One by one, the seriously injured were pushed into the operating room by the rescue teams in charge of each after a simple, swift and necessary examination.One operation after another is ready to begin.On the blackboard in the lobby of the operating room, there are the latest information about the injured who need to be operated on from time to time.A group of surgeons gathered on the blackboard a while ago, and after checking the number of the injured person they were in charge of and finding the operating room they were going to, they quickly dispersed.The operating room hall, which usually looks very spacious, is very crowded at this time.Everywhere are intern students who are busy picking up clothes for the injured on the flat car, and then there are patrol nurses carrying sundries and scissors to walk through the flat workshop and help.But busy and orderly, everyone lowered their voices to speak, and tracked the whereabouts of the injured according to the numbers marked on the blackboard, everyone understood their own responsibilities, managed the injured they were responsible for, did not cause chaos to others, and did not create obstacles and troubles for rescue.This is the most basic requirement and one that any group must do.At this time, the busiest people in the operating room are the head nurse of the operating room and the director of the anesthesiology department.The former does not stop collecting surgical notices in the lobby of the operating room, and then not only does a good job of registration, but also transmits the surgical notices to the anesthesiology department in a timely manner, and also takes time to run back and forth in each operating room, with the purpose of confirming and adjusting the instrument nurses on stage and the itinerant nurses who follow the stage; From time to time, I have to give a few words of encouragement to the little nurses, especially the trainee nurses."
The day before yesterday everybody was doing very well.Although they are very tired, some of them have not recovered from fatigue yesterday.But today I still have to cheer up.When it comes to saving lives, none of us can be ambiguous. ”Director Zhou of the Department of Anesthesiology will dispatch the most suitable anesthesiologist to follow the stage according to the diagnosis of the injured on the operation notice, the approximate age of the patient, and the surgeon who applied for the operation.When the soldiers are used, they hate less, which is the true portrayal of him at this time.No, the anesthesiology department is usually overstretched, and today there is even a shortage of major generals.Director Zhou was about to crumple the operation notice in his hand, and he only hated that he didn't have the seventy-two changes of Sun Wukong, and he couldn't meet the needs of today's surgery, and he could conjure ten or eight of himself.At the same time, two combined chest and abdominal surgeries are prescribed, and if it is usual, he and Xiao Liu can bring people to the stage.But today, if Li Min wants to do a craniotomy independently, she must send Xiao Liu over to follow her......
He thought about it, and he could only use Cheng Ma, Jiang Ma and others who were reluctant in his eyes.Director Zhou knew in his heart that today's rescue work was not only a test for the surgery department of the provincial hospital, a test for Chen Wenqiang, the dean in charge of medical work, but also a severe test for the anesthesiology department.Director Liang's wounded person was a combined chest and abdomen injury, probably the most serious among the first batch of wounded to be sent.He carefully admonished Cheng Ma, who had already started to do the early induction: "I am in the No. 5 operating room, and I have something to ask the patrol nurse to call me."
Director Liu is in operating room No. 6. ”Director Liang scolded him and said, "Cheng Ma has long been able to take charge on his own.If he goes to the second grade, at least he will be the deputy director of anesthesia.If I was lucky, I was the head of the anesthesiology department.Don't worry about him, just do whatever you have to do.Lao Chen's side is also ready to open?
”"Hmm.He's heavier, and he's only starting to prepare the skin in the hall.What do you have to bear a little bit more?
”Director Zhou felt that he had to follow Chen Wenqiang today, and it was necessary to ensure the anesthetic effect of the injured when he went on stage to operate.The thoughts in his heart are the same as those of Dean Shu: Today's opportunity is the time for Chen Wenqiang to shine.It is impossible to meet and not to be able to make any mistakes.It would be perfect if all the patients who had been treated by Chen Wenqiang could recover after surgery."
Well, I remember.You can go with confidence. ”Director Liang understood what Director Zhou was thinking, and in order to relieve him of the burden in his heart, he joked with him.Director Zhou pretended not to understand his joke, and he still had time to argue at this time.He hurried out.After more than a dozen surgeries were arranged, Director Zhou's anxiety eased slightly.It's no wonder that he is in a hurry today, the year before last and last year, the anesthesiology department didn't get any good seedlings.But there are more and more surgeries, and the weight of the operation is getting more and more escalated, if the anesthesiology department can't keep up, isn't it nonsense?
Isn't that going to happen sooner or later?
He decided to wait for today's rescue to pass, and he must force Chen Wenqiang to promise himself that he would go to the Medical University this year to have two good students.When picking people, it was indicated that they were going to do anesthesia, just like Shu Wenchen picked Li Min the year before last.If you can't find the right person, hum, don't blame yourself for turning your face with him.
*The combined thoracoabdominal surgery in operating room 9 was performed by Director Liang and Pan Zhi with two intern students.Two intern students were sent by Director Liang to disinfect the injured at the same time.It's not fast, but it's better than a person.Director Liang accepted his usual smile at this time, like a lion patrolling his territory, his eyes changed from Cheng Ma to intern students, from the patrol nurse who hurriedly prepared additional equipment to the instrument nurse who counted the items, and finally his eyes fell on Pan Zhi.Pan Zhi had already put on the surgical gown and gloves, he snatched Cheng Ma's leather round stool, put his hands in the chest pockets of the surgical gown, and leaned against the wall to close his eyes to recuperate.Director Liang understands Pan Zhi's state, and he must have had an overnight operation last night.Alas, the work of a surgeon is already hard, and when he meets his wife as a doctor in the obstetrics and gynecology department, Pan Zhi is a model of his beloved wife who has won the first place in the provincial hospital, so Yan Hong still has several months to give birth, enough for Pan Zhi to survive!
Director Liang kicked his foot against the wall, and he sat against the wall to watch the two interns disinfect, but his mind was thinking nonsense: Pan Zhi, he is quite motivated.But if you want to be a good surgeon, you should generally work harder if you are talented.He should at least find an internal medicine doctor to be his wife, or let Yan Hong go to work in internal medicine instead.However, with the current situation of obstetrics and gynecology, Director Liang also understands that it is impossible for Yan Hong to change to internal medicine.Director Liang pretended not to see Pan Zhi, who rarely went to the general surgery in the department in the past few months.Anyway, there is no shortage of manpower for ordinary people.If you don't go through surgery, others will rush for it.He understood that Pan Zhi wanted to learn from Xie Xun and wanted his husband and wife to fly together; I also want to learn from Chen Wenqiang and strive for the reputation of a well-known beloved wife.But ah, he doesn't have Xie Xun's talent, I don't know if he realizes it himself.Ren Xiaoyin also retired to the physiotherapy room in the internal medicine department.Young man, you are so greedy!
If you want to balance your career and family, this candle burns at both ends, it's not easy......
Director Shi in the operating room No. 11 is under more pressure than Director Liang.He wanted to bring Dr.
Zheng, who had returned from his chest study at the end of last year, and his own and Director Li's interns to the stage.Dr.
Zheng graduated two years later than Pan Zhi, but his level is much worse than Pan Zhi, and there is no comparison at all.This is all a good thing done by the former director of the Department of General Surgery and Director Cheng, who retired and rehired to go to the outpatient clinic!
For this reason, Chen Wenqiang came to see him first when he entered the operating room."
Lao Shi, there's no way, it's just these people, you can take care of it more.""
I understand.It's fine.There are times when it's even more difficult to make medical tours.You go get busy. ”Director Shi was not disgusted by Chen Wenqiang's arrangement.The strength of his group is weak, but this is also a recognition of his Shi Lei's personal ability from another angle.He watched Chen Wenqiang's group in the emergency hall, and each group of personnel was matched according to their abilities.That collocation can be said to be the most reasonable and in line with the existing technical capabilities of the provincial hospital.Not to mention the fact that the surgical team on duty was broken up by Chen Wenqiang and changed to a new combination of deputy chief physicians with resident doctors, advanced doctors and intern students, even the three-person team of senior attending doctors was also broken up.In this way, there can be several more surgical rescue teams - a combination of the attending doctor of the family + the attending doctor of the advanced training and/or the inpatient doctor + the internship student according to the specialty.This has resulted in several rescue teams.And the strength of the groups is not weak.As for the eight new graduates who graduated last year and were assigned to the surgical rotation, including Xiao Zhan, who went to the pediatric department, Chen Wenqiang made unified arrangements and left them in the emergency room."
Each of the eight of you will take a pediatric intern, follow Director Li's arrangement in the emergency room, and do what you can for debridement and suturing in a while."
If the eight of them come to power, they will not be able to act as an unknowable surgical assistant.If you just pull the hook, you can't maximize their effect.It is most appropriate to leave them in the emergency room for debridement and suturing that does not require a trip to the operating room.Chen Wenqiang not only arranged the eight of them in this way, but also organized the directors of the Department of Internal Medicine, including Director Zhao, who was in charge of the diagnosis, and Lao Chuchu, the director of the oncology department, to cooperate with the eight of them, so that there would be no possibility of missing the diagnosis.This is what Director Shi admires most about Chen Wenqiang.The remaining 32 interns in the Department of Internal Medicine have already interned in surgery and obstetrics and gynecology at the Golden State Medical College Hospital last semester.Chen Wenqiang didn't ask about their specific abilities, but just pulled a part of them according to the head to be assistants to the old director of the ENT department, Director Liu outside the child, and Director Cheng of the outpatient department.The work they followed to the stage was to sterilize, cut threads and pull hooks.The remaining part stayed in the emergency room, following the unorganized internal medicine attending doctors, who were responsible for receiving the injured and assisting in various primary examinations.As for the 24 interns who have just come to the surgical internship, they basically followed their respective instructors to the stage.Even if they can only complete disinfection and hook pulling, they will play their role to the maximum.Director Shi even thought that if the explosion had been advanced to a month ago, the last wave of interns would be more useful than these people.Those students are the seedlings of the fresh graduates of Golden State Medical College who want to stay in the provincial college and have gone through a half-semester internship in the provincial college.* Li Min stepped on the foot switch of the faucet, and the cold water in the water pipe immediately stimulated the pores of her whole body to shrink, and she shivered excitedly.Damn!
Why is the water so cold today?
Li Min closed his eyes, mustered up the courage to hand his arm to the bottom of the faucet, left and right, left and right, and quickly flushed the part to be brushed.Mom, I'm freezing to death!
It seems that tonight I can't escape the stomach pain, and it may burn to 39° again......
She hunched her back, trying to huddle her body."
ShhhThe doctor who came to brush his hands with Li Min also gasped.Li Min gritted his teeth, his stumbling teeth couldn't resist the coldness of goosebumps all over his body.Stretching the neck is a knife, and shrinking the neck is also a knife.My aunt can't shrink her neck.Li Min secretly encouraged himself, tried to straighten his back, grasped the brush in his hand, dipped it in a thick soap, and began to brush his hands quickly, fingertips, fingertips, finger seams, finger backs, palms and backs, inside and outside forearms, all the way to 10 cm above the elbow.Doctor Ma brushed his hands at the position of Li Min's faucet.He looked like he was about thirty-five or sixteen years old.Seeing Li Min, a girl, gritting her teeth and brushing her hands under the faucet in this "five-nine" weather, he didn't think it was unusual, and the instrument nurse in the operating room also wanted to do the same.As soon as he came to the Department of Orthopedics for further study, he listened to the little nurses talk about Li Min, who graduated from the University of Medicine, but he didn't expect to dance so well.At that time, he only admired Li Min, a girl, who had actually worked in surgery, and actually had a boyfriend who was fighting on the front line.He had also heard that orthopedic doctors sometimes teased each other, and he was not lucky enough to be accepted as a student by Dean Chen, and he was promoted to the intermediate level after working for a year and a half.But after coming for a long time, he knew some of the neurosurgeries that Li Min had participated in.He was a person who had undergone a craniotomy and knew that these surgeries could never be performed by the surgeon alone.He believes that Li Min is not an existence as a surgical proportion, nor is he a "flower".Yesterday when I came back from vacation, I heard that Li Min and Dr.
Wang had a case of finger amputation replantation in the orthopedic department on the night of Chinese New Year's Eve, and he specially went to see the blood circulation of the injured finger after surgery, and the temperature of the patient's fingertip indicated that the finger had been revived.All that's left is step-by-step rehabilitation.He knew that the level of Dr.
Wang, the head of the hospital, had absolutely no ability to connect blood vessels under the microscope, and he briefly mentioned it among the orthopedic doctors, and it was really popularized by others: Dr.
Wang, he picked up a Qiao'er, and the operation was done by Li Min.This makes Dr.
Ma don't know what to say about those people in orthopedics, on the one hand, they say that Li Min's promotion to the intermediate level is all due to recognizing a good teacher, and it implies that Li Min is a beautiful girl.However, in the face of the successful replanting of the fingers, they completely denied Dr.
Wang's ability.Isn't that tantamount to saying that Li Min has a level in disguise?
This made him admire Li Min.In the heavy snow on the fifth day of the new year, all the surgeons in the provincial hospital went into battle.Each of them had several surgeries in a row.But from the conversation between Li Min and Director Liu, he knew that Li Min had a high fever of 39 degrees yesterday, but just now in the emergency room, he came to participate in the rescue after seeing her cool down.M's, capable people are really ruthless!
Dr.
Ma wanted to have a good relationship with Li Min, and he thought that he would go home after finishing his advanced studies in the future, and then send patients up, and he would have one more way to go.Generally speaking, little girls who are not married, especially those like Li Min, who have good conditions in all aspects and are looking for a partner, are also very able to show their hands.This is ready to register for marriage, and from the entry point of her object, there will be no problem 100%.He brushed his hands slightly sideways, and he spoke to girls between brushing his hands, not only because of the distance, but also because of his attitude, respect and not alienation, it seemed that he was very mature and spoke very well."
Teacher Li, are you a soldier?"
, he asked from the pride of Li Min that he guessed.It is a tradition for a doctor to be called a teacher.They don't care how old they are, what their job title, or how old they are, their job title, and their department.All are called teachers.This is true even for nurses.This is a more ingenious way of doing things, and it is also a kind of foreshadowing of "self-help".Because this can not only show that you are here to study, but also be prepared to save your dignity when you encounter a situation where your own habits and practices are inconsistent with the requirements of the provincial court and you should be reprimanded.I called the teacher, you don't care how old I am, I'm a student, I don't know about this, and the other party will give me some face."
Hmm."
Li Min answered him, and then asked him: "Have you been in the orthopedic department before?"
What craniotomy have you had?
”"Yes, all in orthopedics.We have a small hospital there and divide the brain surgery department into orthopedics.The surgery that can be done is basically the same as this one, subdural hematoma, debridement and hemostasis.I also work as an assistant, and I don't have a lot of help. ”Li Min nodded, indicating that he understood the general extent of Dr.
Ma's neurosurgery.Don't expect him to help much after a while, but don't know anything about it.Dr.
Ma continued to introduce himself: "I work in the second hospital of the city in our small city, which has less than 300 beds and is currently a second-level hospital.The usual amount of surgery is not large.There are also one or two elective surgeries per week.When encountering patients suspected of brain tumors or other cerebrovascular lesions, they are also transferred to the first hospital of the city or a higher-level hospital for treatment.The unit I work for is working hard to apply for the second grade. ”Li Min understood what he meant.Because of this, now Li Min's requirements for him are getting lower and lower, and he just doesn't add chaos to the operating table for a while.Pressing the foot switch of the faucet again, the cold water stimulated Li Min to tremble.She quickly flushed the foam off her arm, glanced at the electronic clock on the wall, then clasped her fingers together, closed her eyes, gritted her teeth, and quickly inserted her arms into the bubble bucket.OhMYGOD！
70% alcohol is so cool!
It's a few degrees lower than the tap water just now.She began to mentally hypnotize the low temperature she used to resist alcohol: this alcohol is warm!
It's warm!
It's warm!
Free novels bring you joy and joy ---> storyskyline.net
This alcohol is 40°.Maybe self-hypnosis really works, or maybe it's because the skin on my arms feels dull after soaking for a long time.Anyway, when Li Min stared at the electronic clock and turned it around for 5 times and raised her arms, she couldn't feel the coldness of the alcohol.Li Min hurriedly walked to the No. 6 operating room, kicked open the door of the operating room, and went straight to the instrument table to grab the surgical gown and put it on.An extra layer can also warm up a little bit.Putting on the surgical gown, she saw that the intern was already laying out the sterile sheet.There are cut-outs to indicate, and the lad lays it out decently.Chen Wenqiang came in wearing a hand-washing suit and following Li Min.He first went to look at the CT film on the reader, and then checked Li Min's scribing.After reading the underline, he nodded.Glancing at the intern's movements again, he saw that he was also doing a decent job, so he instructed Li Min, who was washing his hands: "Xiao Li, I'm in the No. 5 operating room next door, and hurry over when you're done." ”"Yes."
Chen Wenqiang is relieved that Li Min can do this operation well.Just now in the CT room, Director Hu told him the results of the CT scan of the injured person.Now that he saw that the CT film was indeed consistent with what Director Hu said, and Li Min's incision choice was not wrong, he went back to prepare for the craniotomy he was going to do.
*In the No. 5 operating room, Chen Wenqiang came back with his hands after brushing.Director Zhou sat in the anesthesiologist's position and recorded the initial anesthesia data of the injured person."
Old Zhou, how's it going?""
You're there as soon as possible.Otherwise, I'm afraid it won't be good. ”"Hmm."
Chen Wenqiang replied sullenly.It was only in the CT room that he discovered this problem.However, no matter how fast the follow, some necessary steps cannot be saved.But the disinfection intern's movements were a little slow, and Chen Wenqiang's eyebrows involuntarily stood up.Director Zhou knew what he was thinking when he saw him.Why bother scolding this child and affecting his mood?
This second batch is not suitable for pre-selection seedlings to stay in the provincial hospital.He immediately diverted Chen Wenqiang's thoughts with words."
I heard that Xiao Li's object is back?""
Yes.Came back last night. ”Chen Wenqiang was interrupted by Director Zhou and wanted to blurt out the accusation.The intern is already on the towel pliers.Forget it, don't talk about him, let's adjust it yourself in a while."
Then how do you give her marriage leave?""
Xiao Li won't apply for marriage leave at this juncture.The patients on the eleventh floor were full the day before yesterday, and without her patrolling twice a day in the morning and evening, who would be able to sleep peacefully.Besides, I don't know how many will be delivered today. ”Chen Wenqiang considers the problem from a purely official point of view."
And where are you going to put these wounded?"
Director Zhou spoke to him entirely to divert his attention."
There are so many serious cases, and the ICU can't accept them.The intensive care units of each department must be activated, and the rest will be arranged by the specialists.If you don't have any more land, let's put them all on the twelfth floor. ”The 12th floor is crammed to free up 40 beds.Chen Wenqiang had already called the head nurse, Lu Qing, just now, and asked her to be ready to accept serious illness.The middle order was paved, and Dr.
Deng, who was studying, went to lay the big order.Chen Wenqiang patted his gloves and shouted at the busy instrument nurse: "Wash your hands." ”*As the critically ill patients kept being sent to the emergency room of the provincial hospital, Dr.
Wang and Dr.
Liu, who followed Director Li's side, spun around like a spinning top to carry out Director Li's triage assignment.The mobile, unorganized attending doctors who followed Director Li, including Director Guan, all sent patients for examination according to his triage requirements.Because 18 of the 19 medical teams were dispatched.Debridement and suturing in the emergency treatment room have been moved to the observation room.However, Director Guan felt that the three injured people sent this time were all traumatic brain injuries, and Chen Wenqiang and Li Min had already gone for surgery, so I am afraid that they could not be treated in time in the provincial hospital.He immediately felt that the register in his hand was so "heavy" that the provincial doctor couldn't bear it.He had to call and tell Dean Shu to get ready."
Dean Shu, I'm Guan Lan.The emergency department has already received 21 serious patients.Dean Chen said that we can only use 15 operating rooms, and there are no more anesthesiologists.But just now three more traumatic brain injuries were sent. ”"Okay, I got it."
Dean Shu gently put down the phone.Secretary Tang asked worriedly: "But our operating room is not enough?"
”"Hmm.There aren't enough anesthesiologists left. ”Director Zhang wanted to say that the anesthesiologist should see two surgeries by himself, but considering the number of operating rooms, those who can perform two surgeries must have already opened two, otherwise it would be impossible for 15 rooms to accommodate 18 surgical teams.He silently shut up.Dean Shu called the operating room to find the head nurse of the operating room to learn about the progress of the first batch of 15 surgeries, and learned that after the three surgeries had been completed, there would be more operations to be completed in the future, so he did not call the on-site command to report that the provincial hospital was not capable of receiving seriously injured patients.The above dared to continuously transport the injured to the provincial hospital, in addition to the principle of proximity, that is, to believe in the technical level of the provincial hospital.At this time, I told my superiors that our provincial hospital was incapable, wouldn't this be a thousand days of raising soldiers to escape on the spot when the soldiers were used?
Again, he believed that experts from the on-site command had already rushed over; He believed that the command would know about the ability of the provincial hospital to accept seriously injured patients; I also believe that several affiliated hospitals of the Medical University and more than a dozen municipal hospitals have already participated in the rescue.At this time, we can only wait, not rush the doctors in the operating room, they must want to do the operation as quickly as possible than anyone else.You can't complain to the on-site command, they are under more pressure than anyone else."
Secretary Tang, you are guarding the phone here, I'll go to the emergency room to have a look."
Dean Shu felt that Guan Lan still needed to be trained, but now was the time to give him a reassurance."
Okay."
Secretary Tang agreed.Director Zhang immediately said, "Dean Shu, I'll go with you." ”Dean Fu said, "Do you want to inform the canteen to prepare some food?"
Emergency rooms, operating rooms, garage drivers, etc., even one egg per person is better than working on an empty stomach on a cold day. ”Dean Fei immediately said, "I'll go arrange breakfast." ”Dean Shu took Director Zhang to the emergency department.But seeing Director Li's solemn face, he called Director Li and others from the Department of Obstetrics and Gynecology to examine the injured who had just been sent."
Lao Li, who is this patient?"
The two directors looked up together.Director Li of the Department of Gynecology immediately realized that it was not herself, and she lowered her head and continued to do her own examination."
Initial consideration is a lumbar spine injury.But she was four months pregnant. ”The injured man was conscious, grabbed Su Ying's hand and said, "Doctor, help me keep this child."
The first two of them flowed.Dr.
Jianka told me that this re-abortion would cause recurrent miscarriages. ”That's harder.Lumbar vertebra fractures, what type of fracture it is, and to what extent, must be determined by X-rays.But she has an obstetric problem......
Director Li of the Department of Obstetrics and Gynecology said: "I will receive the obstetric hospitalization first, save the child, and the others" Director Li excused: "Elective treatment." ”() The distance is a bit far