Doctor's Life Simulator

Chapter 13 Shocking, perfect operation (please recommend)

Since the third-degree burn eschar has no nerve sensation, the operation can be performed without anesthesia.

"Qin Lang, it's up to you to start debridement and disinfection first."

Now that Director Wu had spoken, Peng Yun naturally handed over the preparatory work to Qin Lang. In addition, she also wanted to see how good this little doctor was.

After all, in the analysis of Wang Qiang's condition, he just demonstrated his diagnostic ability and clinical ability on the operating table, which cannot be generalized.

In response to Peng Yun's instructions, Qin Lang nodded slightly, and began his performance.

"Sterile gauze."

"Ether."

Qin Lang skillfully gave instructions, first covered the wound with sterile gauze, carefully shaved off the hair of the skin around the wound, and then scrubbed the greasy substance with ether.

"soapy water"

In the operating room, only Qin Lang's orderly voice was heard, and the equipment and nurses cooperated quickly as if they were winding up the strings.

Soon, Qin Lang washed the wound thoroughly with soapy water, and then rinsed the wound with a large amount of isotonic saline.

Due to the complex environment in the factory, all kinds of foreign bodies, blood clots, and detached tissue fragments are mixed on the wound surface. Before the eschar is removed, all of them must be removed, and the subtleties can only be removed by needles.

Seeing Qin Lang's smooth speed, Peng Yun was obviously a little surprised. Originally, he just wanted to wait for Qin Lang's simple debridement before taking over, but Qin Lang didn't allow her to intervene at all.

"It's a very involved operation. Is he really just a trainee doctor in a community hospital?"

Peng Yun was in a trance for a while, and then looked at Wu Youtu helplessly. The latter also had a solemn expression, but he wanted to see how far Qin Lang could do it, so he signaled Peng Yun to stand still.

"Pulse flusher."

Qin Lang skillfully called out the name of a device.

Wu Youtu's expression on the side was slightly surprised, but Peng Yun's expression did not change at all.

"This boy, how did he know to use a pulse type irrigator? This is the burn department of our hospital. This year, the newly installed equipment has far fewer bacteria in the wound after irrigating than the general method. But the problem is that even lower-level hospitals have never used it. Equipment, how could this kid be so familiar."

Of course, Peng Yun, who came out of Union Medical College, has seen and used it. Originally, Wu Youtu wanted to teach Qin Lang how to use the pulse irrigation device as the first lesson.

"Could it be that this kid watched the surgical cases in the hospital in advance and taught himself?"

This time, Wu Youtu really developed a good impression of Qin Lang.

After rinsing, the skin is disinfected again, and the preparation is completed.

The eschar of third-degree burns loses normal skin elasticity. When scabs form from deep circular burns, the underlying tissue swells and the venous return under the scabs is obstructed, so the arteries will be blocked due to mechanical compression and reflex spasm. Distal blood circulation disorder or even limb necrosis occurred.

Therefore, eschar incision is imminent!

"Iodophor. Ethanol shop towel"

At this moment, Qin Lang is completely immersed in the operation. In the simulated world, he has completed hundreds of cases, so he is fully capable of completing it independently.

Before Peng Yun and Wu Youtu called to stop, Qin Lang directly entered the formal operation.

It has to be said that Jia Qing's symptoms were very serious. The entire neck and chest were covered with ring-shaped eschar, which was shocking.

"Scalpel"

Qin Lang calmly gave instructions to the equipment nurse, and the latter, panting heavily, cooperated.

With the clinical experience in the simulated world, and a 24-year-old young and strong body, the result is that Qin Lang's operation is very fast. In just a short while, the little nurse is tired by Qin Lang.

After Qin Lang held the knife, he began to adjust the way of holding the knife according to the different positions of the eschar.

The first is the acupressure method, which is also the most commonly used method of holding the knife. Press the finger on the 1/3 of the back of the knife, and cut through the wrist and fingers. It is the most suitable way for skin and peritoneal incision.

Seeing Qin Lang's standard knife-holding posture, Wu Youtu's eyes lit up slightly. As soon as he made a move, he knew that this kid had very solid basic skills.

Peng Yun also had a solemn expression, thinking in his heart, could it be that Qin Lang also secretly bought pig's trotters to practice, otherwise, how could he be so proficient.

No wonder his skin is so delicate and full of collagen.

Unknowingly, Peng Yun's thoughts flew away. After all, in front of a handsome guy like Qin Lang, she couldn't help being vulgar.

Also, he's a younger brother.
In an instant, Qin Lang adjusted to the pen-holding style again, like holding a pen, the movement involves the wrist, and the power is mainly in the fingers, small force, short distance, fine manipulation, often used to cut short incisions, separate blood vessels, nerves, etc.

"Good boy!"

Seeing Qin Lang's advanced incision technique, Wu Youtu was amazed again!
This strength control is so perfect, even if it is him, he is like this, right?
At the next moment, Qin Lang changed to the reverse pick style, that is, the blade is lifted from the inside of the tissue to the outside, so as not to damage the deep tissue.

"Bravo!"

Under the connection of this set of cutting techniques, Wu Youtu has already recognized Qin Lang's basic skills.

"Sure enough, the chief director has sharp eyes."

Soon, Qin Lang made an incision along the posterior edge of the sternocleidomastoid muscle, reaching deep into the platysma muscle, announcing the incision of the neck eschar.

Five minutes later, along the bilateral anterior axillary lines, an incision was made from 5 cm below the clavicle to the tenth rib. The depth of the incision reached the deep fascia, and the chest escharotomy was completed.

However, this was just the beginning, Qin Lang was in excellent health and could not stop for a moment.

In the operating room, the equipment nurses were cooperating with Qin Lang back and forth, with some resentment in their eyes.

Qin Lang himself has good physical strength and moves swiftly, but he doesn't know how to be sympathetic to the beauty. When he paused for a while, the little nurse was dripping with sweat.

He could only grit his teeth and continue to cooperate with Dr. Qin's output.

The next step is the eschar incision of the upper limbs, and Qin Lang accurately incisions on the inner and outer midlines of the long axis of the limbs.

The whole process is smooth and freehand.

Peng Yun originally wanted to remind Qin Lang to pay attention not to expose the radial nerve with the ruler, so as not to damage it, but Qin Lang's operation was so precise that she could only swallow it deeply.

"He is so powerful! This clinical technique is not far behind his diagnostic ability."

Peng Yun found that he couldn't see through this little doctor.

Wu Youtu's face is also like a treasure. This is really a rare talent, but this is just a basic operation. Next, he will arrange more complicated operations for Qin Lang to try.

With Qin Lang's proficiency in escharotomy and decompression, Wu Youtu and Peng Yun directly became the audience, so they didn't have to worry about it at all.

After 15 minutes, Qin Lang completed all the operations alone.

At this time, Wu Youtu finally spoke out, calling to stop Qin Lang's operation.

"Qin Lang, you have done a very good job, completely beyond my expectations. The next steps will be left to Peng Yun, please watch carefully."

Qin Lang originally wanted to say that he could do it, but anyway, the goal has been achieved, so he is no longer operating.

[Ding, complete the task: assist Chief Wu to complete the escharotomy and decompression surgery to relieve the patient's pain. 】

[Congratulations to the host, get a bottle of stamina potion. 1 life simulation point. 】

After Qin Lang retreated to the side, Peng Yun used artificial skin to cover the wound, and then covered it with a thicker gauze roll, and then fixed and sutured both sides of the incision with thick thread.

It has to be said that Peng Yun's level is still very good. This hand stitching seems to have reached an advanced level, and it is slightly inferior to Qin Lang.

(End of this chapter)