Chapter 8 Minor Surgery in the Emergency Department

"You go to report to the head nurse, change your clothes and prepare for surgery." Zheng Ren finally waited for the emergency trauma, stimulated by the bloody smell, Zheng Ren felt that the ATP high-energy phosphate bond in his body was cracking and breaking, releasing power.

Glancing at the patient, the patient's condition has been displayed in the upper right corner of the field of view.

This is a patient who has been slashed by a knife. His vital signs are stable. The wound is on the back and no internal organs are injured.

The condition is relatively simple, that is, a small injury that can be cured after a few days of anti-inflammatory drugs.

Although the wounded looked bloody, it did not frighten experienced clinicians.

What's more, Zheng Ren now has the power of the system to bless him.

Zheng Ren strode back to the duty room and changed into white clothes.

It is not allowed to wear white clothes to eat in the cafeteria. God knows which department has a bacterial outbreak, such as Acinetobacter baumannii that is resistant to all antibiotics. If it really spreads in the cafeteria, the entire hospital will be in a state of collapse.

Change clothes as quickly as possible, and the injured and their family members have arrived at the emergency surgery door.

"Doctor, my eldest brother was cut down by someone, save him." A young man came to support the wounded, with a terrified expression on his face, he seemed to be frightened enough.

"Brother Yuan, you prescribe the treatment fee and anesthesia, and I will take the patient to suture." Zheng Ren arranged.

Yuan Li couldn't be happier. The emergency department had dozens or dozens of sutures every day.

The most annoying thing is that when there is only one person on duty, two or three patients with trauma and sutures come in at once, which one will be sewed first and which one will be sewn later. The difficulty of this multiple-choice question is almost S-level, which is simply terrible.

Taking the patient to the operating room next door and asking the family to pay the fee, Zheng Ren and a nurse helped the patient to the operating table.

The operating table in the emergency department is relatively simple, covered with a brown slightly soft crystal cloth.

Every day is a trauma, and the trauma in the emergency department is all small trauma, polluting the wound, and is not afraid of secondary pollution. The crystal cloth has the advantage of being easy to scrub and not stained with blood.

After cutting the patient's clothes, an incision of about 20cm appeared in front of Zheng Ren.

The incision was turned outward, and blood gurgled out from several small blood vessels, and soon flowed along the patient's clothes to the operating table.

Zheng Ren took out a sterile cotton pad to cover the incision, and then began to prepare for the operation.

Xie Yi ran in quickly, wearing a blue disposable sterile cap, and the blue and white sterile mask did not speak. He came in and started to help Zheng Ren prepare things.

Incision bag, knife and scissor bag, suture, lidocaine, saline...

…………

At the same time, deep in Zheng Ren's mind, a mist suddenly rose from the crystal clear pond. The fog quickly became thick, and the seven-color light and shadow flickered, as if a rainbow was hidden in it, and countless vague shadows were looming, like a mirage.

The brilliance flowed, and the blurred images in the mirage began to become clear.

If Zheng Ren saw this scene, he would definitely be shocked. What appeared in the mirage was what he saw at the moment.

…………

"0.5% Lika is ready." Xie Yiren moved very quickly.

The nurses who come out of the operating room are different. They are professional when preparing for the operation.

Zheng Ren took off the cotton pad from the patient's wound and said to the patient, "Be patient, it hurts a bit."

The injured person nodded, because he was lying on the operating bed, so the movement was not obvious.

After rinsing with normal saline, Zheng Ren picked up a large mass of iodophor cotton balls with tweezers and wiped them from the outside to the inside first.

When the iodine disinfection range entered the wound of the knife wound, the muscles of the injured person's back suddenly shrugged.

The back muscles kept shaking, and the shaking was well-proportioned.

"Be patient, I'm sterilizing." Zheng Ren said without emotion.

"Doctor, can you give me anesthesia?" the injured person asked.

"Of course anesthesia is needed, but it's just local anesthesia." After the first disinfection, Zheng Ren threw the contaminated iodophor into the trash can.

"Ow..." The wounded let out a wolf howl.

"Even if it is local anesthesia, it must be disinfected first." Zheng Ren comforted: "It will be soon, don't worry."

This is iodophor. If iodine and alcohol were disinfected 20 years ago, the pain would have increased exponentially.

"Wear gloves." Zheng Ren said to Xie Yiren when he saw that the patient could bear it.

Zheng Ren also put on sterile gloves and first gave the patient local infiltration anesthesia.

"Clamp line, No. 4." Zheng Ren skillfully found the small blood vessel that was bleeding, looked at the wound, and stretched out his hand.

A curved pair of pliers was gently tapped on Zheng Ren's hand, and the No. 4 suture left with Zheng Ren's hand, landing just right on his little finger.

Xie Yi's level of cooperation with surgery is a master class.

"Scissors……"

"Clamp cord..."

"Small needle No. 1 thread..."

In the operating room, there were only Zheng Ren's monotonous instructions and the patient's heavy breathing. But Zheng Ren found that his words were completely redundant. The basic situation was that before he finished speaking, the corresponding equipment was gently patted on the hands of Xie Yi people.

The wound is very long and deep, and every layer of tissue must be sutured. Otherwise, if there is a cavity after the operation, there will be complications such as suppuration and infection.

For Zheng Ren, who has 330 surgical skills, this kind of stitching is a piece of cake. While stitching, he wondered if the system should give him any task? For example, sewing once, giving a treasure chest and so on.

But what Zheng Ren hoped did not happen, and the mechanical female voice representing the system was very quiet, as if it had disappeared.

Zheng Ren felt a little regretful, but still meticulously sutured the wound layer by layer.

"Angle needle No. 7 thread." Zheng Ren stretched out his hand, and the needle holder immediately patted his hand.

Just then, there was a commotion outside.

The door of the operating room was kicked open, and a few young men who smelled of alcohol broke in directly.

Zheng Ren cursed in his heart.

Why are there so few emergency physicians? Because no one wants to have surgery or see a doctor under such conditions.

"Where's my big brother?"

"Damn, treat my eldest brother well, if there is any problem, I will kill you!"

"Brother, how are you doing?"

Several dog legs threatened Zheng Ren while showing loyalty.

Zheng Ren couldn't help laughing and laughing, shouldn't they do what they should do to greet the surgeon so that the surgeon can concentrate on the operation?

But for alcoholics, especially those who are drunk at noon, there is no reason to speak.

"Get out of here, Lao Tzu!" The injured man roared, he still had a sense of reason, and knew what to do and what not to do at this time, and then with one point of apology, three points of flattery, and six points of unease, he said: "Doctor , my brother is ignorant, don't worry about it. If there is any damage, I will pay for it in a while, and you can sew it for me..."

The little ruffian who had been drinking listened to his elder brother's scolding, and immediately became a lot more obedient. After scolding Zheng Ren again, at the urging of the injured, he left the operating room and closed the door.

Zheng Ren sighed inwardly, the corner needle fell, and pierced through another time, skillfully tied an instrument knot.