I, the barefoot doctor, shocked the world with my first cut
23 A textbook surgery

Li Taidai

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Since this company was under his name, he had to go there no matter what. At least he had to have a rough understanding.

But now was not the time.

There were still a lot of things to do in the Emergency Department of the Human Hospital.

Although he could not perform emergency treatment with them, he could at least help them oversee the department and reduce the burden on his colleagues.

After telling Ye Wenbo the approximate time, Li Xian hung up the phone.

After locking the clinic's door, he drove straight to the People's Hospital.

When he returned to the Emergency Department, everyone was indeed busy.

Yang Yan's eyes lit up when she saw Li Xian return.

"Doctor Li, it's good that you're here!”

"We have received five patients with extensive burns here. They are in urgent need of treatment.”

"Department Director Ma and the others are already in the operating theater. Three of them are in critical condition!”

"There are still two moderate ones, but we don't have enough manpower!”

Li Xian nodded and said directly,"Help me prepare a sterile suit."”

Yang Yan immediately went to get the things.

Li Xian walked to the side of an injured person. He didn't make a move and observed carefully first.

The patient's arms and hands were covered in large areas of burns. There were also partial burns on his head and feet.

He searched his mind for first aid knowledge related to burns, and he was already confident.

He put on the sterile suit that Yang Yan handed over and put on the sterile gloves.

"Get ready. Let's perform a phlebotomy first!”

Yang Yan was initially a little flustered, but after hearing Li Xian's calm voice, her emotions immediately calmed down.

She realized that Li Xian seemed to have changed into a different person after he got into work mode.

She immediately followed his instructions and prepared the surgical tools.

Phlebotomy was only a Level 1 surgery in general surgery, and it was also the simplest surgery.

As an intern, Li Xian was qualified to perform this surgery.

It was similar to the symptoms of burns, causing the venous vessels to be unable to be found. At this time, phlebotomy was needed to help the nurse with the intravenous infusion.

Phlebotomy was one of the basic skills that doctors had to master.

In clinical work, patients who needed to undergo a phlebotomy were usually in a critical condition.

Due to blood loss, fluid loss, or shock, the veins in these patients were poorly filled or collapsed, and it was difficult to find them on the surface of the skin.

The accompanying arteries could also be difficult to locate due to the condition.

During resuscitation, they had to race against time to establish a venous access, which required skilled positioning and incision techniques.

Proficient mastery of these techniques could improve the success rate of rescuing critically ill patients. Venotomy could also be used to perform venous nutrition and central venous pressure measurement.

"Doctor Li, these two patients with moderate burns basically need skin transplantation.”

"I know!" Li Xian nodded. The other burn patient's condition was similar.

"Help me debride their wounds first.”

"When you're done here, inform the burn department to perform the surgery.”

"Alright!" Yang Yan nodded, but at the same time, she was secretly amazed.

Although Li Xian claimed to be a barefoot doctor, the way he handled the patient's condition was even more professional than doctors who had been in the Emergency Department for many years!

As expected, he still had many secrets.

The more mysterious a man was, the more attractive he was. Yang Yan was now a little attracted by the charm emitted by Li Xian.

For the first patient, Li Xian planned to make an incision in the great hidden vein before the malleolus.

He placed a sterile cloth over the wound and used procaine as a local anesthetic.

He began to search for the vein.

As the patient's feet were badly burned, they were badly mutilated.

It took Li Xian about a minute to determine the approximate location of the vein. Then, he immediately began to make an incision.

The skin was cut in a horizontal manner 3 cm above the front of the inner malleolus, about 2.5 cm long.

A small curved hemostatic forceps was used to separate the subcuticular tissue, and the vein was picked out. Two thin silk threads were passed under the vein, and one was used to ligate the far end of the vein first.

Then, he pulled the silk thread from the far side and lifted the vein.

He used his other hand to pick up the medical scissors and quickly made a V-shaped incision on the vein wall.

A toothless forceps was used to hold up the wall of the superior labial vein of the incision, and the vein incision tube was quickly inserted into the wrist vein, about 5 cm deep.

He ligated the silk thread on the near side, fastened the guide tube, and connected the infusion set to the guide tube…

There were a lot of descriptions, but in fact, it only took less than two minutes to complete everything.

His movements were like flowing water, without any sloppiness.

The two minutes were due to the fact that it took almost a minute to confirm the location. Otherwise, it would have been even faster.

Yang Yan stared intently.

It was too perfect!

It was simply pleasing to the eye!

He could not find any fault with it.

It was definitely a textbook surgical process.

While Yang Yan was still lamenting, Li Xian had already finished the phlebotomy for another patient and placed the infusion tube.

So fast!

"What are you waiting for?" Li Xian was a little puzzled." Hurry up and bring the debridement tools over.”

"Oh, oh!" Yang Yan blushed as she came back to her senses. She couldn't help but blush. She had actually been distracted just now.

Debridement was relatively simple. He and Yang Yan were each responsible for one person.

He spent more than ten minutes to complete the debridement of the entire body, laying a solid foundation for the subsequent rescue.

This book comes from:m.funovel.com。

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