Doctor's Life Simulator

Chapter 292 The Patient Can't Wait (Leader Gagen 07)

As the director of the emergency department of Zijingang No. [-] Hospital, Murphy had heard of Shen Xi's name for a long time, and knew that she was a top expert in the field of tumor prevention and treatment. Such profound knowledge and attainments.

In particular, Shenxi's systematic way of connecting pre-hospital first aid and in-hospital treatment made her heart beat wildly. In fact, she had awareness of this before, but she didn't have the courage to carry it out, and she still followed the rules and followed the old rules. There are ways.

However, according to Professor Shen's arrangement, with all the equipment and instruments prepared, does she want to carry out the surgery directly on the ambulance?
This is only done in the most critical situation. Moreover, without the cooperation of various auxiliary equipment in the hospital, the risk and difficulty of the operation have increased by several dimensions.

In addition, just relying on simple physical examination and abdominal puncture for diagnosis, without going through the hospital's examination, isn't she afraid of misdiagnosis?

Could it be that Professor Shen is so bold.

Mo Fei frowned, but when he thought that the other party was Shen Xi, he finally obeyed the arrangement.

While Shen Xi was starting first aid, she and Director Hu also had their own tasks, and they were starting to prepare for the connection of hospital treatment. I hope everything goes well.

After finishing the phone call, Shen Xi looked at Qin Lang again, and asked with some concern:
"Qin Lang, carrying out treatment in an ambulance is very risky. Moreover, all aspects are incomplete, and there is a high possibility of surgical accidents. If you are not fully sure after further abdominal puncture diagnosis, I will It is recommended that you send the patient directly to the emergency department and hand over to Director Mo and Director Hu for surgery."

"As for you, you should continue to participate in the Huaguo Medical Association's Surgery Youth Symposium. This is a once-in-a-lifetime opportunity for you."

Of course Shen Xi hopes that Qin Lang can rescue the patients with her, but she also understands the pros and cons.

One choice is to take a huge risk, which is not Qin Lang's responsibility at all, and there may not be much gain if it is done, but the operation fails, and the consequences are disastrous.

Another option is to go to seminars to shine. With Qin Lang's level, he will definitely be praised by everyone and become famous in the medical circle of Zhejiang Province.

For the vast majority of people, there is no need to think about it, and they must choose a choice that is more helpful to their future.

It is good enough to help contact the emergency center and make a preliminary diagnosis.

However, to Shen Xi's surprise, Qin Lang shook his head with a firm tone:
"Teacher, for me, going to a seminar to demonstrate surgery is nothing more than a false name. Saving the sick and treating people is the meaning of our study of medicine. Moreover, as a student, I happen to be good at radical nephrectomy. The treatment of hemorrhage from the tumor is even more special. Don't worry."

Seeing the confident Qin Lang in front of him, Shen Xi was really infected. This is not only the self-confidence brought by superb medical skills, but also the firm will brought by medical ethics.

In Shen Xi's heart, she admired Qin Lang directly, and she respected and admired this little man from the bottom of her heart.

"Since that's the case, then I will assist you and carry out the first rescue and operation on the patient."

Soon, the car from the emergency center arrived. According to Shen Xi's request, Murphy had already arranged targeted medical personnel, equipment, and instruments.

Under Director Mo's instructions, the two accompanying physicians who cooperated with the emergency department immediately looked at Shen Xi, the famous scientific research leader.

However, the one who responded to them was a young and handsome doctor beside him.

The two doctors following the car frowned slightly, but seeing that Shen Xi didn't stop them, they followed the little doctor's words.

"Next, you and Professor Shen will cooperate with me in pre-hospital first aid."

Hearing Qin Lang's order, Shen Xi responded. The two doctors who followed the car obviously couldn't believe it, but they still showed their professionalism.

Qin Lang immediately directed the medical staff to carry the patient into the ambulance.

"Cooperate with me to provide emergency care to patients, remove foreign objects in the patient's mouth and nose, establish two intravenous accesses, and give injections of drugs."

Qin Lang's instructions were issued one after another, precise and clear.

"At the same time, pay attention to the patient's blood pressure, ensure the balance of the patient's blood pressure, and replenish the blood volume with rapid intravenous infusion."

After Qin Lang arranged the work content for the two physicians who followed the car, he looked at Shen Xi:
"Teacher, you cooperate with me to perform a paracentesis diagnosis on the patient."

Shen Xi nodded, and cooperated with Qin Lang to start the next operation. Since he explained thoroughly to Mo Fei, the puncture bag has been prepared.

Seeing this young doctor about to perform paracentesis, the two doctors who followed the car watched from the corner of their eyes.

In fact, they were a little curious about how this little doctor, He Dehe, could lead the entire rescue operation.

In their opinion, shouldn't he follow Professor Shen and do auxiliary work, but the situation is reversed.

Seeing Professor Shen gently cooperating with this young doctor made them feel a little envious. When will their Director Mo cooperate with him so obediently?

Shen Xi immediately determined the puncture site in Qinlang, and disinfected the skin from the inside to the outside. After the iodine was dried, the disinfection was repeated again.

Simultaneously, Qin Lang unfastened the abdominal bandage and put on the sterile gloves.

Shen Xi tacitly opened the laparotomy bag, laid a sterile drape, and covered the perforated part of the drape with a sterile dressing.

Qin Lang skillfully checked the items in the paracentesis bag one by one, and after confirming that they were correct, he began to give instructions.

Looking at Qin Lang's rigorous surgical habits, the two physicians who followed Che nodded slightly. Even in such a dangerous situation and under such simple conditions, this doctor Qin still did not slack at all, and the entire operation was at the textbook level .

This mentality, this basic skill, made them a little admired by those who were also born in the emergency department.

Qin Lang moved quickly, but every step was precise.

After checking the name and concentration of the anesthetic, the patient was given local anesthesia, and local anesthesia was performed with 2% lidocaine from the skin to the peritoneal wall.

Then came the most critical puncture. Qin Lang held the needle in his right hand and pierced vertically through the anesthesia into the abdominal wall. After the needle resistance suddenly disappeared, the needle tip had already penetrated the peritoneal wall.

Shen Xi put on gloves and used sterile vascular forceps to help fix the needle. Qin Lang began to extract ascites, and kept samples for inspection.

Looking at the non-coagulant fluid drawn out, Shen Xi's face changed slightly. As an expert in the field of tumors, she certainly knew what the peritoneal fluid represented.

"Qin Lang, it seems that it is really as you judged. The patient should have a ruptured renal tumor and massive hemorrhage with multi-system organ dysfunction. If it is in the hospital, only one CT scan can confirm the diagnosis rate of more than 90%, and determine the patient's renal function. Tumor hemorrhage. But now, if we want to confirm the diagnosis immediately, we have to open the abdomen.”

Shen Xi was worried again. After all, this is a major operation. If Director Hu and Director Mo were in charge in the operating room, based on her understanding of Qin Lang, the operation would be completed.

But in this case, the risk is simply too great.

"Qin Lang, don't think about it anymore. In fact, it only takes ten minutes to arrive at Zijingang No. [-] Hospital. Director Hu and Director Mo have already made all preparations according to our previous plan."

When Shen Xi opened his mouth, the other two physicians who followed Che also reacted and were shocked. They always thought that this was the pre-hospital first aid that Professor Shen was going to preside over, but they didn't expect it to be this young doctor.

How dare he?
The two physicians who followed the car also looked at Qin Lang. In front of Shen Xi, they were too embarrassed to directly question and dissuade them.

But the meaning on the face is the same, don't be brave, this patient should be honestly sent to the hospital for treatment.

Qin Lang shook his head, with a heavy tone:
"I can wait for Director Hu and Director Mo to come to perform the operation, but the patient can't wait."

Patients can't wait.

Qin Lang's words made Shen Xi and the two doctors who followed him into silence.

PS: Thanks to Kunlin Yuanshan for the reward of 100 coins, and thanks to Little Fairy for the reward of 100+100 coins, hahaha~
(End of this chapter)