Is there no limit to this doctor's skills?

Chapter 74 Effective Suggestions!

October 3, 7:53 AM.

After finishing his meal and wiping his mouth, Wang Qiang said to Du Gonghua beside him, "Xiao Du, you've seen a bit of Xiao Guo's abilities these past few days."

"He was sent by Associate Professor Ding Xianqi of the Department of Orthopedics to broaden his horizons. Although he was just a follower, he was probably recommended by the Department of Orthopedics, so he must be quite skilled."

"If there's anything that needs to be done later, let him handle it."

Du Gonghua is a newly appointed attending physician at this hospital. He has a long face and a big nose, and while he has a gentle temperament, he is naturally loud and clear-headed: "Okay, Professor Wang."

"Xiao Guo's physique and arms are perfect for carrying things."

"He's just a bit too proper. Yesterday, if I didn't ask him for help, he just stood there the whole time."

Wang Qiang immediately retorted, "Is this what you call a sense of boundaries!"

"Don't say that about him. If word gets out, it'll make it seem like we emergency room staff don't know the rules."

Wang Qiang then looked at Guo Ziyuan: "Xiao Guo, don't listen to him! He's brainless."

Guo Ziyuan, a trauma surgeon, came to work as an assistant. Without knowing anything, he started to "show off" and beat the attending physician in the emergency department to a pulp.

Does Guo Ziyuan still have a career?

Furthermore, at least one deputy senior official was present during the rescue. How far could Guo Ziyuan's miracle work go?

……

It was 11:20 a.m.

"Acute abdomen, open abdominal injury, active hematoma." Outside the emergency room, a trolley was smoothly pushed in, and the nurse pushing the trolley called out the general situation.

Wang Qiang was extremely busy.

But when new patients arrive for emergency treatment, we have no choice but to accept them.

"Du Gonghua, take your men and go there."

"Xiao Guo, go over there and lend a hand!" Wang Qiang emphasized.

He fully understood that if you didn't authorize Guo Ziyuan, he really wouldn't lend a hand; you had to ask him to do something for him to participate.

This is not laziness.

Guo Ziyuan didn't reply, but followed behind Du Gonghua with a PhD from the emergency department.

After helping to straighten the bed, Du Gonghua proactively pulled back the cotton pad covering the patient's abdominal wound.

The ambulance doctor performed a cursory procedure of local disinfection and packing to stop the bleeding, but the patient's vital signs remained extremely unstable.

The nurse said, "Before the patient came in, the doctor in the examination room told us to do a CT scan first."

Du Gonghua had no time to watch this; he instinctively shouted, "Tang Yongzhou, go watch the film."

Tang Yongzhou, a doctoral candidate in the institute, tensed up upon hearing this: "Me?"

Du Gonghua glared at him.

"Okay, I'll go!" Tang Yongzhou didn't dare to hesitate.

After putting on sterile gloves, Guo Ziyuan helped Du Gonghua open the wound cleaning kit and then helped straighten the patient's head to facilitate intubation.

Du Gonghua quickly began to stop the bleeding: "Call for a consultation."

The nurse said, "Most of the surgical resident patients are in the emergency room. Professor Wang's case involves multiple injuries."

Du Gonghua shut his mouth.

Tang Yongzhou has rushed back.

Du Gonghua then asked, "What's going on?"

Tang Yongzhou: "Abdominal wall injury, intestinal injury..."

"What's wrong with the blood vessels?" Du Gonghua looked up.

"It's difficult to directly identify vascular damage in open lesions," Tang Yongzhou said, feeling aggrieved.

Am I Associate Professor Wang Qiang or Professor He Qilin?

Upon hearing this, Guo Ziyuan helped the nurse complete the endotracheal intubation and then stepped to the computer.

I glanced at it briefly!

The patient's CT scans appeared to be organically separated, with clear and distinct layers.

Guo Ziyuan squinted for a good ten seconds before saying, "The main damage is likely to be to the internal iliac artery."

"Are you sure?" Du Gonghua hadn't received any definite information from Tang Yongzhou and was still probing blindly.

He didn't look up, but he was pressing him loudly for answers.

"I can't be sure, I can only guess!" How could Guo Ziyuan possibly say he was sure?

Du Gonghua really wanted to curse, but he knew he couldn't.

Guo Ziyuan was just helping out; he was simply offering a helpful suggestion based on his own expertise.

Associate Professor Wang Qiang and Professor He Qilin were both with more critically ill patients next door and could not leave.

Those who come for consultations are all chief resident or attending physician.

Emergency patients can access advanced medical resources from the higher-level departments within the emergency department.

The emergency department doesn't have a large pool of professors and associate professors that can be readily available in any situation.

"Also, the middle and lower segment of the left ureteral artery," Guo Ziyuan added.

Upon hearing this, Du Gonghua no longer hesitated: "Xiao Guo, come here! Stand opposite me."

Guo Ziyuan's hands were removed from his body, indicating that there was no excessive contamination.

The patient now has an open abdominal wound, and the inside is already contaminated, so we can't worry about aseptic principles anymore.

If the hematoma isn't treated properly, the person could die without even receiving anti-infection treatment.

Guo Ziyuan turned around and retrieved the negative pressure suction device.

Guo Ziyuan proactively helped clean the hematoma, while Du Gonghua, following Guo Ziyuan's advice, slowly opened the location of the internal iliac artery and its branches...

Sure enough, Du Gonghua saw the gushing blood after the artery ruptured.

Upon seeing the gushing blood, Du Gonghua calmed down.

The most difficult part of treating open hematomas is accurate diagnosis, not hemostasis. As long as the bleeding point is found in time, even if it is bleeding from a major artery.

For him, stopping the bleeding wasn't difficult!

In cases of traumatic hematoma in organs, a higher level of hemostasis technique is required.

"Superior gluteal and lateral sacral arteries."

"It can be considered a branch of the internal iliac artery." After stopping the bleeding, Du Gonghua breathed a sigh of relief and felt slightly better.

"Teacher Du, there's also the ureteral artery," Guo Ziyuan reminded him.

Du Gonghua replied, "I'm not that forgetful!"

Du Gonghua shifted his focus, lowering his loud voice, which carried a hint of bitterness: "Good image reading skills are truly a godsend in the emergency department, but they're just so hard to learn!"

Dr. Tang Yongzhou, sitting next to Du Gonghua, swallowed hard several times: "Brother Guo's film-viewing skills, are they really that good?"

The emergency department places the highest emphasis on diagnostic skills, and interpreting images is their core fundamental skill.

It can be said that there is no other like it.

Save lives first, then treat illnesses.

To save a life, a diagnosis must come first!

Unable to diagnose, help my ass!

Neither Du Gonghua nor Guo Ziyuan replied to him.

Du Gonghua could chat for a few minutes because he was the superior and the one who carried out the rescue operation.

What qualifications does Tang Yongzhou have to change or adjust the rescue schedule?

Before long, Du Gonghua also found the rupture in the inferior ureteral artery.

After clamping, the patient's visible hematoma slowly descended under negative pressure suction.

"How are the patient's vital signs?" Du Gonghua asked.

"The heart rate is still too fast, and the last blood pressure reading was 92! We've already called the blood bank for blood!"

"The pre-transfusion tests were already done when the ambulance arrived," the nurse replied.

"Continue with the preoperative examinations; this patient will definitely need to go into the operating room."

"Call for a consultation with vascular surgery, general surgery, and hepatobiliary surgery," Du Gonghua ordered.

He only saves lives, not cures diseases.

The hematoma that Du Gonghua was dealing with only required stopping the bleeding; there was no need to suture the blood vessels.

The patient's life was saved; the rest is a matter of seeking treatment from specialists.

Upon hearing this, Guo Ziyuan and Du Gonghua began stuffing gauze soaked in saline solution into the patient's abdomen.

Guo Ziyuan's movements were meticulous, his eyes were focused, and his gaze was calm.

There was no excitement, no repression; it was as if I had just done something insignificant.

[Accurate and rapid assistance in the diagnosis of hematoma, facilitating quick hemostasis for patients and directly avoiding the risk of shock. 110 skill points gained.]

Current skill point balance: 114 points

A slight smile appeared on Guo Ziyuan's lips, but not much.