separate the soft tissue, at least five years after clinical practice, ordinary little doctor, who didn't tremblingly use the retractor to pull away, and carefully separate the soft tissue.
The next thing is to see Qin Lang inserting the tracheal tube, completing the first step.

Afterwards, Qin Lang adopted the improved sputum suction method taught by Director Wei. Wearing a sterile glove on his right hand, with his thumb, index finger, and middle finger, pinch the 10cm position of the lower end of the sputum suction tube as if holding a pen. Gently send it into the tracheotomy cannula, meet resistance and reach the bulge of the tracheal bifurcation, stop for a while, press the side hole of the suction tube with the thumb of the left hand, and micro-operate to form a negative pressure.
Seeing Qin Lang's phlegm suction method, Wei Guoqiang raised his eyebrows slightly. This kid is indeed my favorite student of Wei Guoqiang.

Zhao Zheng and Chu Tianxiong were very envious. Since Wu Youtu and Lord You, there have been many successors to the Wei-style improved phlegm suction method.

Yang Yi and Yang Yue also keep small notes, which is a big plus in the workplace!
Watching Qin Lang twist and rub the thumb, index finger, and middle finger of his right hand to rotate the sputum suction tube 180°, and slowly pull it up, the timing is very precise, exactly 15 seconds!

Wei Guoqiang blinked, his eyes were filled with the look of high spirits when he created this phlegm suction method when he was young.

This kid seems to have studied the old man's unique skills a lot, he has vision and is comfortable.

Seeing that Qin Lang had completed the tracheotomy, the next step was escharotomy and decompression.

Wei Guoqiang was refreshed, took the scalpel from the equipment nurse, and was about to step forward.

Then, Qin Lang, who was turned around, disarmed, nodded and said: "Director Wei, you are too polite."

Wei Guoqiang blinked his eyes, this brat is floating, is it because my old Wei can't lift the knife, or the little nurse's hands are not long enough, do I mean to be your assistant and deliver the equipment!

Seeing the deflated Wei Guoqiang, Zhao Zhen suddenly felt that he was not wronged, and even wanted to laugh a little.

In the blink of an eye, Qin Lang was proficient in cutting the eschar.

For circular escharotomy and decompression, it is usually enough to cut to the level of deep fascia, but in this patient, the fascia and soft tissue were tense, so Qin Lang made a decisive decision and chose to cut deep fascia to achieve the purpose of complete decompression.

Seeing Qin Lang's judgment and choice, Wei Guoqiang was taken aback, this kid has something.

Obediently, Director Wei had no choice but to step aside, as if he had become a retired veteran cadre, euphemistically saying: Guide and check!
Qin Lang controls the scalpel, and makes an incision precisely in the long axis of the limb, on the lateral midline, the incision on the ulnar side of the forearm, from the front of the medial epicondyle to the ulnar styloid process, and the incision on the radial side from the front of the lateral epicondyle to the radial styloid process. The operation is not sloppy, and the deep fascia is cut just right with one knife.

Moreover, the exposure and damage of the ulnar and radial nerves were perfectly avoided.

"Beautiful!"

Wei Guoqiang couldn't help admiring, and even had a feeling of being old. As soon as Qin Lang came out, he was really a successor.

"No, I'm going to get Qin Lang to get his postgraduate degree as soon as possible, and then assign him a lot of junior doctors. The subject will be opened, and he will be promoted through the usual way. It will be a waste of time for him."

Wei Guoqiang plans to let Qin Lang establish prestige and build a team as soon as possible, so that he can become the core figure of the treatment center earlier.

After a while, Qin Lang completed the incision of the ring-shaped eschar of the upper limbs, and began to incision and decompress the ring-shaped eschar of the wrist.

The most important thing for the hand is to loosen the inner muscles of the hand so as not to be compressed and cause ischemic contracture.

Due to the severe swelling of the patient's hand, Qin Lang cut the transverse carpal ligament directly and released the carpal tunnel to relieve the compression of the median nerve.

The whole set of procedures is very quick, unconsciously, the incision between the metacarpal bones on the back of the hand is started again, the interosseous muscle gap is opened, and at this point, the release of the internal muscles of the hand is successfully completed.

Finally, there is the most serious and severe annular eschar of the lower extremities.

Qin Lang held the scalpel and chose the best way to hold the knife. Amidst the amazement of the crowd, the hand passed and the knife went away. After a silver light passed, the patient's limb was cut open, penetrating the entire eschar, reaching deep under the skin , cut the deep fascia.

"Good guy!"

Zhao Zheng was startled, Qin Lang is really a brave man, this knife is like killing pigs in the countryside, under the sharp light of the knife, it is as refreshing and frightening as gut-piercing.

Another phased victory.

The next step is the patient's very difficult hands. Before the repair of tendons, blood vessels, and nerves, the fracture must be treated.

Yang Yi and Yang Yue at the side are finally ready to play with full confidence.

After all, they had just participated in the treatment of syndactyly with Qin Lang, and they knew Qin Lang thoroughly, and Qin Lang was still a novice in fracture reduction and fixation.

The two of them held their heads high and were ready to take over Qin Lang's position as chief surgeon, this honorable position that even Director Zhao and Director Wei were deflated.

Just when the two were about to step forward, they heard Qin Lang's very calm instructions:

".Kirschner wires, hollow screws, small arm X-ray machines, non-sterile balloon tourniquets."

The twin sisters were stunned for a moment, flustered in their hearts, and the two looked at each other: "He must have prepared it for us thoughtfully, right? It's just that we should prepare the groundwork for our appearance, right?"

When the two of them were in a mess, Qin Lang turned his head, and there was a hint of urging in his eyes.

Yang Yi and Yang Yue obediently followed Qin Lang's instructions, took the equipment from the equipment nurse, and passed it to Qin Lang.

They waited for Qin Lang to step aside.

However, what was waiting was a sentence: "Thank you!"

Yang Yi, Yang Yue, almost spat out a mouthful of old blood. She was so wronged and sad, but she couldn't believe it.

So, Qin Lang, is this even taking their jobs?

Zhao Zheng and Wei Guoqiang coughed lightly, signaling them to move away quickly, so as to influence Qin officials to usurp the class and power.

Yang Yi and Yang Yue obediently moved behind Director Wei and Director Zhao.

The 1.9-meter tall Chu Tianxiong lay in front of him.

"Oh~"

The two little girls moved back dejectedly. After all, Director Chu is the boss who guides and guards the gate. They can only shrink to the back with Deputy Director Cui Jianguo.

It's just, when did Dr. Qin learn the technique of fracture reduction and fixation!
PS: Thanks to Yunyouya for another 500 coins reward, pen refill~
(End of this chapter)