Doctor's Life Simulator

Chapter 45 Who Can Do Tracheostomy?
It has to be said that Wei Guoqiang acted swiftly and swiftly, and with the help of Liu Feng, he quickly promoted the latest fluid replacement plan proposed by Qin Lang.

For these attending physicians and senior residents, it is very easy to adopt the Jinling burn formula, and the follow-up PICCO auxiliary monitoring technology is also transparent to them.

The corresponding equipment was deployed from various departments in the first time.

With the support of Dean Hang, the popularization and replacement of the rehydration program in the burn department was completed very smoothly and quickly.

Qian Liang received instructions from Wu Youtu. After adjusting the formula for rehydration, the work efficiency of the nurses was visibly improved and the workload was greatly reduced.

The original traditional method mainly observes the arterial blood pressure of the body and measures the cardiac output, so as to determine the infusion time and infusion volume. However, this method is incomplete in judging the comprehensive indicators of the body's signs during treatment, and it is easy to reduce the accuracy of the cardiac output. Sex, thereby reducing the infusion volume and infusion speed and other effective guidance, thereby inducing risks such as organ edema.

However, PICCO technology can effectively analyze the area of ​​the arterial pulse curve, and determine the blood volume status of the patient according to the change of the arterial pulse, so as to guide the infusion time and infusion volume, and the accuracy and precision are greatly improved.

Qian Liang also significantly improved his self-confidence, and the pressure in his heart was greatly reduced:

"Director Wei is really amazing, he was able to improve such a simple and efficient rehydration plan. It seems that this time, after the rescue operation, this rehydration plan can be promoted and spread. The burn department of the No. [-] hospital in our city will also attract attention because of this! "

In the entire burn department, Qian Liang was not the only one who had this kind of thinking. These attending physicians and senior residents all felt the practicality and creativity of this fluid replacement plan.

Obviously, this rehydration solution will become an epoch-making and landmark classic rehydration solution.

With such a brand-new rehydration solution, the entire rescue operation has once again improved the efficiency and success rate of the rescue.

After Qian Liang arranged the fluid rehydration plan, he handed over the records of the follow-up detection indicators to the medical staff, and he was going to take Qin Lang to carry out follow-up treatment, such as escharotomy and other follow-up operations.

"Cheng Yunfeng, you are here to cooperate with the nurse to continue the fluid rehydration treatment, always pay attention to the follow-up monitoring indicators, and report to me at any time if you have any questions."

"Qin Lang, you come with me to perform escharotomy and debridement on the rest of the wounded."

Qian Liang began to assign work seriously. Generally speaking, these small doctors cannot be alone, but now there is a real shortage of manpower, and the patient's situation is complicated and critical, so even Qin Lang is allowed to do it. These formulas.

"Okay, Doctor Qian."

Regarding Qian Liang's arrangement, although Cheng Yunfeng was a little envious of Qin Lang's ability to go for the operation, he knew in his heart that his operation level would only be a hindrance, so he said silently in his heart:
"Qin Lang, I will redouble my efforts in the future, and strive to be like you as soon as possible, to be able to master more techniques, and to be able to stand up when patients are in danger!"

And Qin Lang followed Qian Liang to participate in the follow-up treatment. During the process of rushing to the operating room, there was a pleasant electronic voice in his mind:
[Congratulations to the host, the task has been completed: determine the best formula for rehydration by simulating the rehydration plan, and promote it in all departments.In the follow-up, individualized rehydration adjustments will be made to prevent excessive rehydration and reduce the occurrence of various sequelae.Obtained rewards: 1. Life simulation points, 2. Long bear technique, entry level]

After the preparations were completed, the two of them entered the operating room. The patient's lower limbs were severely burned, and the lower leg suffered third-degree burns. If the patient did not perform escharotomy and decompression in time, necrosis of the tibialis anterior muscle group and common peroneal muscle group were prone to occur. The nerve is paralyzed, so escharotomy and decompression are imminent.

Qian Liang gave up the position of chief surgeon to Qin Lang. He was going to let Qin Lang perform this operation, and was going to observe it. After all, in such an emergency, it was the first time for a young doctor to get flustered.

If Qin Lang is competent, then let Qin Lang complete the operation independently.And he can rush to another operation.

After all, all the senior physicians available in the burn department, surgery department, and emergency department are already engaged in operations. If Qin Lang can operate alone, obviously, he can have more strength.

In such a situation where every second counts, it is extremely precious. Of course, all of this is based on Qin Lang's strong strength.

Of course Qin Lang will not disappoint Qian Liang, the whole operation process is very skillful and precise.

After the debridement and disinfection were completed, the foreign bodies and residual injury factors were removed according to routine debridement to reduce bacterial contamination.

".povidone iodine, drape, scalpel"

Qin Lang calmly gave the order to incision inside and outside the long axis of the limb.

The movement of holding the knife is very accurate, and the force is appropriate. When the knife is cut down, it penetrates the entire eschar, reaches the subcutaneous level, and precisely stops at the deep fascia.

Qian Liang, who watched all this, admired again and again in his heart: "What a powerful technique, what a precise force control."

Seeing this, Qian Liang is completely relieved, and the next step can be handed over to Qin Lang to complete:

"Qin Lang, now you are able to take charge of debridement and escharectomy, so you will be in charge of this patient alone. I will go to another operation."

"Looking forward to your staying in the hospital and becoming our real colleague."

After Qian Liang explained a few more words, he went to another patient with peace of mind.

In the next ten minutes, Qin Lang successfully completed the patient's escharotomy and decompression.

In the burn department, another group of patients were sent to the ward.

Among them was a firefighter, Ling Sheng, who entered several times in a row in order to rescue the workers in the factory building. Finally, after entering it for the fourth time, due to excessive physical exertion, a follow-up explosion occurred, and the young man was directly affected by the explosion, resulting in Severe inhalation burns.

The nurse immediately admitted Ling Sheng to the ward and gave him fluid rehydration therapy, but because he was inside the factory building, he inhaled a large amount of toxic fumes, causing severe respiratory damage.

"The patient had difficulty breathing and needed a tracheotomy immediately to keep the airway moist, otherwise it would be life-threatening."

"But now all the attending physicians and senior resident doctors in the burn department are already arranging rescue operations, and the remaining young doctors don't know how to do such a difficult operation as tracheotomy."

The medical staff were very anxious, especially the head nurse, Zhao Qiufang, frowned, thinking in her mind, who else would perform a tracheotomy:
"Don't worry, you wait for me, I will go to other departments to find support now."

"it is good!"

And when Zhao Qiufang was about to seek support from other departments, a calm voice came:

"Head nurse, I know how to perform a tracheotomy. You should take anti-shock treatment first and prepare for the operation simultaneously."

It was Qin Lang who had just rushed to the ward from the operating room. Seeing such a situation, he immediately began to direct and arrange.

Qin Lang signaled the little nurse to bring all kinds of information and materials of the patient, began to check, and made a plan at the same time:

"You immediately prepare the tracheotomy equipment, suction device and oxygen. At the same time, prepare the conventional metal tracheal tube"

Seeing Qin Lang, Zhao Qiufang was slightly taken aback, but hearing Qin Lang's calm and calm arrangement, and thinking of Qin Lang's outstanding performance these days, she nodded.

"Immediately follow Dr. Qin's instructions and start preoperative preparations."

"Okay, head nurse, Doctor Xiao Qin."

Under Zhao Qiufang's order, the little nurse immediately went to prepare surgical instruments and preliminary preparations.

In this moment of crisis, the doctor's strong determination and calmness are the most reassuring and obedient, whether it is a patient or a nurse.

(End of this chapter)