My medical skills add experience

Chapter 49 Fudge is also a compulsory course for doctors
"Doctor Xu, your arrangement is unreasonable! Xiao Zhou is just a trainee, he is not qualified to operate alone. It is better to let him be your assistant. Like Xiao Jin, I treat the first-level surgical injuries alone."

Zhou Can does not have a doctor's qualification certificate, but Jin Mingxi does.

This is Zhou Can's weakness.

When Dr. Lu heard that he was going to be Dr. Xu's assistant, he immediately turned bitter.

He even found a legitimate reason to want to switch with Zhou Can.

Zhou Can scolded his mother in his heart.

This doctor Lu is really nothing.Seeing so many wounded waiting for surgery outside, I have no sympathy at all. Instead of rushing to treat the wounded, I just think about how to be lazy and how to relax.

It is really a patient's misfortune that a person with bad moral character becomes a doctor.

"Who said he is practicing medicine alone? Am I not here to guide his surgery? Stop talking nonsense and get ready to work. Tang Ling, ask the outside to push the most seriously injured person in."

Dr. Xu blocked Dr. Lu to death with one word.

So, don't fight with your boss, you can't beat him.

Soon, two temporarily transferred nurses came in.They are assistants to Zhou Can and Jin Mingxi respectively.

Then the small operating room became very lively.

Three wounded people can be sent in at a time, and several doctors can operate at the same time.

Zhou Can is also at full power, assessing the wounded, debridement, hemostasis, and sutures.

These injuries are basically mainly bruises.

What is more miserable is that parts such as the head or arms are smashed and bleed.

For the wounded who can be sent to the operating room, the doctors in charge of the consultation have already done relevant examinations for them.

However, considering the large number of injured, medical resources are highly strained.

For some superficial injuries, it may be just a physical examination and then sent to the operating room for further treatment.

This requires the surgeon to check carefully to avoid mistakes.

"Next person!"

After Zhou Can dealt with the first injured person, he asked the nurse to send it out, and then brought in the next injured person.

The wounded just now had the palm side stitched up.

According to the injured person's own description, when the stage collapsed, he was fortunately far away.

But it was still hit by a very long billboard.

At that time, he instinctively raised his hand to cover his head and face.

There was a 2.5 cm long wound on the side of the palm, with deep bone visible.

周灿给他注射麻药、清创、止血、缝合，一共赚取到了4点注射经验值、1点清创经验、5点止血经验、4点缝合经验、4点结扎经验。

Overall, the payoff was pretty good.

In particular, he was quite surprised by the acquisition of experience points for debridement.

Click on the attribute list to see, and found that there was an extra debridement at some point.

[Debridement, advanced medical skills, current experience value: Level 8 10/[-].Excellent level of practice. 】

This medical technique can be applied to the cleaning of soft tissue injuries, cleaning of uneven wounds, cleaning of erosive or polluted wounds, etc.

What he didn't expect was that debridement was an advanced medical technique.

The current level is still relatively backward, only reaching the excellent level of practice.

Judging from its current experience value of 8/10, it should be a medical skill that already existed before.

It's just that Zhou Can didn't notice it.

Soon, a new injured person was brought in front of Zhou Can.

Came in in a wheelchair.

Seeing this battle, Zhou Can was startled.

I am currently at a half-baked level, and I can't deal with too complicated injuries.

Especially this kind of patient who may fracture.

He squatted down first, and carefully examined the patient's knees. The blood had already stained a large area of ​​his trousers red.

The wounded have pained expressions on their faces.

"Have you had an X-ray?"

"After checking, the doctor who attended the consultation said that there is no fracture, and you only need to go to the operating room for treatment and you can leave."

Zhou Can took the X-ray film from the patient and watched it carefully.

The bones are intact and there are indeed no fractures.

That is, trauma looks scary.

With his ability, there is no problem in dealing with skin trauma.

"I'm afraid you can only cut off these trousers for you."

Zhou Can said to the injured.

"Cut it, cut it, just give me the surgery quickly."

The wounded face contorted in pain.

After obtaining the consent of the injured, Zhou Can cut off his trouser legs without hesitation.

The wound was clearly displayed in front of him.

It is an irregular round wound.

"Did you fall?"

"Don't mention it, the stage suddenly collapsed, and I ran away in fright. I tripped over something and fell hard to the ground. My right knee hit the gravel first, and I bled on the spot."

When the injured mentioned the scene at that time, he still looked unhappy.

"Doctor, my leg won't be disabled, will it?"

"Judging from the current situation, it should not be disabled."

It is only a skin trauma, and the possibility of disability is relatively low.

But Zhou Can didn't dare to speak too absolutely.

This kind of speaking skills was learned from the residents during the internship.

He took the anesthetic prepared by the nurse and injected it around the injured wound.

[Injection experience value +1. 】

[Injection experience value +1. 】

[Congratulations on your injection technique being upgraded to level two, the current experience value is 0/100.The standard training doctors are inferior. 】

Finally got to level two.

He has a much deeper understanding of injections.Before upgrading, I took it for granted, wouldn't I just get an injection?Everyone knows it.

After he was promoted to the second level, he realized that the seemingly simple injection has a lot of knowledge.

For example, for drugs that require intramuscular injection, areas rich in blood vessels and nerves must be avoided.Especially large blood vessels and important nerves.

Precisely, any injection should try to avoid major blood vessels and nerves.

If a needle punctures a large artery, it is not saving lives, but killing.

There is also the choice of parts, as well as learning.

The site of muscle hypertrophy is preferred for intramuscular injection.Such as arms, buttocks, etc.

Depending on the characteristics of the drug, the site of intramuscular injection is also particular.

The closer the arm is to the heart and brain, the faster the drug will be absorbed.

The blood supply in the buttocks is relatively poor, and the drug absorption is much slower.In addition, the muscle group of the buttocks is stronger, the fat layer is thicker, and its tolerance is stronger.

In addition to theoretical comprehension, he has also improved a lot in terms of operation.

With his current level, he can perform more standardized and more difficult intravenous injections.During intramuscular injection, such mistakes as hitting the epidermis or piercing into the bone, puncturing a large blood vessel, will basically not occur.

Only two needles were given to this patient.

According to Zhou Can's habit of working hard to earn experience points in medical skills, at least four injections are required.

After choosing the needle position, another needle was inserted.

The hand is very stable, and the depth of the piercing is also very suitable.

Inject slowly.

The anesthetic in the needle diffuses steadily to the muscle layer.

"Hey, doctor, you gave me three needles, and this one is the best one!" The wounded praised him.

Just hope he continues to maintain this high level.

Because compared with the previous two stitches, this stitch is much more comfortable.

"You don't understand that, do you? For the first two injections, I had to ensure that the anesthetic would take effect as soon as possible, so I stuck it hard." Zhou Can naturally wouldn't admit that the injection was technically dishonest.

The injured don't understand these things either, so a few words to fool him can keep the doctor-patient relationship harmonious.

Communication between doctors and patients is a profound knowledge.

It is a compulsory course for every medical staff.

It is also an important part of the operation to let the patient cooperate with the doctor for treatment.

He then gave the injured a fourth injection, still at the level of a newly upgraded doctor.

Technology is in place.

This time, the injured not only believed his statement, but also praised him again and again.

"Doctor, you look so young, I didn't expect such a high level! Give me an anesthesia injection, the severity is moderate, and you can retract it freely. Tsk tsk, this level is really good! It's much better than those nurses."

Zhou Can felt ashamed when he heard it.

The nurse next to her had a black line on her face.

Next, Zhou Can debrides, stops the bleeding, and sutures the wounded step by step.

Because of the special wound, he boldly adopted skin flap suture.

It can also be regarded as a challenge to self-ability.

Compared with straight suturing, this kind of flap suturing is more difficult.It is often used in cosmetic plastic surgery to avoid scars to the greatest extent.

"Okay, push it out! The wound can't touch the water. The wound is right on the knee. It's best not to move too hard when bending. Too much tension will cause the wound to re-open. Remember to come and change the dressing on time."

After he gave instructions, the injured man was pushed out.

After sending the wounded away, the nurse blinked at Zhou Can, "Doctor Zhou, why don't I remember that anesthesia requires two heavy shots and two light shots?"

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(End of this chapter)