Ruptured spleens were the most common among abdominal injuries.
Ruptured spleens would occur in half of abdominal injuries. At the same time, it was also the most dangerous.
Because the spleen had a rich blood supply, ruptured spleens were always accompanied by massive bleeding. In an environment or era where medical treatment could not be provided in time, the mortality rate of ruptured spleens was extremely high.
Doctor Zhou sighed in relief when he saw Ling Ran.
In Boss Shao's shop, Ling Ran performed barehanded bleeding control on a patient with ruptured spleens in front of Doctor Zhou, and he persisted until he was admitted to the hospital.
In the current environment, Doctor Zhou only needed Ling Ran to persist for a while before he could free up manpower to perform the surgery on the patient's spleen.
In the worst case scenario, he could wait for a while longer until the doctors from the General Surgery Department were free, and it would be a piece of cake for him to perform the surgery on the patient's spleen.
Most of the patients in the Emergency Department had to be transferred to other departments. It was just that the timing was not suitable now. If it were during the day, the allocation of medical staff would not be so tight.
"Ling Ran, perform barehanded bleeding control on the patient first. I'll arrange for someone to perform the splenectomy," Doctor Zhou ordered softly and turned to leave.
"I can perform splenectomy." Ling Ran seized the time to show off.
At this moment, Ling Ran was more like an intern.
An intern with Master Level Total Splenectomy and one hundred abdominal anatomical dissections had never shown it to other doctors, so he naturally needed to show off.
Doctor Zhou hesitated for a moment, but he still did not dare to let Ling Ran do it directly. "Perform barehanded bleeding control first. If you want to perform surgery later, enter the operating theater and be an assistant."
When one reached the level of a senior resident doctor, it was usually relatively easier for them to learn new surgical methods.
This was especially so in some hospitals where the management was not very strict. The surgical methods that doctors were allowed to perform were decided based on their professional titles and titles, and not based on their own proficiency. In comparison, Doctor Zhou was already very cautious to let Ling Ran be an assistant first.
Otherwise, when Ling Ran returned to his own treatment group, he would still be able to perform whatever surgical method he wanted.
Ling Ran did not say much at this moment. He nodded obediently and used barehanded bleeding control first. He extended his hand into the patient's wound and pinched the pedicle of the spleen.
The gurgling blood instantly stopped.
Doctor Zhou could not help but click his tongue. "How many times do you think this is amazing? An ordinary person wouldn't be able to stop bleeding with finger pressure. "
"You have to control your strength well," Ling Ran said.
Doctor Zhou nodded repeatedly. He also knew that using too much force would damage the tissues, and using too little force would not be effective. However, it was not easy to deal with internal organs with bare hands.
Most people would stick their hands into someone else's abdomen, and they wouldn't even know what they had smashed. How could they talk about strength?
Doctor Zhou had always been interested in Ling Ran's barehanded bleeding control. Unfortunately, the environment today was not suitable for them to chat. As another ambulance arrived, Doctor Zhou immediately ran out.
After the first wave of ambulances arrived, the rest of the ambulances started to arrive. It was neither smooth nor uniform. After a while, one would arrive, and after a long time, another would arrive. Then, all of a sudden, continuous ambulances would arrive.
It could be imagined that the construction site, which was busy providing assistance, could not control the frequency of rescuing people.
Ling Ran only saw Doctor Zhou again five minutes later.
"Let's go to the operating theater and get ready. I'll be there soon, "Doctor Zhou said.
"Are you going to be the chief surgeon?" Ling Ran looked suspiciously at Doctor Zhou, who had always been idle.
Doctor Zhou sighed helplessly. "There's really no one else. I'm not good at it, but I've done dozens of cases."
Splenectomy was relatively common for doctors in the Emergency Department. If there were only dozens of cases, Ling Ran suspected that it was just a slightly better Novice Level surgery.
However, arguing at this time would not improve the efficiency.
Ling Ran rode on the gurney, grabbed the spleen pedicle, and was brought into the operating theater to start preoperative preparations.
After waiting for a while, when everything was almost ready, Doctor Zhou finally appeared in the operating theater.
"Chief Physician Tao is here. I can rest for a while." Doctor Zhou smiled in relief and picked up the scalpel.
"Chief Physician Tao came so quickly?" Ling Ran was quite surprised.
Doctor Zhou smiled. "Chief Physician Tao doesn't need to take care of his grandson or son. His wife dances in the square every day, and he can't sleep at night. When we called, he might be lying in bed and being scolded by his wife. Who else can come faster than him?"
Ling Ran looked at Doctor Zhou, who looked like he wanted to complain, and he actually felt that what he said made sense.
Su Mengxue, the scrub nurse who stood by the side, had just entered the hospital for one or two years. She had never heard of this gossip. She could not help but ask, "Is Chief Physician Tao the kind of person who is afraid of his wife? I can't tell. "
"How can I not tell? Chief Physician Tao has dark circles under his eyes every day."
"I thought …" Su Mengxue stuck out her tongue.
"What are you thinking? At Chief Physician Tao's age, he doesn't need to have dark circles for so long. "Doctor Zhou smiled.
Su Mengxue's face turned red. She stole a glance at Ling Ran and quickly said, "I mean he plays with his phone at night."
"I'm also talking about his phone. What else?" As Doctor Zhou spoke, he had already opened the incision with a scalpel and exposed the spleen. At the same time, he secretly sighed and thought, 'As expected, young and beautiful young nurses are more adorable. The atmosphere in the operating theater immediately returned, and he also remembered the technique.'
Su Mengxue snorted and was unwilling to speak.
Doctor Zhou looked down at the spleen, frowned, and said, "It's a Level III injury. We can only do splenectomy."
"Yes, the splenic hilum has been partially severed, and the blood vessels in the splenic lobe are also not good." Ling Ran nodded.
Doctor Zhou nodded and said, "You're good at anatomy. No wonder you're so good at barehanded bleeding control."
Ling Ran smiled shyly. Then, following Doctor Zhou's movements, he instantly performed the Major Spleen Feeding Technique.
When the Master Level Total Splenectomy was used as an assistant, it was still an incredibly powerful skill.
When Doctor Zhou wanted to separate the tissues, Ling Ran fully exposed the separated parts. When Doctor Zhou wanted to ligate the blood vessels, Ling Ran separated the blood vessels. When Doctor Zhou wanted to perform an autotransplantation, Ling Ran cut the spleen into thin slices …
Doctor Zhou was shocked by his own state.
Doctor Zhou knew himself well. In the years he had been a salted fish, Doctor Zhou's working hours were short, and his surgery time was even shorter. Without the corresponding number of surgeries and surgery time, his surgical skills could only be said to be average.
In other words, he was in a state where he was better than others, but not as good as others.
But at this moment, Doctor Zhou suddenly felt that his technique was extremely smooth, as if he had accumulated a lot of experience over the years.
"Let's do it faster and try to finish as soon as possible." As the surgery progressed, Doctor Zhou could not help but feel a little arrogant.
Ling Ran nodded and continued to use the Medical Major Spleen Feeding Technique.
This was his first total splenectomy. Although he was already at Master Level, Ling Ran was still willing to get some emotional knowledge. There was nothing wrong with being an assistant.
However, Doctor Zhou's skills made Ling Ran have a new understanding of him.
Although Doctor Zhou had only performed a few dozen splenectomies, his skill level had clearly reached Specialist Level.
He only performed a few dozen surgeries, and he had already crossed the threshold of Novice Level to Specialist Level. Although there were other surgical skills added to it, it still proved that Doctor Zhou was quite talented.
And with the help of Ling Ran's Master Level Splenectomy, Doctor Zhou's Specialist Level skills could be used very smoothly.
Both parties only used around thirty minutes to end the surgery, and both of them were in a good mood.
Doctor Zhou checked the patient and raised his head valiantly. He puffed out his chest and said, "The surgery is over. I'll go back to the resuscitation room first."
Then, Doctor Zhou was like a roasted chicken. He rolled his neck, threw away his gloves, and walked out of the operating theater.
Ling Ran performed the work of an assistant seriously. After checking again, he sutured the patient's abdominal cavity, performed drainage, and sent the patient straight to the recovery room.
When he returned to the reception downstairs, he could clearly see that the number of medical staff had increased a lot, including Lu Wenbin, Yu Yuan, and the intern Guan Fei from Ling Ran's group. They all ran over.
At the same time, the injuries of the patients who were sent over also became more and more complicated.
Ling Ran looked around and wanted to find another job that could make use of his expertise.
* Drip, drip, drip … *
Another ambulance arrived and sent out a patient with intestinal rupture.
Yu Yuan took the initiative to run over and whispered a few words before she waved at Guan Fei. "Come over and help."
Guan Fei immediately ran over excitedly.
For her, who was still an intern, today's scene was a real scene.
Guan Fei could not help but be excited to be able to participate in such a big scene.
"Cover this side." After Yu Yuan gave the order, she glanced at Guan Fei and said, "Do you remember the anatomical positions of the small intestine, colon, and rectum?"
"I know a little," Guan Fei answered in a low voice.
Yu Yuan nodded, and her tone became much gentler. She said, "Have you raised a cat before?"
"Yes, I have." Guan Fei seemed to be chatting. She smiled and said, "My British Shorthair is super cute. It has blue eyes, and its name is Eliza …"
"Then, you've scooped feces." Yu Yuan nodded and pointed at the patient's abdomen. She said, "Get all his feces out."
"Huh?"
"Why do you think the General Surgery Department is called feces scoopers?" Yu Yuan pursed her lips.
"I … I …" Guan Fei's tone trembled.
"Hurry up." Yu Yuan's tone became stern.
Guan Fei had no choice but to quietly push the patient to the contaminated operating theater in the resuscitation room. She cried and scooped feces.
The medical staff not far away looked at Guan Fei, who had just dyed her hair yellow and put on exquisite eye makeup. They could even hear her talking to herself as she cried.
'Eliza is super cute!
Cats' feces are buried in cat litter!
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