It's okay. "Chang Jiawei reassured the other party.
"Where's Xiaoguan?"
"The ambulance couldn't hold people, so he stayed at the scene with your grandma." Chang Jiawei said.
When several doctors were talking, the doctors did not stop to save people at all. Chang Jiawei and Dr. Liang stood by the side first, and then Zheng Linghui joined.
Young doctors, as front-line personnel, are responsible for taking nurses to examine patients as soon as possible, and then reporting to senior doctors.
It is the assistant Xie Xie who is handling the patient work with the other party.
Several senior doctors have not been idle all the way, carefully watching the medical operations of the young people, while keeping an eye on the patient's vital signs and discussing the patient's condition. "The patient's current values look good. If there are no other problems, I will take someone to the operating room to complete the amputation first. By the way, I heard on the phone that the patient's other leg is undergoing vascular repair surgery?" Liang doctor do
After the initial judgment, it is necessary to review the patient's condition with the on-site surgeon.
This question does not need Chang Jiawei to answer. The young man at the joint over there turned his head and reported to Dr. Liang: "Dr. Xie said they did vascular repair in the ambulance."
"Really?" Dr. Liang said in surprise.
Zheng Linghui stuck his head down.
Performing vascular repair surgery on a patient in an ambulance is very difficult. Because it is said that vascular repair cannot be done in time at the emergency scene, it means that the patient's blood vessel is ruptured, and the operation is difficult to do.
It must be checked clearly, otherwise, I don't know how to arrange surgery on the left and right legs of the patient when entering the operating room.
Xiao Young stepped aside and Dr. Liang stood beside the patient's right leg. The incision is not completely sutured, even if the blood vessels inside are repaired to a certain extent, it is because the patient has a fracture of the femoral shaft. If vascular repair is not required next, the same must be done within the femoral shaft fracture.
Fixation. This is also why Dr. Liang first asked about vascular repair. It's not that Dr. Liang didn't know the patient's femoral shaft fracture, but if the blood vessels are repaired to ensure that there will be no major bleeding, emergency surgery can be performed with amputation first.
Complete the treatment of the patient's right leg after ensuring the patient's life, otherwise the blood vessels of the right leg must be treated first.
Surgery also pays attention to the order of priority. Dr. Liang put on gloves and personally opened the bandage for examination. Based on his orthopedic experience, he only looked at the surgical incision and sighed, "Doctor Chang, I can't believe you are a spine surgeon.
Orthopedics will be subdivided into categories. Spinal surgery is a bit different from other orthopedic categories. I have said before that it is closer to neurosurgery.
Dr. Liang's remarks are a disguised boast. The doctors on your surgical team seem to know a lot about trauma and orthopaedics and handle such patients very well.
Zheng Linghui stepped forward, followed Dr. Liang to check his eyes, and nodded in agreement. The excellence of the on-site surgical team is obviously not only reflected in the previous amputation operation, but also in the surgical incision of this vascular repair operation. Dr. Liang had a hunch and thanked them in advance: "Dr. Chang, you are helping me.
After planning, the location of the incision should be in the center of the fracture. I need to expand the incision when I need to perform internal fixation on the patient, so I don't need to open another surgical incision. "You're welcome." Chang Jiawei said, and then corrected the wrong information in the other party's words.
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