Quite embarrassing!

Zou Qian and Fang Nixin both thought that the patient had an embolism caused by hypercoagulability due to traumatic stress. That's why they asked Fang Nixin to prepare to test the blood supply in other places.

Although it was a mistake, it was the greatest affirmation for Lu Cheng.

After Lu Cheng explained, he quickly pressed his thumb on the connection between the brachial artery and the axillary artery, suppressing the leakage of blood again.

This effect is only slightly worse than applying a tourniquet, and the tourniquet cannot even reach the position where Lu Cheng is pressing it.

It's quite tricky. Anyway, neither Fang Nixin nor Zou Qian understood it. How could Lu Cheng find the location of the brachial artery so accurately the second time? Compression to stop bleeding is a relatively old technique in clinical medicine.

.

Nowadays, because there are more effective equipment such as tourniquets and blood-draining belts, where are there people who specialize in practicing this technique?

The two of them looked at each other and rinsed each other in unison.

Cao Xiaohe also went to get dressed, otherwise he might get used to his current state.

The most important thing about debridement and suturing is debridement. Before debridement of an open wound, the wound must be rinsed with normal saline and all foreign matter must be removed as much as possible.

After this, disinfect with complex iodine, and then slowly clean up the tissues that are necrotic or about to become necrotic and have poor blood supply.

To prevent these tissues from remaining in the body and causing necrosis or infection.

Of course, before this, it is necessary to explore whether the blood vessels are damaged, so even if it is a simple debridement and suture, it is still a debridement and exploration mixed with blood vessels and nerves, but it is habitually called debridement and suturing.

It doesn't take much time to rinse, and with Lu Cheng's pressure to stop the bleeding, the wound surface is much refreshed.

Although the broken masonry caused serious trauma, there were not many foreign objects left behind.

The skin wound cannot be sutured in the first stage, and there is not enough skin, so a skin flap needs to be repaired in the second stage.

Everyone knows these principles, but the specific details of how to do it need to be reviewed during the operation.

Cao Xiaohe immediately washed his hands, and began to take out the sterilized iron plate and oval forceps from the disinfection bag that the circulating nurse had opened. He held the gauze and prepared to call the patrol to pour some iodine complex and start disinfection.

The circulating nurse also hurriedly pushed several green bags, and after checking the disinfection time on the outside of the bags, she quickly poured iodine complex.

"Brother Qian, can it be disinfected?"

Zou Qian nodded: "Xiao Cao, come and disinfect, along with Xiao Lu's hand. He is pressing to stop the bleeding, so you can disinfect more dryly."

Cao Xiao and Mu nodded blankly, looked at Lu Cheng, and said nothing.

Lu Cheng knew how to apply pressure to stop bleeding. Although it was unexpected, it was expected. Changshi First People's Hospital is not a small hospital in the mountains. He was able to make a name for himself there and had impressive fracture reduction techniques.

If you understand this, it's not surprising.

Cao Xiaohe also felt that the more powerful Lu Cheng was, the greater the benefit would be to him. Lu Cheng and he were old acquaintances, and if he had skills in hand, could he teach him more?

I will definitely follow Li Dongshan in the future. Li Dongshan is determined to build an emergency orthopedics center. It is also inevitable for him to engage in orthopedics-related disciplines in the future.

As for whether we should follow Yu Youlin and take over all the major surgical work in the future, it depends on how the emergency department develops in the future.

Zou Qian and Fang Nixin both said nothing in a tacit understanding, and went to wash their hands and put on clothes respectively. When they came in, they could lay out the sheets immediately and start the formal operation.

After they left, Cao Xiaohe said: "Xiao Lu, eh, let me ask, what were the expressions of Junior Sister Fang and Brother Qian just now?"

Cao Xiaohe has been here for several months, and of course he knows how to use compression to stop bleeding. Except for Li Dongshan and Yu Youlin who know a little bit about it, Zou Qian has never been exposed to it even though he is the attending physician.

Lu Cheng showed off his skills when he came up.

Tsk tsk!

What's more, although logically speaking, Fang Nixin came to Lu Cheng to play pig and eat tiger in order to avenge him, but when Cao Xiaohe first came to the department, Fang Nixin was a very good teacher.

Well, I taught Cao Xiaohe a lot of principles and made his memory fresh.

One of the words on my lips is: You must start studying in a formal manner and you must take classes.

Lu Cheng is also from Changshi, and they are brothers. If Fang Nixin can also change her attitude towards what she understands as majors and non-scientifics, this would be a great thing.

A senior sister is a senior sister, and that belongs to someone else’s family. A brother belongs to one’s own family.

"What? Brother Cao, you don't have any expressions?" Lu Cheng didn't pay much attention to their expressions. He was always thinking about how to tell Zou Qian about calling the vascular surgery department for consultation.

This patient has a tear in the lower segment of the brachial artery and the ulnar artery. Should the emergency department suture the wound or can they do it themselves?

Moreover, when to speak is also a very important question.

We are all mortals with naked eyes. How come you can see the blood vessels inside are broken, but I can't? Can you explain it to me using scientific principles?

Can't explain it? Then why should you study clinical medicine? Why don't you study metaphysics?

Clinical medicine is because it is rational. And this rationality is not an ordinary rationale, but a natural scientific principle.

Natural science actually also pays attention to cause and effect. Although cause and effect may not correspond one to one, it can at least be demonstrated through knowledge or conjecture in the same field. This is science.

Therefore, the choice of this timing is very important.

Unless Lu Cheng is now a superior physician, he can make independent judgments on patients without asking for instructions.

Or Professor Li Dongshan has authorized Lu Cheng to have the right to practice in the emergency department alone. Then, Lu Cheng can now call for a consultation with the vascular surgery department.

Of course, Lu Cheng didn't think it was impossible to sew it up himself.

It's just that in higher-level hospitals, specialized patients are handled by specialists, and specialists are responsible. This is the rule in hospitals that specialties only treat patients!

"I believe your ghost. If you don't say it, forget it, just do it." Cao Xiaohe rolled his eyes.

I murmured in my heart that if we don't share happy things with each other, these brothers will admit it in vain.

After a while, before Cao Xiaohe had finished disinfecting, Zou Qian and Fang Nixin came back.

Then start disinfecting the drapes.

After tying the sterile blood-draining tape, Lu Chengqian was taken away, and several more layers of sterile waterproof membrane were laid on top of the bed sheets.

After Lu Cheng put on his clothes again and came in, he saw that Fang Nixin and others had already started debridement. The sizzling sound of the electric knife cutting skin could not be heard, and it seemed that they were still starting to clean up the necrotic tissue.

Seeing this scene, Lu Cheng's heart sank, and he stepped forward and asked a little casually: "Mr. Zou, I think this patient should call someone from the vascular surgery department to take a look. There is no time for vascular surgery before the operation."

Color Doppler Ultrasound.”

Zou Qian looked up and knew that the person speaking was Lu Cheng, so he asked directly: "Do you suspect that the patient still has embolism? I just did a blood vessel exploration with Xiao Fang and Xiao Cao, and the continuity is still good, and it's below

It is also normal to feel the pulsation of blood vessels at the far end."

"No, I suspect that there is a hole. If it is not sewn up, there may be a problem." Lu Cheng said.

Then Lu Chengsheng was afraid that Zou Qian wouldn't believe it, so he explained: "The bleeding of this patient just now was too serious. There must be a breach in a large blood vessel! I have encountered similar patients before."

Zou Qian and Fang Nixin looked at each other, slightly confused.

Now that the blood-driving belt has been applied and the arteries cannot fill, even if it is what Lu Cheng said, how can we prove it?

Could it be that we need to dissect all along the course of the blood vessels? For such a big project, should we also perform debridement?

"Isn't this a bit of a waste of time?" Zou Qian was still hesitating. This is not a waste of time.

"Mr. Zou, how about you debridement above the elbow joint first, and I'll come down below and bluntly separate the blood vessels. Then we can switch places?" Lu Cheng said seriously.

Cao Xiaohe immediately rolled his eyes after hearing this.

Listen, is this what people say?
Chapter completed!