medical simulator

After standing in their respective positions——

Zhou Cheng immediately started the reset operation.

Three-piece set of standard fracture manipulation reduction.

Continuing traction——

Orthopedic displacement——

Keep the traction position temporarily fixed——

After pulling his hands for a while, Zhou Cheng gently bent the patient's ankle towards the medial malleolus.

Then the left hand continued to exert force, and the right hand immediately arrived at the patient's fracture site neatly, and began to palpate and stroke up and down.

After wandering up and down for about ten seconds, Zhou Cheng hurriedly turned his head and shouted, "Sister Yan, the Kirschner wire is equipped with an electric drill, I will fix it temporarily!"

Liu Yan is a very professional orthopedic nurse, otherwise Cai Dongfan would not call Liu Yan to the operating room every time he encounters a critical operation, either as a patrol nurse or as an instrument nurse——

Liu Yan quickly handed it over.

After Zhou Cheng took over the Kirschner wire with the electric drill, he immediately aimed at the protruding position of the lower part of the fibula, which all of us ordinary people can touch, the bony protrusion on the outside of the ankle——

The lateral malleolus formed by the swelling of the lower part of the fibula.

For Zhou Cheng's first Kirschner wire, the insertion point was selected slightly outside the lateral malleolus, and the insertion direction was obliquely upward.

By crossing the fracture line obliquely in this way, the fixation effect can be achieved.

The principle can naturally refer to candied haws skewers——

"Da da da da da!"

The Kirschner wire is very sharp, and the battery of the electric drill is new, so the Kirschner wire was driven in quite smoothly, and the fixing effect was achieved.

"Mr. Cai, Mr. Luo, it's all right, it's done."

After Zhou Cheng said something to Cai Dongfan and Luo Yun, he turned his head and looked at the itinerant nurse: "Teacher, please push down the C-arm machine."

But this tour has already been prepared. It seems that they have been informed of the operation process in advance, and they will have a X-ray before the operation begins.

Although Zhou Cheng omitted this step, she was always ready behind the C-arm before receiving other orders.

Today's surgery is special, Cai Dongfan has thought of every detail in every aspect.

Although Cai Dongfan's eyes are small, his heart is not small. Only when more details are perfected, can there be more fault tolerance.

When the itinerant nurse started pushing the C-arm machine, Zeng Yi and the others stood up naturally, including Dou Chengpeng.

Because of the detailed steps of the operation, I wrote this article.

Zeng Yi called softly: "Ruo Ruo, see through, go out of the isolation room."

-

After a while, everyone came to the isolation room and closed the lead door.

The result came out immediately.

Cai Dongfan and Luo Yun looked normal, while Zeng Yi and Yan Haihan rubbed their eyes in disbelief.

Because they wondered if their eyes were blind—

The Kirschner wire after TM fracture is running, but what about the fracture line?

Wang Yongjin's eyes flashed immediately, and he kept looking up and down Zhou Cheng after four or fifty years of clinical experience.

Zhou Chengcheng hurriedly said: "Mr. Cai, Mr. Luo, Sister Yan, you can wait for me here for a while. I will go in and inject another Kirschner needle. Then take another photo. It will save some time."

After finishing speaking, Zhou Chengcheng took the initiative to step on the sensor door of the lead plate door, and then strode in wearing a sterile green surgical gown. When he arrived at the instrument nurse's table, he found the Kirschner wire by himself and put it into the electric drill. Lock the drill.

The second crossed Kirschner wire was quickly completed to achieve a more stable fixation.

The principle can be referred to the cut chicken legs on the barbecue stand, which are fixed crosswise, which is stronger than threading sticks in parallel!

When Cai Dongfan saw that Zhou Cheng had withdrawn the electric drill, he said to the itinerant nurse: "Yali, call the department later and pick up the next patient."

"Ah?~" Nie Yali was stunned on the spot.

Because the ignorant operation is a bit too difficult for her, it is estimated that no other girl is willing to cooperate...

Immediately, An Ruo was like an ant on a hot pan, holding onto it with her little hands.

He raised his head and looked at his teacher Zeng Yi, blinking his eyes non-stop, as if innocently asking for help: Teacher, teacher.

It comes, it comes again, what should I do?

Didn't you say that the pace of the operation would not be too fast?

At this moment, Zeng Yi still remembered what he said just now. Seeing that his student was a little stressed, he immediately squeezed his throat and coughed to remind her to pay attention to her image and not lose her demeanor in front of outsiders.

It was impossible for An Ruo to do such a thing, but she kept cursing in her heart:

Orthopedics is toxic.

Orthopedics is the devil.

orthopedics--

Curse, the enemy of life.

Zhou Cheng walked out into the isolation room again, so Cai Dongfan stepped on the C-arm perspective for the second time.

The results are still good.

After Zhou Cheng saw it, he breathed a sigh of relief and said, "Ms. Cai, Mr. Luo, I'm going to put on a plaster cast. You can get off the stage and rest."

The corners of Cai Dongfan and Luo Yun's mouths twitched immediately.

Glancing at the timing panel in the operating room.

00:04:42!

Four minutes and 42 seconds.

This is still two times of fluoroscopy, and the total time it took Zhou Cheng to go back in and get the second Kirschner wire, that is to say, Zhou Cheng's own operation time may be less than 1 minute!

Zhou Cheng walked in again.

Nie Yali still didn't react, why is it over?

When exactly did the surgery start?

Seeing Nie Yali still not moving, Zhou Cheng was already wandering in front of the operating table, as if he didn't know where to start the next operation.

After all, the sterile C-arm cover is only placed on the top of the C-arm machine, and the rest of the machine is still sterile.

Cai Dongfan reminded: "Yali, go and push down the C-arm machine, and then prepare for the second operation. It's hard work."

Nie Yali reacted immediately, trotted into the operating room, and went to help.

Then Cai Dongfan said to Luo Yun: "Luo Yun, you also go in and help Xiao Zhou put on a plaster cast, I will step down first."

After speaking, he began to undress himself.

In fact, Cai Dongfan felt that this operation was too fast. He originally thought that if Zhou Cheng had to inject two Kirschner wires, the reset would be slower than the previous technique?

However, it seemed that he was thinking a little too much.

When Cai Dongfan took off his clothes, he saw Zeng Yi's frown tightly, so he immediately smiled silly and apologized to him, "Director Zeng, thank you for your hard work, go and take off the anesthesia, and then work hard to give the next one anesthesia."

Zeng Yi walked into the operating room calmly, without saying anything.

Now that the people in the medical department are face to face, even if he has 1 opinions and complaints in his heart, he dare not say a word.

The operation in the clinical department is done quickly, can your anesthesiology department have any opinions?During meetings on weekdays, why do you complain about being slow?

An Ruo immediately turned into a diligent little ant, running around in the operating room, pouting under the mask.

I'm so hard-

……

Dou Chengpeng was stunned when he saw Cai Dongfan undressing. He looked at Yan Hanhan, Zeng Yi and Wang Yongjin. All three scored their own points on the score sheet.

Suddenly he was a little anxious.Quickly asked: "Director Zeng, Director Wang, how do you rate this?"

"So many scoring rules have not been made."

After listening to Zeng Yi, he quickly explained: "Director Dou, well, Xiao Zhou's surgical method is closed reduction and internal fixation with Kirschner wire for Class II surgery."

"It's not the plate and screw internal fixation we routinely carry out, so the details of the operation are in the back."

Naturally, Cai Dongfan prepared very comprehensively, and wrote several scoring rules for the surgical plans.

Dou Chengpeng stared immediately.

Fuck you guys are so flirtatious.

This is an assessment of surgery authorization, not a game, so why are you still playing multiple-choice questions?

Adults can choose both or just one.

Do you still play Ke Hai Ke Chun Qing during surgery?

Then I opened the back of the detailed scoring table, and suddenly felt that the orthopedic people were even more coquettish——

I see, closed reduction and Kirschner wire internal fixation for fibular fracture, surgical procedure and scoring rules:

1. Routine disinfection towels, the disinfection range is from the middle of the thigh of the upper limbs to the whole range of the lower limbs.

2. Preoperative C-arm fluoroscopy.

3. Manual reduction and Kirschner wire internal fixation.

4. C-arm perspective.

5. Plaster external fixation.

Even if Dou Chengpeng is not a specialist in orthopedics, he can still understand it anyway. Writing these five points is simply too damn watery.

Disinfection shop towels, C-arm perspective, accounted for three of them.

The really useful ones are probably manual reduction, Kirschner wire internal fixation and plaster external fixation.

Do they also feel that the scoring rules are too rough?

Dou Chengpeng's expression fluctuated for a while.

At this time, Wang Yongjin explained: "Mr. Dou, the steps of four-person manipulation are simple, but in fact, it is the most difficult level II operation among these operations."

"Basically, only a few hospitals dare to carry out this kind of operation routinely, because they can't grasp the degree of reduction of the operation."

As the chief director, Wang Yongjin has the most say, and Wang Yongjin doesn't mind giving his younger generation a hand.

As he spoke, he pointed to the C-arm see-through display screen and explained to Dou Chengpeng: "Chief Dou, you see, we assess whether the fracture has been reduced and fixed well, mainly by looking at the degree of closure of the fracture line and the degree of reduction of the displacement."

"We can see that the previous lateral displacement has basically been reset."

After hearing this, Dou Chengpeng immediately raised a question: "Director Wang, is this just the basics? What's better?"

Hear this.

Wang Yongjin, Zeng Yi, Yan Haihan and Cai Dongfan almost choked to death on their own saliva.

Wang Yongjin also shrugged his forehead, dug his ears with his hands, and said to Dou Chengpeng with some embarrassment: "I said basic, but I was just being polite."

"Although my surname is Wang, I'm not a mother-in-law, and I don't sell melons."

Wang Yongjin and Dou Chengpeng were joking.

Wang Yongjin is the generation of teacher Dou Chengpeng, he can joke with Dou Chengpeng casually.

Dou Chengpeng immediately shut up, feeling bitter in his heart, well, this exposed his unprofessionalism.

Taking a peek at director Zeng Yi and the others, he felt that he might have been a little ridiculous just now, and the translation of modern words is the scene of the death of the society.

It seems that we still need to say less and make less mistakes...

It doesn't necessarily mean that what this little doctor does must be poor, and a great director like Wang Yongjin Zengyi will definitely be able to find flaws.

In fact, Dou Chengpeng did nothing wrong, he just subconsciously asked Wang Yongjin, how is the completion of this operation, can it be better.It's just that Wang Yongjin couldn't answer, and Zeng Yi and the others felt rather embarrassed.

It seemed as though maybe this was the ceiling.

……

Finally, the second operation started on time at 54:[-].