Doctor's Life Simulator

Chapter 51 Qin Lang's rescue, the shock of the directors

"Yes, all the other routine hemodialysis equipment in the department have been put into use, and only two BaxterBm25 (US) blood purification devices are left. It is also a new technology that I have learned from the First Affiliated Hospital of Zijingang University this time. Unfortunately, this time The accident happened so suddenly that the rest of the doctors in the department didn't know about it, otherwise, another patient in the emergency department could have been treated at the same time."

Liu Feng obviously also has some regrets: "Now we can only see Director Zhuang's peritoneal dialysis technology, whether the patient can be rescued."

[Ding, new task, use the vacant BaxterBm25 (US) blood purification device to perform continuous blood purification treatment for patients.Task reward: 1 life simulation point. 】

Receiving the new task, Qin Lang was overjoyed and said to Dr. Liu Feng:
"Dr. Liu, to be honest, I was lucky enough to learn continuous blood purification treatment with my teacher when I was in school, and I have some understanding of the Baxter Bm25 (US) blood purification device. I can perform continuous blood purification treatment for patients."

"Have you studied?"

Liu Feng was obviously very surprised and pleasantly surprised. Continuous blood purification treatment is both difficult and simple. As long as you have practiced it and become familiar with the process, it is actually not a difficult technique to master.

Thinking of Qin Lang's outstanding performance before and Director Wei's importance, Liu Feng naturally believed in Qin Lang's words.

"Qin Lang, that's really great. Just wait a moment, I'll report to Director Wei immediately."

Liu Feng called Director Wei directly.

Director Wei was also very surprised when he heard that Qin Lang would use continuous blood purification treatment technology. The news came too timely.

"Okay, okay, I will immediately ask Director Zhuang to arrange patients. Liu Feng, in order to ensure the smooth progress of the whole process, I will immediately contact Deputy Director Shen of Zijingang No. [-] Hospital and let him guide remotely. This will be foolproof."

After hearing Director Wei's arrangement, Liu Feng patted Qin Lang on the shoulder:

"Qin Lang, I'll leave the other patient to you. We're going to do preoperative preparations now, and in the spare time, I'll help you recall and familiarize yourself with the entire operation process."

In order to ensure the safety of the treatment, Liu Feng re-familiarized Qin Lang with the entire operation while walking.

During the conversation, Qin Lang's calm response impressed Liu Feng. Five minutes later, Liu Feng was full of confidence in Qin Lang's continuous blood purification treatment.

"Qin Lang, I didn't expect you to be so familiar with this treatment plan, and you are very proficient in many small details. Even so, I am relieved. When the operation is performed, Deputy Director Shen of Zijingang No. [-] Hospital will also remotely Guide, don't worry."

After Liu Feng took care of her again, the two rushed to their respective operating rooms.

In the emergency department, Zhuang Tong was very excited when he heard that Dr. Xiao Qin from the burn department would continue blood purification treatment.

He went directly to arrange the transfer of patients in person, and he was also going to observe the whole operation process of Qin Lang in a while. After this crisis is over, he must popularize and promote this cutting-edge technology in the entire emergency department.

At the same time, he is also going to let Qin Lang give a demonstration in their department, so that this little doctor can set an example for some senior physicians in their department. As a front-line clinician, he must maintain the enthusiasm for continuous learning and the willingness to learn cutting-edge technologies mentality.

Soon, the patient was sent to the operating room, and Director Zhuang Tong also entered the operating room. This time he will personally assist Qin Lang.

Before the start of the whole treatment, through the telemedicine system, it was also connected to Deputy Director Shen Jiachen of the First Affiliated Hospital of Zijingang University.

As the deputy chief physician of the Burn Department of Zijingang No. [-] Hospital, Shen Jiachen is very famous in the industry.

He is also the assistant to the director of the Burn and Plastic Surgery Department of Zijingang No. [-] Hospital. He graduated from the Department of Medicine of Yanda University. He once went to Fusang to study abroad and studied burn surgery and plastic surgery. , Facial neck and hand plastic surgery and functional reconstruction.

Therefore, Deputy Director Shen is very experienced in dealing with sepsis complicated with acute renal failure.

After the remote system was connected, Wei Guoqiang and Zhuang Tong immediately connected with Deputy Director Shen and exchanged basic information. After a few pleasantries, they entered the topic.

"Director Shen, since I still have to direct the entire first aid operation, I have to ask you to take care of it remotely, and Director Zhuang will cooperate with you. This operation will be performed by Dr. Qin from our burn department."

Zhuang Tong was also a little ashamed:
"I'm ashamed to say that we old guys are a bit behind the times, and this time it's all up to these young people to operate. It's also thanks to Director Shen who taught Liu Feng all his money, so that he was able to rescue Liu Feng this time." In the event, he was unique and fully demonstrated the advantages of the new technique."

The two communicated again, and in the picture, Deputy Director Shen also looked at Qin Lang softly:
"Doctor Xiao Qin, let's start now. Don't feel psychological pressure. Just follow your own pace. If there is any negligence or inappropriateness, I will check and correct it for you."

Qin Lang nodded, and started the treatment directly.

The principle of continuous blood purification treatment is to eliminate inflammatory factors and metabolic wastes in the patient's blood, correct electrolyte acid-base balance, and stabilize the internal environment.

So the whole early stage is to give routine anti-infection, fluid resuscitation, water-electrolyte balance and acid-base balance treatment. Obviously, these have been preliminarily completed in the emergency department.

".Bicarbonate replacement solution: Na+138 mmol/L, Ca2+1.50 mmol/L, K+2.0 mmol/L"

After Qin Lang gave the order, he started the first step of establishing the blood vessel channel.

Hearing Qin Lang's precise handling of the replacement fluid, Shen Jiachen nodded slightly, and seeing Qin Lang's operation, both Zhuang Tong and Shen Jiachen were a little surprised.

"This kid is very skilled in seldinger technology!"

Seldinger technique, also known as percutaneous puncture technique, is a non-surgical percutaneous vascular insertion technique with safe operation and less damage. Now it is applied to blood vessels and non-vascular interventional operations, such as percutaneous biliary puncture Drainage, abscess aspiration, and of course arterial and venous puncture.

Since the patient suffered from extensive burns, the usual catheterization techniques were limited, so when Qin Lang immediately presented the most appropriate seldinger technique, the two directors recognized it very much and were full of confidence in the next treatment. .

"The filter is NA69 membrane with a membrane area of ​​1.60㎡. Heparin sodium low molecular weight anticoagulant"

In the operating room, Qin Lang gave instructions very accurately, and at the same time gave various optimal solutions.

Zhuang Tong on the side was thoughtful, while Shen Jiachen from a distance was full of admiration.

"Doctor Xiao Qin is very proficient in this operation, and, in some subtle operations, it is slightly different from the operation method of our Zijingang No. [-] Hospital, but the effect is just as remarkable. It seems that he has learned from an expert." .”

Shen Jiachen was guessing where this Qin Lang was from, the school of Huashan Hospital Affiliated to Aurora University in Shanghai?Or the Jishuitan hospital school in the imperial capital?

".Adjust the blood flow to 200-300mL/min"

Monitoring the data of various indicators at all times, Qin Lang is constantly fine-tuning and optimizing the plan.

As for the judgment made by Qin Lang, the remote Shen Jiachen also nodded frequently, approving Qin Lang's choice very much.

".The dialysate flow rate is controlled at 3 L/h, and the dose is controlled at (150-300) mL/(kg·d)"

Time passed by every minute and every second, and under Qin Lang's accurate operation, all the indicators of the patient recovered slowly.

[Congratulations to the host for completing the task: use the vacant BaxterBm25 (US) blood purification device to perform continuous blood purification treatment for the patient.Rewarded: 1 life simulation point. 】

PS: Thank you Uncle Cauliflower for the reward of 1500 coins, thank you for the reward of 100 coins for Panda Burning Incense, thank you for seeing you cry, but I can do nothing to reward you.In addition, thank you for your support, this is the first time I have entered the top ten of the new urban book list.Ask for votes and follow-up, let us go one step further!Hey hey, when it's on the shelves, it will start to explode!
(End of this chapter)