"The patient … should be anesthetized, right?" Selena, who was the interpreter, whispered. The worry in her heart was self-evident.
Ling Ran hummed in acknowledgment, but he did not immediately take action. Instead, he quietly observed the patient and said, "We'll use the shortest amount of time and as few steps as possible to treat the patient's wound. Our priority is to maintain his life."
He tried his best to explain clearly that the operating theater was understaffed, and the assistants were even more inexperienced … In fact, he did not even have an assistant. He only had a nurse and an interpreter who had washed his hands, and he had to teach while he performed the surgery.
In this case, performing a complete surgery was challenging his limits.
Ling Ran did not mind challenging his limits, but even a person with a gallstone could tell that the patient definitely did not want to accept such a challenge. Moreover, a complete surgery would take a lot of time, and it would also be disadvantageous to the rescue of the subsequent patients.
Therefore, although Ling Ran instinctively wanted to perform a complete surgery, at this time, Huo Congjun's angry roar also rang in his mind, "Save the life first, then treat the disease!"
After staying in the Emergency Medical Center of Yun Hua Hospital for a long time, Ling Ran agreed with Huo Congjun's philosophy very much.
Ling Ran gently turned the patient over and looked at the numbers on the monitor to determine the depth of anesthesia. He then said, "Also pay attention to the urine volume during the surgery. If you can notice it, also report the amount of blood loss and the amount of flushing. "
"How much is normal?" Selena wanted to accept this job.
Ling Ran shook his head. "According to the patient's weight, the normal urine volume per kilogram per hour should be one milliliter, but there are other factors that affect it, so you can just report the numbers. The main thing to pay attention to is to reduce the urine volume. If it increases, it's usually not a big problem."
"Okay." Selena then asked the nurse in a low voice. When she raised her head again, she saw Ling Ran turning the patient as if he was turning a salted fish.
Selena looked at the patient's bleeding wound and could not help but assume the role of a doctor. She said, "Doctor Ling, aren't you going to start?"
"Wait a little longer," Ling Ran said.
"Why?"
"Try to ensure the depth of anesthesia," Ling Ran answered.
Selena did not understand the meaning behind it. She repeated with a little doubt, "Depth of anesthesia?"
"Yes, if the depth of anesthesia is not enough, there may be intraoperative awareness." Ling Ran said it lightly, but in fact, he was describing the greatest horror in surgery.
The so-called intraoperative awareness was when the patient woke up during general anesthesia.
Imagine a group of people cutting your body, and then you woke up. However, this was not the scariest part. The scariest part was that because the current anesthesia methods were all combined anesthesia, even if the patient was aware of it during the operation, he might not be able to express himself in any form because of the use of drugs such as Skelaxin.
In other words, during the surgery, the patient's consciousness was clear, and the pain was continuous. However, he could not speak, shake his head, or even tighten his muscles to resist the pain.
If this was not terrifying enough, what was even more terrifying about intraoperative knowledge was that most of the patients who received intraoperative knowledge after they woke up did not know that they had received intraoperative knowledge.
Due to the use of anesthetics, the patients who woke up might have forgotten the hellish pain they had experienced an hour or two ago.
And the knowledge within the technique itself was very difficult to avoid. This was because everyone's physique was different, and anesthetic drugs could not be used limitlessly.
For Ling Ran, it was even harder for him to control the use of narcotics when he had just learned how to use them.
Therefore, Ling Ran needed to observe more. At the same time, it was also necessary to reduce the surgery time as much as possible. In the current environment, this was very beneficial.
The operating theater was slightly quiet for a while.
Then, Ling Ran took out a scalpel and quickly cut open the patient's abdominal wound.
"Intestinal injury," Ling Ran said. Then, he cleaned and sutured the wound. Then, he cleaned and injected antibiotics, placed the drainage tube, and began to close the abdomen.
He did not close the abdomen completely, but he did a simple suture so that the abdomen would not be open.
For Ling Ran, it was actually a challenge to use an expedient method in the land of rights.
"Now deal with the shoulder," Ling Ran said and began to change the patient's position.
The intestines and the shoulder were actually not within Ling Ran's skill range. However, if he simply treated the wound, the difference between each part would not be too big, especially when the treatment of the Emergency Department had always been very crude.
Now, Ling Ran did not pursue any meticulous operation. He was like a normal resident doctor in the Emergency Department, impatiently performing the surgery that he was not good at.
There would probably be a lot of complications. The same patient would be put in a large hospital for emergency treatment, or put in a specialized hospital for surgery, and the hospitalization time and so on would have obvious differences. There was no need to talk about the current conditions.
In fact, the patient in front of him would definitely be admitted to the hospital for the second time. If he was unlucky, he might need to be admitted to the hospital for the third time. However, it would be fine as long as he could survive.
Ling Ran was like a novice. He cut open the shoulder with clumsy movements and performed reduction on the patient.
This time, there were no skills to assist him. He did not even have the guidance of a senior doctor. Ling Ran could only rely on his past experience and current knowledge to operate on the patient.
Ling Ran did it rather slowly, but his movements were still considered skilled.
After all, he was good at orthopedic surgery. Even if he did not come into contact with it, the difficulty of orthopedic surgery was not as complicated as liver and pancreatic surgery.
Most importantly, Ling Ran still had to perform this surgery. Otherwise, the patient's shoulder would become more and more painful. If there were not enough painkillers, the patient would definitely scream until he was hoarse.
Fortunately, Ling Ran knew how to operate on Colles' fracture, and it was Perfect Level Colles' fracture. The technique of anatomical reduction was not a problem for him.
He also had a lot of experience in dissecting upper limbs. The system gave him more than three thousand dissections, and he had performed many surgeries himself.
Compared to ordinary doctors, Ling Ran might have a deeper understanding of the anatomical shape of the shoulder.
It was just that he was not very familiar with the surgical approach and steps.
After all, the goal of the surgery was to repair the patient's body. It could not be like dissecting a corpse, where the patient could just cut the body and put it back together.
Regardless of whether it was open surgery or laparoscopic surgery, at the end of the day, they were all doing it in a snail's shell. Doctors had to treat the patient with as little trauma as possible. In this way, doctors could not make the incision wherever it was convenient for them. Instead, they had to find a position that could avoid the important nerves, blood vessels, and even muscles, and still achieve the surgical goal.
Such a position and path were the surgical approach. Usually, a surgical approach was perfected by many generations of clinicians over the years. Doctors without experience basically had no other choice but to learn and memorize such an approach.
If they wanted to create a brand new surgical approach, it would be a pipe dream if they did not have eight to ten years of clinical experience. Of course, most clinicians would only be able to remember the general approach even after twenty to thirty years of experience.
Ling Ran's memory had always been good. He slowly imitated the patient and finally treated the fracture of the shoulder. His forehead was also full of sweat for the second time.
"Selena, wipe my sweat. Nandaman, you bandage the wound." Ling Ran helped the nurse and began to bandage the wound.
Selena and the nurse nodded at the same time. They looked at Ling Ran and felt sorry for him.
"You sweat so much, it's too tiring." Selena wiped Ling Ran's sweat and could not help but say, "Actually, it's just an arm. Don't work too hard … Hmm, I mean, there are still many patients behind us."
"Yes, it's only meaningful to do the next one after finishing one." Ling Ran nodded.
"With Doctor Ling around, everyone will feel lucky when they encounter a flood." Selena carefully wiped Ling Ran's sweat and put down her hand reluctantly.
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