Chapter 208: Counterfeit anesthetist

It was a curious test for Dr. Ji. Xu Ze deflated his mouth contemptuously and whispered secretly: "Is it necessary? Are you a teacher or deputy director, it is necessary to always take us to find happiness?"
But after all, whispering was just whispering, he wouldn't be okay to take this out and have fun, he had to go forward and have a detailed physical examination of the patient from head to toe.
Xu Ze has figured it out now, and feels that there is no taboo. If you ask him to install anything, he will not install it. Anyway, there is nothing in this hospital that makes him taboo too much. Since he wants to come here now If you are going to be a trainee, you will inevitably go to other departments, saying that you must not meet an acquaintance and be exposed.
Therefore, he doesn't care now. Anyway, most of these classmates know that he used to work in the clinic, and many people know that his medical skills are good. It is a little public here, and no one will find it strange.
As for Dr. Ji, the teacher in front of him, Xu Ze is too lazy to take care of people's feelings. If you ask me to do it, I will do it... let you know how to use our knowledge, and save you time when you can’t teach us well.
Looking at Xu Ze's skillful and neat movements, he has almost done it in accordance with the most standard methods, but the Deputy Chief Physician Ji Xueping opened his eyes more and more, and looked at the student in front of his face with surprise. She doesn't understand why the gap between people is so big.
This group of students is certainly a class, and it is not wrong, but why the kid in front of him is so neat before teaching anything, but the other students are idiotic, and then looking at this kid seems to take for granted.
"When I first came to work, I was afraid that I couldn't compare with the kid in front of me...Why is there such a big gap between people...unless this kid has done this before..." Dr. Ji's mind was full of mixed thoughts, But I thought it was wrong. Although the kid in front of him looks more mature than his students, he is at most twenty-one or two years old, and now he is still in his senior year. ? This has never been possible.
Therefore, although Dr. Ji was full of surprise, he could only be surprised. Seeing Xu Ze's skill, he also saved his own affair. He praised Xu Ze's technique while following Xu Ze's technique. To teach other students to learn how to perform physical examinations on patients.
Looking at the behavior of Dr. Ji, Xu Ze couldn't help but reveal a slight look of contempt, and even the deputy chief physician would still be so lazy. No wonder they always hold on to me...
Xu Ze angrily finished the whole set of physical examinations, and Dr. Ji also successfully explained it at this time, and Xu Ze nodded and smiled: "Xu Ze, your team leader is very good, but it is much stronger than we were... "
Although he was not in his heart, Xu Ze still pretended to be obedient in the face of the teacher, and nodded and smiled modestly: "Ms. Ji has won the prize..."
The curious Doctor Ji is waiting to ask Xu Ze if he is so familiar with these things, but suddenly he hears the voice from the radio: "Dr. Ji... please come to the rescue room, please go to the rescue room..."
Hearing the voice on the radio, Dr. Ji's face was the same, he quickly said to Xu Ze: "Xu Ze... You take them to the office to sit down for a while, and I will come over in a moment..."
Xu Ze naturally heard the voice in the broadcast. He knew what Dr. Ji was going to do. He nodded and responded. After Dr. Ji trot out, he took the group with his group to the office and waited. Dr. Ji came back.
The dozen or so members of the Xu Ze group, male and female, and the big guys are all classmates, sitting in the office, but they are not bored. Everyone chatted happily to the sky, talking about the new things coming to the hospital for a few days.
Everyone had a fresh and comfortable life these days. In the past, they used to stay in school every day, but now they have changed places. When they went to the hospital, they felt something fresh. Naturally, it was very fresh.
I heard the classmates talking about Xingda Fuyi there, talking about the benefits of Xingda Fuyi, and the idea that if they could come to work here in the future.
Xu Ze was very tasteless sitting in a chair and yawning. If he was a year ago, maybe he will be like these classmates now, and he is excited and fresh to get a trainee in the hospital.
But now, his vision is completely different from those of his classmates. The new things in the eyes of these classmates are already familiar to him and can't be familiar, but now he has to listen to people to understand these again. It's easy to explain things, so it feels very boring.
Seeing the excitement of the classmates, Xu Ze smiled, feeling a little sullen in the office, so he walked out of the office by himself, and strolled outside.
The ward of the Department of Respiratory Medicine was already full. Xu Ze strolled in the corridor and felt very tasteless. Slowly, he walked inadvertently to the front of the rescue room.
Seeing that Dr. Ji Xueping was seriously guiding the doctors and nurses to rescue several patients, Xu Ze was interested, leaning against the door and looking up.
As the chief resident after the head of the department, the authority and responsibilities in the department are extremely great when rescuing patients. If the director is not present, then she is the highest-ranking doctor and she will direct the rescue work.
Looking at several patients in the rescue room who were being rescued at the same time, Xu Ze frowned, and there were several patients in need of rescue. It seems that these patients should be caused by a collective cause of a certain cause.
But now the situation inside is not very good, there are four or five patients, but now only Dr. Ji Xueping and another doctor are present. As for the nurses, there are four or five, but they are too busy.
At this time, Dr. Ji frowned tightly, while rescuing a patient, and angrily asked the nurse on the side: "What's the matter, there is no person in the anesthesiology department... These patients have to do tracheotomy , Why are we so busy..."
The nurse was shouted like Dr. Ji, but his face was shocked, and quickly said: "Dr. Ji, I will call again to ask..."
The nurse quickly took out her mobile phone and dialed a number. After talking a few words there, she hung up the phone and looked at Dr. Ji with a disgusted face: "Dr. Ji...the anesthesiology department is also busy now, saying Wait a minute..."
"Wait a minute..." Dr. Ji heard this, but he didn't gritt his teeth and grunted angrily: "Wait a minute. They will come to collect the corpse..."
Xu Ze looked outside at Ji Xueping's angry and messy look, looked at a few patients in bed, and sighed involuntarily, but this love began to flood again.
"It didn't matter to me, but it was a matter of life..." He took out the hat mask in his pocket, put it on himself, and then sighed and walked toward the rescue room calmly.
Walking into a patient's bed, Xu Ze glanced at the patient, who had difficulty breathing and even started to have cyanosis. Then he shouted to the nurse who was busy with oxygen for the patient: "Give me a tracheal incision..."
Hearing this voice, the nurse was happy, but then looked at Xu Zedao with dissatisfaction: "Why don't you come without a bag..."
"We are not busy, I just finished one below and hurried over, where there is still time to go back and get the bag..." Seeing that the nurse really thought he was an anesthesiologist, Xu Ze quickly pushed the boat and smiled.
The nurse did not hesitate at this time, quickly took out a tracheotomy package from the side cabinet and handed it to Xu Ze, then hummed: "Fortunately, we have respiratory medicine, other departments, I am afraid there are not so many spare bags …"
Xu Ze smiled, but did not speak any more. Now Dr. Ji Xueping is next to another patient. If she is found to be herself, then there is absolutely no chance to save her own hands. If this patient It was a pity that something went wrong because of the delay.
After receiving the tracheotomy package, it was conveniently opened on the side of the treatment table, and then began to perform tracheotomy for the patient.
Xu Ze reached out to hold the patient who was about to suffocate, pulled his shoulders up, then grabbed a pillow at the head of the bed and placed it under the patient's shoulders, letting the patient's head back, exposing the trachea in the neck. Then he said to the nurse: "Help me fix his head!"
"Okay..." Hearing Xu Ze's words, the nurse did not dare to neglect. He quickly reached out and pressed the patient's head so that he could not move at will, so that Xu Ze could do it.
Seeing that the patient's head had been fixed, Xu Ze couldn't afford to be idle again. After the tracheotomy bag was fully opened, he then folded two lidocaine and set it aside for use after opening.
After putting on sterile gloves neatly, Xu Ze picked up the forceps in the tracheotomy bag, clamped the complex iodine cotton ball inside, quickly disinfected the patient's neck trachea, and then carefully laid the sterile towel. Ready to start surgery.
At this time, Dr. Ji Xueping, who was by the bed inside, saw the untreated patient. Someone had done a tracheotomy, which was also relieved. The anesthesiology department in the dark road finally had a little speed today. Otherwise, if something goes wrong with this patient, Ming'er must have trouble with their anesthesiology department.
Although relieved, Dr. Ji still explained to Xu Ze while operating the patient himself: "These patients are burned by the trachea, which is more troublesome. Be careful when you cut open. ."
Hearing Dr. Ji's words, where did Xu Ze dare to answer, just bowed his head and nodded in response, fearing that Dr. Ji would see the flaw.
After taking a syringe in the bag and carefully taking a few milliliters of lidocaine in the lidocaine bottle next to it, Xu Ze began to perform anesthesia on the patient before surgery.
Xu Ze carefully anesthetized the patient with 2% lidocaine along the anterior midline of the neck from the lower edge of the thyroid cartilage to the superior sternum fossa.
He is familiar with it, after all, these are all in the virtual space, after many virtual internships, it is naturally not a problem.
The so-called tracheal burns, of course, will not have any effect on him. Most of the tracheotomy patients he performed in the virtual space are war wounds. There are many natural tracheal burns, which can be said to be familiar.
Holding the scalpel at the moment, gently make a straight incision, and cut the skin and subcutaneous tissue along the midline of the anterior neck from the lower edge of thyroid cartilage to the upper sternal fossa.
After the skin and the cleaved tissue had been smoothly cut under his scalpel, a small stream of blood began to slide down the wound. Xu Ze took a small piece of gauze from the bag and gently wiped off the blood, and then carefully separated the sternohyoid muscle and sternum thyroid muscle along the midline with vascular forceps to expose the thyroid isthmus.
Watching Xu Ze just a few easy shots, he successfully peeled off the skin of the patient's neck, exposing the milky white trachea inside. The nurse who fixed the patient's head next to him couldn't help but glance at Xu Ze a few more times.
She just saw Xu Ze's very young face from the upper half of Xu Ze's face that was not covered by a mask. She was originally worried about Xu Ze. She secretly said: "How can anesthesiologists send such young doctors out of this trachea? For patients with burns, tracheotomy is more difficult. If it is not done well, it will be troublesome."
But now that Xu Ze's neat technique seems to be even slower than that of Dr. Ji Xueping, he exposes the patient's trachea, which is considered admiration.
Xu Ze took out the two hooks, gently hooked one side, and then said to the nurse: "Help me pull one..."
As a nurse in the Department of Respiratory Medicine, he is naturally very familiar with this kind of assistance. He immediately freed a hand, and then took the hook carefully, so as not to touch Xu Ze’s hand with sterile gloves, and then lightly Pull gently.
But she can only free one hand now, she can't pull both hooks at the moment, but now she looks up behind her and wants to find someone to help pull the other hook.
However, she looked around but was disappointed. Several other nurses behind her were working as assistants to Dr. Ji Xueping and other on-duty doctors. No one could come to take the lead. Now, she had to look at Xu Ze helplessly: " Do not wait any longer..."
"No need... just pull the other side!" Xu Ze raised his eyebrows, and then said. Originally, these two hooks were indeed asked by an assistant to help them, but now they are not. Xu Ze cannot continue to wait. If the operation is not completed as soon as possible, the patient may die at any time due to suffocation.
Seeing that the nurse had pulled the other side, Xu Ze also used his left hand to hold the other hook, and said to the nurse, "Pull well!"
"Ah... don't you really need someone else?" The nurse watched Xu Ze stretch out his left hand and hold it to the other side, leaving only one right hand for surgery.
Xu Ze shook his head gently, and then said: "No, if you wait again, this patient will not need to do..."
Hearing Xu Ze’s affirmative words, the nurse himself knew what Xu Ze meant. If he didn’t continue to do it now, the patient could not wait so long. He had to nod his head and watched Xu Ze’s movements, hoping that Xu Ze could rely on one. Only one hand can finish it successfully.
After all, although this operation is somewhat difficult, if it is a very good anesthesiologist, it can still be successfully completed.
After the two cooperated with the pull hook, the two hooks were evenly pressed to keep the surgical field at the midline. Xu Ze extended his right hand and touched the cartilage and trachea. After confirming that the trachea was kept in the center position, it officially began. Get started.
After determining the specific position of the trachea, Xu Ze pulled the hook with his left hand and held the scalpel in his right hand. From the 2nd to 4th tracheal ring, carefully use a sharp blade to open the 2 tracheal rings from bottom to top.
Watching the two tracheas cut open, the air pours into the patient's trachea along this gap, Xu Ze still frowned, this small gap is really smaller, when I wait for the intubation, I'm afraid Some difficulties.
When I picked up the scalpel at the moment, I swept it sharply on the anterior wall of the trachea to remove part of the cartilage ring, which enlarged the tracheal incision a lot and infused more air.
Looking at Xu Ze with only a single hand, he easily opened and expanded the patient's trachea, and even partly removed the cartilage, without the assistance of the left hand. The nurse who was assisted by the pair of pretty eyes couldn't help it. Zhang grew up, watching Xu Ze's movements full of admiration.
It was also the first time she saw a person who could cut a ring-shaped cartilage so easily with just one hand, and she could cut it just right, with no extra points and no less points.
Xu Ze couldn't take care of so much at this time. Now he reached down and put down the scalpel and the hook, then took out a curved forceps from the surgical bag to open the tracheal incision, and then figured out a tracheal sleeve with a suitable size and a tube core Insert the tracheal cannula along the incision of the trachea that you expelled.
After the tracheal tube is inserted, remove the tube core, put it into the inner tube, and then pull the suction device of the bed tray. After the suction test is normal, the secretion in the tracheal tube is sucked off~EbookFREE.me ~ It was relieved to find that there was no obvious bleeding in the trachea.
Then stretch out the the tracheal tube and tie it to the patient's neck, tie it to a knot to secure it firmly. Finally, place an open gauze pad between the wound and the sleeve.
After finishing all this, Xu Ze watched that the patient had inhaled some air from the outside through the tracheal intubation of the neck, so that the hypoxic cyanosis on the face was significantly relieved. This was considered a relief.
The operation has been successfully completed, Xu Ze looked at the doctor Ji Xueping opposite, and has successfully completed the operation of her patient, but now he dare not stay any longer, it should be flashed after it is done, otherwise if it was If you find yourself just a fake, then it will be troublesome.
When he took off his gloves, he told the nurse twice, and he planned to turn his head away, but just turned around, but suddenly he heard a stride rushing in at the door.
The man ran in breathlessly, and then asked aloud, "Where is the patient? Which patient is going to have a tracheotomy... But I was drove to death, I answered the phone, and after I finished one, I ran over!"
Tiannan wishes you all a happy Mid-Autumn Festival and happy family