Chapter 241： Reduction suture (2/2)
Deputy Director Du immediately bowed his head.
If the department wants to get upset, it can't just rely on spraying. Spray guns also need bullets. Previously, the Yunyi Emergency Department relied on the reputation of burn surgery and the halo that Yunyi brought, plus Huo Congjun's use of his influence and spray power from 120 The share of the emergency center was cut. This year, there are more items such as replanting of broken fingers and tang sutures. The doctors at the level of deputy director can feel that life is getting better. At this time, it is obviously out of date to say more.
Think again. Isn't the hospital trying to recruit mature doctors to do more surgery, share more, and increase influence?
The average attending doctor performs an average of 20 to 30 operations every month, which is tiring and tiring. Ling Ran can perform 30 to 40 large microsurgeries in a week. This efficiency requires only beds, and really only provides unlimited beds. Power up.
Otherwise, people will not be left without a bed, but will be deliberately driven away.
Not to mention the tangles in the office, Lu Wenbin followed Ling Ran to the treatment room and found that Ling Ran's goal was still debridement and suture.
”Dr. Ling, we are still grabbing the rations of the intern. It ’s not good to say that we ca n’t go out.” Lu Wenbin stared at him with all eyes around him. He really felt a fever on his face. He will be a hospital doctor. By next year, he will not be qualified. The shallowest resident doctor is equal to saying that he has been in the hospital for four to five years. He has still done tang suture, helped with broken fingers and replanted, and has done Achilles tendon suture repair. Resident doctors who are assisted by surgery belong to the rising stars who are admired among the newcomers.
When Lu Wenbin stood in front of the interns and the registrants, and when he stood in front of the same young colleagues who had never had **** in the operating room, he had a strong psychological advantage.
In particular, he went to the Shanghai market, received the influence of academicians, learned about China's first-class orthopedic technology, and participated in sports star surgery. Then he let Lu Wenbin in the treatment room to grab debridement and sutures and grab the work of young doctors. Lu Wenbin really I feel like I can't handle it.
Ling Ran only looked at Lu Wenbin strangely: ”I am also an intern.”
”You ...” Lu Wenbin looked at Ling Ran's handsome face, speechless.
”We took the second block and had trouble finding a big wound.” Ling Ran greeted the nurse on duty in the treatment room, and he sat in the temporarily free cubicle and closed the curtain.
Lu Wenbin digged into it.
He is a resident, and today's debridement and suture will have to sign his name.
Lu Wenbin is deeply ashamed of this.
Soon, a patient with a thigh injury was pushed into the compartment by a wheelchair.
”What's your name? How old is it?” Lu Wenbin habitually picked up a pen and paper and started writing a medical record.
Ling Ran asked Lu Wenbin to ask her family members to help him put the patient on the treatment bed together. Then, Ling Ran looked at the patient's wound and considered it silently.
”Call out a nurse.” Ling Ran watched Lu Wenbin write the medical record and said again.
Lu Wenbin glanced at Ling Ran puzzledly and went out to shout.
Normal debridement and suture can be done by a doctor or a nurse, or by a single doctor who is trying to do it alone. There are currently two doctors present, and Lu Wenbin does not understand the purpose of calling a nurse.
However, Ling Ran was called as a nurse, so she didn't need to worry about Lu Wenbin.
After a while, two nurses came together.
Lu Wenbin said in his heart that he had given up his position due to difficult words such as ”uneven distribution of loot”.
”The wound area is relatively large and there are a small number of skin defects. I am going to do a subcutaneous hidden reduction suture. The scar after healing will be smaller. I want to use the absorbable thread of Johnson & Johnson No. 0, can I?” An emergency manual guide to asking questions to patients and families at the same time.
The patient and his family looked at each other, asked the price, and reluctantly agreed.
The two nurses took the sutures with different colors, put them on and passed them to Ling Ran, and saw Ling Ran who had just had a debridement and sutured the deep wound, and then injected the needle against the skin on the side of the incision ...
Lu Wenbin was surprised, and could not help saying: ”Dr. Ling, the wound is 8 centimeters in length. Is it sutured under the skin?”
The patient is injured on the leg. Subcutaneous suture is good-looking, but the suture strength of the subcutaneous suture is lower than other suture methods. The 8 cm mouth is sewn down, and it will break in a few days. Look good.
Ling Ran guessed Lu Wenbin's idea and said, ”Reduction of sutures ~~ Reduction is to reduce tension, and tension is the culprit that makes the skin crack.
During the conversation, Ling Ran's suture had penetrated into the dermis. After four consecutive stitches, the knot was tied outside the skin where the first stitch was inserted, and then restarted again. After three consecutive times, she dropped thread 0 and told the nurse Road: ”5-0 regular line.”
Lu Wenbin suddenly realized that the reduction had been completed. It is equivalent to saying that Ling Ran had already pulled up the cracked skin with 12 needles.
”Skin tension has spread to the dermis and subcutaneous fascia?” Lu Wenbin asked inquiringly.
”Well, although it is an 8 cm long wound, after tension treatment, tension-free suture can be done.” Ling Ran explained to him and continued to work.
The two little nurses seemed to understand, and praised in unison: ”Dr. Ling is so good!”
Lu Wenbin's mentality is slightly balanced. Although it is debridement and suture, it seems that the debridement of suture is not so shame.
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