MTL - Doctor’s Life Simulator-Chapter 43 Who does a tracheostomy?

It has to be said that Wei Guoqiang does things vigorously and resolutely. With the assistance of Liu Feng, he soon promoted the latest rehydration plan proposed by Qin Lang.

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

The corresponding equipment was also deployed from each department at the first time.

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

Qian Liang received instructions from Wu Youtu. After adjusting the rehydration formula, the work efficiency of the nursing staff 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 does not fully determine the comprehensive indicators of the body's signs in the treatment, and it is easy to reduce the accuracy of the cardiac output. Therefore, effective guidance such as infusion volume and infusion speed can be reduced, thereby inducing risks such as organ edema.

However, the 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, thereby guiding the infusion time and infusion volume, and the accuracy and meticulousness 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, and he was able to improve such a simple and efficient rehydration solution. It seems that this time, after the rescue activities, this rehydration solution can be promoted and spread. The burn department of the first hospital in our city will also attract attention! "

In the entire burn department, Qian Liang is not the only one who has this idea. These attending physicians and senior residents all feel the practicality and pioneering of this rehydration program.

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

In such a new rehydration program, the entire rescue operation has once again improved the treatment efficiency and success rate.

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

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

"Qin Lang, you are now going with me to perform escharotomy and debridement operations on the rest of the wounded."

Qian Liang began to assign work seriously. Generally speaking, these little doctors can't be alone, but now there is a shortage of manpower, and the patient's situation is complicated and critical, so Qin Lang is also allowed to go. these formulas.

"Okay, Doctor Qian."

Regarding Qian Liang's arrangement, although Cheng Yunfeng envied Qin Lang for being able to go to the surgery, he was also clear in his heart that his surgery level would only be a hindrance, and he said in his heart:

"Qin Lang, I will definitely redouble my efforts in the future, and strive to be like you as soon as possible, to be able to master more surgical techniques, and to survive when the patient is in danger!"

On the other hand, 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 sound in his mind:

[Congratulations to the host, completing the task: determine the best rehydration formula by simulating the rehydration plan, and promote it in all departments. In the follow-up, individualized rehydration adjustment is carried out to prevent excessive rehydration and reduce the occurrence of various sequelae. Rewards: 1. Life Simulation Points, 2. Long Bear Technique, Entry Level]

After the preparations were completed, the two entered the operating room. The patient's lower limbs were severely burned, and the calf was burned to the third degree. If the patient did not undergo eschar incision and decompression in time, necrosis of the tibialis anterior muscle group and common peroneal muscle group were likely to occur. Nerve paralysis, so eschar incision to reduce pressure is imminent.

Qian Liang gave Qin Lang the position of the main surgeon. He was going to let Qin Lang perform the operation and observe it. After all, in such an emergency, the first time a young doctor encountered a panic.

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

After all, the senior physicians available in the burn department, surgery, and emergency department have all been involved in the operation. If Qin Lang could operate alone, he would obviously be able to do more.

In this situation where every second counts, it is very precious. Of course, all of this is based on Qin Lang's powerful strength.

Of course, Qin Lang would not disappoint Qian Liang. The entire operation process was very skilled and precise.

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

"...iodine, drape, scalpel..."

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

The action of holding the knife is very accurate, and the force is appropriate. When the knife goes down, it runs through the entire eschar, deep under the skin, and accurately stays at the deep fascia.

Looking at all this Qian Liang, he praised again and again: "What a powerful technique, what a precise force control."

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

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

"I look forward to your stay in the hospital and become our real colleague."

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

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

...

...

In the burn department, another batch of patients was sent to the ward.

Among them, there is a firefighter Ling Sheng. In order to rescue the workers in the factory, he entered several times in a row. Finally, after entering the factory for the fourth time, due to excessive physical exertion, a subsequent explosion occurred. The young man was directly affected by the explosion, resulting in severe inhalation burns.

The nurse admitted Ling Sheng to the ward immediately and performed fluid rehydration therapy, but because he was inside the factory building, UU read www.uukanshu. com inhaled a large amount of toxic fumes and seriously damaged the respiratory tract.

"The patient has difficulty breathing and needs to perform a tracheotomy immediately to keep the airway moist, otherwise it will be life-threatening."

"But now all the attending physicians and senior resident physicians in the burn department are arranging surgery for rescue. The remaining little doctors do not know the difficult operation of tracheotomy at all."

The medical staff were anxious, especially the head nurse Zhao Qiufang, who frowned, thinking in his mind, who else would have a tracheotomy:

"Don't worry, you wait for me, I will go to the other departments to find support now."

"it is good!"

When Zhao Qiufang was about to go to the other departments to seek support, a calm voice came:

"Head nurse, I will perform a tracheotomy. You should take anti-shock therapy first and prepare for the operation."

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

Qin Lang motioned to the nurse to bring the patient's various information and materials, start to check, and formulate a plan at the same time:

"You immediately have your tracheostomy instruments, suction and oxygen ready. Also have your regular metal tracheal tube ready..."

Seeing Qin Lang, Zhao Qiufang was slightly taken aback, but after hearing Qin Lang's arrangement so calmly and calmly, and thinking of Qin Lang's excellent performance these days, he nodded.

"Follow Dr. Qin's instructions immediately and start preoperative preparations."

"Okay, head nurse, Dr. Qin."

Under the instruction of Zhao Qiufang, the little nurse immediately went to prepare surgical instruments and preliminary preparations.

In this time of crisis, the strong determination and calmness of the doctor is the most reassuring and submissive, whether it is a patient or a nurse.