MTL - Doctor’s Life Simulator-Chapter 109 Physician Qin, when did you learn the technique of fracture reduction and fixation!

Tracheotomy is divided into conventional tracheotomy and emergency tracheotomy, and this time Qin Lang used emergency tracheotomy.

A vertical median incision in the skin is directly used, starting 2-3 cm below the laryngeal notch and 4-5 cm long.

Looking at Qin Lang's choice, Zhao Zhen nodded silently, then stepped aside: "No wonder Director Wei relies so heavily on this young doctor."

Carefully maintaining the midline, he cut the scalpel directly into the trachea under the cricoid cartilage. To everyone's surprise, Qin Lang cut off the three tracheal rings and the membrane in between with one knife.

The force of this knife is very precise, which perfectly avoids cutting the cricoid cartilage. Next, Zhao Zhen was shocked again.

Qin Lang used a reverse knife handle that only an old surgeon would use subconsciously to insert it into the tracheal incision. He controlled the perfect force and rotated it skillfully to separate the soft tissue.

Just like opening a mussel, the air can flow in and out of the trachea freely.

Zhao Zheng recalled that he learned this trick to separate the soft tissue, at least five years after the clinical practice, which ordinary little doctor did not use the retractor to pull open, and carefully separate the soft tissue...

The next step was to see that Qin Lang inserted the tracheal cannula and completed the first operation.

After that, Qin Lang adopted the improved sputum suction method passed down by Director Wei, with sterile gloves on his right hand, thumb, index finger, and middle finger, such as holding a pen, and pinch the position of the lower end of the suction tube 10cm, without any burden. Press gently into the tracheostomy cannula, reach the bulge of the trachea bifurcation in case of resistance, stop for a while, press the side hole of the suction tube with the thumb of the left hand, and micromanipulate to form a negative pressure...

Looking at Qin Lang's phlegm-sucking method, Wei Guoqiang raised his eyebrows slightly. This kid is indeed Wei Guoqiang's proud student.

Zhao Zheng and Chu Tianxiong were envious. Since Wu Youtu and Lord You, there have been successors of the Wei-style improved phlegm-sucking method.

Yang Yi and Yang Yue also take small notes, which is a big plus in the workplace!

Watching Qin Lang twist and rub the suction tube 180° through his right thumb, index finger, and middle finger, and slowly pull it up, the time control is very precise, exactly 15 seconds!

Wei Guoqiang blinked, his eyes filled with the high-spirited look he created when he was young.

This kid seems to be a unique skill of many specializing in the old man, has vision, and is comfortable.

Seeing that Qin Lang had completed the tracheotomy, the next step was escharotomy and decompression.

Wei Guoqiang was in high spirits, took the scalpel from the instrument nurse, and was about to step forward.

Then, Qin Lang, who was turned around, disarmed and nodded, "Director Wei, you're very kind."

Wei Guoqiang blinked his eyes, this stinky boy is floating, is it because my old Wei can't carry the knife, or the little nurse's hands are not long enough, do I mean to be an assistant for you and send equipment!

Seeing the deflated Wei Guoqiang, Zhao Zhen on the side suddenly felt that he was no longer wronged, and even wanted to laugh a little.

In the blink of an eye, Qin Lang was already proficient in cutting the eschar.

For annular eschar incision decompression, in general, it can be cut to the plane of the deep fascia. However, in this patient, the fascia and soft tissue have high tension, so Qin Lang made a decisive decision and chose to incision the deep fascia to achieve the purpose of complete decompression.

Looking at Qin Lang's judgment and choice, Wei Guoqiang was stunned, this kid has something.

Dear, Director Wei can only step aside, as if he has become a retired veteran cadre.

Qin Lang controls the scalpel, precisely in the long axis of the limb, incision on the lateral midline, ulnar forearm incision, from the front of the medial epicondyle to the ulnar styloid process, radial incision from the front of the lateral epicondyle to the radial styloid process, the entire The operation is not sloppy, it is just a knife to cut the deep fascia.

Moreover, the exposure and injury of the ulnar and radial nerves are perfectly avoided.

"Beautiful!"

Wei Guoqiang had to sigh in admiration, and even had a feeling of serving his old age. As soon as Qin Lang came out, he was really a successor.

"No, I have to quickly let Qin Lang get his postgraduate degree, and then assign him a lot of lower-level doctors. When the subject starts, and he gets promoted through the regular route, it is a waste of time for him."

Wei Guoqiang plans to let Qin Lang establish his prestige and team as soon as possible, and become the core figure of the treatment center earlier.

After a while, Qin Lang completed the incision of the annular eschar on the upper extremity, and started the incision and decompression of the annular eschar on the hand.

The most important thing in the hand is to release the inner muscles of the hand to avoid pressure and cause ischemic contracture.

Because the patient's hand was severely swollen, Qin Lang directly incised the transverse carpal ligament and released the carpal tunnel to relieve the compression of the median nerve.

The whole process was very fast, and before you knew it, the incision between the metacarpal bones on the back of the hand was started again, and the interosseous muscle gap was opened. At this point, the release of the internal muscles of the hand was successfully completed.

Finally, it is the most serious and most severe annular eschar of the lower extremities.

Qin Lang held the scalpel and chose the best way to hold the knife. In the amazement of everyone, the hand crossed and the knife went away. After a silver light passed, the patient's limb was slashed by a knife, penetrating the entire eschar and reaching deep under the skin. , incision of the deep fascia.

"Good guy!"

Zhao Zheng was taken aback, Qin Lang is really a master of art and daring, this knife is like killing a pig in the countryside, under the sharp knife, it is refreshing and heart-breaking like a gut-wrenching belly.

Another phased victory.

The next step is the patient's very difficult hands. Before repairing the tendons, blood vessels, and nerves, the fractures must be treated.

Yang Yi and Yang Yue on the side were finally ready to play with confidence.

After all, they had just participated in the treatment of syndactyly with Qin Lang, and they knew Qin Lang well. Qin Lang was still a novice in fracture reduction and fixation.

The two of them held their heads high, ready to take over Qin Lang's chief knife position, a glorious position where even Director Zhao and Director Wei were shriveled.

When the two were about to go forward, they heard Qin Lang's very calm order:

"...K-wires, cannulated screws, small arm X-ray machines, non-sterile balloon tourniquets..."

The twin sisters Hua was stunned for a moment, panicked in their hearts, and the two looked at each other: "He must have prepared for us intimately, right? Just prepare the groundwork for our appearance in the early stage, right?"

When the two of them were confused, Qin Lang turned his head with a hint of urgency in his eyes.

Yang Yi, Yang Yue, immediately obediently followed Qin Lang's instructions, took the equipment from the equipment nurse, and passed it on to Qin Lang.

They waited for Qin Lang to give way~www.novelbuddy.com~ However, what they were waiting for was: "Thank you!"

Yang Yi, Yang Yue, almost spit out a mouthful of old blood, so aggrieved, so sad, but a little unbelievable.

So, Qin Lang, is this even taking their jobs?

Zhao Zheng and Wei Guoqiang coughed lightly and signaled for the two to move their positions quickly, affecting the Qin officials to usurp the class and seize power.

Yang Yi and Yang Yue could only obediently move behind Director Wei and Director Zhao.

Chu Tianxiong, who is 1.9 meters tall, is standing in front of him.

"Oh~"

The two little girls moved back in frustration. After all, Director Chu was the big guy who guided and guarded them. They could only shrink to the back with Deputy Director Cui Jianguo.

It's just, when did Dr. Qin learn the technique of fracture reduction and fixation!

PS: Thanks for another 500 coin reward from Yunjie, refill~