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Chapter 2 The system that becomes stronger when you charge money

Ruan Bin's first reaction was whether there was a hearing problem.

But when he saw a virtual screen popping up in front of him, his second reaction was whether he had been playing games more recently, which led to hallucinations?

"Krypton Gold Medal Medical System"

【Host: Ruan Bin】

【Occupation: Doctor】

【Vocational Skills】:

1: Superficial trauma debridement suture technique: proficient + (entry level, proficient level, director level, expert level, world level, innovative level. Friendly reminder: You can use points to upgrade, and krypton gold will become stronger!)

2: Great Saphenotomy: Introduction +

3: High saphenous vein ligation: Introduction +

4: Appendectomy: Not introductory +

5: Benign tumor resection of the body surface: Introduction +

6: Incision and drainage of superficial abscess: Introduction +

Points: 0 (Friendly reminder: you can get points by completing system tasks, and you can get points by recharging money.)

System tasks: Keep it for a week without deducting further training points. If you complete the task, you will get 3,000 points.

But when he saw his information appearing on the virtual screen, he finally realized that he shouldn't have been stroking too much, but that he really got a golden finger like an online novel?

"Krypton gold system? Will it become stronger if you recharge money?"

"No system elves?"

"Ruan Bin, why are you standing there? Keep up quickly!" Huang Hongwen couldn't help but remind him when he saw Ruan Bin staring coldly in the same place.

"Oh..." Ruan Bin heard the shout and hurriedly followed and studied the system later.

Everyone followed Dr. Zhang to the surgical emergency room and saw the familiar atmosphere again.

The surgical emergency room of every hospital is very busy, unless it is a small township hospital.

Just as Dr. Zhang took them to get to know the department, before he could walk around, a nurse suddenly came over and said, "Doctor Zhang, are you free now? Five patients with large-scale burns were sent in outside, and now they need surgery urgently! There are not enough surgeons now!"

"Okay, I'll go there now, and you three will come with me to help." Zhang Haoyu said.

"yes!"

"By the way, Xiaoli, how did those five patients get burned?" Zhang Haoyu asked the young nurse Xiaoli.

"I heard that the gas tank in a hot pot restaurant suddenly exploded. These are all customers of the hot pot restaurant." Xiaoli said.

When Ruan Bin and others arrived in the temporary operating room, they saw the five burned patients lying on the operating table at this moment. One of them had mild burns, three moderate burns, and one had severe burns!

Severe burns have a total area of ​​about 40%, which looks quite serious. If you want to fall into a coma at any time, you will probably have to be sent in for first aid immediately.

"Doctor Zhang, you are here just in time. I'll send this severe burn to first aid. If you have mild and moderate burns, you should bring someone to deal with them first. It shouldn't be a big problem." Another attending doctor at the scene said to Zhang Haoyu.

"Okay, you go."

"good."

Just as the attending doctor left, Liu Junchi arrived.

As soon as he came in, he glanced at him and asked, "Where is the patient with severe burns?"

"Doctor Chen is sent in for emergency treatment!" Zhang Haoyu explained.

"Yeah." Liu Junchi felt relieved after hearing this, because Dr. Chen is the attending physician of their hospital and his level is still very high. There is no problem in dealing with this severe burn patient.

The reason why he asked this was because he was afraid that the patient with severe burns would be handed over to a attending doctor who was studying. Because the level of these attending doctors who were studying needs to be improved!

"These patients with moderate and mild burns should also be treated as soon as possible, and they should also be given some intravenous injections. You guys will have veinectomy?" Liu Junchi asked Ruan Bin and others.

"Yes!" Ruan Bin nodded, and the other two nodded as well.

In general surgery, phlebotomy is only a first-level surgery, and it is also the simplest batch of surgeries, with the lowest level one and the highest level four. In other words, the difficulty of level four surgery is the highest!

For example, these burned patients had large areas of burns on their hands, thighs, and even their heads, which caused the nurse to give them intravenous infusions later, and the vein could not be found when taking the medicine.

Because their skin is burnt and burned, the venous blood vessels cannot be seen. At this time, venous infusion can be used to find the vein and then intravenous infusion can be performed.

Vein incision technology is one of the basic skills that middle-aged and young doctors must master. In clinical work, patients who need vein incision are often very urgent and critical. These patients are not easy to find from the skin surface due to blood loss, fluid loss or shock, poor vein filling or collapse, and the accompanying arteries can also be unclearly touched, causing difficulty in positioning. During rescue, venous channels must be established in a timely manner, which requires proficient positioning and incision technology. In primary hospitals, especially factories and mines, if you can master these technologies skillfully, it can improve the rescue success rate of critically ill patients. Using incisional venous cannulation, you can also perform intravenous nutrition and central venous pressure measurement.

As resident doctors in small county towns, that is, formal doctors, Ruan Bin and others know this basic skill!

"Doctor Zhang, these three patients with moderate burns probably need to undergo skin grafting. You and I will first perform debridement surgery on the three of them. Xiaoli, please inform the burn department and ask the attending physician there to come and see how to perform this skin grafting surgery." Liu Junchi said again.

"Yes, director." Zhang Haoyu nodded. Skin grafting is not their general surgery job. They only need to be responsible for dehurting the wounds of these three patients and can hand them over to the burn department for surgery.

Ruan Bin is responsible for a patient with moderate burns. The patient's hands and arms were burned on a large scale, some burns on his head, and some burns on his feet.

Although venotomy is a first-level surgery and is also a basic skill, it is still a bit difficult. Because you need to accurately find the approximate location of the vein, or even the exact location, and then make an incision. If you can't find the approximate location, you can't find the vein after opening the incision, and continue to open a few more, which will waste time and cause a second injury to the patient!

Ruan Bin intends to make an incision in the anterior medial ankle of the great saphenous vein.

Prepare to lay a sterile hole towel and do local anesthesia with procaine.

Start looking for vein location.

Because the two patients were severely burned and were bloody, it took him 3 minutes to determine the approximate location of the vein and then began to make an incision.

3m above the front of the medial ankle, the skin is cut transversely, with a length of about 2.5m.
Chapter completed!
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