medical simulator

What are you doing it for?As long as it is an ordinary fracture, it can be treated conservatively. After taking a lateral view, it is slightly displaced. Do you still want to reset it to the level of anatomical reduction?

After Cai Dongfan and Luo Yun finished watching, their faces became tangled up!

In the past, there were fractures that could be evaluated by X-rays, but now, the fracture lines are perfectly stitched together, of course they must exist, and they can be magnified many times for sure.

And there is no displacement, which belongs to the category of anatomical reduction.

You are the open reduction of the fracture, and this is the end result, right?

If this is the case, should the surgery still be done?

Luo Yun was too lazy to bother with this question, so he turned to look at Cai Dongfan.After Cai Dongfan read the front and side positions carefully and carefully, he said with emotion: "In this situation, it would be a pity to have an operation to incision, Luo Yun, are you right?"

Luo Yun nodded, even Du Yanjun and Zhang Zhengquan nodded.

They were thinking in their minds that such patients can be fixed with plaster external fixation. If they have to undergo surgery, they can only undergo surgery for the volume of surgery.

Of course, this is not impossible. Cai Dongfan is going to have an operation, and there must be some. Delete the X-ray results of the C-arm during the operation.

Orthopedic doctors across the country go to see the preoperative examination, that is, the plain film that the patient brought down from the ward. Who dares to say that it is not within the scope of surgical indications?

"Then perform a plaster external fixation and send him back to the ward!"

"Luo Yun, go talk to the family." Cai Dongfan made a final decision, and gave Luo Yun a dazed gift.

Chapter 67 I'm going to talk to the family! !

Luo Yun: "Huh?"

Cai Dongfan turned his head to look at Luo Yun.

He smiled and said, "Then I will go?"

"I'll go, I'll go." Luo Yun replied immediately.

Then he walked out of the operating room without looking back.Very resolutely.

It was only after walking out the door that Luo Yun touched the blue hat on his head, frowning severely.

This is not a good job. Since the patient has been arranged to enter the operating room, the patient and his family members must have fully communicated with Du Yanjun before the operation, and they have already made preparations for the operation and signed the contract. Paid for surgery.

At this time, you have to talk to the patient and family members about not having the operation, and the patients and family members will think that you have backtracked, thinking that the operation is not possible or something.

This is something that takes a lot of words to explain.

Moreover, Du Yanjun can't let Du Yanjun say that he is just a junior doctor and he is a superior, so he can talk about changing the operation plan.

Ugh!

Zhou Cheng will really find me something to do.

After Luo Yun left.

Du Yanjun looked at Cai Dongfan in astonishment, and asked, "Teacher? Get a plaster cast? Send him back to the ward?"

"Otherwise, where are you going to send it?" Cai Dongfan asked Du Yanjun back, and from the tone of his voice, he felt that Du Yanjun's question was rather idiotic.

Du Yanjun quickly shut his mouth, but he was thinking in his heart, Teacher, didn't you agree that this operation will require me to make the incision of the intramedullary nail on the patella?

Then I will be a lonely mouth, okay?

"Okay, okay." Du Yanjun nodded like a chicken pecking at rice.

Cai Dongfan then said to Zeng Yi: "Director Zeng, your anesthesiology department can charge you normally for this operation. Tour, when you charge our orthopedics department later, you can charge a fracture manual reduction + plaster external fixation. Others That’s enough, this disinfection kit is also needed by the patients who are going to undergo surgery anyway.”

The itinerant nurse nodded immediately: "Okay, Director Cai."

Zeng Yi could only nod helplessly: "Okay, Director Cai."

Just now Cai Dongfan said that this patient's manipulation was done so well, it would be a pity to continue the operation.

The patient's 'operation' ended like this.

Well, yes, closed manual reduction of fractures and plaster external fixation are also one of the surgical classifications.

It's just such an operation, why come to such a formal operating room.

Just find an operation room in the anesthesiology department and do it!

Such an accident was beyond everyone's expectation.

After Zhou Cheng got involved, he immediately sent the patient away...

Sister An Ruo walked into the operating room silently, tore off the drug tube for continuous anesthesia in the spinal canal that was attached to her back and took twice as long to break through, and then began to evacuate the fixed line connected to the ECG monitoring And blood oxygen analysis clip and blood pressure measuring instrument...

Then he looked at the timing panel in the operating room.

10: 22!

The time for the patient to enter the operating room is 09:51!

The time when she finished anesthesia was 10:19!

Anesthetized for 28 minutes and operated for 3 minutes.

I lost it!

However, Miss An Ruo is very dedicated. The anesthesiologist's duty is to manage anesthesia matters well, and will not give pointers to clinical patients' treatment options.

Then I sent the patient back to the ward with the itinerant nurse, and at the same time notified the next patient to enter the operating room.

None of the patient's surgical instruments were moved.

Therefore, no special preparation is required, and the next patient can be brought in without even calling the aunt who comes in for cleaning.

At 10:29, when the next patient entered the operating room, Miss An Ruo and the itinerant nurse did not come back. It was the handwashing nurse who took the part-time job of the itinerant nurse and pushed the patient in through the door of the operating room.

Because only the itinerant nurse in the operating room can take over the process of transferring patients from the door of the operating room to the operating room.

The hand-washing nurses and itinerant nurses in the operating room are actually replaceable, but the duty arrangements are different.

The patient came in, but sister An Ruo hadn't returned yet.

Zeng Yi scratched his head at that time, then stood up silently, walked to the anesthesia preparation room, and personally prepared the next anesthesia supplies.

Pushing the car, the rate of turning heads along the way is not small.

When they arrived at the door of the preparation room, a person inside hurried up to help and offered to push the cart.

Take the initiative to report: "Director Zeng, there are 19 sets of general anesthesia and 21 sets of spinal anesthesia in the entire operating room this morning. Currently..."

He thought Zeng Yi was here to inspect, so he hurried to report.

Zeng Yi interrupted him and said, "I want to prepare something for spinal anesthesia, go get me a set."

The man was taken aback: "This? You?"

Then he lowered his voice tremblingly and asked:

"Then Xiaoan, do you have to be so careful with the director? I scolded her last time. Should I be ready to resign?"

"director."

Zeng Yi: "..."

What the fuck and what.

"Xiao An went to see the patient, and the next patient will be picked up immediately, and they are waiting in the operating room. It's not easy for me to dry out the patient, so don't think about it."

"Oh oh oh!" That person was suddenly pardoned!

Zeng Yi then coughed: "You just said that you scolded my student?"

The man's legs trembled suddenly.

"Deduct one hundred!"

Then he turned his head and murmured in a low voice, "Is fifty okay?"

"Then deduct one hundred and fifty."

That person: Damn!

……

10:34 minutes!

Zeng Yi was personally escorted to the door of the operating room. The trolley was full of prepared medicines, and the syringes were neatly piled up on the plate.

Only then did he hand the cart to Zeng Yi, and said cautiously: "Director Zeng, you are busy first, I will go over to greet you."

"it is good."

"Little Zhu, you are good. I will give you a salary increase next month. Remember to mention it to me before the end of the month." Zeng Yi shouted to Xiao Zhu's back.

"Hey, okay, okay, thank you, Director."

Turning around and pushing the cart into the operating room, An Ruo came back shortly after entering. Seeing that Zeng Yi had prepared everything, he whispered to Zeng Yi that the teacher was sorry.

Immediately after that, the continuous epidural anesthesia for the next patient began...

10: 57!

After the spinal anesthesia is finished, the patient lies flat.

An Ruo pushed the cart to the anesthesia machine and said in a low voice, "Teacher, why don't you go and have a rest first?"

"This patient only has spinal anesthesia, and I can take care of it."

Zeng Yi didn't move, looked at Cai Dongfan and the others, and said in a low voice, "They haven't washed their hands yet, so they probably need to reset their hands first. Wait."

what?

An Ruo turned his head.

This time, Du Yanjun took the initiative to stand up and asked his teacher: "Teacher, will Brother Zhou Cheng do manual reset for this patient?"

"En!" Cai Dongfan responded, and then turned his body away.

Well, Du Yanjun and the others are familiar with the process.

Zhou Cheng and Luo Yun stood up at the same time without washing their hands, and the film had been carefully read during the anesthesia, so Zhou Cheng was directly in the main operator's seat, and Luo Yun was in the assistant's seat...

Zhou Cheng had already discussed with Luo Yun how to reset it.

When they got to the bedside, Zhou Cheng and Luo Yun took their positions. Zhou Cheng said, "Mr. Luo, you should keep pulling."

"it is good!"

The towing begins.

Traction continues.

Reset starts.

30 seconds later.

"Crack!" A sound.

Zhou Cheng relieved himself and clapped his hands.

Luo Yun was still exerting force, because his force was towards the head of the body, so he shrugged the patient towards the top of the head.

Luo Yun: I TM!

When Cai Dongfan and the others heard the sound, it was like elementary school students hearing the bell for the end of get out of class. They stood up without waiting for the teacher to take care of them, and ran in one direction after leaving their seats to have a look.

TM is straight again.

Zhou Cheng went on to say: "Mr. Luo, I'm going to push the C-arm machine, let's see one first?"

People back down.

After 2 minutes, the C-arm results came out.

Du Yanjun and Zhang Zhengquan fell silent after watching it...

Then I waited for a sentence.

"Luo Yun! Isn't it a pity for this patient to have an operation?"

"I'm going to talk to the family!" Luo Yun has already learned to answer quickly!

Turn around and leave, the movements are so skillful that it makes people feel distressed...